Susan Morse

Illinois

Executive Editor at Journal Of Healthcare Information Management (HIMSS)

Managing Editor of @HC_Finance. I write about all things finance for providers and payers, health policy geek.

Articles

UnitedHealth launches AI-enabled personalized provider search

1 week ago | healthcarefinancenews.com | Susan Morse

Photo: Tom Werner/Getty ImagesUnitedHealthcare has launched AI-enabled Smart Choice to enhance provider searches for its members. The technology finds a provider based on personal needs, health plan benefits and preferences. Members will have access through the UnitedHealthcare app and website to what UnitedHealth is calling a more intuitive search experience. Smart Choice incorporates members' needs and preferences.
UnitedHealth launches AI-enable personalized provider search

1 week ago | healthcarefinancenews.com | Susan Morse

Photo: Tom Werner/Getty ImagesUnitedHealthcare has launched AI-enabled Smart Choice to enhance provider searches for its members. The technology finds a provider based on personal needs, health plan benefits and preferences. Members will have access through the UnitedHealthcare app and website to what UnitedHealth is calling a more intuitive search experience. Smart Choice incorporates members' needs and preferences.
Supreme Court upholds ban on gender-affirming care for youth

1 week ago | healthcarefinancenews.com | Susan Morse

Photo: Al Drago/Getty ImagesThe Supreme Court on Wednesday upheld Tennessee's ban on gender-affirming care for transgender youth. Three transgender minors, their parents and a doctor challenged Tennessee law SB1 that was enacted in 2023. SB1 prohibits healthcare providers from prescribing, administering or dispensing puberty blockers or hormones to any minor for the purpose of enabling the minor to identify with, or live as, a purported identity inconsistent with the minor's biological sex.
How Humans and AI Can Complement Each Other at Work and in the Financial Sector

1 week ago | clsbluesky.law.columbia.edu | John Coffee |Hillary Sale |Susan Morse |Miriam Baer

As AI systems evolve, there’s been a surge of attention and anxiety around how they are reshaping the workforce. The conversation often centers on which jobs are at risk of automation and what machines are capable of. While these are important issues, in our new paper, we offer a different perspective, one that puts humans, not machines, at the center of conversations about the future of work. To begin, we make a simple claim: Metrics matter.
Humana plans to reach 4-star Medicare Advantage ratings in 2028

1 week ago | healthcarefinancenews.com | Susan Morse

Photo: .Raymond Gehman/Getty ImagesHumana plans to achieve 4-stars in Medicare Advantage star rating in 2028, according to information released during its Investor's Conference on Monday. Humana told investors that it doesn't foresee achieving the total points needed to achieve a four-star rating until bonus year 2028, according to Seeking Alpha. Humana missed achieving 4 stars for 2026 by a few points in key contracts, it told investors. But these contracts represented about 80% of MA membership.
When More Is Less: Information Overload in AI-Driven Finance

1 week ago | clsbluesky.law.columbia.edu | John Coffee |Hillary Sale |Susan Morse |Miriam Baer

Large language models (LLMs) are rapidly becoming integral to financial analysis, from parsing earnings calls to predicting stock market reactions to news. But a critical question remains: When we feed these models more information, do they perform better? Our recent study suggests, not necessarily. We document a structural limitation of LLMs in financial tasks, a phenomenon we call information overload, where too much context leads to worse outcomes.
Ascension to acquire AmSurg and its 250 ASCs

1 week ago | healthcarefinancenews.com | Susan Morse

Photo: Morsa/Getty ImagesAscension has announced that it is acquiring AmSurg and its 250 ambulatory surgery centers across 34 states. The Catholic, nonprofit health system said the transaction will significantly expand its ability to deliver care in community-based settings. WHY THIS MATTERSAlong with the convenience, ambulatory surgery centers offer a lower cost alternative to inpatient care. The centers specialize in gastroenterology, ophthalmology, orthopedics and other services.
What China’s Experiment in Stakeholder Governance Can Teach Us

1 week ago | clsbluesky.law.columbia.edu | John Coffee |Hillary Sale |Susan Morse |Miriam Baer

Growing concerns about the externalities that companies may impose on stakeholders have placed the mainstream shareholder primacy model under intense scrutiny. Stakeholderism, or stakeholder model, is an alternative approach that requires companies to consider interests beyond those of shareholders, is an increasingly accepted way for companies around the world to pursue success.
Cleary Gottlieb Discusses Colorado’s Uniform Antitrust Pre-Merger Notification Act

1 week ago | clsbluesky.law.columbia.edu | John Coffee |Hillary Sale |Susan Morse |Miriam Baer

Earlier this month, the Governor of Colorado signed the Uniform Antitrust Pre-Merger Notification Act (“the Colorado Act”) into law, making Colorado the second U.S. state to enact a broad antitrust pre-merger notification requirement following Washington State in April. The Colorado Act is expected to take effect on August 6, shortly after the Washington Act goes into effect on July 27.
Quest Analytics, Arcadia partner to build competitive networks

1 week ago | healthcarefinancenews.com | Susan Morse

Photo: Alexsandar Nakic/Getty ImagesAt AHIP 2025 in Las Vegas this week, Quest Analytics and Arcadia announced a data integration partnership that is expected to give payers the ability to build more competitive networks. Quest Analytics gives physician-level intelligence on a single platform. Provider performance intelligence is rapidly becoming a business lever, not just a compliance requirement.