SPRINGFIELD — Illinois lawmakers are growing concerned with the use of artificial intelligence in health care. State Rep. Bob Morgan, D-Deerfield, is sponsoring two bills that would place restrictions ...

Evicore contends its methods improve healthcare by denying unnecessary treatments that lower costs for everyone. "We have a big problem in health care across this country.

To add another twist: Cigna owns a prior-authorization shop, eviCore, which is buried deep within its corporate structure. (It falls under the umbrella of Evernorth Health Services, Cigna’s ...

EviCore told the Record last week that Schnure’s account doesn’t match its files but refused to say what that means. “I have no idea what EviCore is talking about,” Schnure told us.

EviCore, a third-party vendor, denied the request for Horizon to cover the CT scan. An NJ bill would prohibit insurers from requiring pre-approval.

In the summer of 2022, my ENT came frustratingly close to finding my lung cancer when it was still curable. He requested a simple, relatively inexpensive CT scan that eviCore promptly denied.

Even though Sen. Blumenthal doesn’t directly mention EviCore, the company promises a 3:1 return on investment to insurance companies, which its salespeople translate as a 15% increase in denials.

T. Christian Miller, a reporter at ProPublica, explains how EviCore’s tool is manipulated to increase denials and cut costs. Some of the biggest health insurers in the country are turning to an ...

Here is how that works: So, your insurance company will send your file to EviCore, and EviCore first runs that file through an algorithm, and that algorithm decides whether or not to approve the care.

ProPublica’s investigation found that EviCore is owned by a major insurance company, Cigna. Major American insurance companies hire EviCore and provide coverage to 100 million consumers.