CMS Administrator Mehmet Oz, MD, is not only encouraging AI use across his agency but also with Medicare beneficiaries, he said in a recent interview with HIMSS President and CEO Hal Wolf. “Why wouldn’t we, within a year, be able…
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Anthem Blue Cross Blue Shield and UnitedHealthcare offer the best mobile provider search tools among major Medicare Advantage insurers, according to a February report from Corporate Insight shared with Becker’s. The report evaluated tools available on iOS and looked at…
Clover Health said it is integrated with Kno2, the patient information exchange, according to a March news release from the company. Kno2 is a qualified health information network under the Trusted Exchange Framework and Common Agreement, and it is also…
Business services provider Conduent’s data breach affected at least 25 million people across the U.S., according to a February update from Wisconsin’s Department of Agriculture, Trade and Consumer Protection. The Conduent breach took place between the end of 2024 and…
Humana is launching AI-enabled Agent Assist in collaboration with Google Cloud, according to a Feb. 3 news release. Agent Assist aims to personalize and expedite member support by generating real-time conversation summaries, predicting member needs and contributing relevant information efficiently…
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Payer-provider dynamics have been a persistent struggle in healthcare, particularly evident in heated contract negotiations. AI — such as clinicians using scribes associated with greater coding intensity and insurers harnessing AI platforms to authenticate claims and assist with prior authorization…
When the CEO of behavioral health payer and managed care organization Magellan Health thinks about AI, its use falls into several buckets. But the verdict on whether AI can replace providers is unclear. Caroline Carney, MD, of Centene subsidiary Magellan…
Payers and providers are locked in an “AI arms race” over coding and claims, but some industry leaders are acknowledging the battle may be a distraction from providing patient care. “The bots battling the bots is a real thing,” Sachin…
Digital identity wallet service ID.me entered into a contract with CMS, with rollouts to improve secured access and user experience coming to Medicare.gov in early 2026. ID.me will act as an identity verification and sign-in option for the website. User…
Throughout 2025, health insurance leaders have weighed in on the role AI should play in the industry, from advancing operational efficiencies to integrating with consumer-facing technology. Here are 14 statements and updates on AI from health insurers in 2025: 1.…