AppriseMD Insights
Physician Advisors: Specialists For Your Utilization Management Team
Hospitals Should File A Complaint When Medicare Advantage Plans Do Not Follow Two-Midnight Rule
The Financial Impact of Weekend Utilization Review
Payers, Artificial Intelligence and Revenue Cycle
Medicare Advantage Organization Non-Compliance with The Two-Midnight Rule Findings
Payer Claim Denials & Medicare Advantage Organizations Market Share
More from the AppriseMD Library
Additional News to Note
Legislation
A new California law went into effect Jan. 1 that prohibits payers from making coverage decisions based solely on artificial intelligence algorithms.
→ Read more.
Legislation
Texas joins California in looking at how payers are using AI to deny claims.
Outlook
Learn more about what hospital CEOs can expect from CMS in 2025 here.
AHA
The American Hospital Association (AHA) commended CMS for initiating steps to expand oversight of the 2026 Medicare Advantage (MA) plans last month.
Download AHA fact sheet "Improving Access to Care for MA Beneficiaries."
According to the AHA, hospitals continue to encounter obstacles from insurer policies, negatively impacting patient care and costs.
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