Healthcare security teams already collect signals from across their systems. The challenge is connecting thousands of alerts quickly enough to act. That urgency is growing. The average healthcare data breach costs $7.42 million, according to IBM, while attackers are using…
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Former U.S. Sen. Robert Torricelli, D-N.J., and Brian Miller, MD, have been appointed to Clover Health’s board of directors, the company shared Sept. 24. Mr. Torricelli will serve on Clover’s audit committee, while Dr. Miller will be on the clinical…
The Blue Cross Blue Shield Association has put out a second round of research estimating that hospitals’ growing use of AI-assisted billing tools has added roughly $942 million in excess costs to the BCBS system over two years, contributing new…
America’s aging population is changing what health systems are asked to deliver, and the pressure is landing hardest on the specialties responsible for chronic disease, complex conditions, procedural care and preventive health. Cardiology, vascular care, oncology, gastroenterology, radiology, anesthesiology, primary…
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Sepsis asks emergency departments to do two things at once: find the high-risk patients quickly, and avoid dedicating treatment and resources to the patients who don’t need them. Every unnecessary workup occupies a bed, a nurse and a budget line…
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Today’s CIOs are faced with countless opportunities to invest in AI, but with little more than promises that any project will result in measurable ROI. If we believe AI can transform operations across the hospital, what’s the right decision framework?…
Oscar Health is moving its Florida-based employees from traditional group medical plans to Custom Health Option and Individual Care Expense arrangements — formerly known as individual coverage health reimbursement arrangements — in 2027. The company confirmed the move, called CHOICE…
Correspondence never stops arriving in the revenue cycle: remittance advice, explanation of benefits forms, denial letters, refund requests and patient payments. They arrive by mail, fax and a single bank file. Your team opens each one, identifies it, hunts across…
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Priority Health is launching a third-party administrator solution to self-funded employers in Michigan in 2027. The offering, called PHP TPA Services, was developed by Physicians Health Plan of Northern Indiana, which Priority acquired in 2024. The TPA will be available…
Growing up, I attended pain-management conferences with my father. It was, improbably, how our family vacationed. He was a physician and an early leader in pain medicine. His purpose was straightforward: teach other doctors better ways to treat cancer pain.…
