A behind-the-scenes podcast at the intersection of healthcare, AI, and enterprise transformation. Join Masud Hossain and guests as they decode the systems powering modern healthcare—from the algorithms 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.

📌 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.

In this episode, we explore how AI is revolutionizing prior authorization and claims processing in healthcare payer organizations. From eliminating manual bottlenecks to complying with CMS-0057-F, learn how intelligent automation is driving faster approvals, lower costs, and better patient outcomes. Featuring real-world case studies and strategic insights for CIOs and product leaders.