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Latest posts
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Beyond prior authorization: AI in utilization management raises the bar on decision quality
For years, utilization management has been measured by its ability to answer operational questions. How quickly can requests be reviewed? How consistently can policies be applied? How efficiently can organizations balance quality, cost, and appropriate use of care? Those…
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The Simplest Experience Wins: What Healthcare Leaders Told Us About AI
“I need help!” said Kate (name changed) as she sat down at the roundtable discussion at the Emids Healthcare Summit ‘26. In an instant, she had everyone’s attention. Kate explained that her organization, a large outpatient care provider, was losing roughly half of its potential…