Category: Prior Authorization
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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…
The White House’s Data Sharing Initiative Needs a Proving Ground – Prior Auth Should Be It
The White House’s Data Sharing Initiative Needs a Proving Ground – Prior Auth Should Be It The following is a…
Why Faster Prior Authorizations Won’t Fix Healthcare’s Real Issues
Why Faster Prior Authorizations Won’t Fix Healthcare’s Real Issues Russell Graney, Founder and CEO of Aidin Few phrases raise blood…
Seeing What’s Been Missing: How Surescripts Is Making Medication Gaps Visible
Seeing What’s Been Missing: How Surescripts Is Making Medication Gaps Visible Every day, thousands of prescriptions go unfilled. The truth…
Optum Real Delivers Clarity in Claims and Reimbursement
Optum Real Delivers Clarity in Claims and Reimbursement The vision for Optum Real is to create real-time transparency between payers…
AI Prior Authorization: Humata Health Partners with CMS on WISeR Model to Modernize Medicare
AI Prior Authorization: Humata Health Partners with CMS on WISeR Model to Modernize Medicare What You Should Know: – Humata…
Oracle Wants to Be Healthcare’s Partner—Will the Industry Let It?
Oracle Wants to Be Healthcare’s Partner—Will the Industry Let It? In healthcare IT, vendors are often accused of building walls…
As Insurers Pledge Prior Authorization Reform, Here’s How Automation Can Help Providers Keep Pace
As Insurers Pledge Prior Authorization Reform, Here’s How Automation Can Help Providers Keep Pace The following is a guest article…
Oracle Health to Launch AI-Powered Solutions for Payers and Providers
Oracle Health to Launch AI-Powered Solutions for Payers and Providers What You Should Know: – Oracle Health has unveiled a…
