The AI arms race utilization management intensifies payer-provider conflicts, raising risks for hospitals and health systems nationwide.

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's ...

"Penguin Ai's Snowflake Native Apps help customers turn healthcare data into automated action," said Fawad Butt, CEO, Penguin Ai. "By bringing prior authorization and medical coding intelligence ...

The MarketWatch News Department was not involved in the creation of this content. MENLO PARK, Calif., Dec. 18, 2025 /PRNewswire/ -- Develop Health, an AI-powered eligibility and prior authorization ...

JACKSONVILLE, Fla. & NASHVILLE, Tenn.--(BUSINESS WIRE)--Availity ®, the nation’s leading real-time health information network, and Concert ®, the leading provider of clinical content and payment ...

Close to 60% of providers who responded to an HFMA survey say they have yet to implement AI or automation in the revenue ...

PHILADELPHIA, PA, UNITED STATES, January 27, 2026 /EINPresswire.com/ — Ethermed, an AI-powered healthcare automation company, today announced a partnership with ...

Columbus, Ohio-based PriorAuthNow, maker of an electronic prior authorization platform, has closed a $10.5 million Series A funding round. The investment was led by Atlanta-based BIP Capital, with ...

Please provide your email address to receive an email when new articles are posted on . An electronic health record tool has demonstrated the potential to automate the selection of biosimilars.

Recondo Technology, a revenue cycle management solutions company based in Denver, will host a complimentary webinar on how hospitals can automate prior authorization requests to payers. The webinar is ...

MENLO PARK, Calif., Dec. 18, 2025 /PRNewswire/ -- Develop Health, an AI-powered eligibility and prior authorization automation platform, today announced its integration with athenaOne, bringing its ...

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment. PHILADELPHIA, PA, UNITED STATES, January 27 ...