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…
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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Major Healthcare Systems Opt Out
Nearly 6,500 healthcare providers have rejected Blue Cross Blue Shield’s $2.8 billion settlement agreement, choosing instead to pursue independent antitrust lawsuits against the insurance giant. This massive exodus from the…
What You Should Know:
– Physicians and advanced practice providers (APPs) are working at record levels, , according to the quarterly Physician Flash Report from Kaufman Hall, a Vizient company.
– Despite the overall positive financial…
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The healthcare industry witnessed unprecedented merger and acquisition activity throughout July 2025, with billions of dollars in transactions reshaping the competitive landscape. Healthcare providers, technology companies, insurance payers, and retailers aggressively pursued strategic partnerships…
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What You Should Know:
– Datavant, a data collaboration platform for healthcare, has successfully completed its acquisition of Ontellus, a provider of health records retrieval and claims intelligence. Financial details of the acquisition were not…
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What You Should Know:
– Cerebral, a virtual mental health provider announced its acquisition of Resilience Lab, a behavioral health organization known for its unique clinical development platform and outcomes-focused care delivery.
– The acquisition creates…
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What You Should Know:
– Sohar Health, a provider of eligibility determination and Verification of Benefits (VoB), and Rula Health, a national behavioral healthcare provider group announced a partnership to streamline the connection between patients…
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In Germany, statutory health insurance reimburses digital health applications (DiGAs) approved by the Federal Institute for Drugs and Medical Devices (BfArM). Permanent approval requires evidence of positive healthcare effects, either medical benefits or patient-relevant…
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Federal Investigation Overview
NewYork-Presbyterian is currently under federal scrutiny as the Department of Justice (DOJ) launches a comprehensive investigation into potential anticompetitive practices within the healthcare giant’s insurance contracting strategies. This high-stakes federal probe represents…
