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Last year, an advertisement featuring NFL legend Joe Namath gained attention in Medicare Advantage circles because of some potentially misleading claims. Though the Centers for Medicare and [...]

It’s likely that if you visit a health insurer’s website, it features happy, smiling members. Most insurers focus on delivering a great member experience to attract and retain [...]

A recent Gartner survey of Health Insurance CIOs found that 29% aimed to increase Artificial Intelligence (AI) spending in 2022. Health insurers likely plan to invest more in AI use cases that [...]

Poor payment reconciliation processes can cost Medicaid managed care organizations (MCO) millions of dollars annually. Manual reconciliation processes waste time and still result in revenue [...]