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Jason Oswald Headshot
Commentary
The Impact of AI on Health Carrier Underwriting: Insights From Industry Experts
11/08/2024
"As AI continues to evolve, its integration into group health underwriting offers carriers new opportunities to enhance decision-making, streamline operations, and improve overall plan performance," said Jason Oswald, Director of Solution...
"As AI continues to evolve, its integration into group health underwriting offers carriers new opportunities to enhance decision-making, streamline operations, and improve overall plan performance," said Jason Oswald, Director of Solution...
"As AI continues to evolve, its...
11/08/2024
First Report Managed Care
Milo Headshot
Commentary
Transforming Health Care Payer Operations With AI
10/11/2024
Health plans today face mounting pressure to enhance member engagement while improving health outcomes and control rising costs. As health care inflation continues to outpace general inflation across the United States, health plans are...
Health plans today face mounting pressure to enhance member engagement while improving health outcomes and control rising costs. As health care inflation continues to outpace general inflation across the United States, health plans are...
Health plans today face mounting...
10/11/2024
First Report Managed Care
Noel Felipe
Commentary
Providers Can Reduce Administrative Burden and Improve Productivity With AI Tools to Mitigate Labor Shortages
09/30/2024
As labor shortages continue to plague the health care industry, providers are turning to artificial intelligence tools to streamline administrative tasks, enhance patient care, and improve staff satisfaction, offering a glimpse into the...
As labor shortages continue to plague the health care industry, providers are turning to artificial intelligence tools to streamline administrative tasks, enhance patient care, and improve staff satisfaction, offering a glimpse into the...
As labor shortages continue to...
09/30/2024
First Report Managed Care
Commentary
Leveraging AI to Enhance the Member Experience for Health Plans
05/28/2024
The role of artificial intelligence (AI) is becoming increasingly significant, particularly in enhancing the customer experience for health plan members. Health plan executives have a unique opportunity to leverage AI’s potential, mirroring...
The role of artificial intelligence (AI) is becoming increasingly significant, particularly in enhancing the customer experience for health plan members. Health plan executives have a unique opportunity to leverage AI’s potential, mirroring...
The role of artificial...
05/28/2024
First Report Managed Care
Kevin/Avikar Hedshots
Commentary
From Data to Decision: How Generative AI is Shaping Patient Care Pathways
03/20/2024

Kevin Riley, CEO, President, Zyter|TruCare; Avikar Govil, Insights Health Product Manager, Zyter|TruCare

Kevin Riley, CEO, President, Zyter|Tr...
The rapid evolution of Generative Artificial Intelligence (Gen AI) is fundamentally transforming the health care industry, ushering in an era of increased personalization, efficiency, and improved patient outcomes. In this commentary, experts...
The rapid evolution of Generative Artificial Intelligence (Gen AI) is fundamentally transforming the health care industry, ushering in an era of increased personalization, efficiency, and improved patient outcomes. In this commentary, experts...
The rapid evolution of...
03/20/2024
First Report Managed Care
Erick Von Schweber and Joan Kapusnik-Uner, PharmD, FCSHP, FASHP
Commentary
How Artificial Intelligence Can Improve Outcomes and Reduce the Cost of Care Among Higher Risk Patients
08/20/2021
“Predictive modeling can drive targeted, yet comprehensive, medication management to prevent adverse events and lower utilization among members with polypharmacy regimens,” say Erick Von Schweber and Joan Kapusnik-Uner, PharmD, FCSHP, FASHP.
“Predictive modeling can drive targeted, yet comprehensive, medication management to prevent adverse events and lower utilization among members with polypharmacy regimens,” say Erick Von Schweber and Joan Kapusnik-Uner, PharmD, FCSHP, FASHP.
“Predictive modeling can drive...
08/20/2021
First Report Managed Care
Commentary
How Artificial Intelligence Avatars are Changing Health Behavior Modification
08/25/2016
Artificial intelligence and natural language understanding technology are being used to provide patients with one-on-one health behavior counseling.
Artificial intelligence and natural language understanding technology are being used to provide patients with one-on-one health behavior counseling.
Artificial intelligence and...
08/25/2016
First Report Managed Care

Behind the Bill

Behind the Bill
SCOTUS Takes on the Nondelegation Doctrine: Surprising Reactions and What They Mean for Agency Power
04/02/2025
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard arguments in Federal Communication Commission (FCC) v Consumers’ Research, a case that I covered in February and one that could dramatically reshape federal agency authority through the nondelegation...
The Supreme Court recently heard...
04/02/2025
First Report Managed Care
Behind the Bill
Dr Oz’s Prescription for Making Medicaid “Viable at Every Level”
03/26/2025
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the Senate Finance Committee voted to advance Dr Mehmet Oz in his confirmation as the next head of the Centers for Medicare and Medicaid Services (CMS).1 The full Senate vote is expected “soon” (whatever that...
On Tuesday, March 25, 2025, the...
03/26/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question Continues: Dr Oz's Confirmation and the Future of Medicaid
03/19/2025
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880 billion question facing Congress—whether lawmakers could achieve their budget goals without cutting Medicaid. This week, that question took center stage as Dr Mehmet Oz, President Trump's nominee to lead the...
Last week, I explored the $880...
03/19/2025
First Report Managed Care
Behind the Bill
The $880 Billion Question: Can Congress Cut Spending Without Touching Medicaid?
03/12/2025
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from administrative law for a moment to provide a quick update on Medicaid. With news coming from all sides, what does the future of Medicaid actually look like? The House of Representatives narrowly passed a budget...
I’d like to step away from...
03/12/2025
First Report Managed Care
Behind the Bill
RFK Jr’s Public Comment Ban: The Silent Shift in Health Care Rulemaking
03/05/2025
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative law continues, and with it, the dismantling of decades-long precedent. In June, the Supreme Court overturned a 40-year-old doctrine that allowed federal agencies to interpret their own ambiguous statutes. Later...
The erosion of administrative...
03/05/2025
First Report Managed Care
Behind the Bill
Prevention Over Pills? The First 2 Weeks of Health Care’s New Direction
02/26/2025
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from Robert F Kennedy Jr’s confirmation as Secretary of Health and Human Services (HHS), but the changes are already coming fast and furious—a key theme of the Trump Administration’s actions within the last several...
The dust has barely settled from...
02/26/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 2)
02/19/2025
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the potential revival of the nondelegation doctrine through Federal Communication Commission v Consumers’ Research. Today, I want to examine what this could mean for health care regulation by considering the parallels...
Last week, I explored the...
02/19/2025
First Report Managed Care
Behind the Bill
The Nondelegation Doctrine: The Next Constitutional Showdown (Part 1)
02/12/2025
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust had settled from the Chevron decision, the Supreme Court is gearing up to hear arguments in Federal Communications Commission v Consumers' Research next month, potentially reviving the long-dormant nondelegation...
Just when you thought the dust...
02/12/2025
First Report Managed Care
Behind the Bill
No, President Trump Did Not Actually Sign an Executive Order That Would Increase Drug Costs for Beneficiaries
02/05/2025
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President Trump issued an executive order rescinding several Biden-era health care initiatives, including 3 experimental drug pricing models developed by the Center for Medicare and Medicaid Innovation (CMMI). Oh boy did...
On inauguration day, President...
02/05/2025
First Report Managed Care
Behind the Bill
Robert F. Kennedy Jr’s Confirmation and the Unexpected Turn in the Drug Pricing Debate
01/29/2025
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug Pricing Drama Just when you thought the drug pricing debate couldn't get more interesting, Robert F. Kennedy Jr adds an unexpected twist. During closed-door Senate meetings, President Trump’s US Department of...
The Plot Thickens in Drug...
01/29/2025
First Report Managed Care

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Trending Articles

News
Special Medicaid Funds Help Most States, but Prompt Oversight Concerns
04/10/2023
A proposed state funding initiative in Georgia could significantly reduce financial losses suffered by rural hospitals, but patient advocates argue adoption of Medicaid expansion is more urgent.
A proposed state funding initiative in Georgia could significantly reduce financial losses suffered by rural hospitals, but patient advocates argue adoption of Medicaid expansion is more urgent.
A proposed state funding...
04/10/2023
First Report Managed Care
News
Patients With Thin-Liquid Dysphagia Benefit From Free Water Protocol at LTACH
04/25/2023
A free water protocol implemented at a long-term acute care hospital improved patients' hydration and quality of life without resulting in aspiration pneumonia, findings show.
A free water protocol implemented at a long-term acute care hospital improved patients' hydration and quality of life without resulting in aspiration pneumonia, findings show.
A free water protocol...
04/25/2023
First Report Managed Care
News
DMT Switching Associated With Lower Adherence, Persistence Among Patients With MS
05/24/2023
The findings indicate there "may be an opportunity for added care coordination or resources to optimize therapy transitions" for patients with multiple sclerosis, according to the researchers.
The findings indicate there "may be an opportunity for added care coordination or resources to optimize therapy transitions" for patients with multiple sclerosis, according to the researchers.
The findings indicate there "may...
05/24/2023
First Report Managed Care
Feature Story
Payers Bet Big on Home Health Care
06/20/2023
Large health insurers are making multibillion-dollar deals to acquire home health care providers. Here’s why.
Large health insurers are making multibillion-dollar deals to acquire home health care providers. Here’s why.
Large health insurers are making...
06/20/2023
First Report Managed Care
News
Disparities Between Guideline Recommendations, Implementation of Pharmacokinetic Dosing for Bleeding Disorders
07/17/2023
Authors of a recent scoping review explored trends in the efficacy and feasibility of implementing pharmacokinetic-guided dosing in clinical practice for patients with bleeding disorders.
Authors of a recent scoping review explored trends in the efficacy and feasibility of implementing pharmacokinetic-guided dosing in clinical practice for patients with bleeding disorders.
Authors of a recent scoping...
07/17/2023
First Report Managed Care

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