Today’s payers are still adjusting to the significant operational and transparency changes as a result of the No Surprises Act and Consolidated Appropriations Act. These mandates put the provider network operation on the front line and at the eye of the storm of some pressing market conditions—from the regulations to escalating, costly labor challenges and…
Today as we appreciate the legacy of Martin Luther King, Jr., I post a photo of him in my hometown of Detroit in 1963, giving a preliminary version of the “I Have a Dream” speech he would deliver two months later in Washington, DC. Wisdom from the speech: “But now more than ever before, America is…
A study from researchers at Mass General Brigham examined the potential of large language models to extract social determinants of health from EHRs and improve real-world evidence. The study appeared in npj Digital Medicine. Despite their significance, social determinants often face underdocumentation in structured EHR data, hindering comprehensive research and clinical care. Commonly found in…
Dive Brief: Generative artificial intelligence can be used to pull social determinants of health data, like housing or employment status, from clinician notes to identify patients who need additional support, according to a new study. Large language models trained by researchers could identify 93.8% of patients with adverse social determinants of health, while official diagnostic…
Value-based care efforts have aimed for health equity, but one Health Affairs study found evidence that some value-based purchasing efforts may maintain care disparities for Black Medicare beneficiaries. Additionally, Amazon announced it will add a new capability to its repertoire of healthcare capabilities. On top of its existing virtual care, pharmaceutical, telehealth, in-home, and preventive…
Generative AI models can identify social determinants of health (SDOH) in doctors’ notes, a new study finds. SDOH like housing and income are major drivers of health outcomes. But these factors are notoriously underdocumented in existing EHR structured data, study authors wrote in npj Digital Medicine. And while a subset of billing codes exists to…
Generative artificial intelligence can identify social determinants of health within EHR notes, accurately and without bias, determining which patients might need extra support, according to Somerville, Mass.-based Mass General Brigham. The health system’s researchers fine-tuned large language models to automatically extract information about social determinants — factors such as housing, employment and family status that…
No matter how large or well-resourced a health system may be, making the right care decisions ultimately depends on its ability to exchange information with healthcare’s “digital have-nots”—organizations that weren’t eligible for EHR implementation incentives, like post-acute facilities, home health, substance use disorder clinics and assisted living facilities. When these technology connections don’t exist, this…
The Centers for Medicare & Medicaid Services (CMS) has approved New York state’s amendment of its ongoing Medicaid transformation efforts to allow the state to advance health equity, support the delivery of health-related social needs (HRSN) services, and promote workforce development. The state said the waiver would enable New York to invest nearly $6 billion…
Going into the 12th year since it brought accountable care into the healthcare lexicon, the Medicare Shared Savings Program (MSSP) continues to evolve, with CMS making changes and participants fine-tuning best practices. Starting with 220 accountable care organizations (ACOs) in 2012-13, the MSSP grew to 561 in 2018. However, the number has been below 500…