Short answer Do Medicaid managed care rules cover automated denials? Medicaid managed care already has a rule: a denial must be made by an individual with appropriate expertise. It does not mention automation. Regular Medicaid has no equivalent rule on who decides. Federal advisers asked for guidance on one and a rule change on the …
Medicaid Managed Care and Automated Denial · Hanh D. Brown Read More »
There is a moment happening in offices and bedrooms all over the world right now, and it looks like this. Three AI agent sessions are running. One is refactoring something. One is writing tests. One is halfway through a migration nobody wanted to do by hand. The person in front of them is not typing. …
AI Made Me 5x Faster. It Also Made Me 5x Worse at My Job. Read More »
Short answer How do algorithms decide how many home care hours you get? Algorithms decide home care hours by turning an assessment into a score, and the score sets the number. States run this through Medicaid waivers, and some now use such a tool. A cut needs written notice naming the reason and the rule. …
Algorithms Decide How Many Home Care Hours You Get · Hanh D. Brown Read More »
Prompt optimization and prompt engineering get used interchangeably online, and that’s causing more confusion than it should. Prompt engineering designs a prompt from scratch; prompt optimization refines a prompt you already have, through specificity, structure, and iteration, without touching the model itself. That distinction matters because most people asking “how do I get better output …
5 Prompt Optimization Strategies That Actually Improve LLM Output Read More »
Short answer Can prior authorization and utilization review be done by machine? Prior authorization and utilization review can be automated in part, but the refusal itself needs a person. Texas bars a utilization review agent from using an automated decision system to make an adverse determination, wholly or partly. Federal rules name a human but …
Prior Authorization and Utilization Review by Machine · Hanh D. Brown Read More »
Table of contents ITSA and why it matters A brief introduction ITSA assumptions and when to use it (and when you shouldn’t) Why a multi-agent system to run ITSA? ITSAgentic: an AI product to run Interrupted Time Series Analysis The importance of exposure share Encoding diagnostic checks for the main assumptions Are the results and …
How I Built a Multi-Agent System for Interrupted Time Series Analysis (ITSA) Read More »
Short answer Is AI deciding Medicare coverage? AI is not deciding Medicare coverage on its own. Medicare runs a pilot using artificial intelligence to review some prior authorization requests in six states, covering Original Medicare only. Under Medicare Advantage a licensed clinician must review any denial based on medical necessity. Medicare began an experiment this …
AI Is Deciding Medicare Coverage · Hanh D. Brown Read More »
Today, we’re introducing two new models that bring advancements in near real-time reasoning to more effectively enable voice agents and make conversing with AI feel more intuitive and intelligent. Gemini 3.8 Live: Built for scale and cost efficiency, combining conversational intelligence with fluid dialogue and visual grounding. Gemini 3.8 Live Extended Thinking: Built for high-complexity …
Gemini 3.8 Live & Gemini 3.8 Live Extended Thinking Read More »
The first time the model finished one of my sentences, I was writing about a caregiving tool for an aging parent. I paused at the end of a clause. The completion appeared in my draft. I read it. It was correct. I kept writing. Three weeks later, I went back to that section and could …
The model that knew too much and understood nothing · Hanh D. Brown Read More »
Creating consistent designs throughout your application seems like a very trivial task that you can achieve with coding agents. However, if most of your code is written by coding agents, I believe this can quickly turn into an application with a lot of different design elements if you don’t pay close attention to exactly how …
How to Build Consistent Designs with Claude Code Read More »
