Highmark Health’s Strategic AI Implementation
Highmark Health has announced a groundbreaking partnership with Abridge to implement ambient clinical documentation technology across its extensive healthcare network. This comprehensive rollout will transform clinical workflows across 14 hospitals…
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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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…
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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