'/%3e%3c!--%20Sphere%20body%20--%3e%3ccircle%20cx='75'%20cy='75'%20r='60'%20fill='url(%23sphereGrad)'/%3e%3c!--%20Border%20--%3e%3ccircle%20cx='75'%20cy='75'%20r='60'%20fill='none'%20stroke='%23ffffff'%20stroke-opacity='0.3'%20stroke-width='1'/%3e%3cg%20clip-path='url(%23sphereClip)'%3e%3c!--%20Top-left%20specular%20highlight%20--%3e%3cellipse%20cx='60'%20cy='52'%20rx='32'%20ry='22'%20fill='url(%23highlightGrad)'%20filter='url(%23blur1)'/%3e%3c!--%20Bottom-right%20reflection%20--%3e%3cellipse%20cx='100'%20cy='105'%20rx='14'%20ry='9'%20fill='url(%23reflectionGrad)'%20filter='url(%23blur2)'/%3e%3c/g%3e%3c/svg%3e)
Latest videoAug 04, 2026
Getting paid shouldn't be a mystery
A conversation with Sphere's co-founder on why insurance communication is still the hardest, least visible part of running a practice.
Blog
Notes from inside the practice.
Real healthcare and health-tech news, curated by Sphere — prior authorization, claim denials, interoperability and clinical AI, with links to the original reporting.
RevenueAug 04, 2026
Payers don't have an AI problem — they have an infrastructure problem
KPMG advisors argue that clean claims keep bouncing and prior authorizations keep stalling because payers deploy AI as isolated tools instead of integrating data, decisions and workflows.
HIT ConsultantRead
PolicyJul 17, 2026
Insurers hedge on the pledge to fix the denials process
A year after dozens of insurers signed a six-part pledge to reduce barriers to doctor-recommended care, some say they won't implement all of it — and clinicians report little has changed.
KFF Health NewsRead
ResearchJun 03, 2026
JAMA: AI scribes cut documentation time for ambulatory clinicians
A multisite study of 8,581 clinicians offers the largest controlled evidence yet that ambient scribes reduce EHR time — modest overall, but meaningful for the heaviest documenters.
Telehealth.orgRead
PolicyMay 06, 2026
Who regulates AI in prior authorization and claims review?
KFF maps the emerging patchwork of federal and state consumer protections governing how insurers may use AI to approve or deny care.
KFFRead
RegulationApr 10, 2026
CMS proposes faster, standards-based prior authorization for drugs
The 2026 Interoperability Standards and Prior Authorization for Drugs proposed rule extends FHIR-based turnaround requirements to Medicare Advantage, Medicaid, CHIP and Marketplace plans.
CMS NewsroomRead
InteroperabilityFeb 11, 2026
TEFCA nears 500 million health records exchanged
HHS reports the national interoperability network has crossed a half-billion record exchanges, as ASTP/ONC leans on data standards and AI to cut administrative burden.
HHS.govRead
RevenueMar 24, 2026
Two-thirds of insured adults call denials a major problem
KFF's analysis of ACA Marketplace transparency data shows how often claims are denied — and how rarely those denials are appealed.
KFFRead
IndustryApr 24, 2026
UnitedHealth and CVS standardize half of prior authorizations
The insurers say they have standardized data and submission requirements for more than half of their prior authorizations as part of an industry push to cut delays and paperwork.
ReutersRead
ResearchJan 28, 2026
Nearly two-thirds of Epic hospitals have adopted ambient AI
A nationwide Emory study finds ambient documentation tools are now mainstream in US hospitals — but adoption is uneven across rural and safety-net settings.
Emory Rollins School of Public HealthRead
Want these in your inbox?
We send one practical piece a month. No noise.
Looking for our books instead? Visit merch.