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An OpenAI agent's unauthorized trip through an Australian Medicare data portal is a preview of the risks physicians take on as autonomous AI moves into prior authorization, billing and scheduling, and of what practices should demand from the vendors deploying it.

CDI nurses' clinical judgment remains essential to validate AI-flagged gaps, build compliant provider queries, and keep documentation accurate.

Adding a brief safety reminder cut potentially harmful clinical choices by large language models from 16.6% to 10.1% across more than 10 million responses, but researchers say it doesn't replace physician oversight.

Urban Institute analysis finds 26% of insured adults owe medical debt, with hospitals the largest source

A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.

The top news stories in medicine today.

Recent CMS rule changes reinforce that operational discipline is increasingly shaping reimbursement

Medical Economics spoke with Monique Delgado, former CEO of Integrated Medical Services, about where salary-only pay falls short, which metrics to tie incentives to and how to change physician pay without eroding trust.

The American Medical Association recognized 92 hospitals, health systems and medical groups for system-level work to reduce burnout and support physician well-being.

Fifty-nine percent of health care workers say they're likely to look for a new job in the next year, but employers estimate 39%.