Category: Blog
Prior Authorization Is About to Change More Than It Has in Years — but here’s the catch
On January 1, 2027, prior authorization will not suddenly become automatic. Something real will happen: CMS-regulated health plans must begin supporting standardized electronic APIs for medical prior authorization. Decision-time requirements have already tightened, seven days for standard requests, seventy-two hours for urgent. Major payers, EHR vendors, and health systems are actively building toward electronic workflows.…
CY 2026 Physician Fee Schedule – ColigoMed Alignment with the Upcoming Changes
The 2026 CMS Physician Fee Schedule introduces substantial payment increases, efficiency-focused RVU adjustments, new virtual supervision flexibilities, expanded telehealth access, changes in chronic disease management incentives, and refined quality reporting pathways. These updates are designed to promote efficiency, support innovation, and improve patient outcomes while modernizing the Medicare payment landscape In this article we will…
Care Coordination Re-Imagined (Part 1)
The U.S. is projected to face a shortage of over 85,000 physicians by 2036. By 2026, there could be a gap of up to 3.2 million healthcare workers, including a shortfall of about 73,000 nursing assistants by 2028. As AI impact on healthcare continues to grow, AI-powered platforms will not only enhance patient care but…
Optimizing Metabolic Health for Diabetic and Cardiovascular patients
Metabolic health describes how well your body processes energy, particularly fats and sugars. For individuals with diabetes, understanding and managing metabolic health is crucial because diabetes itself is a metabolic disorder characterized by high blood sugar levels due to problems with insulin production or action. Poor metabolic health often overlaps with metabolic syndrome (MetS) –…