Market Intelligence
CMS reaches its first public prior-authorization metrics deadline
The March 31 reporting milestone creates a new, imperfect public evidence layer for examining payer authorization volume, outcomes, and decision timeframes.
Coverage desk
Product Intelligence
Source-backed reporting and analysis connected to the companies, capabilities, authorities, and operating domains it affects.
Product Intelligence
HealthEdge opens GuidingCare to multiple utilization-management AI partners
The initial Decision Intelligence Ecosystem connects Anterior, Latitude Health, and Case Health AI to GuidingCare, signaling a modular market for clinical review intelligence.
Product Intelligence
R1 launches an end-to-end prior-authorization service on Phare OS
The provider-side offering combines rules, payer connectivity, automation, EHR completion, and human operations across determination, submission, and follow-up.
Payer Intelligence
Humana sets 2026 targets for fewer requirements and faster decisions
The payer committed to removing about one-third of outpatient prior-authorization requirements, expanding one-day decisions, and launching a national gold-card program.