15 Dec, 2023 Class Actions Highlight AI-Assisted Payer Denials By Mackenzie Wallace Ashton Dietrich As health care payers increasingly rely on artificial intelligence (“AI”) to speed up patient claim adjudication and prior-authorization...
04 Dec, 2023 Cigna and Humana potentially merging By Mackenzie Wallace Can the highly concentrated health insurance industry bear this? This will further impact the managed care litigation space and be...
22 Nov, 2023 AI class action lawsuits against payers abound By Mackenzie Wallace Class actions by insureds/members against UnitedHealth and Cigna for their use of AI in mass denials of medically necessary care have...
15 Nov, 2023 Open enrollment highlights challenges in health care costs and provider/payer relations By Mackenzie Wallace That Modern Healthcare titled its article “Providers, employers wage war over costs” instead of characterizing the dispute as one between...
15 Nov, 2023 Providers' recourse when payers wrongfully deny claims using AI By Mackenzie Wallace As evidenced in a recent suit filed against United Healthcare, providers and members have recourse when payers wrongfully deny covered...
07 Nov, 2023 Biden's AI Executive Order Impacts Health Care Board Governance By Mackenzie Wallace Multiple provisions of President Joe Biden's Executive Order draw specific board interest and confirm the overall need for health care...
01 Nov, 2023 Artificial Intelligence Expanding in Health Care By Mackenzie Wallace We know that AI has been present and used (or maybe abused) by payers in the health care space. It is positive that health care...
30 Oct, 2023 The No Surprises Act's Application to Providers By Mackenzie Wallace As an advocate for providers, the below is so accurate. The No Surprises Act is preventing access to remediation by providers, allowing...