Poorly written or vague policies may have cost state-run Medicaid services $1.7 billion in payments over nearly four years, a ...

A program that provides support services to Minnesota children with autism has long faced scrutiny for possible Medicaid ...

The state is paying Optum, a UnitedHealth Group subsidiary, over $2 million this year to review claims for 14 programs that ...

Artificial intelligence could rework the claims and reimbursement process, allowing faster decision-making, reduced errors ...

A new automated review system for Minnesota Medicaid claims has completed its first phase, according to the Minnesota ...

According to Optum's update, they were able to identify over $52 million in potentially recoverable funds due to policy ...

This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. Optum launched an artificial intelligence-backed ...

A state-hired firm identified systemic gaps that allowed questionable billing and showed spending dropped sharply once ...

Optum is rolling out new AI-powered tools that aim to reduce delays associated with prior authorization. | Optum is rolling out new AI-powered tools that are aimed to reduce delays associated with ...

As healthcare providers see patient reimbursement dip and funding trickle, a provider’s ability to submit and collect on insurance claims on the first try is vital to hospital cash-flow. By sharing ...

Optum has launched a pair of AI-driven prior authorization products, one designed to speed up submissions on the provider side and another to accelerate clinical reviews for payers. The ...