Operations

Payers have seen success in improving health outcomes by taking a holistic approach to member interventions, says Leah Dewey, vice president of Cotiviti.

Health equity index measures will be used in determining a plan's bonus payments, says Christie Teigland, vice president of Research Science and Advanced Analytics at Inovalon.  

Centene expects the majority of redeterminations to be completed by May 2024.

Having a central repository for consent would promote both interoperability and health equity, says Daniel Stein, president of Stewards of Change Institute.  

A deal between Express Scripts and Prime Therapeutics served solely as a price-fixing mechanism, the suit alleges.

The U.S. Department of Health and Human Services Office of the Inspector General recommends Medicare develop its own source for race and ethnicity data collection in the Medicare population, says Ann Maxwell, HHS-OIG deputy inspector general for evaluations.  

The ability to have AI in the EHR must have the goal of incorporation into daily workflows, says Meditech COO Helen Waters.  

Every language model demonstrates instances of racist tropes, or a repetition of unsubstantiated claims about race, study says.

Large language models help leverage the social determinants of health for better care navigation, says Karl Ulfers, cofounder and CEO of DUOS.  

Cardiologists have the highest average annual wage, followed by non-pediatric orthopedic surgeons and pediatric surgeons.