Category: Regulations

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From Expensive Disparities to Economic Opportunities: The Business Case for Health Equity

From Expensive Disparities to Economic Opportunities: The Business Case for Health Equity The following is a guest article by Bevey…

Health Rosetta Redesigns Health Plans From the Ground Up

Health Rosetta Redesigns Health Plans From the Ground Up According to Dave Chase, Co-Founder at Health Rosetta, “every dysfunction in…

The Role of Analytics and AI-Driven Tools in Aligning Payers and Providers Around Value-Based Care Models

The Role of Analytics and AI-Driven Tools in Aligning Payers and Providers Around Value-Based Care Models As we work on…

5 Hot Health Care Topics You Won’t Want to Miss at the Civitas 2025 Annual Conference

5 Hot Health Care Topics You Won’t Want to Miss at the Civitas 2025 Annual Conference The following is a…

Beyond the Rules Engine: How Agentic AI Is Helping Health Plans Solve Prior Authorization

Beyond the Rules Engine: How Agentic AI Is Helping Health Plans Solve Prior Authorization The following is a guest article…

Availity is Already Automating Prior Auths

Availity is Already Automating Prior Auths Russ Thomas, CEO at Availity, shares that 80% of the prior authorization requests made through…

For Persivia, It Takes a Blend of AI Types to Address Value Based Care Efforts

For Persivia, It Takes a Blend of AI Types to Address Value Based Care Efforts Mansoor Khan, like other health…

Clinical Revenue Cycle Takeaways from 3 Health Systems

Clinical Revenue Cycle Takeaways from 3 Health Systems Maybe I’ve just been to too many conferences, but you can tell…

RADV Audit Crisis: RAAPID Hosts Webinar as CMS Targets All 550 MA Plans

RADV Audit Crisis: RAAPID Hosts Webinar as CMS Targets All 550 MA Plans Industry experts warn: Organizations have months, not…

Dr. Oz Has It Right: America Needs a National Healthcare Directory

Dr. Oz Has It Right: America Needs a National Healthcare Directory The following is a guest article by Ladd Wiley,…