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Hospitals must balance financial pressure with clinician wellbeing as cost-first strategies are linked to burnout.
Cost control, Carelon integration and scaling AI are reasons for the company's confidence.
Finance leaders say they are prioritizing technology investments for operational improvements.
Insurers can expect shrinkage in the individual market and a deterioration in the risk pool, says Wakely report.
CMS says it considered comments after proposing a 0.09% increase in the Advance Notice.
Hospitals are on the receiving end of patients coming through the door who don't have the funds to cover services, says Seth Cohen, president of Cedar.
The non-binding committee will make recommendations on, among other issues, ways to modernize MA risk adjustment and quality measurement.
A whistleblower, a former Aetna risk-adjustment coding auditor, will receive $2 million.
Health systems evaluating AI must look beyond datasets and algorithms to understand the assumptions and priorities embedded within the applications themselves.
AI exposes chaos when fragmented data and broken workflows become more visible during automation, says Michael Vipond of ServiceNow.
