AI Systems Driving Record Denial Rates
The 2024 American Medical Association survey reveals alarming trends in prior authorization practices, with 61% of physicians concerned about health insurers’ increasing reliance on unregulated artificial intelligence systems. According…
What You Should Know:
– careviso, a leader in healthcare technology solutions and prior authorizations (PA), today announced a strategic alliance with XiFin, a trusted leader in revenue cycle management (RCM).
– This collaboration is designed to…
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What You Should Know:
– A new survey from the American Medical Association (AMA) reveals growing concern among physicians about the use of artificial intelligence (AI) in prior authorization decisions by health insurers.
– The survey…
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What You Should Know:
– Availity®, the nation’s leading real-time health information network, and Concert®, the leading provider of clinical content and payment accuracy solutions for advanced diagnostics, have partnered to digitize and automate the…
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What You Should Know:
– Innovaccer Inc., a healthcare AI company, announced today a $275M Series F funding round.
– The latest investment, combined with primary and secondary funding, includes participation from prominent investors such as…
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Those hoping for meaningful drug pricing and prior authorization reform this holiday season received a lump of coal instead.
On Saturday, President Joe Biden signed a narrower spending bill that avoided a government shutdown but…
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It’s a multiphased project that will see the Cheers CRM enabling Sentara Health’s clinical access center to view all of the patient information in one dashboard, including scheduled appointments, bills and claims, and previous…
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Steve Kim, CEO of Valer
As a physician, the odds that you’ve had a negative experience related to the prior authorization process are (unfortunately) highly likely. According to the American Medical Association’s (AMA) 2023 Prior…
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Prior authorizations are a major pain point in the healthcare life cycle, with clinicians and payers alike finding the process complex, costly, and error prone. According to a CAQH report published in 2024, about…
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Prior authorization has been a bone of contention between payers and providers for some time now. Payers argue that it helps avoid unnecessary care and reduces costs, while providers say it creates administrative…
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