payers

Payers are organizations, such as insurance companies or government agencies, that pay for healthcare services or pharmaceuticals on behalf of patients or members. They manage claims, negotiate with providers, and determine coverage and reimbursement.

Why it’s in the news: Payers are in the news due to a major cyberattack compromising taxpayer data, a survey on their AI preferences, and proposed legislation affecting how they handle drug purchases.

Latest on payers

• French taxpayers' data stolen in cyberattack
• French taxpayers' data stolen in cyber attack, French Finance Ministry says
• Nearly 80% of payers prefer vendor-built AI solutions, survey finds
• Watch out UK taxpayers: 28,000 HMRC staffers just got an AI copilot
• <a href="https://www.fiercehealthcare.com/regulatory/bill-seeks-force-payers-apply-dtc-drug-purchases-patient-deductibles" hreflang="en">Bill would force payers to apply DTC drug purchases to patient deductibles</a>
• <a href="https://www.fiercehealthcare.com/payers/new-mental-health-parity-index-highlights-where-disparities-persist" hreflang="en">New Mental Health Parity Index highlights where disparities persist</a>
• The platform automates claims review, negotiations, and arbitration workflows to streamline the dispute resolution process.
• The No Surprises Act, enacted to protect patients from unexpected medical bills, requires payers to manage disputes through standardized procedures.
• Daffodil Health launched an AI-powered solution designed to help payers manage No Surprises Act disputes.
• Daffodil Health Launches No Surprises Act Dispute Management Solution

Connections

3 entities linked to payers across the news graph.