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Tag: Artificial Intelligence

Optum Develops AI-Based Risk Coding for Medicare Patients Amid DOJ Scrutiny

Optum is creating AI-driven risk coding to improve Medicare patient assessments, coinciding with DOJ investigations into Medicare Advantage practices by UnitedHealth Group.

Texas Insurers Expand AI-Driven Aerial Surveillance for Home Insurance Risk Assessment

Texas insurers are increasingly using AI-analyzed aerial imagery to evaluate home insurance risks, impacting policy renewals and risk management strategies.

AI Set to Revolutionize US Insurance Industry by 2025

AI technology is projected to handle most standard insurance tasks by 2025, driving operational efficiency, enhancing risk assessment, and transforming claims processing across the US insurance sector.

Oscar Health Boosts Earnings with AI-Driven Cost Reductions and Platform Innovation

Oscar Health surpasses earnings estimates by leveraging AI and large language models to reduce costs and improve service in its health insurance platform, signaling scalable innovation for the insurance industry.

AUA 2025 Advocacy Priorities: Medicare Reform, Workforce, AI, and Drug Shortages

Explore the American Urological Association's 2025 advocacy priorities focused on Medicare payment reform, workforce expansion, prior authorization reforms, drug shortages, and AI integration in healthcare.

Recent U.S. Healthcare Data Breaches, Regulatory Updates, and AI Adoption

Ascension and Blue Cross Blue Shield Illinois report healthcare data breaches; Atrium Health wins hospital expansion in NC; Elevance Health cuts Medicare Advantage marketing amid legal challenges; Sutter Health settles antitrust lawsuit; AI used to reduce clinical burnout.

Agentic AI: Transforming U.S. Healthcare Operations Beyond Coverage Expansion

Explore how Agentic AI is revolutionizing healthcare operations by reducing administrative burdens and enhancing real-time decision-making across U.S. health plans and providers, amid rising costs and regulatory pressures.

Infinitus Voice AI Enhances Healthcare Automation for Payers and Providers

Infinitus develops advanced voice AI agents that automate healthcare conversations, improving efficiency and compliance for payers and providers in the U.S. healthcare market.

Alabama Delays AI Regulation in Health Insurance Claims Processing

Alabama postpones legislation regulating AI use in health insurance claims, emphasizing human oversight and collaborative stakeholder discussions for transparency and accountability in insurer decision-making.

Insuranceopedia Debuts PolicyAI: AI Tool Enhances Auto Insurance Policy Analysis

Insuranceopedia launches PolicyAI, an AI-driven tool that analyzes auto insurance policies to detect coverage gaps and offer personalized recommendations, enhancing consumer protection and transparency.