Elevance lowers guidance on ‘unprecedented’ Medicaid challenges
Healthcare Dive
OCTOBER 17, 2024
Executives said the increased costs pressuring its Medicaid business would improve after states updated payment rates to better match member acuity.
Trending Articles
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Eyewear that senses emotions grabs facial data
Healthcare It News
OCTOBER 15, 2024
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Microsoft unveils new healthcare AI tools
Healthcare Dive
OCTOBER 10, 2024
The products include a service that helps healthcare organizations build their own AI agents that could be used for appointment scheduling, clinical trial matching and patient triage.
Modern Efficiencies for a Modern Audit Team: MRO Experts Share How to Reduce Risk
MRO Compliance
OCTOBER 17, 2024
Internal audits and monitoring are essential practices to ensure coding and billing compliance, protect revenue, and defend against payer audits and clinical denials. However, with limited time and resources, it becomes impossible to internally review every physician, patient type or risk area. In the October edition of HCCA Compliance Today , MRO senior director of revenue cycle, Dawn Crump and program manager of revenue integrity, Garnette McLaughlin, discuss new strategies for internal aud
Fertility Benefits Playbook: How HR Leaders Are Delivering Value in 2025
Speaker: Kaitlin Ruby Carroll
Fertility benefits have become a crucial component of employee well-being and retention strategies. In today’s competitive landscape, creating a fertility benefits program that aligns with both employee needs and organizational goals can be more complex than it seems. From cycle-based to flat-dollar and telehealth models, each solution offers unique advantages and challenges that directly affect employee satisfaction and financial well-being.
Health Care, AI, and the Law: An Emerging Regulatory Landscape in California
Bill of Health
OCTOBER 17, 2024
by Rebekah Ninan This past month, California Governor Gavin Newsom signed a wave of artificial intelligence-related legislation into law. Much public debate has been focused on SB 1047, a proposal ultimately vetoed by Governor Newsom, which would have held AI companies liable for “ catastrophic harms ” from AI models. Comparatively little attention has been paid to three new laws aimed at health care-related AI and data privacy.
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Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
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CVS Health slashes infusion services offerings, blaming industry headwinds
Healthcare Dive
OCTOBER 15, 2024
CVS Health will stop providing many infusion services and close or sell 29 pharmacies in the coming months, a spokesperson said.
Healthcare must become as digital and consumer friendly as retail and banking
Healthcare It News
OCTOBER 12, 2024
In a world where consumers can order dog food, schedule a haircut or buy a plane ticket with just a few keystrokes, patients often are left wondering why healthcare has to be so complicated – and why so many processes seem stuck in the past. Today, as consumers grow more dependent on convenient and efficient online tools across retail, banking and grocers, patients are becoming increasingly aware of – and dissatisfied with – healthcare's digital deficiencies, which often cr
The MRO Exchange: Data Quality with Frank Jackson, SVP of Clinical Quality and Payer Solutions
MRO Compliance
OCTOBER 16, 2024
Healthcare NOW Radio Podcast Network · MRO Exchange: Data Quality with Frank Jackson, SVP of Clinical Quality and Payer Solutions S1E9: Host Mo Weitnauer, Chief Product Officer, interviews Frank Jackson, SVP of Clinical Quality and Payer Solutions, for a thoughtful discussion around data quality. They discuss the importance of data quality as it relates to accuracy, reliability, and completeness, when care delivery for patients is of the utmost importance in today’s healthcare landscape.
Addictive Design and Social Media: Legal Opinions and Research Roundup
Bill of Health
OCTOBER 14, 2024
by Matthew B. Lawrence and Avraham R. Sholkoff This has been a busy year in research and regulation addressing addictive design by social media platforms, marked by advisories or initiatives from the Surgeon General , American Psychiatric Association , and American Academy of Pediatrics that spotlight the major public health hazard of social media. With many foundational questions still unanswered, scholars across legal academic disciplines — public health, technology, tort, First Amendment, and
Why Every Small Business Needs an HCM Solution: A Comprehensive Guide
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Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.
‘I’m another statistic. I feel let down’: How HIV prevention stays out of reach for many
Fierce Healthcare
OCTOBER 11, 2024
This story was reported in partnership with Uncloseted Media, a nonpartisan, investigative, LGBTQ | Ending the HIV epidemic hinges on both treatment and prevention, particularly through access to PrEP. For at-risk individuals living in the U.S. South—where HIV is a daunting reality—PrEP use is very low compared to the number of new HIV cases.
Arizona agency's omnichannel approach to home health includes telehealth and RPM
Healthcare It News
OCTOBER 14, 2024
MD Home Health, a 39-year-old home health agency, has launched omnichannel home health services, what it says is a first for Phoenix and Arizona. The new offerings will include remote patient monitoring, telehealth, a brick-and-mortar clinic at HonorHealth Scottsdale, and traditional in-home services. President and CEO David P. Tusa, who joined MD Home Health in 2022, spoke with us about the motivation behind embracing the omnichannel approach, what the telehealth component looks like, what the
Advancing Digital Quality: Addressing Data Challenges to Improve Performance
MRO Compliance
OCTOBER 15, 2024
As health care continues its digital transformation, interoperability and data quality are critical to measuring and improving patient outcomes. Whether focused on HEDIS®, value-based care or broader quality measurement activities, reliable data—facilitated through Fast Healthcare Interoperability Resources (FHIR®) APIs and other interoperable systems—are essential for effective reporting, decision making and delivery of care.
As year-end deadline looms, Congress again calls on DEA to extend telehealth flexibilities
Healthcare IT News - Telehealth
OCTOBER 16, 2024
With less than three months before the clock runs out on telemedicine electronic prescribing flexibilities, Reps. Doris Matsui, D-California, and Earl "Buddy" Carter, R-Georgia, are leading a bipartisan charge to urge the U.S. Drug Enforcement Administration to strengthen and deliver a better proposal for a controlled substance registry for telehealth providers.
Real-Life Examples of HIPAA Violations and How to Avoid Them
Speaker: Jack Clough, Chief Growth Officer
Download our 30-minute webinar where we delve into real-life examples of HIPAA violations and preventative measures every organization should know! You will learn: The critical factors that lead to HIPAA violations and how to identify them. Three compelling real-life cases of organizations that faced severe HIPAA penalties. Proven strategies to safeguard YOUR organization against HIPAA violations.
DEA sends 3rd temporary extension of telemedicine prescribing rules to White House
Fierce Healthcare
OCTOBER 15, 2024
The Drug Enforcement Administration is poised to extend pandemic-era telehealth prescribi | The third temporary extension is rumored to be for just one year, punting the deadline for the next administration to negotiate permanent rules to December 2025. Telemedicine companies, including those that prescribe Adderall, will be able to continue prescribing as they have since 2020.
Medicare Advantage star ratings fall again in 2025
Healthcare Dive
OCTOBER 11, 2024
About 40% of MA plans with prescription drug coverage will earn four or more stars, a dip from 42% this year, according to data released by the CMS.
EMR implementation as a 'science'
Healthcare It News
OCTOBER 10, 2024
Demonstrating benefits to patients and clinicians will greatly drive interoperability, h ealth information exchange and medical record digitalisation in Asia-Pacific. Dr Mahesh Appannan, Ministry of Health Malaysia's head of digital health, Seyoung Jung, assistant professor and CIO of Seoul National University Bundang Hospital in South Korea, and Gareth Sherlock, chief executive of Turimetta Consulting and former CIO at Cleveland Clinic London and Abu Dhabi, delved into EMR implementation be
OPTAC-X, Mayo Clinic Pioneer Satellite-Enabled Telehealth for Emergency Cardiac Care
HIT Consultant
OCTOBER 17, 2024
What You Should Know: – OPTAC-X , a leader in telehealth solutions, and Mayo Clinic have achieved a milestone in emergency medicine by utilizing satellite-enabled telehealth to guide a successful cardiac arrest resuscitation outside of a hospital setting. – This innovative approach, detailed in a recent publication in “ Mayo Clinic Proceedings: Digital Health ,” highlights the potential of remote patient monitoring to extend critical medical expertise to even the most rem
Best Practices to Streamline Compensation Management: A Foundation for Growth
Speaker: Joe Sharpe and James Carlson
Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.
OntarioMD Study Validates the Hype of AI Scribes
Healthcare IT Today
OCTOBER 10, 2024
OntarioMD (OMD) a subsidiary of the Ontario Medical Association released the results of a study that validates the benefits of AI scribe / ambient clinical voice technology for medical practices. Physicians reported a significant reduction in paperwork, more time for patient care, and less information overload. Significant Workflow and Workload Benefits The OMD study examined the use of AI scribes by more than 150 family doctors and nurse practitioners (NPs) over a three month period.
Abridge, Wolters Kluwer Health ink partnership to integrate UpToDate with AI medical scribe
Fierce Healthcare
OCTOBER 11, 2024
Wolters Kluwer Health, a big player in clinical decision support solutions, is teaming up with Abridge to integrate UpToDate into its AI-based medical note-taking tool. | Wolters Kluwer Health, a big player in clinical decision support solutions, is teaming up with Abridge to integrate UpToDate into its AI-based medical note-taking tool.
Baxter ups IV fluid allocations amid supply shortages
Healthcare Dive
OCTOBER 10, 2024
As hospitals around the U.S. report IV fluid shortages, Baxter has increased supply allocations for direct customers and distributors. It plans to return to 90% to 100% allocation of certain supplies by the end of 2024.
Driving patient-centered digital maturity
Healthcare It News
OCTOBER 10, 2024
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Advanced Compliance: OSHA & HIPAA in Healthcare Facilities
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Dive into the Compliance Officer's Handbook for advanced OSHA and HIPAA strategies. This guide provides detailed steps for maintaining compliance in healthcare facilities, covering key regulations like the Bloodborne Pathogens Standard and HIPAA Privacy Rule. Learn to create a culture of compliance with management commitment, employee training, and regular risk assessments.
Exclusive: American Heart Association Ventures invests in MDisrupt
Mobi Health News
OCTOBER 15, 2024
The AHA and MDisrupt will also co-develop a platform to enable expert referrals and disseminate evidence-based science to healthcare technology innovators.
Vyne Medical Acquires Extract Systems to Bring the Most Comprehensive Document and Clinical Automation Solution to Healthcare
Healthcare IT Today
OCTOBER 14, 2024
The Strategic Move Advances the Company’s Role in Healthcare Automation, Further Streamlining Data and Processes in Hospitals and Health Systems Nationwide at the Most Critical Time Vyne Medical , a leader in the healthcare industry for improving disparate communication process management, today announced the acquisition of Extract Systems , an award-winning provider of advanced data extraction solutions, solidifying Vyne Medical’s position as a leading healthcare automation company.
Widespread IV fluid shortages have providers starting to cancel procedures, survey finds
Fierce Healthcare
OCTOBER 10, 2024
Intravenous fluid shortages appear to be affecting the majority of the nation’s healthcare providers, who as a result are already beginning to cancel procedures, survey data published Thursday show | Premier said 86% of its provider members are reporting shortages, and more than half have less than 10 days supply on hand. Respondents also said they were beginning or considering procedure cancellations, and have begun receiving solicitations from "unapproved, gray market suppliers.
UnitedHealth, CVS push to remove FTC Chair Lina Khan from PBM case
Healthcare Dive
OCTOBER 10, 2024
Attorneys argue Khan and two other commissioners are biased against pharmacy benefit managers and should recuse themselves from an ongoing lawsuit against the middlemen.
How To Empower Your Workforce With Modern Fertility Benefits
Speaker: Andrea Wuchiski
In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.
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