News
Most health AI users don't rate chatbots as highly accurate: poll
3+ hour, 50+ min ago (405+ words) About 2 in 10 said they at least sometimes use AI chatbots to get health information, but only 18% considered their responses highly accurate, according to a survey by Pew. AI isn't a major source of health information compared to other common resources,…...
Jefferson Health sues Aetna over Medicare Advantage "downcoding" policy
1+ day, 6+ hour ago (277+ words) The health system claims the policy, which reduces reimbursement for some inpatient hospital stays, violates federal law and its reimbursement contract with Aetna. Aetna says its new policy, which went into effect at the start of the year, is meant…...
ICHRAs, a growth opportunity for insurers, face uphill battle
1+ day, 4+ hour ago (1061+ words) Employers are turning to Individual Coverage Health Reimbursement Arrangements to cut costs, but rising premiums and instability on the individual market pose challenges. Individual Coverage Health Reimbursement Arrangements may represent a growth opportunity for insurers at a time when enrollment…...
Digital health funding concentrates in fewer startups: report
1+ day, 6+ hour ago (439+ words) Digital health companies raised $4 billion in the first quarter, an increase of $1 billion over the prior year, according to Rock Health. 2026 has so far continued a trend of "haves and have-nots" in digital health funding, where some startups are quickly…...
Insurers committed to cutting prior authorizations have eliminated 11% so far
1+ day, 23+ hour ago (362+ words) Last summer, major payers committed to pare back onerous prior authorization policies, to the skepticism of the provider industry. Now, AHIP and the BCBSA are providing an update. The move was heralded by the industry and by regulators in the…...
Veradigm names CFO as it works to get current on financial filings
2+ day, 3+ hour ago (375+ words) The health IT company was delisted from the Nasdaq in early 2024 for failing to comply with financial reporting requirements. Previous title: CFO, Ministry Brands New title: CFO, Veradigm Greyenbuhl will take up the CFO position effective May 11 or the first…...
CMS finalizes higher Medicare Advantage rates for 2027 in gift to insurers
2+ day, 4+ hour ago (1123+ words) Regulators locked in a 2. 48% average rate hike for next year, much higher than the 0. 09% that was originally proposed. The Trump administration finalized significantly higher Medicare Advantage rates for 2027 than it had proposed after a full-court lobbying press from the insurance…...
Centene creates two new executive leadership roles
3+ day, 6+ hour ago (223+ words) It's the'latest in a flurry of executive appointments from health insurers looking to strengthen their leadership teams amid regulatory headwinds and elevated medical costs. Centene is the largest insurer in both the Medicaid and ACA markets, with its almost 28 million…...
White House seeks 12% cut to HHS in 2027
5+ day, 23+ hour ago (508+ words) The Trump administration is requesting about $111 billion in discretionary funding for the HHS, nearly $16 billion less than its budget in 2026. Friday's budget proposes a 10% cut to non-defense spending across the federal government. Meanwhile, the Department of Defense will receive a…...
CMS finalizes Medicare Advantage star ratings overhaul, sending billions of dollars more to insurers
6+ day, 3+ hour ago (1018+ words) Regulators cut almost a dozen metrics that factor into the quality ratings and reverted back to an older and more generous bonus system. The Trump administration has finalized a rule overhauling the Medicare Advantage star ratings system that's expected to…...