The AI arms race reshaping healthcare intensifies friction between payers and providers, impacting revenue cycles and patient care efficiency.

In North Carolina, the nonprofit Counterforce Health designed an AI assistant to help patients appeal their denied health ...

Leah Kovitch was pulling invasive plants in the meadow near her home one weekend in late April when a tick latched onto her ...

Beginning Jan. 1, 2026, Optum Rx, the pharmacy benefit manager of UnitedHealthcare, will reduce reauthorizations for an ...

None of the initial treatments prescribed by his doctors had eradicated the cancer. But a glimmer of hope came in early 2025, ...

The WISeR model – intended to reduce spending on seniors in traditional Medicare through Wasteful and Inappropriate Service Reduction – will require prior authorization in traditional Medicare for a ...

Patients and doctors turn to AI tools to challenge denied claims, navigate medical bills, and improve access to care.

Operator: Good morning, and thank you for standing by. Currently, all of the participants are in listen only mode. After ...

SAN FRANCISCO, Nov. 19, 2025 (GLOBE NEWSWIRE) -- Ember, the AI-native solution for healthcare denial prevention, today announced a $4.3M seed funding round with investors including Nexus Venture ...

Cancer patients fighting for their lives — against health insurance red tape - IN FOCUS: EXCLUSIVE: Cancer patients, ...