Rising Medigap premiums reveal a deeper inflationary problem inside the U.S. healthcare system that continues to strain retirees’ budgets.

Behind every healthcare claim, authorization, and member interaction lies a dense web of rules and workflows that payers must ...

Hospitals health systems can stabilize cash flow by shifting from denial recovery to AI-powered prevention, reducing denials and improving revenue ...

Plans found 39% of claims submitted to independent dispute resolution last year were actually ineligible for the process, but arbiters themselves caught only 17% of improper cases, according to AHIP ...

Providers increasingly accuse payers of delaying and denying reimbursement for claims. Now, UnitedHealth Group's Optum subsidiary is hoping to change the dynamic through what they claim is a real-time ...

Optum has introduced Optum Real, a real-time AI claims system that offers faster reimbursement by connecting payers and providers in real time. Optum Real provides instant coverage validation through ...

Optum launched an artificial intelligence-backed system Tuesday that aims to speed and simplify the medical claims and reimbursement process. The tool, called Optum Real, allows providers to message ...

Tennessee health system Ballad Health is suing UnitedHealthcare, alleging the insurer “systematically abused and manipulated the taxpayer-funded Medicare Advantage Program.” The health system claims ...

UnitedHealth Group (NYSE:UNH) is piloting a new AI-powered medical claims processing system, according to a Bloomberg report. The system, called Optum Real, translates complex health plan rules into ...

LAS VEGAS, Nev.—Optum is rolling out a new, artificial-intelligence-powered system that aims to make the claims processing experience work more efficiently. The company unveiled Optum Real as part of ...

On October 1, the federal government shut down after Republican majorities in the House and the Senate failed to negotiate a funding extension with Democrats, who are looking to prevent millions of ...

Waco, TX – October 14, 2025 — Cornerstone Caregiving, a leading provider of compassionate in-home senior care, has partnered with the Long-Term Care Claims Professional (LTCCP ®) program to provide ...