Colorado House Bill 25-1002, effective January 1, 2026, amends Colorado Revised Statutes § 10-16-104(5.5) to require health benefit plans to use nationally recognized, not-for-profit clinical criteria ...

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We aim to provide transparency in how Elevance Health plans address variations in clinical practices to ensure safe, high-quality, clinically appropriate, and accessible care delivery across diverse ...

Health insurers and health care provider organizations are increasingly using artificial intelligence (AI) tools in prior authorization and claims processes. AI offers many potential benefits, but its ...

Behavioral health utilization increased substantially from 2018 to 2024, with anxiety disorder care fueling much of that growth, according to Trilliant Health. The health data analytics and market ...

This study will create a blueprint for a sustainable infrastructure to implement preventive interventions that promote behavioral health. It will also identify funding needs and strategies to support ...

Across five health systems, behavioral health leaders are seeing a fundamental shift in how integration is financed: moving from siloed service lines and short-term funding toward enterprisewide cost ...