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UnitedHealthcare bucks Medicare, ends reimbursement for most RPM services

Starting in 2026, patients covered by UnitedHealthcare's Medicare Advantage and commercial plans will not have care reimbursed for instances of remote patient monitoring unless they have diagnosed heart failure or are pregnant and experiencing hypertension. The shift stands at odds with traditional Medicare, which added new claims codes for providers to use next year.

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Doctor sues Waymo after AI flags him as a terrorist

Nasser Mohamed, MD, a neurologist who operates a clinical practice in San Francisco, said an artificial intelligence system used by the autonomous taxi company led to him being denied multiple rides. He is seeking injunctive relief.

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PocketHealth's latest agentic AI offering improves patient compliance, reduces administrative costs

Conductor is a platform of AI-enabled agents that can read clinical documents and orders, call patients and orchestrate appointments.

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Some reviewers opposed FDA's approval of new drug for life-threatening disease

When the FDA approved elamipretide for the treatment of Barth syndrome, not everyone agreed with the agency's decision. 

Eating unsalted peanuts improves the brain's vascular health
MRIs show how peanut consumption improves the brain's vascular function

Consistently incorporating unsalted peanuts into a person’s diet enhances cerebral blood flow to multiple brain regions. 

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Healthcare AI today: Billions for AI-based biotech, fast ROI or else, AI for imprisoned patients, more

The Zuckerbergs have many billions to give away. They want to shower a lot of it on researchers using AI to cure diseases.

Carlos Collet, MD, PhD, director, cardiovascular imaging, physiology and translational therapeutics, Cardiovascular Research Foundation, explains how noninvasive coronary CT angiography (CCTA) assessments will play a major role to eliminate invasive diagnostic angiography and to pre-plan percutaneous coronary intervention (PCI) procedures.
CCTA will play an essential role in the cath labs of the future

Noninvasive coronary CT angiography is growing more and more important as time goes on, helping cardiologists make critical treatment decisions. Carlos Collet, MD, PhD, discussed the technique's potential to be a real game-changer for patient care in a new interview. 

sleep bed insomnia awake
Is long-term melatonin use safe? New study highlights heart risks

Taking melatonin for a year could increase a person's risk of developing heart failure by 90%. While more research is still needed to confirm these findings, the data suggest patients should think twice about relying on melatonin to sleep. 

Pre-operative breast MRI improves outcomes in younger women with breast cancer
Pre-op MRI may improve breast cancer care for younger patients

Advanced imaging among this patient population could help radiologists better understand the risk of potential cancer recurrence. 

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CMS recalls furloughed workers ahead of ACA open enrollment

Despite the ongoing government shutdown, some 3,000 Centers for Medicare & Medicaid Services staff will be returning to the office just in time for Americans to begin looking for health coverage on the Affordable Care Act marketplace. The agency said the employees will be paid for the days they work. 

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1st patient dosed with new radiopharmaceutical targeting cancer bone pain

The treatment can offer patients a more potent, cost-effective alternative providing long-lasting relief compared to current pain regimens.

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Poor oral health tied to much higher risk of heart attack, stroke

Regularly going to the dentist, researchers added, may reduce cardiovascular risks by a significant margin.

Around the web

Health Exec
UnitedHealthcare bucks Medicare, ends reimbursement for most RPM services

Starting in 2026, patients covered by UnitedHealthcare's Medicare Advantage and commercial plans will not have care reimbursed for instances of remote patient monitoring unless they have diagnosed heart failure or are pregnant and experiencing hypertension. The shift stands at odds with traditional Medicare, which added new claims codes for providers to use next year.

Health Exec
Doctor sues Waymo after AI flags him as a terrorist

Nasser Mohamed, MD, a neurologist who operates a clinical practice in San Francisco, said an artificial intelligence system used by the autonomous taxi company led to him being denied multiple rides. He is seeking injunctive relief.

Radiology Business
PocketHealth's latest agentic AI offering improves patient compliance, reduces administrative costs

Conductor is a platform of AI-enabled agents that can read clinical documents and orders, call patients and orchestrate appointments.

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