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For years, prior authorization (PA) has been viewed as a necessary, but often inefficient — mechanism for managing cost and ensuring appropriate care. It plays a critical role in utilization management, yet it also introduces administrative complexity, provider friction, and operational overhead. Bu...
6 May, 2026
There’s a paradox at the heart of modern healthcare. Health plans have more data than ever before — clinical, claims, pharmacy, behavioral, and social determinants. The volume is staggering, and the potential is enormous. And yet, for many organizations, the reality feels largely unchanged. Decision...
9 Apr, 2026
Vital Data Technology has been acquired by MedReview, marking a significant milestone in the company’s continued growth and commitment to advancing healthcare data solutions. This strategic acquisition brings together two organizations with complementary strengths, creating a more robust platform to...
31 Mar, 2026
Third Party Administrators (TPAs) are under increasing pressure to deliver more value — faster, more efficiently, and with greater accountability. The environment they operate in has fundamentally shifted. Medical Loss Ratios (MLRs) are tightening across the market. While regulatory minimums require...
25 Mar, 2026
Healthcare payers are standing at a pivotal moment — one that will define how they manage costs, collaborate with providers, and serve members over the next decade.
16 Mar, 2026
Health plans today face a structural paradox. Member acuity is rising. Workforce constraints are tightening. Administrative complexity continues to grow. Yet expectations for improved outcomes, lower total cost of care, and higher member engagement have never been greater.
25 Feb, 2026