BCBS claims that bump coding has become more widespread because hospitals are using AI tools to identify secondary diagnoses. Automated tools can skim a patient’s chart and prompt physicians to ...
Qualitative interviews with 18 representatives from 14 Medicare Advantage organizations and 5 care management companies ...
The use of artificial intelligence by hospitals and health insurers is escalating their longstanding feud over paying for medical care.
The margin economics of small-group benefits have always been punishing. Automation is changing the calculation - and some ...
AMC Health today announced a new outcomes-based model for their Accountable Primary Care offering, backed by a $4.2 million commitment in validated savings for a typical 1,000-member cohort. Health ...
Editor: Rochelle Hodes, J.D., LL.M. Employer-provided health coverage is one of the most widely relied-upon tax-favored benefits in the Internal Revenue ...
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An AHA blog published today responds to a Blue Cross Blue Shield Association report suggesting that hospitals’ use of artificial intelligence-enabled documentation tools is driving higher healthcare ...
Artificial intelligence (AI) tools used by healthcare providers to identify patients’ secondary medical conditions contributed nearly $1 billion in ...
Jillian Kubala, MS, is a registered dietitian based in Westhampton, NY. Jillian uses a unique and personalized approach to help her clients achieve optimal wellness through nutrition and lifestyle ...
AKASA on October 2, 2026 announced the launch of an autonomous AI platform for the mid-cycle of the healthcare revenue cycle, ...