In the complex and often frustrating world of healthcare billing, claim denials, underpayments, and repeated resubmissions are among the most persistent and costly challenges faced by providers. The process is time-consuming, error-prone, and resource-intensive which results in wasted time and detracts from patient care. Fortunately, advanced machine learning (ML) and artificial intelligence (AI) are transforming this process, by helping providers reduce the time, cost, and frustration
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Health IT & Digital Health-Opinion | Op-Eds | Guest Columns | Analysis, Insights - HIT Consultant
The AI Dilemma—A New Arms Race in Healthcare Cybersecurity
Artificial intelligence is becoming healthcare’s greatest disruptor. AI is improving how we optimize diagnostics, personalize care, and automate administrative tasks at a scale never seen before. But while hospitals and healthcare organizations rush to harness AI’s potential, cybercriminals are doing the same to exploit its weaknesses.
The result is a new kind of arms race. How can healthcare leaders harness AI to improve patient care before attackers weaponize it to launch cyberattacks
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Healthcare Workforce Management: Don’t Let Fear of Change Hold You Back
From AI and robot-assisted surgery to CRISPR genetic editing that designs personalized medicine to 3D printing creating custom prosthetics and building organ models for surgical practice, healthcare has routinely looked to stunning innovations in technology to improve patient outcomes and push forward extraordinary advances in medical knowledge. There have been notable technology advances for patient care and management, but the healthcare industry remains hesitant to embrace change in solutions
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The Longevity Code: How AI Gait Analysis Is Rewriting the Future of Aging
Americans are living longer lives than ever before, but are we living better? The data is sobering: while life expectancy continues to rise, healthspan, or the number of years spent in good health, isn’t keeping up. A recent study published in the JAMA Network highlights this growing gap, with the United States facing a troubling 12-year disparity between lifespan and healthspan. That means millions of Americans are spending over a decade grappling with chronic illness, mobility issues and
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AI-Driven Diagnostics: The Future of Precision in Medical Imaging
During the past ten years, I’ve collaborated and invested in several innovative healthcare organizations, and I have realized that AI has extended beyond just being a supporting tool for medical purposes. It has proven, time after time, its capabilities in diagnostic applications. One of its most promising features is medical imaging, which could potentially drive operational speed rapidly and transform the entire future of medical capabilities in patient
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The Next Phase of RWE: Why Integration Matters More Than Data Collection
Real-world evidence (RWE) has become central to evaluating therapies, medical products, and health interventions—providing insight into how they perform outside controlled clinical trials. As healthcare systems seek more timely, representative, and cost-effective approaches to evidence generation, real-world data (RWD) is increasingly used to inform regulatory decisions, guide clinical practice, and shape health policy.
As RWE gains traction, fundamental questions remain: How do we ensure
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Healthcare’s Big Blind Spot: The Measurement Crisis in Inpatient Psychiatry
Healthcare is moving deeper into the value-based era. Metrics drive decisions, outcomes define quality, and performance data shapes reimbursement. Yet amid this transformation, inpatient psychiatry and behavioral healthcare remain the most notable outlier—excluded for a variety of reasons including stigmatization, subjectivity, and a high degree of variation in clinical operations from site to site.
Behavioral healthcare lacks the foundational standards and management models that have
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Smokeless Tobacco and Oral Cancer: A Health System Unprepared
Cancer is the second leading cause of death in the U.S., with cigarette use responsible for one out of every three cancer deaths in the country. The rising use of smokeless tobacco is adding to these numbers by introducing a new set of health risks, as these products contain over 28 cancer-causing compounds. Although many people are turning to smokeless tobacco in an attempt to quit smoking cigarettes, the International Agency for Research on Cancer warns that smokeless tobacco may pose risks
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Why Claims Data Alone Leave Gaps in Understanding the Patient Journey
In today’s precision medicine landscape, pharmaceutical companies and access teams face a critical challenge: understanding not just whether therapies work, but how they are accessed, adopted, and experienced by real-world patients. This requires going beyond traditional data sources, particularly claims data, which—while useful—often fails to capture the nuanced clinical and diagnostic steps that define the patient journey. To truly understand and improve therapy adoption, stakeholders need a
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The Overlooked Connection Between GLP-1s, Obesity, and Eating Disorders
The false belief that people with obesity do not have eating disorders is one of the most harmful misconceptions in obesity care. In reality, individuals with obesity are at a high risk for eating disorders.
The intersection of obesity, mental health, and disordered eating is complex. As GLP-1 receptor agonists (like semaglutide and tirzepatide) become more widely used for weight management, the risk of exacerbating eating disorders must be addressed. Obesity is not just a metabolic
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