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One Disease With Many Names: Which One You Use Makes a Difference in the PA Process

A Country Doctor Writes

It’s used in the hospital more often than in outpatient care. So I called the patient’s pharmacy and they don’t have it in stock, but they can get it and my insurance would require a prior authorization. So I sent in a prior auth request with the diagnosis of chronic respiratory failure with hypoxemia.

Diagnosis 130
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The Healthcare Vision of ChatGPT-4o and Multimodal LLMs

The Medical Futurist

Finally, the arrival of interoperability can connect and harmonise various hospital systems An M-LLM could serve as a central hub that facilitates access to various unimodal AIs used in the hospital, such as radiology software, insurance handling software, Electronic Medical Records (EMR), etc. AI used in the hospital.

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Misconceptions of Employer Sponsored Direct Primary Care (DPC)

Plum Health

Misconception #1: DPC Adds Extra Costs to Existing Health Insurance The fact is, for employers operating self-funded programs, the DPC investment redirects claims costs. Thus, DPC forms a better long-term investment focused on preventive care, as opposed to only treating patients post-diagnosis. Sadly, up to 80% do not.

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Why Identifying and Managing Giant Cell Arteritis as an Emergency Is Crucial

Physician's Weekly

Leonard Calabrese, DO, Paras Karmacharya, MD, MS, and Adam Kilian, MD, break down why giant cell arteritis (GCA) demands immediate action, explain how to confirm diagnosis quickly, and what same-day treatment options like upadacitinib (Rinvoq) mean for patient care. But treatment first, securing the diagnosis is secondary and often delayed.

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Getting Answers: A Patient's Guide to Discussing Unexplained Symptoms with Your Doctor

Vida Family Medicine

Health insurance covers only very short visits that are limited to 1-2 problems per visit, leaving little time for patients to be able to share all of the relevant information about longstanding symptoms. There are many factors that make it a challenge to get answers for unexplained symptoms.

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Podcast: AI, innovation, and value-based care in medicine

Permanente Medicine

And then, so from that point on, I began to look at technology systems, processes for all settings, inpatient, outpatient care at home, a hospital at home. Our patients stay with us for just a really long time and longer than any other health insurance. And from there I was asked to help lead the Federation for care navigation.

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District Court Interprets EKRA

FDA Law

Clinical treatment facility” is defined as “a medical setting, other than a hospital, that provides detoxification, risk reduction, outpatient treatment and care, residential treatment, or rehabilitation for substance use, pursuant to licensure or certification under State law.” 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § LEXIS 200365, at *34-35 (D.