"We've been able to very effectively use AI in areas where a human should not be manually administering things that they otherwise would be," said Gangopadhyay. "We quote thousands of groups a week. In any other company, you're getting quoted these PDFs that are 12, 15, 20 pages long. And they're parsing through these PDFs manually...We've fully automated and optimized that process where our underwriters and our sales people are only doing the pieces that we need a human to be doing."
Starting Monday, the lowest dose vial will cost $299 a month for those who pay cash, Lilly said in a statement, a discount of about $50. The next higher dose will cost $399 a month, roughly 20% less than the previous self-pay price. Lilly isn't changing the price of higher doses, which are sold for $499 a month. It's the latest move in a price war with Denmark's Novo Nordisk, which is making it significantly less expensive for people to start the blockbuster medicines.
A little more than two years ago, I woke up in my childhood bedroom for the first time in more than three decades. I wasn't home just for a visit. In fact, I wasn't even back with my parents. At 41 years old, I moved in with my 88-year-old grandmother to take care of her. (I call her Mamaw as any good Texan kid would.)
Healthcare is a lifesaving service, which unfortunately makes it the target for attacks. In addition, healthcare workers face a number of risks including violent patients and distraught loved ones. Because of these risks, it's essential that healthcare organizations help protect their employees and guests. Security magazine highlights a few products that can help better secure healthcare facilities. Avigilon Utilizes AI to Search Through Recorded Video
He and Brody conspired to commit healthcare fraud by submitting fraudulent insurance claims so that Done members could dispense Adderall at pharmacies while continuing to pay their membership fees - resulting in $14 million in payouts from insurance companies, prosecutors said. The false claims said that Done did urine drug screenings, stated that non-stimulant drugs had been tried prior to stimulants and used the DSM-5 to diagnose ADHD.
In telephone calls carried out in Chinese, the scammers reel in targets under the pretense that they have unpaid bills related to recent surgical procedures. They use spoofed telephone numbers belonging to the claims departments of legitimate US health insurance providers to add a layer of authenticity to the scam, but that authenticity quickly evaporates. If, for some reason, targets entertain the conversation about paying for a surgery they almost certainly did not receive, the scammers get them to join a video call.
The Patient Ombudsman's annual report released Thursday says there were 4,886 new complaints filed between April 2024 and March 2025, a 10 per cent increase over the year before. It also notes it resolved 4,863 complaints, some of which carry year-over-year. Among the issues highlighted in the report are that many patients don't feel heard; the need to improve discharge protocols in emergency rooms; use of force for challenging behaviours; and a lack of trauma-informed obstetrical/gynecological care, which The Canadian Press reported on in June.
In a statement published this week, Synnovis said the investigation "took more than a year to complete because the compromised data was unstructured, incomplete and fragmented, and often very difficult to understand." It added that specialist incident response teams had to use "highly specialized platforms and bespoke processes" to work through terabytes of jumbled information and identify which healthcare providers' patients were affected.
Post-acute care providers are spending 25 cents of every dollar on administrative tasks rather than patient care, resulting in structural inefficiency that has intensified as private equity consolidation demands operational excellence while caregiver shortages and regulatory complexity reach critical levels. Traditional electronic medical record systems were built for clinical documentation, not workforce coordination, leaving front-office teams drowning in scheduling conflicts, compliance tracking, and hiring pipelines that consume resources without adding clinical value.
A 10pc increase on some of these plans could add €300 to the adult cost of their cover. Our analysis shows some dated plans will be increasing by €367 to €955 per adult,
Care homes that are graded as inadequate or requiring improvement are often not being reinspected for a year or more, a BBC investigation has found. More than 2,100 care homes in England as of October this year were rated as "requires improvement" by the Care Quality Commission (CQC) - but the BBC found three quarters of those had not been reinspected within a year or more.
Doctronic addresses this access problem by delivering AI-powered medical consultations in minutes rather than weeks, combining free, anonymous symptom assessments with on-demand access to licensed physicians across all 50 states for $39 per video visit. The platform has already processed over 15 million medical conversations with more than 1 million unique users, handling 50,000 weekly visits through its collective intelligence architecture where multiple specialized AI agents engage in clinical reasoning under physician oversight.
Artificial intelligence (AI) is transforming nearly every corner of healthcare-from diagnostics to patient management-and medical education is no exception. With the market for AI in healthcare rapidly expanding, adopting AI in medical education has become essential for training tomorrow's healthcare professionals. Luckily, by embracing technologies like adaptive learning platforms and virtual simulations, medical schools can help prepare students for an AI-driven future in healthcare.
When Iñaki Ereño assumed the role of Group CEO of Bupa in 2021, the global healthcare landscape was being rewritten in real time. At the helm of a company serving over 60 million customers worldwide, Ereño faces the challenge of transforming a large and established organization into a faster, more agile, and digitally enabled provider of care. Ereño's mission? To wake the sleeping giant.
"Literally no one ever mentions direct care workers. I work with people with disabilities. I've been at my job for almost 10 years, and I've gotten maybe four raises." - jessicalewis2
"If I have to summarize it in one word, I would say the biggest challenge in claims and reimbursement is guess work," said Puneet Maheshwari, senior vice president and general manager of Optum Real, to the audience on Tuesday. "The guesswork that happens on the provider side. The guesswork that happens on the payer side leads to significant amount of work and overhead for both parties involved ...."
Ensemble Health, a major player in healthcare revenue management, is seeking a potential $13 billion sale or IPO next year, Business Insider has learned. Ensemble, owned primarily by private equity firms Warburg Pincus and Berkshire Partners, has tapped JPMorgan to pursue a sale, five people with knowledge of the deal told Business Insider. At the same time, Ensemble is considering an IPO and has pulled in Goldman Sachs to support the dual-track approach, three of the people said.
I explained that his father wasn't able to clear secretions from his throat or airway, which produced a rattling sound. I understood his concern and recognized the fear in his eyes. When I was caring for my dad, I assumed he was choking. At the time, I didn't know that the unsettling noise was a natural part of the dying process.
