Medicare's new pilot program, WISeR (Wasteful and Inappropriate Service Reduction), is set to revolutionize the decision-making process for coverage of certain procedures by integrating artificial ...
As health insurers increasingly turn to AI, researchers explore the promise of efficiency—and the risk of amplifying existing ...
Stephanie Nixdorf was at Disney World with her family in December 2021 when she got the call. A mysterious bump on her elbow was melanoma, her doctor said. Tests later showed it was Stage 4, with ...
RALEIGH, N.C. (WTVD) -- At Research Triangle Park (RTP), companies are leading the way with artificial intelligence and trying to harness their powers for the greater good. Nearly 1 in 5 Americans ...
With denials on the rise, more health systems are turning to AI in the revenue cycle. Payer denial prevention emerged as a significant theme throughout almost every session at HFMA 2025. At a time ...
Insurers’ growing use of AI in coverage decisions has faced scrutiny from some lawmakers concerned that the technology could deny care unfairly, especially in the MA program. UnitedHealth and Humana ...
Macy is a writer on the AI Team. She covers how AI is changing daily life and how to make the most of it. This includes writing about consumer AI products and their real-world impact, from ...
As health insurers increasingly rely on artificial intelligence to process claims, denials have been on the rise. In 2023, about 73 million Americans on Affordable Care Act plans had their claims for ...
Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the ...
HealthLeaders 2025 webinars highlighted pivotal shifts in revenue cycle management, demonstrating how leaders are moving from reactive to proactive strategy through AI adoption, enhanced patient ...
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