AI-Driven Health Insurance: From Complexity To Clarity

AI is challenging that logic. By analyzing granular, real-time data, insurers can now personalize risk scoring, streamline claims and prevent fraud, transforming what was once reactive into something ... Read More

Guest column: Startup uses AI tech to fight America’s health insurance bureaucracy

Only after months of fighting ... denial rates have nearly doubled since 2020. States are scrambling to regulate insurers' use of AI in claims processing. Public trust in health insurance has ... Read More

AZ lawmakers approve a bill that prevents health insurers from using AI to deny claims

State lawmakers have approved and sent to the governor a bill that would generally preclude health insurance companies from relying on artificial intelligence to decide whether to deny a claim. Read More

New Texas patient advocacy group fighting unfair health insurance claim denials

A recent KFF study found 18% of adults have had ACA health insurance claim denials in the last year. TCP is already working to pass a state bill that would ban the use of AI in determining health ... Read More

Alabama not in a ‘rush’ to limit how health insurance companies use AI to process claims

“Blue Cross and Blue Shield of Alabama, along with our vendors acting on our behalf, do not use artificial intelligence for a final determination of a prior authorization request. However, we are ... Read More

Announcing Fight Paperwork Beta: AI Streamlining Healthcare Claim Appeals For Providers

Sub Heading: From the Creators of Fight ... denials. Say goodbye to the frustrating and time-consuming process of generating appeals – and huzzah to our helpful AI tool. Fight Health Insurance ... Read More

Examining AI's impact on life and health insurance

AI's ability to synthesize large amounts of data is providing key insights for diagnosing cancer and other health-related issues. Read More

How a N.C.-based company uses AI to help appeal health insurance claim denials

Counterforce Health created two artificial intelligence systems to craft letters and call health insurance companies to help people fight claim denials. Read More

Luigi Mangione-Inspired Ballot Initiative Targets Health Insurance Denials

A new proposed California ballot initiative seeks to make it illegal for insurers to delay or deny doctor-recommended procedures and medications. Read More

New Yorkers fought health insurance denials 32K times in 2023. Do complaints work?

The rise in New Yorkers fighting health insurance denials underscored growing anger ... Start the day smarter. Get all the news you need in your inbox each morning. Details of those grievances ... Read More

What can Texans do about health insurance denials, unfair medical bills? Know your rights.

Consumer advocate groups and the Texas Department of Insurance did help sort through the confusing world of health ... AI gets it wrong. Only 1% of patients file an appeal when something is denied ... Read More