Regarding inpatient admissions, algorithms or artificial intelligence alone cannot be used by Medicare Advantage (MA) insurers as the basis to deny admission or downgrade to an observation stay; a patient’s circumstances must be considered against the permissible applicable Medicare coverage criteria under which MA operates.
The...
The New Year is expected to bring more artificial intelligence (AI) fueled technologies to the health sector, but the federal government is expected to take steps to aggressively regulate the use of the technology.
First and foremost, hospitals and insurers are hoping to cut down on the $4 trillion in medical expenses accrued by...
As the use of artificial or augmented intelligence (AI) becomes more widespread across healthcare, industry leaders are advocating for guardrails and guidance to alleviate the risks that come with the software.
On Tuesday, the American Medical Association (AMA) released new "principles for augmented intelligence," which expounds on...
UnitedHealth Group (UHG) is facing a class action lawsuit initiated by two families of deceased Medicare Advantage policyholders who say that the insurer's use of proprietary AI software developed by UGH subsidiary NaviHealth, denied coverage for post-acute care and left them with an untenable bill.
The family members filed suit in...
On Monday, President Joe Biden signed an executive order (EO) to establish a set of standards for the use of artificial intelligence in healthcare settings.
The order asks the U.S. Department of Health and Human Services (HHS) to establish a task force that will be given a year to develop guardrail policies for the use of AI and...
This week media outlets covered new AI biometric remote monitoring strategies to support better care in skilled nursing facilities (SNFs), the future role of prescription digital therapeutics to improve medication adherence and provide individualized treatment, and a successful Northwell Health Pregnancy Chats tool that's guiding...
The industry is optimistic that artificial intelligence could prove invaluable for diagnosing patients and assisting providers with prescriptions and treatment, but some experts warn that it could produce negative health impacts through diagnostic errors and privacy infringement.
Some doctors at the Christine E. Lynn Women's Health...
Last week, the White House Office of Management and Budget (OMB) announced that it would begin reviewing a rule that would streamline prior authorization for managed care plans, including Medicare Advantage.
The rule would put new requirements on MA plans, Medicaid fee-for-service programs, Medicaid managed care plans and exchange...
At the end of last month, CMS announced the winner and runner-up of the CMS Artificial Intelligence (AI) Health Outcomes Challenge (“AI Challenge”), a prize competition for innovators to demonstrate how artificial intelligence tools can be used to accelerate the development of AI solutions that predict patient health events for...Arizona News
Since its resurgence in popularity a few years ago, blockchain's capabilities have been applied across various industries to see how the digital ledger can impact businesses globally. In healthcare, organizations have noted opportunities in information exchange, administrative documentation and billions in possible savings. Now, the...National News
Artificial Intelligence (AI) has been portrayed as a double-edged sword in the healthcare community—equally uncertain and perplexing as it is revolutionary and hyper-efficient. Its implications are incessantly discussed, but at the center of AI arguments is its promising returns of billions.
Market research company ReportLinker...National News
Administrative costs such as labor account for approximately $1 trillion of healthcare spending, prompting decision makers to look for alternative methods to improve efficiency and drive down costs; a study done by Olive AI suggests 50 percent of healthcare decision makers plan to invest in artificial intelligence (AI) to curb costs by...Arizona News
Health clinics in Safeway stores across Arizona have gone completely automated, combining artificial intelligence, augmented reality and telemedicine to offer healthcare services in under 30 minutes. Patients worried about an injury or potential illness provide their physical information to a computerized program armed with artificial...Arizona News
The healthcare industry has been swept by innovation in recent years as telemedicine has gained steam in offering solutions for lack of transportation and access to specialists. Artificial Intelligence (AI) has long been discussed as a possible solution for issues in the diagnostic and medical devices space, but as spending on AI tools...Arizona News
In a project to offer physicians automatic diagnoses alerts upon completion of medical imaging, Intel and GE Health are in collaboration in an attempt to save time between imaging, diagnosis and the start of treatment.
Senior VP of Edison Portfolio Strategy Keith Bigelow at GE Healthcare explained that medical imaging is the largest...Arizona News
San Francisco-based Clover Health plans to launch Medicare Advantage plans in six new cities in 2019, including Tucson, Arizona. Like Oscar Health, Clover is technology focused and uses data analytics as well as artificial intelligence to better serve its patient population.
Oscar Health, the newest ACA exchange insurer to enter...National News
Earlier this week, Walmart and Microsoft announced a five-year partnership centered on using cloud computing and artificial intelligence (AI) to overtake retail territories.
Up against competitor and e-commerce giant Amazon, the partnership may be waging a war on various battlefields--including healthcare.
Cloud computing is at...Arizona News
Financial consulting company Deloitte will open a U.S. Delivery Center in Gilbert, Arizona. The new 102,000 square foot facility is expecting to generate approximately 2,500 jobs in the region and will focus on developing and applying emerging technologies-based solutions to its clients.
To better adapt itself to the perpetually...National News
Seattle startup 98point6 hopes to change how we access primary care.
The first year costs $20. Then, the price increases to $120 a year.
98point6 founder Robbie Cape, is trying to change how Americans access basic health care by making it easier for people to talk to a doctor, without regard to whether the patient has insurance or...National News
In one study, AI could produce 91% accuracy rate in clinical findings.
A group of researchers has just published a study in the journal Radiology that examined the best ways for computer software to be "taught" the difference between normal and abnormal X-ray, CT scan, or MRI findings. Such a building block is needed to eventually...
