A patient calls to confirm a Thursday appointment, then mentions chest pain that started that morning. What the voice agent on the line does next depends on decisions made long before the call. Healthcare is putting AI on the phone,…
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A patient calls to confirm a Thursday appointment, then mentions chest pain that started that morning. What the voice agent on the line does next depends on decisions made long before the call. Healthcare is putting AI on the phone,…
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Most large health systems can finally see what’s happening across their operations in real time. The harder question is what to do with that information. As census climbs faster than revenue and the number of staffed beds shrinks, visibility alone…
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Democrats swept both chambers of Congress in the Nov. 3 midterm elections, leaving the health insurance industry with a new set of looming political headwinds on affordability and oversight alongside the possibility of restored ACA subsidies and a reversal of…
Hospitals are building 2027 budgets while several of the biggest variables in those budgets remain unresolved. States must implement Medicaid work requirements by Jan. 1. CMS projects the requirement will reduce Medicaid enrollment by about 2.3 million people in fiscal…
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South Dakota voters rejected a ballot question Nov. 3 that could have triggered repeal of the state’s Medicaid expansion mandate if the federal government’s 90% funding share declined, South Dakota Searchlight reported Nov. 4. The Associated Press called the race…
CVS Health intends to split into two distinct companies, the healthcare giant confirmed in a Nov. 4 news release. One company, which will be called CVS Health in the interim, will include health insurer Aetna, pharmacy benefit manager CVS Caremark,…
UnitedHealth Group’s board of directors approved a per-share cash dividend of $2.32 to be paid Dec. 15. The dividend will be paid to all shareholders of record as of the close of business on Dec. 7, according to a Nov.…
Vermont has the highest average monthly benchmark premium on the ACA marketplace for 2027 at $1,313, while New Hampshire has the lowest at $486, according to KFF. Nationwide, the average benchmark premium is $704 a month for 2027, up from…
Suha Assi has been named CEO of UnitedHealthcare’s individual Medicare Advantage business. She succeeds Dennis O’Brien, who was named president of UnitedHealthcare Networks in September. “For much of the last 20 years, my work has been rooted in the Southeast,…
Humana and healthcare technology company Athenahealth are expanding electronic prior authorization capabilities, spanning more than 180,000 clinicians in Athenahealth’s network. According to a Nov. 3 news release, more than 6,000 providers processed almost 35,000 electronic prior authorization transactions with Humana…