Matt Cunningham

Matt Cunningham, EVP of Product at Availity, spent nine years in the Army in light and mechanized infantry units, including the 2nd Ranger Battalion. He brought his Army operations experience to the healthcare industry and has been focused on solving the problem of prior authorizations and utilization management for the past 15+ years. He helped scale a services company from $20M to the largest healthcare benefit services company. Matt has served as Head of Call Center Operations, Director of Product Operations, Chief Information Officer, and lead integration efforts for mergers and acquisitions.

Posts by Matt Cunningham

MedCity Influencers

It’s Time to Rethink Prior Authorization for Chronic and Serious Conditions

Guideline directed care pathways are a way to shift from transactional PA, where each service requires separate approval, to an episode-of-care model.

MedCity Influencers

Multi Layered Paper Craft Check Mark and Cross Mark in Concentric Circles on Green and Red Background Front View, Right or Wrong Choosing Concept.

The Delegation Dilemma: Why It’s Time for Health Plans to Rethink Vendor-Managed Utilization Management

As an industry, we need to ask hard questions. Are delegated vendors delivering on the promise of better, faster, more transparent decisions? Or are they simply moving the pain to another part of the system?

MedCity Influencers

prior authorization request

CMS and AHIP Isn’t the Finish Line: It’s the Starting Gun for Prior Auth Innovation

Without systemic redesign, these efforts risk reinforcing the same pain points that made prior authorization a flashpoint for payers and providers.