AI

Artificial IntelligenceHealth Care FinanceLegal Actions/Court DecisionsMedicare Advantage

Humana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges

(By Jakob Emerson for Becker’s Hospital Review) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully deny Medicare

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Accountable Care Organizations (ACO)Artificial IntelligenceCMSHHSMedicaidMedicare - GeneralMedicare AdvantagePart D/Prescription DrugsPrior Authorization

Lawmakers are scrutinizing managed care

(By Rylee Wilson for Becker’s Hospital Review) Federal lawmakers have been probing payers on a variety of issues in recent

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