In the wake of the boom of artificial intelligence (AI), more healthcare insurance companies are using the technology to speed up the process of evaluating patient medical claims, making it quite likely AI played a hand in determining the outcome of your payout.
CrowdHealth, which was founded in 2021, offers a new take on an old idea.
For decades, religious health-sharing ministries with names like Medi-Share and Samaritan Ministries have asked communities to pitch in for the medical bills of strangers. CrowdHealth has no spiritual affiliation; it’s a peer-to-peer financial-technology company that allows its roughly 10,000 paying members to make payments toward fellow members’ medical expenses.
Both chambers of the North Carolina General Assembly are pushing for healthcare reforms to provide price transparency and authorization efficiency for patients across the state, but questions remain about whether the House and Senate will unite in their proposals to approve health reform legislation during the 2025 session.
A Republican lawmaker has gone after UnitedHealthcare over its Medicare plan, calling the insurance company the "worst offender" in the industry. North Carolina Republican Rep. Greg Murphy on Fox Business on Monday discussed Republicans' efforts to reduce Medicare and Medicaid fraud, saying that UnitedHealthcare was "pushing" the boundaries of Medicare fraud. Newsweek spoke with experts about Murphy's comments.
Physical therapy providers are losing a reimbursement battle with Blue Cross Blue Shield of Michigan, and one of metro Detroit's largest clinic chains says it may close or consolidate more locations if The Blues doesn't let up on the financial squeeze. Blue Cross is starting a new billing policy April 1 for physical therapy providers that, by the health insurer's calculation, would result in an average 17% reimbursement cut for PT clinics.
An inaugural report by the New York City Health Department aimed at cracking down on sky-high prices hospitals charge patients has gaping holes in it because the Big Apple's largest public-employee insurer refuses to turn over records, officials said. The 263-page report quietly released Friday through the agency's new Office of Healthcare Accountability says hospital prices are wildly inconsistent. The study focused on payments made through the city's health care provider, Anthem Blue Cross, and not private-sector insurance plans. The city's GHI-Comprehensive Benefits Plan through Anthem paid on average $45,150 for inpatient services last fiscal year at New York's top 10 hospital systems.