Absent commercial health insurance companies fulfilling a recent promise to reform their prior authorization (PA) and claims-paying behaviors, what can hospitals and health systems do to combat ...

As a remedy, health systems, including University Hospitals, are now using AI and automation to dispute more coverage denials, which officials in the system say is necessary to survive.

GEICO alleges two Brooklyn medical suppliers masterminded a sweeping scheme to bill for unnecessary equipment and inflate no-fault insurance claims ...

About 41% of beneficiaries who could lose coverage due to federal work requirements signed into law this summer have three or more chronic conditions, according to new JAMA research.

New Claude Sonnet 4.5 redefines AI with unmatched focus, precision, and tools like Cloud Agent SDK. Perfect for high-stakes industries ...

The hype surrounding medical AI often conjures images of powerful algorithms operating out of the clusters of a remote datacenter, but in practice, building clinically-viable technology is far more ...

AI is changing the face of work, and Pintat is one of many looking at a very different future. While there has been much conversation about the technology replacing white-collar workers—with some CEOs ...