Category: Prior Authorization

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R1 to Acquire Humata Health, Advancing Phare OS with AI-Powered Prior Authorization Automation

R1 to Acquire Humata Health, Advancing Phare OS with AI-Powered Prior Authorization Automation What You Should Know R1 entered into…

The Power of Voice AI Agents in Automating RCM

The Power of Voice AI Agents in Automating RCM In the not-too-far future, as envisioned by Sam Schwager, Co-Founder and…

Surescripts Expands Prior Authorization Automation: Slashing Prescription Approval Times as New CMS Interoperability Rules Loom

Surescripts Expands Prior Authorization Automation: Slashing Prescription Approval Times as New CMS Interoperability Rules Loom What You Should Know Surescripts…

How Agentic AI is Reshaping the Future of Revenue Cycle Management – and the Work Behind It

How Agentic AI is Reshaping the Future of Revenue Cycle Management – and the Work Behind It The following is…

The Prior Auth Panic: WEDI Survey Reveals Providers Are Stalling as the CMS API Deadline Looms

The Prior Auth Panic: WEDI Survey Reveals Providers Are Stalling as the CMS API Deadline Looms What You Should Know…

The Prior Auth Panic: WEDI Survey Reveals Providers Are Stalling as the CMS API Deadline Looms

The Prior Auth Panic: WEDI Survey Reveals Providers Are Stalling as the CMS API Deadline Looms What You Should Know…

Optum Launches AI Platform to Erase Prior Auth Friction

Optum Launches AI Platform to Erase Prior Auth Friction What You Should Know The Launch: Optum is rolling out a…

Why Prior Authorization Reform Will Fall Short Without Clinically Trained Agentic AI

Why Prior Authorization Reform Will Fall Short Without Clinically Trained Agentic AI The following is a guest article by Gigi…

How Hospitals Will Need to Work WISeR in 2026

How Hospitals Will Need to Work WISeR in 2026 The following is a guest article by Carol Howard, BSN, MBA,…

Building Member Trust with GenAI in Prior Authorization

Building Member Trust with GenAI in Prior Authorization The following is a guest article by Amy Qureshi, RN, BSN, Senior…