5 days ago · The latest payer news for healthcare professionals Alignment Healthcare’s idiosyncratic take on Medicare Advantage Other MA plans are downsizing, upset about coding changes and …

Sep 10, 2025 · How AI and automation can help payers drive revolutionary new efficiencies in provider lifecycle management (PLM), medical management and member outreach and support.

Nov 25, 2024 · AI could be ‘transformational’ for payers, experts say Insurers could save 20% in administrative costs and 10% in medical costs by harnessing technology, experts said during a …

Get the free healthcare newsletter trusted by industry leaders. Healthcare Dive delivers the latest healthcare news affecting businesses today.

Sep 25, 2024 · Providers say claims denials are increasing: survey Nearly three in four providers surveyed by Experian Health said the number of claims denied by payers shot up between 2022 and …

Jan 17, 2024 · Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones — that should cut back coverage determination limbo …

Oct 1, 2024 · Here are notable events hospital, payer and tech executives should consider attending in the second half of the year, running the gamut from digital health to financial management to medical ...

Top News for Healthcare Payers Healthcare Dive: Payer weekly delivers the latest news & trends in the payer sector straight to your inbox every Wednesday.

Oct 24, 2024 · ‘AI arms race’ underway as payers, providers jockey for upper hand in claims review Payers currently have a leg up when using AI to review claims, but providers could soon catch up, …

Oct 4, 2023 · From digital health events to payer and provider summits, here are upcoming healthcare conferences for the organized executive to keep in mind.