News 6/25/25
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Ambient documentation vendor Abridge raises $300 million in a Series E round, boosting its valuation to $5.3 billion.
The company raised a $250 million Series D round just five months ago at a…
Tag: Prior Authorization
Monday Morning Update 6/23/25
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Major US health insurers pledge to improve prior authorization practices. They aim for 80% real-time decisions by 2027, fewer procedures that require approval, and 90-day care continuity for patients who switch plans.
Insurer…
Cohere Health Launches AI Tool to Cut Medical Review Time by 50%
What You Should Know:
– Cohere Health®, the leader in clinical intelligence solutions for health plans and risk-bearing providers, today announced the launch of Review Assist, a breakthrough agentic AI solution that improves medical necessity review efficiency…
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New AMA President Champions Healthcare Innovation
The American Medical Association (AMA) has officially welcomed its transformative new leadership team, marking a pivotal moment in the nation’s largest physician organization. During Tuesday’s annual leadership ceremony, otolaryngologist Bobby Mukkamala, M.D., was inaugurated…
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LucyRx, Personify Health partner for GLP-1 management
Pharmacy benefits manager LucyRx is partnering with Personify Health, a health navigation and benefits company, to provide employers with a more individualized, clinically-focused strategy for managing GLP medications and weight care.The companies will provide…
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Healthcare Claim Denial Rates Rise
Healthcare Revenue Crisis Intensifies Nationwide
Healthcare providers across the nation are grappling with unprecedented challenges as claim denial rates reach alarming levels, fundamentally disrupting revenue cycle management and threatening financial stability.
Dramatic Increase in Healthcare Claim…
Healthcare Data Exchange Revolutionizes Patient Care
HHS Launches Groundbreaking Data Sharing Initiatives
The U.S. Department of Health and Human Services has launched groundbreaking initiatives to transform healthcare data sharing. These efforts focus on reducing administrative burdens while empowering Medicare enrollees to…
Health Insurance Restricts Prescription Drug Access
Understanding the Prescription Drug Access Challenge
Prescription drug coverage has become increasingly restrictive across all major insurance types, creating significant barriers for American patients seeking essential medications. Recent research reveals that healthcare consumers face unprecedented…
Cell Therapy’s Future: Breakthroughs Meet Barriers
Promise and Paradox in Cell Therapy Growth
Cell and gene therapies (CGTs) stand at the precipice of transformative growth, with Cardinal Health’s “2025 Advanced Therapies Report” projecting over 200 FDA-approved treatments and 100,000+ U.S. patients…
RISA Labs Raises $3.5M for AI-Powered Oncology Prior Authorizations Platform
What You Should Know:
– Cancer patients don’t just fight the disease – they fight the system. Today, life-saving treatments are routinely delayed by days or even weeks due to manual, error-prone workflows
– To solve this, RISA Labs has…
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