Specialty claims become a priority as denials become a care quality issue
Specialty claims become a priority as denials become a care quality issue | Healthcare IT News
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Tag: claims
Anthropic Debuts ‘Claude for Healthcare’ and Opus 4.5 to Engineer the Future of Life Sciences
What You Should Know
– Anthropic has officially launched Claude for Healthcare, a suite of HIPAA-ready tools that allow providers and payers to use its latest model, Opus 4.5, for high-stakes medical tasks like prior…
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Pomelo Care Secures $92M to Scale Virtual Maternity Model Across Women’s Health
What You Should Know
– Pomelo Care has closed a $92 million Series C funding round, propelling the company to a $1.7B valuation.
– After proving its virtual model can reduce preterm births by 37% and…
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The 40% Difference: Why AI Must Anchor Your RCM Modernization Strategy in 2026
Inger Sivanthi, Chief Executive Officer of Droidal
The Crisis Facing Healthcare Financial Leaders
Healthcare financial leaders are navigating an environment of unprecedented complexity. Your organization is caught between escalating operational costs and a relentless denial rate…
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Function and OpenAI Unveil Lab Integration for ChatGPT Health
What You Should Know
– Function has announced a strategic integration within the newly launched ChatGPT Health ecosystem, allowing its members to securely ground AI conversations in high-level summaries of their lab results.
– By unifying…
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Beyond Automation: Why the Future of Surgery Is “Performance-Guided,” Not Autonomous
Ed Chekan, MD, F.A.C.S., VP of Medical Affairs and Professional Education at Asensus Surgical
Lately, I’ve been reading headlines about full autonomous surgery – claims that gallbladders can be removed without a human hand. It…
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Combining AI and human review to enhance claims accuracy
Combining AI and human review to enhance claims accuracy | MobiHealthNews
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Unlocking Real-World Evidence: 5 Questions to Ask Before Trusting AI-Curated RWD
Aracelis Torres, PhD, MPH, SVP of Data & Science at Verana Health
In today’s pharmaceutical industry, real-world evidence (RWE) offers significant potential across all phases of the product life cycle, from trial design to product…
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Monday Morning Update 12/22/25
Top News
New Mountain Capital private equity president Matt Holt leaves the firm after nearly 25 years to combine five of New Mountain’s healthcare portfolio companies into Thoreau, which will use AI to…
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News 12/17/25
Top News
FDA updates its policy to accept de-identified real-world evidence to support drug and device application reviews. This change allows use of registries, insurance claims, and EHR data that were previously excluded because they…
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