Medicare is set to bring artificial intelligence (AI) into the core of its decision-making, testing whether algorithms can determine which treatments get covered in the nation’s largest public health program. Starting in 2026, a federal pilot will examine if AI can speed up prior authorization...
In a healthcare landscape often dominated by discussions of senior care and chronic disease management, innovation is increasingly turning the spotlight to an often overlooked yet critical population: children. “In major metro areas, if you actually map the 50% highest income zip codes and 50%...
Elon Musk’s Department of Government Efficiency (DOGE) has reportedly gained access to Medicare’s payment system. Representatives from the newly-created department have been working at the Centers for Medicare and Medicaid Services (CMS), getting into the agencies’ payment and contracting systems, the Wall Street Journal (WSJ) reported Wednesday (Feb....
Global commerce platform WEX added a digital shopping solution to its Medicare Advantage supplemental benefits platform. The Medicare Advantage marketplace expands the brick-and-mortar merchant network to which Medicare Advantage members already have access, according to a Thursday (Nov. 21) press release. Now, members can buy...
September 25, 2025
Medicare is set to bring artificial intelligence (AI) into the core of its decision-making, testing whether algorithms can determine which treatments get covered in the nation’s largest public health program. Starting in 2026, a federal pilot will examine if AI can speed up prior authorization and cut waste, a move that could redefine how millions […]
March 04, 2025
In a healthcare landscape often dominated by discussions of senior care and chronic disease management, innovation is increasingly turning the spotlight to an often overlooked yet critical population: children. “In...
April 20, 2022
Picture two opposing armies, loaded to the teeth with accounting software. On one side are healthcare providers and their billing teams. On the other bristles an army of insurers. At...
April 06, 2021
Thanks to rapidly advancing technology, our homes are becoming much more of a commerce command center than a simple living space. Companies like Roku and Netflix have turned them into...
February 05, 2025
Elon Musk’s Department of Government Efficiency (DOGE) has reportedly gained access to Medicare’s payment system. Representatives from the newly-created department have been working at the Centers for Medicare and Medicaid Services (CMS), getting into the agencies’ payment and contracting systems, the Wall Street Journal (WSJ) reported Wednesday (Feb. 5). Sources told the WSJ DOGE employees have been on […]
November 21, 2024
Global commerce platform WEX added a digital shopping solution to its Medicare Advantage supplemental benefits platform. The Medicare Advantage marketplace expands the brick-and-mortar merchant network to which Medicare Advantage members...
November 01, 2024
Two federal agencies warned healthcare providers, Medicare Advantage plans and debt collectors not to improperly bill Qualified Medicare Beneficiary recipients (QMBs), who generally cannot be billed for cost-sharing by healthcare...
September 04, 2024
Health insurance marketplace GoHealth has inked an agreement to buy Medicare-focused e-TeleQuote. The acquisition is expected to close Sept. 30, GoHealth said in a Wednesday (Sept. 4) news release. The...
