Trending Articles

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Healthcare industry braces for RFK Jr.

Healthcare Dive

Kennedy's views on vaccines in particular are causing alarm among some physicians and investors.

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Healthcare Providers Explore Payer Direct Access to EHRs, but Most Are Still Awaiting the Benefits by MRO

MRO Compliance

Healthcare providers are increasingly required to provide clinical data to payers to justify claims and get paid for the care they provide. In one recent study , nearly 15% of all claims submitted to payers for reimbursement were initially denied, including many that had been pre-approved through the prior authorization process. Some electronic health record (EHR) vendors now offer payer platforms that make it possible for providers to grant payers direct access to patient medical records, accor

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DEA, HHS issue another extension for telehealth controlled substance prescribing

Healthcare Dive

The third temporary extension, which prolongs the pandemic-era flexibilities through the end of 2025, is a relief for telehealth groups who had raised concerns about access to medications.

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VA seeks to end telehealth copays and fund virtual care access in rural areas

Healthcare It News

The U.S. Department of Veterans Affairs announced a proposal to eliminate telehealth copayments for veterans and establish a grant program to fund designated VA telehealth access points in non-VA facilities. WHY IT MATTERS This week the VA announced that it is proposing to amend a regulation – the Commander John Scott Hannon Veterans Mental Healthcare Improvement Act of 2019 – to exempt all telehealth services from the law's copayment requirements.

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3 Reasons to Retire Pagers from Healthcare Settings

Let's discuss the trusty pager—an old favorite that’s losing its shine in hospitals and clinics. While once a staple in hospitals and clinics, pagers now present significant limitations that hinder rather than facilitate communication among healthcare professionals. Healthcare professionals are constantly on the move, and they need communication tools that can keep up with their fast-paced lives.

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Ghost Networks and Mental Healthcare

Bill of Health

by Rebekah Ninan A recent lawsuit in the Southern District of New York has alleged that the health insurance company Anthem Blue and Cross Blue Shield violated state laws and committed fraud by maintaining “ghost networks” of mental health providers. Ghost networks are directories for insurance companies that contain outdated or inaccurate information about providers covered by the insurance plan.

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CMS to lower importance of ‘call center’ metric in Medicare Advantage star ratings

Healthcare Dive

Regulators’ assessment of customer support centers has spurred recent lawsuits from UnitedHealthcare, Centene and Humana. But the metric “is going to have a smaller weighting on star ratings moving forward,” the director of Medicare said.

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DEA and HHS extend virtual prescribing for controlled substances through 2025

Healthcare It News

The U.S. Drug Enforcement Agency and Health and Human Services announced the Third Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications, preventing some patients from losing access to their telehealth-prescribed medications. The agencies also said they would continue to develop the final rule governing the virtual prescribing of controlled substances in the post-pandemic era to be consistent with public health and safety and to mitigate drug diver

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The MRO Exchange: AHIMA24 recap with Lauren Wall from Steward Health Care

MRO Compliance

Healthcare NOW Radio Podcast Network · MRO Exchange: AHIMA24 recap with Lauren Wall from Steward Health Care S1E11: Host Don Hardwick, Senior VP of Client Relations interviews Lauren Wall, National Director of HIM Operations and Shared Services at Steward Health Care. They discuss the recent AHIMA National Conference which was held at the end of October in Salt Lake City, UT.

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How to protect telemedicine from cyberattacks

Healthcare IT News - Telehealth

When it comes to targets in healthcare that criminals want to hit with a cyberattack, a telemedicine consultation might not immediately come to mind. But in fact, telehealth is a ripe arena for cyberattacks. There are crucial strategies for healthcare organizations to fortify their defenses against cyberattacks in the virtual care landscape. With more patients accessing care virtually, organizations must prioritize timely software updates and secure communication channels, and identity verificat

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15 Modern Use Cases for Enterprise Business Intelligence

Large enterprises face unique challenges in optimizing their Business Intelligence (BI) output due to the sheer scale and complexity of their operations. Unlike smaller organizations, where basic BI features and simple dashboards might suffice, enterprises must manage vast amounts of data from diverse sources. What are the top modern BI use cases for enterprise businesses to help you get a leg up on the competition?

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Smart ring maker Oura picks up $75M series D, inks strategic partnership with Dexcom

Fierce Healthcare

Oura is partnering with medical device maker Dexcom to integrate data from glucose biosensors with the Oura Ring, which tracks sleep, heart rate and activity. | Oura is partnering with medical device maker Dexcom to integrate data from glucose biosensors with the Oura Ring.

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Aetna launched a copay-only health plan. What could it mean for benefits teams?

Healthcare Dive

The plan requires only copays for medical services and prescription drugs up to the plan member’s out-of-pocket maximum, with no deductibles or coinsurance costs.

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Blooms The Chemist integrates Healthengine and more briefs

Healthcare It News

Blooms The Chemist implements booking platform Pharmacy chain Blooms The Chemist has adopted Healthengine's booking platform to streamline appointment management and enhance scheduling. It now allows customers to book pharmacy services, including vaccinations, via Healthengine round the clock and with real-time availability. The booking platform also features voucher management and consult room service setups, which also integrate with the pharmacy chain's system.

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Report: Gen Z Leaving Healthcare in Droves Due to Toxic Culture

HIT Consultant

What You Should Know: – A new report from Soliant Health reveals a concerning trend: healthcare professionals across all age groups are leaving the industry due to job stress, poor work-life balance, and unhealthy workplace cultures. – Surprisingly, Gen Z (ages 18-27) is leading the exodus, with over 22% planning to leave their healthcare jobs within the next 1-3 years.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

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This Week’s Health IT Jobs – November 20, 2024

Healthcare IT Today

It can be very overwhelming scrolling though job board after job board in search of a position that fits your wants and needs. Let us take that stress away by finding a mix of great health IT jobs for you! We hope you enjoy this look at some of the health IT jobs we saw healthcare organizations trying to fill this week. Here’s a quick look at some of the health IT jobs we found: ICT/Security Healthcare Principal – HDR Director Health Information Management – Riverside Healthcar

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FDA advisory committee to roll up sleeves on generative AI

Fierce Healthcare

The FDA will hold its first Digital Health Advisory Committee (DHAC) meeting to discuss how the agency should review medical devices that rely on generative AI, like chatbots. | The FDA seeks advice on regulatory challenges it has identified for generative AI used in medical devices, which include uncertainty about the foundation model, hallucinations and the ability to define intended use.

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Health systems band together to test and publicly rank top AI models

Healthcare Dive

Mass General Brigham, Emory and other providers will assess different AI models from companies like Google, Microsoft and Amazon.

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Assisting the elderly in digital care

Healthcare It News

SMC Telogorejo Hospital has introduced a chatbot as part of its contact centre, which was found to be particularly helpful for its senior patients, notes president director Dr Alice Sutedjo Lisa.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

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.

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Leveraging AI to Reach Occupancy Goals in Senior Living Communities: What You Should Know

HIT Consultant

Ryan Malone, Global CEO, SmartBug Media Artificial intelligence (AI) is seemingly proliferating everywhere, and so are discussions about its advantages and pitfalls. The senior living industry finds itself at this technology crossroads as it tries to figure out if—and how—to incorporate AI into its operations. Occupancy goals are one area that holds great potential for AI to give senior living communities a nice boost.

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Outsourcing In Drug Development: A Key Strategy for Sustainable Growth

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. The pharmaceutical industry is constantly evolving, driven by advances in science, technology, and patient needs. One of the most prominent trends shaping this industry is the outsourcing of various stages of drug development. As companies […] The article Outsourcing In Drug Development: A Key Strategy for Sustainable Growth appeared first on electronichealthreporter.com.

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Primary care player Forward shutters after raising $400M, rolling out CarePods

Fierce Healthcare

Primary care player Forward is abruptly shutting down its operations, closing its locations and canceling scheduled visits, the company publicly announced Wednesday. | Primary care player Forward is abruptly shutting down its operations, closing its locations and canceling scheduled visits, the company publicly announced Wednesday.

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Offering health insurance is becoming less lucrative

Healthcare Dive

In the third quarter, the seven major publicly traded insurers’ medical loss ratios increased an average of 3.3 percentage points year over year — a major jump in medical costs.

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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.

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eClinicalWorks Cloud and healow Providing Value to HealthNet

Healthcare IT Today

Having attended multiple eClinicalWorks user conferences, one of their big efforts was to move all of their users to the eClinicalWorks cloud. eClinicalWorks had made a big investment in cloud and they wanted all of their users to benefit from the reliability, scalability, and benefits of being on the cloud. With this in mind, I sat down with V Cantrell, MD, CMO at HealthNet and Abigayle Gomez, EMR Director at HealthNet , at the eClinicalWorks annual conference to learn more about their recent

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Willow Introduces “Ema”: An AI-Powered Support System for Moms

HIT Consultant

What You Should Know: – Willow , a FemTech company known for its innovative breast pumps, has launched a groundbreaking new feature in its app : Ema , a conversational AI tool designed to provide personalized support and guidance to mothers throughout their postpartum journey. – With the launch of Ema, Willow becomes the first breast pump company to integrate conversational AI into its app experience.

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MDaudit’s 2024 Benchmark Report Reveals a Fivefold Increase in Dollars At-Risk from Payer Audits While Coding-Related Denials Surged by Over 125%

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. External audit volume more than doubled in 2024 over 2023-including higher rates of pre-payment audits-and total at-risk dollars increased fivefold to $11.2 million per MDaudit customer, impacting healthcare provider organizations’ cash flow and exposing them […] The article MDaudit’s 2024 Benchmark Report Reveals a Fivefold Increase in Dollars At-Risk from Payer Audits While Coding-Re

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Amazon One Medical rolls out telehealth treatment services in competition with Ro, Hims & Hers

Fierce Healthcare

Amazon One Medical is rolling out a new service to provide Prime members access to clinical treatments for common health and lifestyle conditions like men's hair loss and anti-aging skin care. | Amazon One Medical is rolling out a new service to provide Prime members access to clinical treatments for common health and lifestyle conditions like men's hair loss and anti-aging skin care.

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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.