The California Department of Managed Health Care (DMHC) has levied a fine totaling about $819,150 to Oakland-based Kaiser Permanente for alleged delays in handling complaints from health plan members.
Category: Health Insurance
Cedar announces agentic AI for healthcare billing
Patient financial platform Cedar has launched Kora, an AI voice agent that is projected to automate 30% of inbound billing calls by the end of the year.
The platform is trained on Cedar’s pre-existing billing data so that Kora is able to intelligentl…
The Patient Expected a Free Checkup. The Bill Was $1,430.
Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.
Cleveland Clinic to debut AI tools for revenue cycle
The Cleveland Clinic will be furthering its artificial intelligence ambitions by deploying generative AI tools meant to make medical coding more accurate and efficient.
In partnering with generative AI outfit AKASA, Cleveland Clinic will be implementin…
Allegheny Health uses AI for prior authorization automation
Allegheny Health Network has implemented touchless prior authorization using AI automation technology in a partnership with Humata Health, a physician-led company backed by investors such as Optum Ventures.
Houston Methodist, Ambiance partner on inpatient artificial intelligence
Houston Methodist is teaming up with ambient artificial intelligence company Ambience Healthcare on a collaboration to integrate AI into emergency departments and inpatient care settings.
This collaboration seeks to improve both efficiency and patient …
HHS rolls back reports of a national autism registry
The Department of Health & Human Services is reportedly not creating a national autism registry, which seemingly contradicts statements made by the director of the National Institute of Health last week.
Healthcare data breaches on the decline in March
Healthcare data breaches appear to be on the decline for now.
The HIPAA Journal reported just 58 breaches in March – the lowest total for the month of March since 2022, and a 46% reduction from the 98 breaches reported in March 2023.
Medicare Advantage Insurers Often Use Rewards and Incentives to Encourage Enrollees to Complete Health Risk Assessments (HRAs)
This analysis examines the share of Medicare Advantage enrollees in contracts (which usually include multiple plans) that offered rewards or incentives for completing health risk assessments (HRAs) in 2023, as well as differences across Medicare Advant…
When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too
Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.
