While denial rates continue to climb, few health systems are using AI in claims management despite its potential to address gaps created by staffing shortages and data quality issues. Claim denial ...

The MarketWatch News Department was not involved in the creation of this content. AUSTIN, Texas, Nov. 18, 2025 /PRNewswire/ -- Dastify Solutions, a leading U.S. medical billing and revenue cycle ...

Insurers’ growing use of AI in coverage decisions has faced scrutiny from some lawmakers concerned that the technology could deny care unfairly, especially in the MA program. UnitedHealth and Humana ...

Forbes contributors publish independent expert analyses and insights. I’m an analyst covering neurotech's impact on business and society. Despite its growing “deeptech” bonafides, the US ...

Patients in the US are using AI to fight the AI bots that health insurers use to deny care. Amid states’ attempts to curb health insurers’ use of artificial intelligence, patients and doctors are ...

As health insurers increasingly rely on artificial intelligence to process claims, denials have been on the rise. In 2023, about 73 million Americans on Affordable Care Act plans had their claims for ...

Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the ...

HealthLeaders 2025 webinars highlighted pivotal shifts in revenue cycle management, demonstrating how leaders are moving from reactive to proactive strategy through AI adoption, enhanced patient ...

In a typical U.S. hospital system, the revenue cycle is under constant pressure. A significant portion of this pressure comes from denied claims, which was estimated to be a $262 billion problem ...

Virginia Beach, Virginia-based The Therapy Network's five outpatient rehab clinics were bogged down by highly manual workflows in documentation, prior authorizations and scheduling. Physical ...