Explore the consequences of noncompliance with the Price Transparency Act. Learn about penalties, recent enforcement actions, and the importance of price transparency for hospitals.
Explore the CMS disclosure requirements driving payer risk and compliance exposure. And how to align governance, vendors, and validation before penalties hit.
Explore how gold carding reduces the burden of prior authorization for healthcare providers by rewarding consistent, guideline-adherent care.
Learn how electronic prior authorization (ePA) transforms healthcare by replacing manual workflows, improving provider experience, and supporting FHIR API compliance.
Learn how FHIR-based APIs make prior-authorization digital, fast, and accurate, boosting provider satisfaction.
Discover the top healthcare trends shaping 2025, from predictive analytics and AI to behavioral health integration and compliance updates.
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?
Optimize care with utilization management software: improve decision-making, prioritize cases, and enhance outcomes.
