Medical Review Institute of America

Policy is moving fast in Washington. The question for health care leaders isn't whether change is coming — it's whether your operations are built to absorb it. Our Spring 2026 Washington Insider Webinar recap broke down the most consequential policy signals for health plans, TPAs, and PBMs right now, including what the current regulatory environment means for prior authorization, Medicare oversight, and clinical operations. Read the full recap: https://lnkd.in/ehzn5Uzx #HealthcarePolicy #PriorAuthorization #UtilizationManagement

Tomorrow we're closing the behavioral health decision gap. Or at least starting the conversation. If your work touches behavioral health, utilization management, or member outcomes — this one's worth an hour of your time. MRIoA's Dr. Jasreem Bhullar and CredibleMind's Dr. Caryn Seebach, Psy.D., MS. will walk through how to build systems that identify need earlier, match intervention to function rather than diagnosis, and create real continuity across the care continuum. Here's your last chance to register: https://lnkd.in/e-EiqZEi #BehavioralHealth #UtilizationManagement

Tomorrow we're closing the behavioral health decision gap. Or at least starting the conversation. If your work touches behavioral health, utilization management, or member outcomes — this one's worth an hour of your time. MRIoA's Dr. Jasreem Bhullar and CredibleMind's Dr. Caryn Seebach, Psy.D., MS. will walk through how to build systems that identify need earlier, match intervention to function rather than diagnosis, and create real continuity across the care continuum. Here's your last chance to register: https://lnkd.in/e-EiqZEi #BehavioralHealth #UtilizationManagement

Prior authorization volume is at a record high and so is scrutiny of how those decisions are made. The organizations managing both well share something in common: they've built clinical review processes that are consistent, defensible, and designed to scale. That's what we've spent 40+ years helping healthcare organizations do. #UtilizationManagement #PriorAuthorization #ClinicalReview

Two clinical leaders and one question worth an hour of your time: how do we deliver the right behavioral health treatment at the right time, matched to a members' real clinical need? Dr. Jasreem Bhullar, Chief Medical Executive at MRIoA, brings 40+ years of utilization management depth and firsthand experience with the systemic barriers that get in the way of appropriate care. Dr. Caryn Seebach, Psy.D., MS., Director of Clinical Strategy at CredibleMind, specializes in evidence-based behavioral health engagement, whole-person care, and building pathways that actually support better decisions for members and the organizations serving them. Together, they'll be unpacking the behavioral health decision gap on May 20. Make sure to come with your questions. Save your seat: https://lnkd.in/e-EiqZEi

Described as “the most sweeping Pharmacy Benefit Manager (PBM) reforms ever enacted," Jay Keese breaks down the Consolidated Appropriations Act and what it means for PBMs operating in Part D and commercial markets. Watch the full replay of our Washington Insider Webinar for his complete analysis of the policies reshaping healthcare in 2026: https://lnkd.in/ePRmJRSU #HealthcarePolicy #PBMReform

This May marks the 77th annual Mental Health Awareness Month — and in 2026, awareness isn't enough anymore. Behavioral health conditions don't exist in isolation. When mental health is overlooked in clinical decision-making, the ripple effects show up across the entire care continuum. Matching individuals to the right level of support is where the real work begins. This #MentalHealthAwarenessMonth, we stand with the clinicians, caregivers, and advocates working to ensure that mental health is treated not as an afterthought, but as foundational to whole-person care.

Happy Mother’s Day from MRIoA!💐 Today, we celebrate the mothers and mother figures who inspire strength, care, and leadership both at home and in the workplace. Thank you for all that you do.

The behavioral health crisis isn't a shortage of treatment. It's a shortage of the right treatment, at the right time, for the right person. On May 20th, MRIoA's Dr. Jasreem Bhullar and CredibleMind's Dr. Caryn Seebach, Psy.D., MS. will discuss how to close the behavioral health decision gap: building systems that identify need earlier, match intervention to function rather than diagnosis, and create continuity across the care continuum — from self-care through clinical review. Registration is now open. We'd love to see you there: https://lnkd.in/eJUFdqhv #BehavioralHealth #UtilizationManagement

Nurses are at the center of nearly every meaningful moment in patient care — advocating, assessing, and making sure nothing falls through the cracks. On #NationalNursesDay, we recognize the nurses on our team who bring that same clinical rigor and dedication to utilization management every day.