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The Compliance Blind Spot: Why Traditional Backups Fail HIPAA Integrity Standards

The Compliance Blind Spot: Why Traditional Backups Fail HIPAA Integrity Standards

December 17, 2025December 17, 2025
Democratizing Data: How WellSky and uMed Are Bringing Clinical Trials into the Living Room

Democratizing Data: How WellSky and uMed Are Bringing Clinical Trials into the Living Room

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More AI agents launching on patient management systems

More AI agents launching on patient management systems

December 17, 2025December 17, 2025
AI blueprint from NAACP prioritizes health equity in model development

AI blueprint from NAACP prioritizes health equity in model development

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Tag: Prior Authorization

HTI-4 Final Rule Information Session

HTI-4 Final Rule Information Session

August 13, 2025August 14, 2025Office of the National Coordinator for Health IT

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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Abridge and Highmark Collaborate on AI-Powered Prior Authorization Solution

Abridge and Highmark Collaborate on AI-Powered Prior Authorization Solution

August 12, 2025August 12, 2025HIT Consultant

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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How Centralized Patient Access Can Fix RCM and Staff Shortages

How Centralized Patient Access Can Fix RCM and Staff Shortages

August 11, 2025August 11, 2025HIT Consultant

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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HHS Finalizes HTI-4 Rule: Prior Authorization & E-Prescribing Interoperability

HHS Finalizes HTI-4 Rule: Prior Authorization & E-Prescribing Interoperability

August 2, 2025August 2, 2025HIT Consultant

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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Humana Accelerates Prior Authorization Reforms, Pledges to Cut Requirements and Expedite Approvals

Humana Accelerates Prior Authorization Reforms, Pledges to Cut Requirements and Expedite Approvals

July 24, 2025July 24, 2025HIT Consultant

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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AI Streamlines New Medicaid Work Requirements

AI Streamlines New Medicaid Work Requirements

July 22, 2025July 22, 2025DistilINFO Hospital IT

Coalition Forms AI Tiger Team
The Coalition for Health AI (CHAI) has launched an unprecedented fast-tracked initiative to revolutionize how artificial intelligence supports Medicaid work requirements implementation. This priority “tiger team” represents a groundbreaking approach…

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Availity is Already Automating Prior Auths

Availity is Already Automating Prior Auths

July 17, 2025July 18, 2025Healthcare IT Today

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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ZeOmega Partners with Massachusetts Health Data Consortium to Launch Nation’s First Statewide FHIR-Based Prior Authorization System

ZeOmega Partners with Massachusetts Health Data Consortium to Launch Nation’s First Statewide FHIR-Based Prior Authorization System

July 16, 2025July 16, 2025HIT Consultant

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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What Are Healthcare’s Most Pressing Revenue Integrity Issues in The Remote-Work Era

What Are Healthcare’s Most Pressing Revenue Integrity Issues in The Remote-Work Era

July 16, 2025July 16, 2025HIT Consultant

Tanya Sanderson, Sr. Director of Revenue Integrity, Xsolis

With more and more organizations merging for scale and sustainability, revenue cycle teams are being centralized, taking these critical personnel further away from physicians at the bedside. Remote teams…

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Monday Morning Update 7/14/25

Monday Morning Update 7/14/25

July 13, 2025July 13, 2025HIStalk

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…

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With respect to healthcare, I see digital transformation as a formula: simplified patient journey + streamlined employee workflow = a memorable experience. The ability to distill the patient touch points down to only what is necessary, make the behind-the-scenes workflow less cumbersome (reducing silos and friction points) and accelerate the entire throughput with carefully selected and complementary technology is the essence of digital transformation. Process is always upstream from technology, and any digital effort should take that into consideration.

Tom Barnett

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