Humana rolls out AI support tool for call centers
Agent Assist, developed with Google Cloud, summarizes conversations between workers and beneficiaries while highlighting relevant information, like enrollees’ benefit and eligibility details.
Medicare Advantage prior authorization requests rise in 2024: report
Nearly 53 million prior authorization requests were sent to insurers in 2024, compared with nearly 50 million in the prior year, according to KFF. Almost 8% of those requests were partially or fully denied.
Tenet regains full ownership in RCM subsidiary Conifer as CommonSpirit exits
CommonSpirit, angling to insource its revenue cycle management functions, is offloading its minority share in Conifer back to Tenet. Tenet said the deal will create almost $2.7 billion in value.
Telehealth flexibilities, hospital-at-home waivers lapse amid partial government shutdown
The Senate passed a spending package Friday, but the measure is still awaiting House approval. House Speaker Mike Johnson said the partial shutdown should be brief.
Healthcare bankruptcies fall in 2025, but providers still face headwinds: report
Bankruptcy filings dropped 21% compared to 2024, according to Gibbins Advisors. Still, the sector’s financial outlook is unsteady due to pressures from Medicaid cuts and other policy changes.
AI is reshaping healthcare – but at what cost? Why the industry must pursue both innovation and sustainability
Medtronic outlines how to pursue AI advancements and sustainability with equal commitment.
How healthcare organizations can streamline procure-to-pay processes
A roadmap for reducing friction, improving visibility and optimizing healthcare buying.
As self-pay increases, healthcare leaders look to retail for inspiration
In a world where rising costs, flat or declining reimbursement and staffing shortages threaten the viability of small and independent medical practices.