A new study published in Therapeutic Innovation & Regulatory Science provides crucial insights into the design and ...

Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

State-of-the-art artificial intelligence systems known as large language models (LLMs) are poor medical coders, according to researchers at the Icahn School of Medicine at Mount Sinai. Their study, ...

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...

Welcome back to In the Loop, TIME’s new twice-weekly newsletter about the world of AI. We're publishing installments both as stories on Time.com and as emails. If you're reading this in your browser, ...