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 ...
The federal government has begun using artificial intelligence to review whether certain treatments are necessary for Medicare enrollees in six states. The Trump administration launched the pilot ...
Lawmakers and Medicare rights groups say the Trump administration is withholding details of a pilot program that will use ...
Forbes contributors publish independent expert analyses and insights. I’m an analyst covering neurotech's impact on business and society. Despite its growing “deeptech” bonafides, the US ...
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 ...
For Neal Shah, the breaking point came during his wife's cancer treatment. He remembers being overwhelmed, surrounded by stacks of hospital bills, denial notices and insurance statements. When he and ...
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 ...
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