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Agentic Healthcare by Case Health AI
Case Health AI
6 episodes
1 week ago
A behind-the-scenes podcast at the intersection of healthcare, AI, and enterprise transformation. Join our expert hosts as they decode the systems powering modern healthcare—from the AI assisting in making clinical decisions to the policy shifts shaping patient outcomes. Each episode offers deep dives, unfiltered conversations, and practical insight for builders, leaders, and skeptics alike.
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Technology
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All content for Agentic Healthcare by Case Health AI is the property of Case Health AI and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
A behind-the-scenes podcast at the intersection of healthcare, AI, and enterprise transformation. Join our expert hosts as they decode the systems powering modern healthcare—from the AI assisting in making clinical decisions to the policy shifts shaping patient outcomes. Each episode offers deep dives, unfiltered conversations, and practical insight for builders, leaders, and skeptics alike.
Show more...
Technology
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CMS-0057-F and Medicare Advantage Prior Authorization
Agentic Healthcare by Case Health AI
19 minutes 40 seconds
6 months ago
CMS-0057-F and Medicare Advantage Prior Authorization

📌 Overview:
In this episode, we break down the new CMS-0057-F Final Rule and what it means for Medicare Advantage plans. From faster prior authorization decisions to mandatory FHIR-based APIs, we cover the biggest changes, the 2026–2027 compliance deadlines, and the operational and technical steps plans need to take. Whether you're on the product, compliance, or engineering team, this is your guide to understanding what’s coming—and how to stay ahead of it.

🔍 Topics Covered:

  • What CMS-0057-F is and why it matters

  • New turnaround times for prior auth requests

  • Required API implementations and data standards

  • Reporting obligations and transparency rules

  • Practical steps payors can take to get ready

🎧 Who Should Listen:
Healthcare execs, payor compliance teams, product managers, and healthtech developers supporting MA organizations.

Agentic Healthcare by Case Health AI
A behind-the-scenes podcast at the intersection of healthcare, AI, and enterprise transformation. Join our expert hosts as they decode the systems powering modern healthcare—from the AI assisting in making clinical decisions to the policy shifts shaping patient outcomes. Each episode offers deep dives, unfiltered conversations, and practical insight for builders, leaders, and skeptics alike.