Practice Management

Medicare's AI-Driven Prior Authorization Pilot Draws Physician Backlash and a Federal Lawsuit

Sonia Reyes
Prior Authorization & Appeals, State & Federal Regulations, Medicare/Medicaid Updates, Healthcare Headlines, Policy & Legislation, Reimbursement Changes, Practice Management, Regulatory & Legislative Updates | Apr 10, 2026
Three months into Medicare's WISeR prior auth pilot, physicians report widespread claim denials, and the EFF has sued CMS for transparency on AI vendor practices.

The Scheduling Fix Hospitals Keep Ignoring

George Padron
Prior Authorization & Appeals, Healthcare Headlines, Practice Management, Care Coordination | Apr 3, 2026
Smoothing elective hospital admissions reduces ER boarding, nurse turnover, and mortality, yet most U.S. hospitals have not adopted the proven strategy.

Antidepressant Discontinuation in Pregnancy Leads to Increased ED Costs and Utilization

Sonia Reyes
Cost-Effective Analysis, Public Health Initiatives, Practice Management, Care Coordination | Feb 13, 2026
SMFM research links SSRI/SNRI discontinuation in pregnancy to nearly double the psychiatric ED utilization, with downstream costs in preterm birth and postpartum care that health plans should monitor.

AI Scribes Purport to Give Doctors More Face Time With Patients

George Padron
AI & Critical Decision Support, Practice Management | Feb 11, 2026
The first randomized trial shows that AI ambient scribes reduce physician paperwork burden and improve patient engagement, validating technology investments for health systems.

Medical Liability Premiums Show Steepest Six-Year Climb Since Early 2000s

George Padron
Real World Evidence, Practice Management | Jan 25, 2026
Medical malpractice insurance premiums continued their six-year climb in 2024, with nearly 50% of policies increasing, potentially impacting provider networks and access.