Explore insights from congressional hearings on health insurers discussing AI impacts, regulatory challenges and healthcare reforms for improved patient care.

Explore the challenges and innovations shaping employer-sponsored health insurance in 2026, focusing on affordability, drug costs, and AI integration.

Explore how Ambient AI is revolutionizing healthcare documentation, improving efficiency, reducing burnout, and impacting insurance practices in Medicare and fee-for-service.

Learn about the DOJ's intensified healthcare fraud enforcement strategies in 2025, including AI challenges and the impact of state regulations.

U.S. Senators propose legislation to halt CMS AI-powered Medicare prior authorization pilot in six states including Washington due to care delay concerns.

New legislation challenges CMS's AI-driven prior authorization pilot (WISeR) in Traditional Medicare, highlighting concerns over patient access and provider burden.

CMS finalizes Medicare payment at $854 for Cardio Diagnostics' AI-driven Epi+Gen CHD and PrecisionCHD tests, enhancing access and reimbursement for early CHD detection.

CMS is piloting an AI-driven prior authorization program in traditional Medicare across six states to reduce wasteful services and healthcare costs, amidst concerns over delays and administrative burdens.

CMS is launching the WISeR Model, an AI-powered prior authorization pilot in traditional Medicare aimed at reducing wasteful services. The program raises concerns about care delays and administrative burdens among healthcare providers in six states.

CMS's WISeR Model introduces AI-powered prior authorization for Medicare outpatient procedures, impacting approval times and denials in six states starting 2026.