AI integration in employer-sponsored health care is accelerating. Here are 5 key opportunities to drive better quality, ...

The company plans to use the funding to further build out its product capabilities and deepen relationships with health plans ...

UiPath announces agentic AI solutions for healthcare revenue cycle management at ViVE 2026, targeting medical records review, claim denials and prior authorization. The company argues that ...

Alaffia Health, which creates agentic AI tools for health insurance claims, has secured $55 million in Series B funding, bringing its total raise to more than $73 million. Transformation Capital led ...

Coverage of our peer-reviewed research and news reporting in the health care and mainstream press. An AJMC.com article entitled “ AI Seen as Key to Reducing Health Care Claim Denials, Survey Finds ” ...

The Milwaukee County Board of Supervisors approved a new health insurance contract. The previous contract expired at the beginning of 2026 due to an employee error ...

Experts worry Robert F. Kennedy Jr.’s Health Department will use an internal AI tool to analyze vaccine injury claims in a way that furthers his anti-vaccine agenda. The tool has not yet been deployed ...

The financial landscape of healthcare is becoming increasingly complex. For payors and Third-Party Administrators (TPAs), the twin challenges of cost containment and ensuring payment accuracy are more ...

Patients on commercial insurance were more likely to have at least 1 chronic condition, which can affect health care spending overall. Chronic diseases or conditions are the leading cause of illness, ...

Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.