Susan Morse
Increasingly, payers are using AI and data analytics for member interactions and for provider networks based on outcomes and cost.
To achieve its goal, Humana told investors it's set several targets, including increasing preventative care visits by 20% this year.
Some physicians have already stopped care and one organization says decision will criminalize providers.
The ambulatory surgical center market, aided by AI to enhance care coordination and surgical outcomes, is growing.
Provider performance intelligence is rapidly becoming a business lever, not just a compliance requirement.
The American Public Health Association and others challenged the cancellation of the research grants that funded biomedical research.
The bill keeps provisions that are expected to cut $800B in Medicaid funding while adding more stringent work requirements.
Health system says it is taking steps to adapt its operations for a new reality of reduced reimbursement and higher costs.
The Medicaid State Plan Amendments allow care to be delivered in hard-to-reach and remote areas, CMS says.
In February, a new set of premerger notification rules went into effect that changed the information required.