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The logos of Google, Apple, Facebook, Amazon and Microsoft displayed on a mobile phone with an EU flag shown in the background.

Justin Tallis | AFP via Getty Images

A raft of major technology and media companies have signed an open letter accusing tech giants of failing to bring their businesses into full compliance with incoming European Union digital competition rules.

The signatories say that companies defined by the EU as “gatekeepers,” including Google, Amazon, Apple, Meta, Microsoft, and TikTok owner ByteDance, haven’t done enough to engage effectively with them and others in their industry.

Under the EU’s Digital Markets Act, companies with more than 45 million monthly active users and a market capitalization over 75 billion euros ($81.2 billion) are considered gatekeepers.

They are required to, for example, make their messaging apps work with those of rivals, and let users decide which apps come pre-installed with their devices.

Another EU requirement is that these platforms do not implement practices that lead to the “self-preferencing” of their services over others.

The open letter, which was signed by international media group Schibsted, eco-friendly search engine Ecosia, privacy-focused search engine Qwant, secure messaging app Element, and VPN service ProtonVPN, said the gatekeepers “have either failed to engage in a dialogue with third parties or have presented solutions falling short of compliance with the DMA.”

They also said that businesses and consumers have been largely “kept in the dark” about what’s going to happen after March 7, 2024 — a pivotal deadline by which all six Big Tech gatekeepers need to get their businesses into compliance with the DMA.

Regulatory risk to U.S. tech giants on market monopoly is real, but not priced in yet

“The signatories of this letter represent thousands of businesses affected by the DMA,” the letter stated. “They urge the gatekeepers to engage as soon as possible with business users and other stakeholders, such as business and consumer associations, in a constructive dialogue and make swift progress on their proposed compliance solutions.”

“They also urge the European Commission and the European Parliament to use all within their power to ensure that the gatekeepers comply with both the letter and spirit of the DMA, starting from 7 March 2024,” the signatories added.

Here are the 24 companies that signed the letter:

  • Adevinta
  • Allegro
  • Billiger.de
  • Ceneo
  • CompareGroup
  • Ecosia
  • Element
  • Favi
  • Heureka Group
  • Idealo
  • Kelkoo
  • Ladenzeile
  • Le Guide.com
  • OLX
  • Open-Xchange
  • Panther Holding GmbH
  • Preis.de
  • Prisjakt
  • Proton
  • Qwant
  • Runnea
  • Schibsted
  • Solute
  • Vipps

The EU Commission and the EU Parliament were not immediately available for comment on the issue when contacted by CNBC. CNBC also reached out to Google-parent Alphabet, Amazon, Apple, Meta, Microsoft, and ByteDance.

Christian Kroll, CEO and co-founder of Ecosia, told CNBC ahead of the open letter that regulators needed to keep large technology companies in check, or else risk businesses like his facing financial consequences.

“There has always been a huge challenge: Google has had the monopoly for over a decade, but I think we are currently more optimistic than that. It is yet to be determined what will happen on March 7 but we know that 2024 must be the year of fair choice in online search for Europe,” Klein told CNBC.

“EU policy makers have the choice to deliver a digital market that delivers fair competition and choice for European consumers and business,” Kroll added.

Of particular issue for Ecosia and other competing search engines was a proposal from Google for a “choice screen” that would display different search engines on the same window.

“Without a choice screen that is designed fairly, in the letter and spirit of the DMA, we will not see a positive shift in market share but rather further entrenchment of the dominance of gatekeepers such as Google – which would be a failure of the DMA,” Kroll added.

“Ahead of the March 2024 deadline, we need support from the EC and all hands on deck to ensure proactive engagement. The focus of digital regulators around the world will be on Europe as global interest in choice screens increases.”

Last week, the EU Commissioner for Competition Margrethe Vestager met with the CEOs of Apple, Alphabet, and Qualcomm to discuss regulation and competition policy compliance, according to a post by Vestager on X.

She said she had discussed Apple’s obligation to allow distribution of its apps outside the company’s proprietary AppStore, as well as ongoing competition cases including one involving the firm’s Apple Music music streaming platform.

With Google CEO Sundar Pichai, Vestager said she discussed the design of choice screens, self-preferencing requirements under the DMA, and an EU antitrust case looking at the company’s role in the advertising technology market.

She didn’t specify what was discussed with Qualcomm CEO Cristiano Amon.

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Bitcoin accelerates its slide, falling toward $90,000 to start the week

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Bitcoin accelerates its slide, falling toward ,000 to start the week

Dado Ruvic | Reuters

Bitcoin briefly dropped below the $90,000 mark on Monday, extending its slide as investors continue to dump growth oriented assets like crypto and tech stocks.

The price of the flagship cryptocurrency was last lower by 3% at $91,358.66 to start the week, according to Coin Metrics. Earlier, it fell as low as $89,259.00. Bitcoin is down 10% in the past week.

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Bitcoin extends its slide as growth-oriented assets continue to get hit

Ether lost 7% Monday and the broader crypto market, as measured by the CoinDesk 20 index, dropped more than 5%. Shares of Coinbase and MicroStrategy slid 4% and 3%, respectively. Mara Holdings declined 4% and Core Scientific retreated by 2%.

Crypto assets’ decline began last week after stronger-than-expected payroll numbers caused a spike in bond yields and amid concerns about President-elect Donald Trump’s tariff plans – both of which gave a boost to the dollar while pressuring bitcoin and other risk assets.

“The need for liquidity is caused by FX spikes because of strong end-of-year U.S. economy number, the stock market rallying strong, and there are other places money is needed in the short-term,” said James Davies, co-founder and CEO at crypto trading platform Crypto Valley Exchange. “If we want bitcoin to act like a currency, we need to accept when it does, and this is one of those times. The U.S. Dollar has gotten stronger ad everything else including bitcoin is weaker when measured in dollars.”

Investor sentiment was optimistic coming into 2025, with markets looking forward to having a pro-crypto Congress and White House. That hope had outweighed any concern about macroeconomic-related speedbumps, until last week.

Investors are now warning that the first quarter of this year could be more turbulent for crypto than previously anticipated.

Bitcoin’s price grew 120% in 2024 but is down 3% so far in the new year.

Don’t miss these cryptocurrency insights from CNBC Pro:

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New AI tool for fighting health insurance denials could save hospitals billions, and help patients

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New AI tool for fighting health insurance denials could save hospitals billions, and help patients

The Waystar team celebrates its IPO at the Nasdaq

2024 Nasdaq, Inc. / Vanja Savic

Health-care payments company Waystar on Monday announced a new generative artificial intelligence tool that can help hospitals quickly tackle one of their most costly and tedious responsibilities: fighting insurance denials. 

Hospitals and health systems spend nearly $20 billion a year trying to overturn denied claims, according to a March report from the group purchasing organization Premier. 

“We think if we can develop software that makes people’s lives better in an otherwise stressful moment of time when they’re getting health-care, then we’re doing something good,” Waystar CEO Matt Hawkins told CNBC.

Waystar’s new solution, called AltitudeCreate, uses generative AI to automatically draft appeal letters. The company said the feature could help providers drive down costs and spare them the headache of digging through complex contracts and records to put the letters together manually. 

Hawkins led Waystar through its initial public offering in June, where it raised around $1 billion. The company handled more than $1.2 trillion in gross claims volume in 2023, touching about 50% of patients in the U.S. 

Claim denials have become a hot-button issue across the nation following the deadly shooting of UnitedHealthcare CEO Brian Thompson in December. Americans flooded social media with posts about their frustrations and resentment toward the insurance industry, often sharing stories about their own negative experiences. 

Read more CNBC reporting on AI

When a patient receives medical care in the U.S., it kicks off a notoriously complex billing process. Providers like hospitals, health systems or ambulatory care facilities submit an invoice called a claim to an insurance company, and the insurer will approve or deny the claim based on whether or not it meets the company’s criteria for reimbursement. 

If a claim is denied, patients are often responsible for covering the cost out-of-pocket. More than 450 million claims are denied each year, and denial rates are rising, Waystar said. 

Providers can ask insurers to reevaluate claim denials by submitting an appeal letter, but drafting these letters is a time-consuming and expensive process that doesn’t guarantee a different outcome.

Hawkins said that while there’s been a lot of discussion around claims denials recently, AltitudeCreate has been in the works at Waystar for the last six to eight months. The company announced an AI-focused partnership with Google Cloud in May, and automating claims denials was one of the 12 use cases the companies planned to explore.

Waystar has also had a denial and appeal management software module available for several years, Hawkins added.

AltitudeCreate is one tool available within a broader suite of Waystar’s AI offerings called AltitudeAI, which the company also unveiled on Monday. AltitudeCreate rolled out to organizations that are already using Waystar’s denial and appeal management software modules earlier this month at no additional cost, the company said. 

Waystar plans to make the feature more broadly available in the future. 

“In the face of all of this administrative waste in health-care where provider organizations are understaffed and don’t have time to even follow up on a claim when it does get denied, we’re bringing software to bear that helps to automate that experience,” Hawkins said.

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AWS and General Catalyst partner to speed up development of health-care AI tools

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AWS and General Catalyst partner to speed up development of health-care AI tools

Attendees walk through an expo hall at AWS re:Invent, a conference hosted by Amazon Web Services, at the Venetian in Las Vegas on Nov. 28, 2023.

Noah Berger | Getty Images Entertainment | Getty Images

Amazon Web Services and venture capital firm General Catalyst on Monday announced a new multi-year partnership in their latest push to carve out a piece of health-care’s growing artificial intelligence market. 

Through the collaboration, General Catalyst portfolio companies will use AWS’ services to build and roll out AI tools for health systems more quickly. Aidoc, which applies AI to medical imaging, and Commure, which automates provider workflows with AI, will be the first two companies to participate.

No financial terms were disclosed in the announcement.

“Without a strong partner like Amazon and AWS to stand alongside them, to co-develop and support these companies … it’s not going to move as fast as we hope,” Chris Bischoff, head of global health-care investing at General Catalyst, told CNBC in an interview. 

Health systems are strained in the U.S., with staff burnout, growing labor shortages and razor-thin margins. These challenges often seem enticing for enterprising tech startups to tackle, especially as the multi-trillion dollar health-care industry dangles the prospect of large financial returns. 

Hospitals operate in a complex, technology-weary and highly-regulated sector that can be difficult for startups to break into. General Catalyst is hoping to help its companies fast-track the development and go-to-market process by leveraging resources like computing power from AWS.  

Read more CNBC reporting on AI

General Catalyst is no stranger to taking big swings in health-care. 

The firm has closed more than 60 digital health deals since 2020, behind only Gaingels and Alumni Ventures, according to a December report from PitchBook. Last January, General Catalyst shocked the industry by announcing that its new business, the Health Assurance Transformation Company, planned to acquire an Ohio-based health system – an unprecedented move in venture capital. 

General Catalyst’s “deep understanding” of health systems’ financial and operating realities made it an attractive partner for AWS, Dan Sheeran, AWS’ general manager of Healthcare & Life Science, told CNBC. Sheeran and Bischoff began outlining the collaboration between the two groups after meeting in London around nine months ago.   

AWS also has an established presence in the health-care sector. The company offers more health- and life-sciences-specific services than any other cloud provider, according to a release, and it inked other high-profile AI partnerships with GE HealthCare, Philips and others last year. 

The partnership between General Catalyst and AWS will stretch over several years, but new tools from Aidoc and Commure are coming in 2025. Aidoc is exploring how it can use the cloud to tap data modalities across pathology, cardiology, genomics and other molecular information, for instance. 

Aidoc and Commure were selected to kick off the collaboration because they have both established a product-market fit, are operational and are focused on issues that are a high priority for AWS customers.

“GC has spent a lot of time thinking about how health systems can transform themselves, and we recognize that it’s not going to be through 1,000 companies, and we need solutions that are really enterprise grade,” Bischoff said. “Amazon shares the same vision, so we are starting with these two.”  

Though the partnership between General Catalyst and AWS is still in its early days, the organizations said they believe it will help serve as a way to meet the market’s growing demand for new solutions. 

“Health system leaders who want to realize the benefits of AI now have an easier way to accomplish that,” Sheeran said.

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