Amazon AI promises faster billing for health providers

Medical offices may soon use artificial intelligence tools from Amazon to prepare and submit health insurance claims.

The technology services giant says its new package of AI-based support services tools for health care providers is great at listing the procedures provided during a patient visit and the diagnoses, and at attaching the diagnostic and procedure codes used in the billing process.

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Anthem to penalize California hospitals for out-of-network doctors

Managers of Anthem Blue Cross think that in-network hospitals in California should use in-network physicians to treat health plan participants.

The Elevance Health subsidiary announced earlier this week that it will impose a 10% payment penalty on some in-network hospitals and other health care facilities that bill patients for care provided by out-of-network doctors.

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The TPA’s role in avoiding unnecessary ERISA litigation

Now is a good time for third-party administrators (TPA) to make sure that critical but frequently overlooked health plan documentation is complete and error-free. This isn’t about perfectionism; it’s about protecting themselves and their clients from unnecessary litigation.

The TPA plays a vital role in ensuring self-funded plan sponsors and their members have frictionless experiences, especially when they need to file a claim or subrogate one. And TPAs are known for being efficient and responsive with an enviable knowledge of self-funded plans and subrogation.

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The drug costing more than cancer treatment: Why 29% of employees would switch jobs to get it

The drugs best known for dramatic weight loss are quietly becoming a flashpoint in the competition for talent, and employers who have been slow to act on coverage may be running out of time.

According to NFP’s (an Aon company) 2026 U.S. Benefits Trend Report, nearly one-third of employees say they would switch employers to gain access to GLP-1 coverage, elevating these medications from a line item in the pharmacy budget to a workforce strategy problem.

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TrumpRx.gov traffic beats competitors in first month, despite limited features

Publications like STAT are reporting that there’s a big gap between what the administration of President Donald Trump said about TrumpRx.gov before it launched and how the site really works.

But early usage figures suggest that the site is still a force to be reckoned with.

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When Even Celebrities Turn to GoFundMe to Raise Money for What Insurers Won’t Cover

James Van Der Beek’s final months revealed how medical crowdfunding has exploded as Americans struggle with rising out-of-pocket costs and insurance denials.

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MEDICARE

Medicare beneficiaries log 60 million telehealth visits annually

Medicare beneficiaries had about 60 million telehealth visits per year between 2021 and 2023, according to a February study published in Annals of Internal Medicine.

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KFF: A look at Part D enrollment trends for 2026

Just over 56 million people are enrolled in Medicare Part D, with the share of those securing coverage through Medicare Advantage Prescription Drug (MAPD) plans growing alongside the overall program.

As of 2026, 24.9 million people were enrolled in standalone Part D plans, according to a new analysis from KFF, while 31.4 million were in MAPD plans. By comparison, overall enrollment in 2006 was just 21.8 million, with 15.8 million of those individuals with just Part D coverage.

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