Tag: prior authorization
Otter Health lands $8M to fight prior authorization with AI
Otter Health has raised $8 million to take on prior authorization, the coverage checkpoint that has become an AI battleground…
Medicare’s AI approval pilot drew warnings before it launched
Thousands of pages released under a FOIA lawsuit show the WISeR pilot launched over vendor warnings and produced testing gaps.
GenHealth.ai banks $16.5M for billing agents trained on 140M patients
Flare Capital backs GenHealth.ai's $16.5M Series A for AI agents that finish insurance and billing work.
R1 RCM snaps up Humata Health to automate prior authorizations
R1 RCM agreed to acquire Humata Health, adding AI that delivers 96% first-pass prior authorization approvals.
Anthropic-backed Ode embeds frontier AI in senior care software
Ode with Anthropic is putting frontier models inside PointClickCare's senior care platform, starting with authorization work.
Senators Blumenthal and Hawley probe Medicare Advantage insurers over AI denials
In a rare bipartisan move, the senators demand internal records from UnitedHealth, Humana, and CVS on the use of AI…
Bipartisan senators probe Medicare Advantage AI care denials
Blumenthal and Hawley demand records from UnitedHealth, Humana and CVS on AI use to block rehabilitative care.