Discover Medicare's innovative AI-driven WISeR Model, advancing prior authorization efficiency and regulatory compliance starting in 2026. Learn more now!

The Trump administration launches an AI-driven pilot program in six states to manage Medicare prior authorization, raising industry concerns over claim denials and AI incentives.

Congresswoman Maggie Goodlander and colleagues urge CMS to halt the proposed expansion of prior authorization in Traditional Medicare, citing risks to patient care and administrative burdens.

CMS introduces WISeR model using AI to expedite Medicare prior authorizations while insurers enhance processes to cut waste and improve care approval speeds.

Former U.S. Rep. Jennifer Wexton uses AI-generated voice tech to address PSP symptoms, advocates for Parkinson's legislation, impacting healthcare innovation and insurance compliance.

CCS’s AI-driven PropheSee™ platform significantly improves CGM adherence in Medicare diabetes patients, saving $10M+ and advancing preventive chronic care.

Explore the 2024 CMS prior authorization rule and the impact of AI on healthcare administrative processes, improving compliance and patient care timelines.

Explore the impact of Medicare Administrative Contractors on coverage decisions for advanced wound care therapies and the potential of AI-driven reforms to improve patient access and reduce costs.

Explore how the Advisory Board supports healthcare leaders with insights and strategies on industry trends, FDA approvals, AI, and health equity shaping the U.S. insurance and healthcare sectors.

Reveleer acquires Novillus to enhance its AI-driven value-based care platform, improving payer-provider collaboration, care gap closure, and clinical intelligence for health plans.