Payers

Health plan members want transparency, ease of use and to be part of the process, says Rita Sharma, chief product officer at Pager Health.

When it comes to claims review, AI allows things to be done much faster than humans with less errors, says Christine Stetler, AVP of Solution Engineering at MedeAnalytics.

The company will use the funds to expand its customer relationships with provider groups.

Also, an Indian startup that offers generative AI-powered insurance technology solutions has received seed funding.

Cindy Henry, director of population health informatics at ZeOmega, explores the recent trends in Star Ratings, the contributing factors behind lower scores across the board and strategies to adapt as the program's standards continue to rise.

Ernie Crawford, CEO at Crawford Technologies, discusses how the 2024 CMS Final Rule pertaining to materials and content is bringing health equity to payer market communications.  

Niall O'Connor, chief technology officer at Cohere Health, discusses how AI and machine learning can help streamline the prior authorization process by analyzing the totality of patient information and reducing denials by health plans.

Eligible Aetna commercial members will be able to access virtual visits with Gennev's doctors and dietitians without prior authorization.

Panelists at HIMSS23 discussed the different channels for distributing digital therapeutics to patients.

At HIMSS23, David Murtagh, VP of operations at MultiPlan, which cofounded the group with United Healthcare, Humana and others, will speak about payer and provider use cases that are emerging for the distributed ledger.