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Modern Healthcare1d
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 ...
‘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 ...
AI In Healthcare Is Booming. But The FDA's New Moves Suggest It's Just Getting Started
As hospitals race to adopt AI tools across diagnostics, imaging, and clinical workflows, regulators are finally catching up-creating a clearer pat ...
JD Supra4d
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 ...
STAT4d
Medicare Advantage challenges catch up to UnitedHealth
09. Over the past two years, UnitedHealth Group seemed immune from the higher costs and systemic changes in the Medicare Advantage program that bedeviled its rivals. Until now. UnitedHealth, ...
Healthline4d
Original Medicare (Parts A and B) vs. Medicare Advantage (Part C)
Original Medicare and Medicare Advantage (Part C) cover hospitalization, medical appointments, and other healthcare costs. Original Medicare is government-run, while Medicare Advantage plans are ...