Health plans commit to simplifying prior authorization

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Top Story More Than 50 Health Plans Commit to Simplifying Prior Authorization Several insurers, such as UnitedHealthcare, Aetna and Cigna, pledged to improve prior authorization. These changes include streamlining decision timelines and increasing transparency. Sponsored Is Your Provider Data Holding You Back? Presented by ProviderTrust Managing provider data across disconnected systems creates risk, delays, and unnecessary costs. Our latest resource breaks down the real impact of siloed data—and what you can do to fix it. 👉 Access the guide now and learn how to streamline compliance and boost efficiency across your organization.

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Why This Former OpenAI Exec Is Urging Health Leaders to 'Specialize in Empathy' At the HFMA Annual Conference, AI expert Zack Kass shared a personal story to emphasize the enduring importance of human qualities like empathy and compassion in healthcare. In his view, these qualities will only become more essential as AI continues to transform the clinical landscape. Vertex Pharma's Type 1 Diabetes Cell Therapy Shows Potential to Achieve Insulin Independence In Phase 1/2 results for 12 patients at least one year after receiving the cell therapy, zimislecel, Vertex Pharmaceuticals reported all participants achieved blood glucose in the target range and 10 of the 12 were free of exogenous insulin as of the data cutoff. Vertex expects to complete enrollment in the pivotal portion of the study this summer, paving the way for potential regulatory submissions next year. The Overlooked Global Warming Cost We Can't Ignore Climate change not only impacts patients with respiratory allergies, but it also has potential broad and emerging impacts on patients with food allergies and overall public health. The Medicaid Reckoning: Era of Fiscal and Policy Flux The resilience of Medicaid lies in its complexity. It has resisted large-scale restructuring because it is interwoven with public and private delivery systems. That same complexity now demands a different kind of legal engagement. Medicaid is no longer a silo, but a system-defining platform.

Video   Why Should Employers Be Focused on HIV? At AHIP 2025, Tracy Watts of Mercer discussed why employers should be paying more attention to HIV. "You might be surprised to know that the fastest growing test-positive cohort for HIV is ages 25 to 34 — these are your workers that weren't even alive at the beginning of the AIDS epidemic. Related to that, 80% of the people who transmit HIV don't even know that they have it," she said. In her view, the best thing employers can do to help address this issue is to promote HIV testing.

Sponsored Navina's AI Copilot Eases the Value-Based Burden, Study Shows Presented by Navina A new independent study from Phyx Primary Care's Innovation Lab points to measurable improvements in physician burnout, documentation efficiency, and key VBC metrics among primary care practices. Learn More

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MedCity Pivot: How Veradigm Aims to Close the Information Gap Megan Zakrewsky, vice president of product at Veradigm talks about how the company is utilizing tech among providers, payers and patients. Watch now!

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