AI Prognosis: Who's keeping tabs on how health insurers are using AI?
In this edition, AI Prognosis talks to STAT's Casey Ross, a Pulitzer finalist laser-focused on health insurers' use of AI, and more.
In today's AI Prognosis, a conversation with Casey Ross about the new frontier in health insurer AI, and why I think the ACCESS pricing wasn't surprising:
"I will go out of my way to destroy that CPT code if that’s what you do," Medicare head Chris Klomp said at CES.
More @statnews.com:
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18.02.2026 15:53 —
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In a financial pinch, major health insurers are turning to AI for help
Facing shrinking profits and higher costs, health insurers are accelerating adoption of AI throughout their sprawling operations.
In a financial pinch, major health insurers are turning to AI for help. Their broadening efforts to cut costs and boost efficiency raise thorny questions about trust and oversight, @caseyross.bsky.social reports:
www.statnews.com/2026/02/17/h... via @statnews.com
17.02.2026 15:38 —
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Hims is in the crosshairs. Is a crackdown coming for compounding?
A federal regulatory crackdown on Hims could impact a broader network of compounding pharmacies and telehealth companies.
Hims & Hers’ is one of the most visible telehealth brands. A crackdown on Hims could have implications for a broad national network of companies that market and prescribe compounded drugs, @katiepalmer.bsky.social reports:
www.statnews.com/2026/02/11/h... via @statnews.com
11.02.2026 14:18 —
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Fearing ICE crackdown, immigrants nationally are avoiding treatment, sometimes with dire consequences
Doctors nationally are describing harrowing consequences for patients who put off medical care because of fears of ICE.
Doctors nationwide are seeing patients avoid care amid ICE crackdowns, sometimes with dire consequences.
Health providers are now employing pandemic-era tactics to keep care accessible.
How immigration policy is changing American health care:
www.statnews.com/2026/02/03/i...
03.02.2026 14:10 —
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How direct-to-consumer health tests could impact insurance, mortgages, and employment
As more consumers order up lab tests and genetic screenings, experts say it could impact insurance, loans, and employment decisions.
Could results from a health test that you ordered online — blood panels, genetic tests you name it — impact your application for a new mortgage or a life insurance policy? @ravindranize.bsky.social takes a closer look at the privacy protections
www.statnews.com/2026/01/30/d... via @statnews.com
30.01.2026 17:04 —
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The main thing that these 21 (not 19, sorry typo) new members have in common? Most of them have publicly expressed or belong to groups that have publicly expressed a belief in the debunked claim that vaccines can cause autism.
www.statnews.com/2026/01/28/k...
28.01.2026 21:59 —
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You can buy a whole host of sketchy drugs at many gas stations. I wondered why gas stations, of all places, were the premier destination for people seeking quasi-legal recreational (or knockoff pharmaceutical) drugs. I dig into why in this week's @statnews.com STATus Report. youtu.be/4QsVjgIWVZs
28.01.2026 14:31 —
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Key autism committee is being reshaped to support Kennedy's vaccine agenda, researchers and advocates fear
Researchers and advocates fear a key autism committee is being reshaped to support Kennedy's vaccine agenda.
News: HHS is stacking a key federal committee on autism with members who align with health secretary Robert F. Kennedy Jr.’s claim that childhood vaccines can cause autism.
The group met Thursday, despite no prior public notice about the gathering.
www.statnews.com/2026/01/23/k...
23.01.2026 17:52 —
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Is 'shared decision-making' being hijacked by U.S. health officials to sow doubt about vaccines?
Experts worry that health officials' use of 'shared decision-making' in new vaccine guidance distorts the concept's meaning and disregards the importance of evidence.
Shared clinical decision making was devised to help patients & their doctors make choices when the answer isn't clear cut. People who devised the approach fear it's being hijacked to undermine decades of study supporting #vaccines, @ericboodman.bsky.social writes. www.statnews.com/2026/01/20/s...
20.01.2026 14:32 —
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Screenshot reading:
‘AI make number go up’ is going to be big this year
If you’ve heard me say it once, you’ve heard me say it a million times: AI in health care is going to make costs go up, not down.
Everybody is saying it now: In JAMA Health Forum, in NPJ Digital Medicine. HealthcareIT News reported that Intermountain got a seven-figure reimbursement boost in the first year of using Solventum’s AI clinical documentation integrity solution. Healthcare Finance reported that Baylor Scott and White Health expect to make an extra $42 million in net revenue after one year of using Accuity’s AI CDI and coding review tech, based on their data after six months.
and a sidebar for a story that says: Related Story
AI scribe companies promise to help doctors bill more. Who will pay the extra cost?
Do you, like me, feel like the news is trying its best to kill you? Fear not, I am standing in front of the firehose of #healthAI 🩺🖥️ news for you.
I present you with some tidy buckets of important health and biotech AI news you may have missed over the last month: www.statnews.com/2026/01/14/b...
14.01.2026 16:53 —
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