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STAT3d
UnitedHealth’s Optum working on Medicare risk scoring system that would use AI
Ken Cohen, a physician and Optum’s executive director of translational research, said Thursday at a conference organized by ...
Modern Healthcare7d
AI health risk assessments aim to boost Medicare Advantage pay
Automated health risk assessments powered by artificial intelligence are the latest tool to maximize Medicare Advantage ...
Republicans’ Health Care Plan: Dr. AI Will See You Now
RFK Jr., Trump, and Republicans want AI to fill the gaps as they move to throw millions off Medicaid, gut funding for ...
‘They don’t even read it’: This woman’s had heaps of insurance claims denied — now she uses AI for appeals
TNM says it reached out to Cigna, Humana and UnitedHealth Group for comment. UnitedHealth stated that “claims that we use an ...
JD Supra10d
CMS’s 2026 Final Medicare Advantage Rule Focuses on Implementing the IRA and Deregulation
Medicare Advantage and Part D Final Rule (Final Rule). With CMS releasing the 2026 Medicare Advantage and Part D Proposed ...
Healthy Returns: Trump provides a glimpse of the third round of Medicare drug price negotiations
The Trump administration is already gearing up for another round of Medicare drug price negotiations, while OpenAI launched a ...
Reveleer Acquires Novillus to Expand Its AI-Powered Clinical Intelligence and Quality Solutions
Reveleer acquires Novillus to expand its AI-powered value-based care platform, aiming to improve provider engagement, care gap closure, and compliance.
UnitedHealth Group shares plunge 13% on report of DOJ probe into possible Medicare fraud
Shares of UnitedHealth Group plunged more than 18% following a report that the Department of Justice is carrying out a criminal investigation into the health-care giant over possible Medicare fraud.