What You Should Know:
– Artera, the developer of multimodal artificial intelligence (MMAI)-based prognostic and predictive cancer tests, announced today that the U.S. Food and Drug Administration (FDA) has granted De Novo authorization for ArteraAI…
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What is Prior Authorization?
Prior authorization represents one of healthcare’s most entrenched administrative processes—an insurer approval protocol that has become synonymous with delays, red tape, and complicated relationships between patients, providers, and payers. This healthcare…
ASTP/ONC’s HTI-4 final rule finalizes certain proposals from the HTI-2 Patient Engagement, Information Sharing, and Public Health Interoperability proposed rule, including new and updated health IT certification criteria for electronic prior authorization, electronic prescribing,…
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What You Should Know:
– Highmark Health announced today the launch of an enterprise-wide collaboration with Abridge to deploy its ambient clinical documentation platform, collaborate on a paradigm-shifting prior authorization solution at the point of conversation,…
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Ryan Chapin, Executive Director of Strategic Solutions, AGS Health
Rising operating costs, shrinking operating margins, and a complex payer landscape characterized by heightened prior authorization requirements and a push to embed advanced technology more deeply…
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What You Should Know:
– The U.S. Department of Health and Human Services (HHS) has released a new final rule, the Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit and Electronic Prior Authorization…
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What You Should Know:
– Humana Inc. announced accelerated efforts to approve care requests as quickly as possible and reduce the administrative burden for physicians associated with prior authorization.
– These actions aim to streamline and…
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Russ Thomas, CEO at Availity, shares that 80% of the prior authorization requests made through the company’s Intelligent Utilization Management solution are “touchless,” meaning that responses are returned without the need for manual processing by…
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What You Should Know:
– ZeOmega®, a population health and interoperability technology company announced it has been selected by the Massachusetts Health Data Consortium (MHDC), a nonprofit advancing health data sharing, to transform prior authorization…
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Top News
Johns Hopkins Health System launches Illustra Health, which applies analytics and Hopkins best practices to population health management.
HIStalk Announcements and Requests
Poll respondents aren’t convinced that insurers will voluntarily streamline prior authorization
New poll…
