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‘AI arms race’ underway as payers, providers jockey for upper hand in claims review

‘AI arms race’ underway as payers, providers jockey for upper hand in claims review

Payers currently have a leg up when using AI to review claims, but providers could soon catch up, experts say....

Cybersecurity in healthcare: How hackers get in and how organizations can protect themselves

Cybersecurity in healthcare: How hackers get in and how organizations can protect themselves

A cybersecurity expert explains why healthcare organizations are vulnerable to cyberattacks — and how they can strengthen their defenses. Article...

Google’s AI-backed healthcare search tool now available for general use

Google’s AI-backed healthcare search tool now available for general use

Vertex AI Search for Healthcare is designed to quickly query a patient’s medical record. Google says the tool will reduce...

CHAI releases draft framework for AI quality assurance labs

CHAI releases draft framework for AI quality assurance labs

The Coalition for Health AI is seeking feedback on the proposals, which detail how the group will certify labs and...

Colorado provider Axis Health System hit by ‘cyber incident’

Colorado provider Axis Health System hit by ‘cyber incident’

The provider, which offers primary care, dental services and mental healthcare, said its primary care patient portal is currently offline....

Hurricane Milton disrupts infrastructure, could trigger more hospital evacuations in Florida

Hurricane Milton disrupts infrastructure, could trigger more hospital evacuations in Florida

While Florida hospitals largely withstood the worst of the hurricane’s impacts, disruptions to public services could result in more patient...

UnitedHealth, CVS push to remove FTC Chair Lina Khan from PBM case

UnitedHealth, CVS push to remove FTC Chair Lina Khan from PBM case

Attorneys argue Khan and two other commissioners are biased against pharmacy benefit managers and should recuse themselves from an ongoing lawsuit...

Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings

Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings

Only 25% of Humana members will be in plans with four stars or above next year, down from 94% this...

Lawmakers urge Biden administration to extend telehealth prescribing flexibilities for opioid use disorder

Lawmakers urge Biden administration to extend telehealth prescribing flexibilities for opioid use disorder

A bipartisan group of two dozen representatives pushed officials to preserve the pandemic-era prescribing changes for buprenorphine, arguing telehealth increases...

The unexpected consequences of hospital quality scores

The unexpected consequences of hospital quality scores

One clinical affairs expert argues that it’s time to reexamine the federal Hospital-Acquired Condition Reduction Program. Article By: Alice Brewer...