NEWS

What if your business is missing out on revenue simply because legitimate claims aren't being challenged when they're denied? Key Takeaways: Surging volume —Medicare Advantage prior authorization requests hit 52.8 million in 2024, up 42.3% jump since 2019. Rising denials —Denial rates climbed from 6.4% in 2023 to 7.7% in 2024, with major carriers denying more than 10% of requests. Appeal advantage —While only 11.5% of denials are appealed, 80.7% of those appeals are successfu

Will the EHR giant that dominates hospital systems redefine what AI actually means for health care delivery? Key Takeaways: Epic is positioning its AI charting tool as an "active assistant" rather than a passive scribe, tightly integrated with its EHR system Early adopters report saving 60 minutes per day through personalized voice agents and customizable documentation By taking a focused approach, Epic is solving specific problems rather than deploying AI everywhere Epic's s

What happens when the referee and the players both use the same playbook? Healthcare is experiencing an unprecedented AI arms race. Providers are deploying artificial intelligence to protect revenue streams. Payers are using similar technology to manage costs. And caught in the middle is a system that's becoming more efficient at everything except the thing that matters most: getting patients the care they need without financial devastation.