Revenue Cycle Management

Fewer insurers participating in ACA marketplaces amid policy turmoil, KFF finds
The average number of issuers fell from a record high of 9.6 per state in 2025 to just nine this year, according to the health ...
Top Medicare Advantage plans deny up to 80% of rehab requests
CVS Health, Humana and UnitedHealth Group had rehab request denial rates nearly twice those of other Medicare Advantage plans.
ACA tax credit lapse led to fewer signups, more plan drop-off
Following the lapse of the ACA enhanced premium tax credits, there was a signup shortfall of 1.5 million, but more plan drop-off ...

General-purpose AI beats out specialized clinical AI in some assessments
A new study challenges the value proposition of specialized clinical AI tools, showing they underperformed compared to ...
AMA takes aim at AI prior auth in policies to ensure physician oversight
The AMA's House of Delegates has adopted policies to ensure physician oversight of AI-based clinical decision support and ...
Why radiologists prefer domain-specific AI over generic AI
Custom AI models achieved better results on radiology impressions and reports than generic AI radiology models, according to a ...