Industry News

The alleged use of artificial intelligence for prior authorization and claim denials has led to lawsuits against two major health insurance companies. UnitedHealth Group and

Reuters reported this month that Cigna was seeking a buyer for its Medicare Advantage business. Medicare makes up a meager portion of Cigna’s business. The

Over the last four decades, states have enacted hundreds of laws dictating precisely what insurers must cover so that consumers aren’t driven into debt or

United Health Group continues to expand and exert influence over the US healthcare industry. As of November 2023, Optum Health has increased its number of

Competition is heating up among healthcare retailers to provide services for the rapidly swelling senior population. According to the US Census Bureau, roughly 1 in

More than 15.3 million Americans have signed up for health insurance under the Affordable Care Act (ACA) for 2024, a 33% increase from this time

Congress is targeting anticompetitive provider-payer contract language with the Primary Care and Health Workforce Act of 2023. The bill specifically takes aim at contractual provisions

Employer-based health plans are the largest source of coverage in the United States – covering almost 159 million people last year. According to the Kaiser

Prior-authorization requirements have long been a tool used by insurance carriers to “manage” care and promote “efficiency”. But, the burden pre-authorizations put on medical providers