Who gets to say no when AI enters prior authorization? This issue examines CMS's WISeR model and emerging state laws defining where automated coverage decisions stop and human review begins.
Explore how AI could modernize vulnerability management, why cybersecurity is a public health and patient safety issue, and how professionals can respond to NIST’s request for ideas.
This month’s Public Health AI Brief explores how CMS payment models, GLP-1 coverage, fitness, coaching, wearables, and health records could bring prevention into the healthcare team.
CMS’s new Medicaid work requirements rule illustrates the challenge of policy implementation at scale. We explore what states must build, the infrastructure needed, and how smarter orchestration can reduce burden for administration and beneficiaries.

