Humata Health

Prior authorization delays continue to drive clinician frustration, patient dissatisfaction, and revenue leakage, and the stakes are only increasing as volumes rise and payer requirements evolve. AI has already proven its value in reducing turnaround times and minimizing denials, and we’re excited to bring this conversation to Elion’s AI RCM Summit in Nashville. Humata Health and Michael Kolb will be joining industry peers to share real-world insights on how intelligent automation can streamline prior auth and strengthen the overall revenue cycle. Can’t wait to contribute to the dialogue and learn from so many forward-thinking provider leaders.

𝗠𝘆𝘁𝗵: “𝘕𝘰𝘣𝘰𝘥𝘺 𝘳𝘦𝘢𝘭𝘭𝘺 𝘶𝘯𝘥𝘦𝘳𝘴𝘵𝘢𝘯𝘥𝘴 𝘞𝘐𝘚𝘦𝘙 𝘺𝘦𝘵.” 𝗥𝗲𝗮𝗹𝗶𝘁𝘆: The model is clearer than people think— and it goes live January 1st. Michael Kolb breaks down what you need to know about WISeR in 2 minutes. Here’s what you actually need to know: • It targets select high-cost outpatient CPT codes • Providers must work through an approved vendor • CMS has already published detailed guidance • And support exists to get you ready now Instead of sorting through 61 pages yourself, we’ve done your homework for you— blogs, videos, and quick breakdowns designed to make WISeR simple at https://lnkd.in/dgAC7kiS ➡️ 𝗪𝗮𝘁𝗰𝗵 𝘁𝗵𝗶𝘀 𝘄𝗲𝗲𝗸’𝘀 𝗪𝗜𝗦𝗲𝗥 𝗪𝗲𝗱𝗻𝗲𝘀𝗱𝗮𝘆 𝘃𝗶𝗱𝗲𝗼 𝗳𝗼𝗿 𝘁𝗵𝗲 𝗳𝘂𝗹𝗹 𝗿𝘂𝗻𝗱𝗼𝘄𝗻. #WISeR #WISeRReadiness #FrictionlessPriorAuth #BuiltForYes #PriorAuth #WISeRWednesday

Prior authorization can’t keep operating the way it has for the last three decades. Fax machines, spreadsheets, and Post-it notes aren’t built for the demands of modern care. As Jeremy Friese, MD explains, the future of PA has to be 𝘀𝗲𝗮𝗺𝗹𝗲𝘀𝘀 𝗮𝗻𝗱 𝗲𝗳𝗳𝗶𝗰𝗶𝗲𝗻𝘁 for both patients and providers — creating a process that lowers administrative waste and supports appropriate, evidence-based care. That vision is at the core of 𝗙𝗿𝗶𝗰𝘁𝗶𝗼𝗻𝗹𝗲𝘀𝘀 𝗣𝗿𝗶𝗼𝗿 𝗔𝘂𝘁𝗵™. Humata replaces outdated manual workflows with intelligent automation, real-time connectivity, and evidence-driven decisions. ➡️ Watch the full interview to hear more on WISeR, the future of prior auth, and what it takes to modernize these workflows: https://lnkd.in/dGr4Mkbk #HealthTech #PriorAuthorization #HealthcareInnovation #Interoperability #Automation #FrictionlessPriorAuth

📣 𝗡𝗲𝘄 𝗼𝗻 𝘁𝗵𝗲 𝗛𝘂𝗺𝗮𝘁𝗮 𝗕𝗹𝗼𝗴: 𝗪𝗵𝗮𝘁 𝗪𝗜𝗦𝗲𝗥 𝗥𝗲𝗮𝗹𝗹𝘆 𝗠𝗲𝗮𝗻𝘀 𝗳𝗼𝗿 𝗣𝗿𝗼𝘃𝗶𝗱𝗲𝗿𝘀 CMS’s WISeR Model goes live January 1, 2026 — and providers are facing new expectations around documentation, review timelines, and identifying which cases fall under the model. In the first installment of our three-part WISeR series, we break down what providers need to understand now, including: • Which services, diagnoses, and sites are actually in scope • How to flag WISeR-eligible cases at the time of order • The difference between optional prior auth and prepayment review • Key dates and what they mean for operational readiness If you’re navigating the 61-page CMS manual, this is a clear place to start. 👉 Read Part 1: What WISeR Really Means for Providers 🔗 https://lnkd.in/dd52f3dv

In his recent Health Tech Nerds interview, CEO Jeremy Friese, MD breaks down one of healthcare’s biggest challenges: the widening gap between payers and providers. Humata was created to fix that. We’re 𝗕𝘂𝗶𝗹𝘁 𝗙𝗼𝗿 𝗬𝗲𝘀™ - with technology that aligns clinical expectations, streamlines documentation, and brings both sides onto the same page from the start. That's how we’re turning prior authorization from a friction point into a point of connection. 📽️ Watch the full interview: https://lnkd.in/dGr4Mkbk

Join us 𝗧𝗢𝗗𝗔𝗬, 𝘕𝘰𝘷𝘦𝘮𝘣𝘦𝘳 20𝘵𝘩 as our CEO, Jeremy Friese, MD, sits down with Health Tech Nerds to unpack WISeR, the future of Medicare prior authorization, and what this evolution means for health systems heading into 2026. If your team touches prior auth, you won’t want to miss this. 🗓️ Today, November 20th ⏰ 11:00am PT / 2:00pm ET 💻 Virtual We hope to see you there. ➡️ Register now: https://luma.com/z5evkngz

🚨Health Tech Nerds (and policy nerds) alert🚨 Kevin O'Leary and I are looking forward to discussing the WISeR model developed by the Centers for Medicare & Medicaid Services and the merits of prior auth with Jeremy Friese, MD, CEO of Humata Health tomorrow, November 20th, at 2:00p eastern. Link in the comments.

🗓️ 𝟰𝟯 𝗗𝗮𝘆𝘀 𝘁𝗼 𝗝𝗮𝗻𝘂𝗮𝗿𝘆 𝟭𝘀𝘁: WISeR will separate those who are reactive from those who are ready. Which side will you be on? Our WISeR readiness checklist highlights the 𝗼𝗽𝗲𝗿𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗺𝘂𝘀𝘁-𝗵𝗮𝘃𝗲𝘀: flagging WISeR services at order entry, instant access to NCD/LCD policies, automated documentation retrieval, AI-driven clinical review, and proof-of-approval tracking— all workflows that will determine whether your team can keep pace on day one. This six-year pilot signals Medicare’s long-term direction. Early adopters who move on automation now won’t just achieve compliance, they’ll 𝘭𝘦𝘢𝘥 their markets with:  • Faster approvals & care delivery  • Up to 40% fewer preventable denials  • Stronger alignment with CMS modernization goals Humata is already powering these automated WISeR workflows for our partners. 𝗗𝗼𝗻’𝘁 𝘄𝗮𝗶𝘁 𝗳𝗼𝗿 𝟮𝟬𝟮𝟲 𝘁𝗼 𝘀𝘁𝗮𝗿𝘁 𝗽𝗹𝗮𝗻𝗻𝗶𝗻𝗴— secure your day-one advantage now. ➡️ Schedule a 30-min strategy session: https://lnkd.in/eN4_dkF9

Big thinking, real connection, and a whole lot of collaboration. Last week our engineering team gathered in our Winter Park office for an in-person Engineering Summit focused on innovation, problem-solving, and building what comes next for Humata. From technical deep dives to whiteboard brainstorming to refining the ideas that will shape our platform in 2025, the energy was all about creating smarter and more seamless ways to support providers and patients. We are grateful for the people behind the technology driving Humata’s mission. When talented engineers come together with a shared purpose, great things happen. #HumataHealth #EngineeringSummit #HealthTech #DigitalHealth #TeamHumata #Innovation

🚀 𝗣𝗿𝗶𝗼𝗿 𝗔𝘂𝘁𝗵 𝗶𝗻 𝟮𝟬𝟯𝟬 𝘄𝗶𝗹𝗹 𝗹𝗼𝗼𝗸 𝗻𝗼𝘁𝗵𝗶𝗻𝗴 𝗹𝗶𝗸𝗲 𝗶𝘁 𝗱𝗼𝗲𝘀 𝘁𝗼𝗱𝗮𝘆. According to Jeremy Friese, MD, CEO of Humata Health, there are four key things that need to happen for the future of prior auth to look and feel very different from today. The challenge? Nearly 30 states each have their own legislation, and every payer has its own process. Health systems are left trying to navigate an unscalable maze of rules. Dr. Friese outlines what it will take to change that: 1️⃣ 𝗖𝗼𝗻𝘀𝗶𝘀𝘁𝗲𝗻𝗰𝘆 𝗮𝗰𝗿𝗼𝘀𝘀 𝘀𝘁𝗮𝘁𝗲𝘀: because almost no health system practices in just one. 2️⃣ 𝗧𝗲𝗰𝗵𝗻𝗼𝗹𝗼𝗴𝘆 𝘁𝗵𝗮𝘁 𝗴𝗼𝗲𝘀 𝗯𝗲𝘆𝗼𝗻𝗱 𝗔𝗜: pulling together every piece of the puzzle. 3️⃣ 𝗡𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗿𝗲𝗴𝘂𝗹𝗮𝘁𝗶𝗼𝗻: to replace fragmented, state-by-state oversight. 4️⃣ 𝗧𝗿𝗮𝗻𝘀𝗽𝗮𝗿𝗲𝗻𝗰𝘆 𝗳𝗿𝗼𝗺 𝗗.𝗖. 𝘁𝗼 𝘁𝗵𝗲 𝗳𝗿𝗼𝗻𝘁𝗹𝗶𝗻𝗲𝘀: because real change takes all of us. Each piece moves us closer to a world where prior auth is simpler, faster, and built to last.  💬 What do you think will have the biggest impact by 2030? Join the conversation or learn more at www.humatahealth.com. #DigitalHealth #HealthIT #PriorAuthorization #HealthcareInnovation #HumataHealth