The History of Price Transparency in U.S. Healthcare
September 30, 2025
A clear timeline of U.S. healthcare price transparency, from early state actions and ACA mandates to today’s CMS rules and enforcement.
Choosing the Right Vendor for CMS Price Transparency Compliance
September 23, 2025
Explore tips for choosing the right vendor to ensure CMS price transparency compliance, including defining your needs and seeking peer input.
Price Transparency Enforcement: What Noncompliance Really Costs Hospitals
September 16, 2025
Explore the consequences of noncompliance with the Price Transparency Act. Learn about penalties, recent enforcement actions, and the importance of price transparency for hospitals.
Key Disclosure Requirements Under CMS Healthcare Price Transparency Rules
September 9, 2025
Explore the CMS disclosure requirements driving payer risk and compliance exposure. And how to align governance, vendors, and validation before penalties hit.
Gold Card Explained: Reducing PA Burden Through Smart Provider Incentives
August 26, 2025
Explore how gold carding reduces the burden of prior authorization for healthcare providers by rewarding consistent, guideline-adherent care.
What Is Electronic Prior Authorization (ePA) in Healthcare?
August 19, 2025
Learn how electronic prior authorization (ePA) transforms healthcare by replacing manual workflows, improving provider experience, and supporting FHIR API compliance.
FHIR and the Future: Why Interoperability is the Key to PA Reform
August 12, 2025
Learn how FHIR-based APIs make prior-authorization digital, fast, and accurate, boosting provider satisfaction.
Healthcare Trends Defining 2025
December 30, 2024
Discover the top healthcare trends shaping 2025, from predictive analytics and AI to behavioral health integration and compliance updates.
Healthcare 2025
November 26, 2024
With the election of a new president who is signaling significant interest in overhauling healthcare policies, the stakes are high for providers, payers, and policymakers.
What lessons can be drawn from the past, and what predictions can we make about the road ahead?
5 Reasons Providers Should Use Utilization Management Software
August 14, 2024
Optimize care with utilization management software: improve decision-making, prioritize cases, and enhance outcomes.