In 2026, the results of routine checks on patients’ Medicare eligibility have become unpredictable due to a sweeping set of security reforms from the Centers for Medicare & Medicaid Services (CMS). CMS moved to tighten security across the program following a data breach that exposed the personal information of millions of beneficiaries and compounded years...
The AI agent space in healthcare is crowded, and getting busier by the day. This is a good thing in many ways – but also a problem, especially for some payors. Why? Because calling payors to acquire benefits and eligibility data isn’t easy to do with AI. A simple wrapper around a generic LLM is...
Technology has transformed how we engage and transact with businesses, yet while many industries have modernized, healthcare remains slow to embrace change. In fact, many healthcare entities still rely on fax machines and phone calls between providers, patients, and payors to relay information and coordinate care. This manual coordination is one of the main culprits...
