Blog

The CMS released its Interoperability and Prior Authorization final rule (CMS-0057-F). Learn what this means for payers and providers.

Recent ONC announcements will have a significant impact on payers, providers, and health information technology (HIT) vendors in 2024. Learn more.

With the Jiva platform's configurable Sentinel Rules Engine (SRE), health plans can use automation to effectively prioritize, sort, and manage the case load.

Much of the direction of the 2020 proposed rule is in the new proposed rule, particularly the sharing of prior authorization decisions/status with patients.

The Centers for Medicare and Medicaid (CMS) released the 2024 Medicare Advantage Proposed Rule on December 14, 2022 and the 957 page document is scheduled to enter the federal register on December 27th, 2022.

To reduce the burden of the prior authorization, many providers and payers have come together to develop solutions. Learn more.

The prior authorization process is often viewed as a burden by providers, necessitating staff resources and delaying care. Generally, the experience is considered abrasive.