US health insurance News and Analysis

2 verified stories covering US health insurance, product updates and industry developments.

AI Healthcare 2026-09-26

Medicare's AI Prior-Auth Pilot: One Contractor Denies Over Half

CMS's WISeR pilot lets AI contractors keep 25% of the Medicare spending they save by denying claims — one company has rejected over half of 6,000-plus applications across six states.

#US health insurance #AI Regulation

Healthcare AI 2026-04-30

Cohere Health targets claim overpayments with agentic AI

Cohere Surface gives US health plans a more transparent way to mine claims data, build payment integrity rules and cut overpayment leakage.

#AI agents #US health insurance #Enterprise AI