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The typical health insurer has many competing technology priorities. Insurers have traditionally spent a considerable amount of labor resources on claims administration. To cut costs, insurers [...]

Health insurance is competitive. The number of plans available on Affordable Care Act exchanges (ACA) has grown. The average Medicare Advantage member has 43 plans available to them.  [...]

The end of the zero interest rate environment has impacted technology companies aiming for revenue growth above all else. As a result of rising interest rates, higher inflation, and a looming [...]

In the first week after its release in December 2022, more than a million users signed up for ChatGPT. The new artificial intelligence (AI) tool was a media darling as users showed how it could [...]

In December 2022, the Centers for Medicare and Medicaid Services (CMS) released the Contract Year 2024 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug [...]

President Biden last month signed the Consolidated Appropriations Act of 2023 into law. The $1.7 trillion spending bill funds the government for the 2023 fiscal year. Though it touches many areas [...]

Studies show that as many as 9% of Medicare Advantage beneficiaries voluntarily choose to leave their plan each year. Member churn can financially impact a health plan, which is why best-in-class [...]

What can we expect from health insurers in 2023? Examining 2022’s activities can provide insight into how insurers plan to compete and improve profitability in 2023. You can learn more [...]

Each year the Centers for Medicare and Medicaid Services (CMS) releases a Notice of Benefit and Payment Parameters proposed and final rules. The rules govern how the Affordable Care Act (ACA) [...]

Electronic prior authorizations can streamline the authorization process by enabling faster decisions. Electronic processes can also improve the patient experience, speeding up time to care [...]