Insurance companies continue to innovate. On Oct. 1, Cigna will roll out a policy that tracks how physicians bill. It will flag those who submit a higher proportion of level four or level five visits ...

Doctors say insurers are automatically downgrading their claims and paying less. Insurers say it’s their duty to prevent ...

Doctors say that insurers are automatically downgrading their claims and paying less. Fighting back takes time and money — ...

Independent practices say new reimbursement algorithms from Aetna and Cigna are cutting payments and creating major ...

With the red tape of health insurance already causing frustration for millions of Americans, doctors are helping to shed ...

Is your doctor stuck in 2011? A new survey found six percent of Americans feel like they’re walking “backwards in time” 14 years whenever they have a doctor’s appointment. The poll of 2,000 U.S.

In programs with three leading value-based care organizations, including Homeward Health, Zus used AI for both suspecting and recapture to uncover hidden clinical complexity and close risk adjustment ...

Maximizing Aetna dental coverage in NYC starts with choosing in-network providers to secure contracted rates and avoid balance billing. Patients should confirm plan type, deductibles, annual maximums, ...

Health systems want to adopt artificial intelligence, but they often struggle with selecting the right AI tools and ...

Good morning, and happy STAT Summit. Lots of exciting stuff going on, and lots of great outfits to be seen. Who’s the best ...

If an insurance company denies the claim, the payment comes out of the individual’s pocket. Arizona had an average in-network insurance denial rate of 21% in 2023, according to Kaiser, higher than the ...