2+ hour, 10+ min ago  (126+ words) According to a new analysis from Sheppard Mullin's Healthcare Law Blog, lawmakers are increasingly permitting insurers to use AI to streamline prior authorization and utilization review while drawing a firm line against allowing algorithms to make final medical necessity decisions…...

2+ mon, 2+ week ago  (377+ words) A patient is denied coverage for a drug he has taken for 18 years. His insurer says he should try a cheaper alternative. He finds an AI tool, submits his case and sends the resulting letter to his insurer. The denial…...

11+ mon, 2+ week ago  (341+ words) United Health said it proactively contacted the Justice Department after reports of the investigations surfaced and subsequently received the department's requests. "The company has a long record of responsible conduct and effective compliance," United Health said in the filing. The…...

11+ mon, 1+ day ago  (401+ words) United Health Group's $3. 3 billion bid to acquire Amedisys Inc. will proceed under stringent conditions outlined in a proposed settlement announced today by the U. S. Department of Justice. The deal, reached in coordination with several state attorneys general, includes major divestiture requirements…...

10+ mon, 1+ week ago  (315+ words) A Justice Department criminal investigation of United Health Group is reportedly broader than initially thought. Bloomberg reported Tuesday (Aug. 26), citing unnamed sources, that what was once thought to be a probe into possible Medicare fraud is also looking into business…...