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The cognitive bias problem LLMs inherited from doctors
Take a clinical note about a 52-year-old with chest pain, and ask a frontier model what to do.
Aug 1
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David Talby
76
3
4
July 2026
Small, Private, and First on All Fifteen: The New Medical LLM Benchmark Results
First on all 15 clinical and biomedical benchmarks, averaging 80.9 against the newest frontier releases, running on a single GPU inside your own…
Jul 25
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David Talby
49
1
What we learned building Medical LLMs that academic medical centers trust
Originally published alongside the 2025 InfoWorld Technology of the Year Award announcement, December 2025.
Jul 15
•
David Talby
When the Title Outruns the Study: General-Purpose vs. Healthcare-Specific AI
A Brief Communication in Nature Medicine made the rounds last month under a headline that is hard to misread: “General-purpose large language models…
Jul 12
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David Talby
34
The case for bringing HCC coding in-house: what generative AI changes about the outsourcing math
Originally published in Health IT Answers and MedCity News, November 2025.
Jul 10
•
David Talby
2
Three Healthcare AI Frameworks, one governance backbone: RUAIH, URAC, and CHAI
U.S. healthcare now has two AI certifications and a set of governance playbooks, but they all rest on one backbone you must sustain.
Jul 2
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David Talby
28
2
The real AI governance gap isn’t missing regulation. It’s missing literacy.
Originally published in CIO, October 2025.
Jul 1
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David Talby
June 2026
A cost model for patient-level healthcare AI: $1M for locally deployed Medical LLM vs. $13M to $30M via frontier APIs
Healthcare AI budgets break on one assumption: that per-token API pricing works at patient-population scale.
Jun 20
•
David Talby
383
4
Why cancer registries stay years out of date - and what regulatory-grade oncology AI changes
Originally published in Forbes, July 2025.
Jun 18
•
David Talby
Why the 2026 Medicare Advantage rate decision raises the bar on HCC coding accuracy
Originally published in MedCity News, Rama on Healthcare, and Gene Online — June 2025.
Jun 13
•
David Talby
1
When smaller wins: the size calculus for generative AI in regulated work
Originally published October 2024 in CIO.
Jun 11
•
David Talby
The agreeable AI problem: why LLMs echo wrong answers back to you, and what it costs in healthcare
Originally published August 2024 in CIO.
Jun 8
•
David Talby
2
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