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R1 drills down on AI prior authorizations with Humata buy

The revenue cycle company wants to automate claims processing, and RI is banking that Humata's track record of streamlining medical preapprovals should help further that goal.

Humana taps physician executive as new chief medical officer

Dr. Shantanu Nundy is joining the Kentucky-based insurer from health navigation firm Accolade. But he's had a varied career - advising the FDA on AI, teaching, working for the World Bank, practicing medicine and more.

Providence names new CFO amid financial turnaround

Kevin Smith will become the nonprofit's new finance chief this fall, succeeding Greg Hoffman who retired in June. Smith's appointment comes as Providence works to improve its operations following years of losses.

Providence Health Plan to close completely after Medicare Advantage deal falls through

The regional health plan was in talks with an unnamed national insurer to keep its MA plans afloat. But the agreement sputtered "despite significant effort on all sides," a Providence spokesperson said.

Federal judge vacates Trump admin restrictions on ACA gender-affirming care

The ruling keeps some protections for gender-affirming care in place, but also upholds several other controversial policies paring back the ACA.

Trump nominates policy aide Overton to lead FDA

Heidi Overton, a medical doctor and veteran of the America First think tank, currently serves as deputy director of the White House Domestic Policy Council.

Mayo Clinic taps new CIO as academic medical center doubles down on AI

Arun Kumar Bhaskara-Baba, who previously held leadership roles at Honeywell Aerospace and Defense and Johnson & Johnson, will join the health system as Mayo works to scale its AI capabilities.

‘Ultimately it’s going to be a great financial decision’: UHS CEO speaks on Talkspace bet

The health system closed its $835 million acquisition of the virtual therapy provider on Monday. Healthcare Dive caught up with Marc Miller to discuss the rationale behind the deal.

Epic targets outpatient visits with new AI tool

Ochsner Health in Louisiana is the first to go live with Epic's new outpatient office visit tool, which leans on its artificial intelligence capabilities to pull insights from patient records.

Epic debuts instant prior authorization checks at 4 health systems

Ochsner Health, Froedtert ThedaCare Health, Denver Health and Summit Health are the first to adopt the application programming interface, which Epic says should speed up preapprovals for medical items and services.