Ultimate disposition showed 54% approval (7% same-day; 47% after multiple days) and 46% denial, with 27% rejected within 1 ...

Illinois lawmakers are facing pressure to repeal a law that would ban financial institutions from charging fees on the tax ...

The initial request for bids came in less than a year and a half after the state switched to Aetna from Blue Cross NC.

The fund balance for covering state employee health insurance claims could soon run dry, according to a new report from the ...

AB PM-JAY currently processes nearly 50,000 claims daily across more than 1,900 treatment packages, making it one of the largest government-funded healthcare assurance programmes globally.

Humana Inc. announced today it has gone live with b.well Connected Health, fulfilling a shared commitment to simplifying how individuals access, understand, and use their health d ...

Step aside, WebMD — health advice has become the most common way people use ChatGPT.

The General Assembly returned to the Gold Dome on Tuesday, March 31, for the final week of the 2026 legislative session.

AI’s role in insurance is already spawning lawsuits and battles over its regulation. That's not slowing down its use.

One major insurer’s algorithm was denying 90% of claims in under a second with no doctor review. There’s a federal appeals process by which an outside physician can overrule them, and most people have ...

Carolyn J. Wukitch has a long view on how technology supports payments that are vital to U.S. healthcare. For 35 years, Wukitch has worked at a Newtown Square company now called Lyric.ai that helps ...

Health insurers and health care provider organizations are increasingly using artificial intelligence (AI) tools in prior authorization and claims processes. AI offers many potential benefits, but its ...