Genetic testing is a transformative frontier in healthcare, and its promise is undeniable. It is a powerful tool in medicine that can revolutionize patient care. Who wouldn’t want to peek into your own DNA to potentially unlock a world of personalized medicine? It...
AI is transforming how healthcare payers protect their dollars. One of the best places to see this impact is in payment integrity. This is where health plans can use AI to prevent fraud, waste, abuse, and errors (FWAE) before claims are paid. It’s fast, effective, and...
Healthcare Fraud Shield listed as a Sample Vendor for AI Enabled Fraud Detection in the Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2025. Gartner recommends Payers: Prioritize solutions that clearly articulate the use of AI algorithms and ML models to identify...
The integrity of the entire healthcare system relies on accurate and honest billing practices, but what happens when there is improper billing? It impacts everyone – from individual patients to insurance payors to taxpayers. One area of the healthcare system...
The healthcare information sector has become a prime target for cybercriminals. And why not? It is a repository of our most valuable personal information. Recent high-profile data breaches, such as the massive incident at Change Healthcare affecting an estimated 190...
