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Making smart picks and achieving ROI requires careful study to discern signal from noise, says Jason Smith, venture acceleration fellow at MATTER.
Agentic AI learns and can evaluate claims to make faster decisions to drive improved reimbursement, says John Yount, Chief Innovation Officer at FinThrive.
Real-world encounter data shows individuals enrolled in a MA plan are more likely to have a chronic condition than those who sign up for original Medicare, says Inovalon's VP of research science and advanced analytics, Christie Teigland.
Providers in six states face new financial risks and training burdens under mandatory WISeR review, which leverages machine learning to control costs and expedite care. It's going to be "a steep learning curve," says Jeff Ladner, CPO at Onspring.