Mar 4, 2026 · The latest payer news for healthcare professionals Trump administration halts over $259M in Medicaid funds to Minnesota The funds would be a fraction of the $11.8 billion in Medicaid funding …

Sep 10, 2025 · How AI and automation can help payers drive revolutionary new efficiencies in provider lifecycle management (PLM), medical management and member outreach and support.

Nov 25, 2024 · AI could be ‘transformational’ for payers, experts say Insurers could save 20% in administrative costs and 10% in medical costs by harnessing technology, experts said during a …

Sep 10, 2025 · Providers say claims denials are increasing: survey Nearly three in four providers surveyed by Experian Health said the number of claims denied by payers shot up between 2022 and …

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Jan 17, 2024 · Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones — that should cut back coverage determination limbo …

Sep 10, 2025 · AHEAD, which builds on existing all-payer models in certain states, gives participating states up to $12 million to implement the model. In return, states agree to be accountable for cost …

May 7, 2025 · Health insurers see signs of life in Q1 Payer profits fell in 2024 as Americans, especially older ones, utilized more medical care. But efforts to resuscitate margins appear to be working for most.

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Oct 1, 2024 · Here are notable events hospital, payer and tech executives should consider attending in the second half of the year, running the gamut from digital health to financial management to medical ...