Sign in

Azra Bihorac

@azrabihorac.com
53 followers 645 following 62 posts

Physician, scientist, institution builder. Senior Associate Dean for Research and Founding Director of the AI for Health Institute, University of Florida. I write Nonalgorithmic: on what medicine must not let go of in the AI era. nonalgorithmic.com

PostsRepliesMedia
Azra Bihorac @azrabihorac.com · 01/10/2026
Four fields, one week: is AI changing the person who uses it? Internal medicine, psychiatry, human-computer interaction and mathematics, in one week, on AI that shapes how people reason, expect and value. nonalgorithmic.com/2026/10/01/...
200
Azra Bihorac @azrabihorac.com · 30/09/2026
With thanks to @jimc-hrh.bsky.social, @dzevela.bsky.social and @drjoshs.bsky.social.
000
Azra Bihorac @azrabihorac.com · 30/09/2026
Reduced, augmented or amplified: what does AI do to the health worker? Jim Campbell (@jimc-hrh.bsky.social) in @plosglobalpublichealth.org measures value by flourishing for the health worker, the patient and the population. nonalgorithmic.com/2026/09/30/...
Title card on a dark photograph of flames: The Standing Order. Reduced, augmented or amplified: what does AI do to the health worker? Below, the line 'Human flourishing and wellbeing for the health worker, the patient and the population', attributed to Jim Campbell, PLOS Global Public Health. Nonalgorithmic, September 30, 2026.
110
Azra Bihorac @azrabihorac.com · 29/09/2026
Under California's SB 903, an AI may score a mental health screening questionnaire. It may not decide what the score means. Today's Standing Order, beside the first principles @drjoshs.bsky.social set out in @jamahealthforum.com. nonalgorithmic.com/2026/09/29/...
A fire burning in a stone pit at night, with the title: Who sets the rules of engagement for AI agents? Below, in italics: Not even the most advanced AI model can predict the future. Joshua Sharfstein, JAMA Health Forum, and California's SB 903. The Standing Order, Nonalgorithmic, September 29, 2026.
000
Azra Bihorac @azrabihorac.com · 28/09/2026
The payers received their first bill for AI in medicine, and it is not a small one. This week: AI billing, the kill switch, the first AI accreditation, and what Medicare should pay an algorithm. #MedSky www.linkedin.com/newsletters...
Flames rising from a fire pit at night, under the title: The payers received their first bill for AI in medicine. Nonalgorithmic, September 28, 2026.
000
Azra Bihorac @azrabihorac.com · 25/09/2026
Anthropic's 67-page report: models attacked real systems in tests they were told were simulated. Deep in its task, one model read 1% of the signs as real. Fresh copies, with no task, read 79% correctly. This week's essay: thenonalgorithmic.substack.com/p/when-the-...
The Vijećnica, Sarajevo's City Hall, its striped Moorish Revival facade in afternoon light.
100
Azra Bihorac @azrabihorac.com · 24/09/2026
When a vendor calls a system an agent or a clinician, the word makes a claim. What evidence was filed alongside it? nonalgorithmic.com/2026/09/24/...
The Standing Order, 24 September 2026. Title over a dusk treeline: When we call AI a clinician. What evidence comes with the name?
000
Azra Bihorac @azrabihorac.com · 23/09/2026
An AI advisor was given a hidden objective: steer people toward the worse option in hypothetical decisions. It worked, and most of them still called it helpful. nonalgorithmic.com/2026/09/23/...
The Standing Order, 23 September 2026. Title over a dusk treeline: The AI steered them wrong. They still called it helpful. Hidden objectives, misplaced confidence, a PNAS experiment.
100
Azra Bihorac @azrabihorac.com · 21/09/2026
Medicare is building a payment category for AI in care. California is deciding whether a developer can still say the clinician should have caught it. www.linkedin.com/pulse/who-p...
linkedin.com
Who pays for clinical AI? Who answers when it fails?
Same week, two arms of government, two parts of the same problem. September 14: The New York Times reports that federal officials are developing a Medicare payment category for AI software supporting care or diagnosis.
100
Azra Bihorac @azrabihorac.com · 18/09/2026
I was a girl in a library in Brčko. Borges, Buzzati, García Márquez were not tools that thought in my place. They were minds I thought alongside, and they did not empty me. This morning's essay. #medsky thenonalgorithmic.substack.com/p/a-thousand...
thenonalgorithmic.substack.com
A Thousand Kisses Deep in Otherness
What the Economic Index cannot measure, and what a girl in a library in Brčko already knew
210
Azra Bihorac @azrabihorac.com · 17/09/2026
A confidence interval asks how well we located the average of the studies we have. A prediction interval asks what a new study, somewhere new, would find. On 2 studies it runs minus 31.65 to plus 41.42. That width is how little is known. nonalgorithmic.com/2026/09/17/t...
000
Azra Bihorac @azrabihorac.com · 15/09/2026
AB 1979 does not prohibit clinical decision support. It prohibits a facility from deploying AI to independently perform a licensed act. The duty binds the deployer, not the developer. And it sits in Division 8, so a licensing board enforces it. nonalgorithmic.com/2026/09/15/a...
nonalgorithmic.com
Three cardiovascular AI moves in 8 days: ADVOCATE, AB 1979’s Chapter 25.5, and the FDA’s 3 sites
Where a rule is written decides who enforces it: AB 1979 puts clinical AI in the Business and Professions Code.
000
Azra Bihorac @azrabihorac.com · 12/09/2026
House at Pere Bosica 11, Brčko. I left it in April 1992 and have not been able to reach anyone there since. This week's essay is about the houses I have lived in and the people I loved inside them. thenonalgorithmic.substack.com/p/there-is-n...
thenonalgorithmic.substack.com
There is no easy way to say goodbye
Brčko, Istanbul, Magnolia Row
100
Azra Bihorac @azrabihorac.com · 04/09/2026
A woman was dying in our ICU. Her family had set a small brown teddy bear on the bedside table. It belonged to her son, forty-three, on another continent, deciding whether to come or wait. #medsky thenonalgorithmic.substack.com/p/th…
thenonalgorithmic.substack.com
Three Lines from Novi Sad, Transported to an ICU Room in Florida
A teddy bear on a bedside table that no algorithm registered. Three lines of Balasevic, carried from Novi Sad into a Florida ICU.
100
Azra Bihorac @azrabihorac.com · 30/08/2026
A starter pack for people thinking seriously about AI at the bedside: the clinicians, builders, policy scholars and honest critics I read. Chosen one by one. go.bsky.app/Asvkejm #medsky
000
Azra Bihorac @azrabihorac.com · 28/08/2026
When a patient can no longer speak, the person they chose picks what the patient would have picked 44.7% of the time. Given the patient's own written values, a language model matched 72.6%. The new essay is about what those numbers actually say. #medsky
thenonalgorithmic.substack.com
The Conversation We Never Had
A finding from our own data that I have been thinking about.
100
Azra Bihorac @azrabihorac.com · 25/08/2026
New in NEJM AI. When a patient loses capacity, how often does their proxy choose the treatment the patient would have chosen? 44.7% of the time. Given the patient's own documented values, an LLM matched the patient 72.6%. ai.nejm.org/doi/full/10.1056/AIcs2500562
110