Healthcare providers, suppliers, compliance leaders, and private equity-backed platforms may prepare for increasing operational, ...

The administrative burden of utilization review processes like prior authorizations and concurrent review has long been a thorn in the side of healthcare providers. While prior authorizations have ...

As hospitals and health systems continue to grapple with revenue leakage and clinical denials, many are turning to innovative technologies to bridge the gap between payers and providers. Organizations ...

Medicaid managed care organizations should prioritize children in low-opportunity neighborhoods to optimize health care utilization, improve minority health, and address health-related social needs.

Medicare Advantage grocery supplemental benefit use is associated with increased outpatient care, suggesting that policy changes allowing for nonmedical supplemental benefits could improve ...

ABQAURP’s Corporate Membership connects members with organizations dedicated to advancing health care quality. NEW PORT ...

The 2026 edition of the health conference recognized Dr. Pahuja for advancing AI-driven solutions in utilization review, ...