A new poll from the consultant firm Bain & Company, with help from KLAS Research, found that 75% of providers remain optimistic that investments in artificial intelligence will pay off, while 60% of payers say they are already satisfied with their purchases.

The agency said the move comes after a May 2026 audit of Medicaid outcomes found that states are motivated more by a desire to check boxes than to ensure patients are healthy. Once completed, the new framework will ideally align financial incentives with care outcomes. 

With its $350M in new funding, EliseAI said it plans to build out its technology and sales force. It currently works with specialty provider groups to automate practice operations such as scheduling and insurance verification.

Independence Blue Cross, the largest medical insurance provider in the Philadelphia area, does not admit to wrongdoing. It was accused in a lawsuit backed by the U.S. Department of Justice of misrepresenting the severity of patient illnesses to juice risk-adjusted Medicare payments.

Analyzing more than 1,500 cases of patients who got sent from an acute-care hospital to an ostensibly more-capable facility, Harvard researchers have found 1 in 4 such transfers could—and probably should—have been avoided. 

“There’s no correlation between the cost of healthcare and the quality you’re getting.”

Patient engagement expert John Deutsch says consumers are already used to “frictionless experiences” when it comes time to catch a ride or buy a coffee. Can AI bring healthcare up to speed?

A little more than half a year after establishing a healthcare affordability lab, Yale University is out with freshly detailed policy prescriptions for cutting costs without compromising care.