Tag: WISeR
As CMS turns to AI, GenHealth.ai says it’s built for what’s next
July 25, 2025Liz Beaulieu, Editor
BOSTON – GenHealth.ai believes it’s in the right place at the right time following CMS’s recent decision to use artificial intelligence (AI) to expedite the prior authorization process for traditional Medicare.
The company, which entered the home medical equipment (HME) market earlier this year, says it leverages recent advancements in AI and large language models (LLMs), along with deep integrations into existing EMR and billing systems, to automate prior authorization...
Prior authorizations: Insurer pledges, tech plays & exemption pathway
July 3, 2025Liz Beaulieu, Editor
WASHINGTON – In about a one-week span, the Department of Health & Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) proposed three new initiatives that seek to improve and modernize the prior authorization process. Industry stakeholders say the initiatives – while some are geared more toward physicians and are smaller in scale – could have a positive impact on HME providers.
All in late June:
HHS and CMS announced that major health...