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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. 

ARA Diagnostic Imaging
Radiology Partners affiliate ARA Diagnostic Imaging reaches in-network deal with UnitedHealthcare

The country's largest commercial insurer knocked the Austin, Texas, practice out of network in April 2023, after it had reportedly sought a 34% price hike over five years. 

Image depicting gap between genders in pay
Radiologists call for action to address ‘growing suburban-urban gap’ in breast cancer detection

At Jefferson Health in Philadelphia, suburban screening sites have been quicker to recover than other outposts located in the city, experts write in Clinical Imaging. 

artificial intelligence AI in healthcare
Healthcare AI Digest

Don’t judge DeepSeek on the innovativeness of its programming. Judge it on the degree to which it shakes up the economics of the AI market.

Cigna
Cigna announces changes to improve prior authorization, customer satisfaction

The insurance giant said it will link executive compensation to provider and patient satisfaction, in addition to releasing an annual transparency report on claims reimbursement and denials.

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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