From left to right: Josh Berlin, CEO of rule of three, LLC; Sunita Koshy-Nesbitt, chief quality officer for the hospital channel at Texas Health Resources; Steven Stepp, chief data officer at Blue Cross and…
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The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. I talked to Nikki Henck, Senior Director of Utilization Management at Sagility, about the…
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From left to right: Mohana Ravindranath, STAT News’ Bay Area correspondent; Alex Momeni, partner at General Catalyst; Suchi Saria, CEO at Bayesian Health; and Sunita Mishra, chief medical officer at Amazon Health Services
Healthcare, like…
The following is a guest article by Niall O’Connor, Chief Technology Officer at Cohere Health
Constructing a Responsible AI Framework for Prior Authorization
The American healthcare system is on the precipice of a critically necessary digital transformation. Anyone…
Specialty medications are often used to treat complex diseases, many times in life-saving situations. But the robust process to onboard a patient on a specialty medication highlights an urgent need to modernize healthcare technology,…
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Michael Rivers, MD, Sr. Medical Director of Ophthalmology, ModMed
The headline-grabbing emergence of generative AI platforms, such as ChatGPT, BARD and BingGPT, has forced leaders across all verticals to ask, “What can we optimize with…
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The following is a guest article by Mike Pattwell, Principal Business Advisor, Value Based Care at Edifecs
Consumers are at the heart of healthcare — their fears are forcing healthcare innovators to shift priorities to…
by Fred Pennic 06/21/2023 Leave a Comment
What You Should Know:
Outbound AI, a Seattle-based conversational AI platform for healthcare announced it has raised $16M in seed funding co-led by Seattle-based Madrona Venture Group and SpringRock…
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Seattle-based Outbound AI, a company offering AI-powered virtual agents that perform administrative tasks, announced it scored $16 million in seed funding. Madrona Venture Group and SpringRock Ventures co-led the round with participation from Ascend, Pack…
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The American Medical Association (AMA) has adopted a policy urging health insurers to implement fair and thorough processes for AI-driven prior authorization. The AMA seeks increased oversight, clinical criteria-based reviews, involvement of healthcare professionals,…
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