Tag: Utilization Review

Regulation of AI in Health Insurance: A Legislative Overview

Discover how states like Georgia, Iowa, Utah, and Washington are regulating AI use in health insurance decisions to enhance transparency and oversight.

Regulations on AI in Health Insurance: Balancing Innovation and Clinical Authority

Explore how state legislatures are regulating AI in health insurance to maintain clinical authority and transparency in decision-making processes.

Aetna Medicare Advantage’s New Inpatient Payment Policy: Implications and Regulatory Concerns

Examining Aetna's new inpatient payment policy for Medicare Advantage plans, its conflicts with Medicare's Two-Midnight Rule, and implications for hospital reimbursement and compliance.