A Research Triangle Park–based startup is developing new tools to simplify the process of appealing health insurance claim denials, leveraging artificial intelligence to support patients and clinics. Rising Denials According to The New York Times, prescription drug claim denials grew by 25% between 2016 and 2023. In 2023, insurers on the Affordable Care Act marketplace… Continue reading RTP Startup Uses AI to Fight Health Insurance Denials
Tag: health insurance
Health Insurance Ethics Under Scrutiny After CEO Admits Use of Private Investigators
A recent testimony by the former CEO of a Texas-based health insurance provider has sparked widespread concern and prompted a state investigation into the company’s practices.
Aftermath of Crisis Highlights Challenges in Health Insurance Transparency and Access
The recent tragic events surrounding UnitedHealthcare have brought renewed attention to the systemic frustrations many Americans experience with the health insurance industry.
Mississippi Faces Alarming Health Insurance Coverage Decline Without Federal Action
According to a recent report by the Urban Institute, Mississippi could experience a significant health insurance crisis if Congress does not extend temporary health coverage subsidies set to expire at the end of 2025.
Income, Poverty, and Health Insurance Coverage in the U.S. Key Findings
The U.S. Census Bureau released its latest findings (2023) on income, poverty, and health insurance coverage. The report highlights improvements in household income and a slight reduction in poverty, while health insurance coverage rates remained largely unchanged.
CMS to Rework Quality Ratings for Medicare Advantage Plans
UnitedHealth, Humana, and other insurers offer Medicare Advantage plans under which they are paid a set rate by the government to manage healthcare for people aged 65 and older or with disabilities.
Climate Change Has Hit Home Insurance. Is Health Insurance Next?
Climate change is making house insurance more expensive and harder to get. Health insurance could be next, as research shows extreme heat and wildfires are putting more people in the hospital.
Health Insurers Must Streamline Prior Authorization Decisions, New Rule Says
The Biden administration on Wednesday finalized requirements to streamline the process for doctors and patients seeking health insurance approval for medical care and treatments.
Senators Call for Investigation of Health Insurers’ Role in Driving Up Drug Costs
A pair of U.S. senators called on the federal government to investigate health insurers that are paying high prices for generic drugs for serious diseases like cancer and multiple sclerosis.
Insurers Spar with Biden Administration Over Coverage for Mental Health Care
The Biden administration wants to impose new requirements on insurers that it says would reduce out-of-pocket costs for mental-health care and substance-use-disorder treatment. The insurance industry is firing back, arguing the proposal would drive up prices and set impossible-to-meet standards.