👀👀

➡️“Even though Odom specifically informed UHIC that the claims were late due to the Change defendants’…shutdown caused by its corporate partner, UnitedHealthcare Insurance still denied the claims as untimely.”

Facing financial jeopardy practices seek preliminary injunction.

tinyurl.com/3mdkcdn8

Supreme Court to hear a challenge of ACA rule requiring coverage of preventive #healthcare, #cancer screenings.

The ruling could affect millions of Americans.

Kennedy v. Braidwood has potential to change #prevention strategy no matter which side wins.

search.app/f3ia42wkguAc...

Wonderful time visiting Missouri Southern State University. Amazing team!

Honored to represent @amermedicalassn.bsky.social as the #WillcoxonSummit keynote, "#PrecisionHealthcare With an #AI Twist.”

Delighted to meet and share "What I Wish I Knew" with students from KCU - Joplin and MKEAP.

Super excited to be faculty for the MSSNY @mssny.bsky.social Women Physicians #Leadership Academy March 15 virtual program: The Importance of #Networking.

Honored to present on #socialmedia, “Building Your Network One Post At a Time.”

To join us, please register here: tinyurl.com/yzsjvtxr

At this week’s CAQH #CORE Board meeting, we discussed highlights from the Index.

$20B savings opportunity to ⬇️ waste, ⬇️ costs, ⬆️ patient access if industry transitions from manual to electronic workflows

👀Check out potential for savings: ⤵️

tinyurl.com/bdfxdzwj

#AdministrativeSimplification

Nearly 74 million people in need of palliative care globally, study in The Lancet Global Health suggests.

Explore the data: tinyurl.com/yaew33bh #MedSky

Absolutely and with adverse effects on patients, physician practices, and employers’ workforces.

More info: 👉 AMA new survey results: tinyurl.com/mt2h7ded

6/ “Notably, the AMA’s Augmented Intelligence Research released earlier this month found that nearly half of all physicians (4️⃣9️⃣%) ranked oversight of payers’ use of AI in medical necessity determinations among the top 3 priorities for regulatory action.”

tinyurl.com/3se9epm5

5/ “…AMA firmly believes that AI must augment decision-making; be referred to as ‘augmented intelligence,’ and not remove humans from patient care, coverage, or treatment.”

“Moreover, recently passed AMA policy identifies significant concerns with insurer use of AI.”

tinyurl.com/3sw4yz5j

4/❗️“More recently, #healthinsurers have turned to #AI decision-making tools that generate prior authorization decisions with little or no human review. These AI tools have been accused of producing high rates of care denial—in some cases, 1️⃣6️⃣ times higher than is typical.”

tinyurl.com/mrxzswuv

3/ “Burdensome #priorauthorization requirements that conflict with evidence-based clinical practices & create hurdles to patient access to safe, timely, & affordable treatment have been a major impediment to patient care for decades.”

Read AMA President Dr. Bruce Scott’s statement⤵️

#FixPriorAuth

2/ “According to a new survey from the AMA, 3️⃣ in 5️⃣ physicians (61%) are concerned that health plans’ use of AI is increasing prior authorization denials, exacerbating avoidable patient harms and escalating unnecessary waste now and into the future.”

👉tinyurl.com/mt2h7ded

🔥 From @amermedicalassn.bsky.social:

“Many physicians fear the #healthinsurance industry’s use of unregulated #artificialintelligence #AI automation and predictive technologies will increasingly override good medical judgment and systematically deny #patients coverage for necessary #medicalcare. “🧵

There are obvious outcomes of prior authorization, such as patients being delayed or denied necessary treatments & physicians needing to waste their time filling out tons of papers to justify their medical opinion. But there are less obvious outcomes, such as prior authorization is costly. 👇🏻

🚨Not only does #priorauth adversely impact patient care & ⬆️ ⬆️ physician frustration & burnout, it also ⬆️⬆️ costs to the entire health care system.

👉 @amermedicalassn.bsky.social new survey results: tinyurl.com/mt2h7ded

Likely of interest to @iccr.bsky.social per report ⤵️ tinyurl.com/pb3tfuvs