Marilyn Heine MD
banner
marilynheinemd.bsky.social
Marilyn Heine MD
@marilynheinemd.bsky.social
Physician Leader. Tenacious Advocate. Enthusiastic Mentor. Champion for physicians, patients, public health, and the patient-physician relationship.
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.
April 2, 2025 at 5:18 AM
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
March 10, 2025 at 3:17 AM
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
February 27, 2025 at 5:14 PM
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
February 25, 2025 at 11:43 PM
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
February 25, 2025 at 11:41 PM
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
February 25, 2025 at 11:39 PM
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
February 25, 2025 at 11:36 PM
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
February 25, 2025 at 11:34 PM
🔥 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. “🧵
February 25, 2025 at 11:32 PM
🚨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
February 25, 2025 at 10:43 AM