Penguin Ai raised $29.7 million for its AI platform aimed at automating costly administrative tasks like prior authorization and medical coding. CEO Fawad Butt said the startup’s goal is to move beyond point solutions and create an “Epic of the healthcare back office.” The post Penguin Ai Snags $30M to Simplify Prior Auth, Coding and…
Los cambios en las políticas de salud en Washington están teniendo repercusiones en todo el país y haciendo que millones de personas pierdan su cobertura de Medicaid o de la Ley de Cuidado de Salud a Bajo Precio (ACA). Pero todavía hay formas de acceder a la atención médica. Durante la próxima década, se espera…
Health policy has never looked so flirtatious. Every year, our readers send us valentines that make us swoon, laugh, and occasionally clutch our insurance cards. And in 2026, you did not hold back. You wrote about overcharging, rising insurance, AI in health care, and more. Here are some of our favorites, starting with the poem that stole…
Agentic AI is starting to make a splash in the healthcare world, but one attorney warns that it could also push the industry into a gray area of liability and patient safety. Without strong guardrails, errors could have life-or-death consequences, said Lily Li, founder of law firm Metaverse Law. The post Agentic AI Could Push…
As President Donald Trump wrapped up his first term in 2020, he signed legislation to protect Americans from surprise medical bills. “This must end,” Trump said. “We’re going to hold insurance companies and hospitals totally accountable.” But the president’s wide-ranging push to slash government spending, led by billionaire Elon Musk, is weakening the federal office…
Elevance Health is leveraging AI for simplifying the member experience, improving the provider experience and making sure employees have the right information at the right time. The post Elevance Health’s 3 Key Priorities for AI appeared first on MedCity News.
Through regulations and the House budget reconciliation bill, significant changes are being considered by Congress and the Trump Administration for how the Affordable Care Act’s health insurance Marketplaces would work. At the same time, the enhanced tax credits that have made Marketplace coverage more affordable and driven record enrollment are set to expire at the…More
On May 22, the House passed a budget reconciliation bill that includes significant changes to the Medicaid program. On June 16, the Senate Finance committee released proposed reconciliation language with some substantive changes to the Medicaid work requirement provisions, but this language may change as the Senate debates the bill. This issue brief provides an…
When Preston Nafz was 12, he asked his dad for permission to play lacrosse. “First practice, he came back, he said, ‘Dad, I love it,’” recalled his father, Lothar Nafz, of Hoover, Alabama. “He lives for lacrosse.” But years of youth sports took a toll on Preston’s body. By the time the teenager limped off…
KFF Health News chief Washington correspondent Julie Rovner discussed funding cuts at the Department of Health and Human Services on CBS News’ “24/7” on May 7. Click here to watch Rovner on “24/7.” Listen to this week’s episode of “What the Health?” — hosted by Rovner: “Cutting Medicaid Is Hard — Even for the GOP.”…