What You Should Know:
– Healthcare automation company Olive today announced it will shut down its business after selling its Clearinghouse and Patient Access business units to Waystar and its Prior Authorization business unit to…
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One of the challenges of specialty pharmacies is the need to improve the patient experience. Incomplete patient data, interoperability issues between the prescriber and pharmacy, and the lengthy prior authorization process are just a…
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The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. I talked to Nikki Henck, Senior Director of Utilization Management at Sagility, about the…
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From left to right: Mohana Ravindranath, STAT News’ Bay Area correspondent; Alex Momeni, partner at General Catalyst; Suchi Saria, CEO at Bayesian Health; and Sunita Mishra, chief medical officer at Amazon Health Services
Healthcare, like…
The following is a guest article by Niall O’Connor, Chief Technology Officer at Cohere Health
Constructing a Responsible AI Framework for Prior Authorization
The American healthcare system is on the precipice of a critically necessary digital transformation. Anyone…
John Berndt, SVP of Health North America, Valtech
Also known as the Kennedy–Kassebaum Act, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) defines and regulates individuals’ medical records and other individually identifiable health…
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The healthcare industry is constantly evolving, and recent news about insurers rolling back authorization requirements has been met with optimism. While this step forward is undoubtedly positive for healthcare providers and patients, it is…
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On Thursday, the Coalition of Kaiser Permanente Unions announced that it will begin conducting strike authorization votes among its 85,000 members starting next Monday and going through September 13.
The coalition represents about half of…
By Hannah Nelson
July 28, 2023 – Perceived EHR work stress was significantly associated with clinician burnout across all specialties, according to a study published in JAMIA.
Researchers invited attending physicians at UC San Diego Health System…
Michael Rivers, MD, Sr. Medical Director of Ophthalmology, ModMed
The headline-grabbing emergence of generative AI platforms, such as ChatGPT, BARD and BingGPT, has forced leaders across all verticals to ask, “What can we optimize with…
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