Operations

The company allegedly misled consumers into signing up for healthcare plans that didn't deliver on the promised coverage or benefits.

Change management helped Providence leverage AI for clinical notes, an inbox management system and other products, says Dr. Eve Cunningham, chief of virtual care and digital health at Providence.  

Offices in New York, Minneapolis and St. Petersburg are expected to close by the end of the month.

AI systems can summarize what's happening with a patient, but if the system makes up or omits information it can lead to catastrophic consequences, says Harjinder Sandhu, CTO of health platforms and solutions at Microsoft.

This includes the biggest bang for the buck tasks such as prior authorization and complex claims, says Venkat Kavarthapu, CEO of Edifecs.

Optum Rx is working with Calibrate to bring its medication management strategy to employers seeking GLP-1 covered benefits.

There's a hesitancy of residency students to understand and validate how AI can be used in medical care, says Dr. Patrick Thomas, director of digital innovation in pediatric surgery at the University of Nebraska Medical Center College of Medicine.  

Mary Langowski replaces John Driscoll as executive VP and president of U.S. Healthcare, with Driscoll transitioning to a senior advisory role.

Tom Lawry's HIMSS24 sessions will focus on the realities of AI: stemming nurse burnout by ending their role as data entry clerks, and nursing informatics, says the managing director at Second Century Tech.  

In November, national utilization increased 6.3%, climbing from 4.8% of medical claim lines in October to 5.1% in November.