Blood RNA risk score from 31 small RNAs flags Lung Cancer in smokers up to 10 years early, potentially guiding earlier LDCT screening.
News|Articles|January 15, 2025
- MHE January 2025
- Volume 35
- Issue 1
AI Soups up Payer Operations | Predictions for 2025
Author(s)Kim Perry
Kim Perry, chief growth officer of Emtelligent, shares her prediction for 2025.
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In 2025, AI [artificial intelligence] will play a larger role in driving payer operational improvements and offer health insurers a more comprehensive view of member health.
Leveraging medically aligned AI to extract essential insights from vast, diverse patient records will allow for more streamlined prior authorizations, optimized risk adjustment and enhanced underwriting accuracy.
AI will also be seamlessly integrated with clinical programs to proactively identify care gaps and tailor member programs to improve clinical outcomes.
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Cybersecurity on Health Plan Radar | Predictions for 2025over 1 year ago
Simulacra of Data as an Answer | Predictions for 2025over 1 year ago
Digital Lifeline | Predictions for 2025over 1 year ago
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The CEO and founder of a digital behavior company has advice for health plans considering asynchronous behavioral health services like those that his company provides.
In this interview, Melody Chang, RPh, BCOP, MBA, vice president of pharmacy operation at the American Oncology Network, discusses the network's pharmacy strategy and priorities.
The purchase comes as the "big 3" drug wholesalers are coming under scrutiny for their market dominance and the possible perils of vertical integration.
High prices and cutbacks in ACA and Medicaid coverage leave many patients unable to medical bills.
In this discussion, Heather Burrell-Ward, M.D., provides an overview of her recent study that found TMS aimed at the default mode network improved processing speed in schizophrenia.
Rand researchers identify standardizing supplemental benefits, limiting the number of plans an insurer can market and reforming broker commissions as policy proposals that would benefit beneficiaries while not harming the government or the plans.
Reimagine Care and Dan Nardi scale CAR-T programs with remote cancer care, AI triage and nurses, as the Cureety partnership tackles staffing and access.
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