Every claim UnitedHealth processes, every prior authorization it reviews and every patient interaction it handles now runs through artificial intelligence (AI). The company is turning that internal overhaul into a commercial product line. “Virtually everything that we do, we see it basically as the operating...
A patient is denied coverage for a drug he has taken for 18 years. His insurer says he should try a cheaper alternative. He finds an AI tool, submits his case and sends the resulting letter to his insurer. The denial is reversed before the...
Federal regulators say they’ve temporarily halted an operation that allegedly tricks consumers seeking health insurance. Get the Full Story Complete the form to unlock this article and enjoy unlimited free access to all PYMNTS content — no additional logins required. yesSubscribe to our daily newsletter,...
Artificial intelligence is moving into the financial mechanics of healthcare payments, and the stakes are measured in billions. Hospitals are deploying the technology to maximize reimbursement, while insurers use their own AI systems to audit claims and challenge charges, turning a decades-old conflict over medical...
March 12, 2026
Artificial intelligence is moving into the financial mechanics of healthcare payments, and the stakes are measured in billions. Hospitals are deploying the technology to maximize reimbursement, while insurers use their own AI systems to audit claims and challenge charges, turning a decades-old conflict over medical billing into an algorithm-driven contest over how care is priced […]
December 26, 2025
For younger Americans, healthcare spending is becoming less about treating illness and more about managing financial risk at a stage of life when cash flow is thin and costs are...
June 02, 2025
For fledgling FinTechs chasing their first paying customer, the toughest stretch often begins after the seed check clears. Because building a company is a long journey. From concept to funding and finally...
January 16, 2025
Digital transformation is at the forefront of an overarching strategy to elevate the customer experience for officials at UnitedHealth Group. Get the Full Story Complete the form to unlock this article...
September 15, 2026
Thatch raised $108 million at a $1 billion valuation to continue growing its health benefits platform, the company said in a Tuesday (Sept. 15) press release. Get the Full Story Complete the form to unlock this article and enjoy unlimited free access to all PYMNTS content — no additional logins required. yesSubscribe to our daily […]
April 22, 2026
Federal regulators say they’ve temporarily halted an operation that allegedly tricks consumers seeking health insurance. Get the Full Story Complete the form to unlock this article and enjoy unlimited free...
March 12, 2026
Artificial intelligence (AI) has reportedly found itself being used by both parties in a nationwide healthcare dispute. Get the Full Story Complete the form to unlock this article and enjoy...
November 11, 2025
For small business owners, the Affordable Care Act (ACA) is about to become less affordable. Get the Full Story Complete the form to unlock this article and enjoy unlimited free...
