House committee passes telehealth flexibility extension
Healthcare Dive
SEPTEMBER 20, 2024
The bill would extend pandemic-era telehealth flexibilities in Medicare for another two years, averting a looming year-end deadline.
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Epic and Oracle Health sign on to Veteran Interoperability Pledge
Healthcare It News
SEPTEMBER 19, 2024
A little less than a year ago, the U.S. Department of Veteran Affairs announced its Veteran Interoperability Pledge – an effort to boost information exchange between its own facilities and participating health systems, with the aim of improving care coordination for veterans receiving care at both the VA and in their communities. More than a dozen major health systems – Emory Healthcare, Inova, Jefferson Health, Sanford Health, UC Davis, Intermountain, Mass General Brigham, Rush Heal
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Express Scripts sues FTC over report damning pharmacy benefit managers
Healthcare Dive
SEPTEMBER 17, 2024
The major pharmacy benefit manager said its lawsuit is necessary to protect against misinformation about the controversial drug middlemen, while the FTC promised to defend its research.
Navigating the Complexities of Clinical Data Exchange: A Survey-Based Analysis by MRO
MRO Compliance
SEPTEMBER 19, 2024
Earlier this year, MRO and CHIME surveyed more than 180 leaders at health systems to better understand the challenges of bidirectional exchange of clinical data with payers across seven common use cases: prior authorization, risk adjustment, care management, quality reporting and submission, claims adjudication, claims appeals, and payment integrity audits.
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.
High-Risk Pools: A High Risk Proposition for People with Pre-Existing Conditions
Center for Health Insurance Reform
SEPTEMBER 19, 2024
J.D. Vance, candidate for Vice President of the United States, has called for replacing the ACA's insurance reforms with "high risk pools" for people with pre-existing conditions. CHIR's Sabrina Corlette revisits how high risk pools worked (or more often, didn't work) for people, prior to the ACA.
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US is drastically behind other wealthy nations on healthcare, despite spending the most
Healthcare Dive
SEPTEMBER 18, 2024
The Commonwealth Fund analyzed the healthcare systems of 10 nations and found the U.S. ranked last in access to care, health outcomes and overall. The U.S. “really is in a class by itself,” one researcher said.
Clinical IT leaders on meeting CMS' mandate for patient data access
Healthcare It News
SEPTEMBER 18, 2024
Making health data more accessible to patients – not to mention doctors and health plans – is a priority for all hospitals and health systems today, as the final Centers for Medicare and Medicaid Services Interoperability Rule mandates patient access. But patients across the country know getting access to their health information is often challenging.
4 Reasons Why the Adoption of FHIR Brings Immense Value to Medical Record Requesters
MRO Compliance
SEPTEMBER 17, 2024
What is FHIR? The HL7® FHIR® ( Fast Healthcare Interoperability Resources ) standard is the accepted standard for exchanging healthcare information, regardless of how or where the information is stored. By enabling secure access to both clinical and administrative data, FHIR ensures that healthcare providers can access the information they need to deliver optimal patient care.
Cigna launching E-Treatment virtual care through MDLIVE
Healthcare IT News - Telehealth
SEPTEMBER 19, 2024
Cigna Healthcare, the health benefits division of The Cigna Group, has launched an E-Treatment option through MDLIVE by Evernorth Beginning this month, Cigna members can connect for urgent care from board-certified doctors without any direct interaction via phone or video.
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.
Indiana insurers, hospitals accused of Medicaid fraud in giant whistleblower lawsuit
Fierce Healthcare
SEPTEMBER 19, 2024
Major Indiana managed care organizations and health systems are blamed for defrauding the state Medicaid system by tens, if not hundreds, of millions of dollars, says a newly unsealed whistleblower | A newly unsealed lawsuit alleges major health insurers and health systems defrauded Indiana Medicaid by hundreds of millions of dollars, with the government office likely influenced by corporate lobbying.
Senate committee unanimously votes to hold Steward CEO in contempt
Healthcare Dive
SEPTEMBER 19, 2024
“If you defy a congressional subpoena, you will be held accountable — no matter who you are or how well connected you may be,” said Sen. Bernie Sanders during Thursday’s hearing.
Moving aging patients from confusion to the point of care
Healthcare It News
SEPTEMBER 16, 2024
There's help for providers who want to help aging patients navigate complex government websites and access the information and resources they need to overcome isolation, lack of transportation and limited financial resources barring full access to healthcare opportunities. By making use of technologies such as artificial intelligence, providers can empower senior patients with the extra guidance and support that informs them and gets them to the point of care, according to Karl Ulfers, cofou
Knack Global Acquires Anesthesia RCM Leader, Merrick Management, Inc.
Healthcare IT Today
SEPTEMBER 16, 2024
Knack Global (Knack) , an industry-leading provider of tech-enabled, end-to-end revenue cycle management (RCM) solutions, is pleased to announce its acquisition of Merrick Management, Inc. (Merrick). Founded in 1975 with offices in Lexington, Kentucky, Merrick provides comprehensive RCM, practice management, accounting, and tax services to anesthesia providers across the southeast.
From Payroll Pains to Growth Gains: Streamlining Payroll & HR for Success
Speaker: Joe Sharpe and James Carlson
In the world of small business management, the challenge of managing payroll & HR efficiently while scaling operations can be overwhelming. Yet, with the right strategies in place, these challenges can become opportunities for growth and innovation. In this session, Joe Sharpe, Senior Director of Managed Payroll Services at IRIS, will reveal practical methods and expert insights for outsourcing and streamlining payroll processes, resulting in substantial time and resource savings.
Providers that demonstrate how telemedicine can boost equity
Healthcare IT News - Telehealth
SEPTEMBER 16, 2024
Enterprise Taxonomy: Telehealth Operations Patient Access Population and Public Health Quality Care Business Care Node settings: Exclude from Accelerate RSS feed
Senate HELP Committee votes for civil, criminal charges after Steward CEO dodges subpoena
Fierce Healthcare
SEPTEMBER 19, 2024
The Senate Committee on Health, Education, Labor and Pensions voted unanimously Thursday morning to bring civil enforcement and a criminal contempt charge against Steward Health CEO Ralph de la Tor | Ralph de la Torre, M.D., invoked the Fifth Amendment in his refusal to appear before Congress. Sens. Sanders and Cassidy said that he must invoke that right in person and in response to specific questions during testimony.
Health benefit costs to rise 5.8% per employee in 2025: survey
Healthcare Dive
SEPTEMBER 17, 2024
About half of employers said they would make cost-cutting changes to their plans next year, like increasing deductibles or other cost-sharing provisions, according to a report from consultancy Mercer.
The Light Collective amplifies its call for patient data rights
Healthcare It News
SEPTEMBER 16, 2024
To mark World Patient Safety Day on September 17, the patient-led Light Collective plans to lead discussions in Washington, D.C., designed to help ensure that patient concerns about health data aggregation are given the stage. WHY IT MATTERS Large corporations and social media platforms continue to aggregate patient data and profit from it, the collective says.
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.
SetSet Launches Clinician-Approved Platform to Deliver Safe Psychedelic Experiences for Women
HIT Consultant
SEPTEMBER 19, 2024
What You Should Know: – SetSet , the pioneering platform connecting consumers and medical providers for safe microdosing, has officially launched. – The innovative platform is specifically designed to empower women in navigating psychedelic experiences through community support, therapist-created curriculum, and access to trained practitioners.
AI Advances Bring RCM To an Inflection Point
Electronic Health Reporter
SEPTEMBER 17, 2024
This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Various forms of automation have long been present within healthcare revenue cycle management (RCM). However, advances in artificial intelligence (AI) have brought the industry to a significant inflection point, where the use cases for AI […] The article AI Advances Bring RCM To an Inflection Point appeared first on electronichealthreporter.com.
Noom to offer compounded GLP-1 drug to rival pricey branded weight loss meds
Fierce Healthcare
SEPTEMBER 17, 2024
Noom is the latest digital health company to jump into the off-label weight loss drug market to make medications more accessible to consumers. | Noom is the latest digital health company to jump into the off-label weight loss drug market to make medications more accessible to consumers.
AI-powered cognitive priming helps one PT clinic improve care and boost its bottom line
Healthcare It News
SEPTEMBER 13, 2024
Matt Mastenbrook, DPT, clinic manager and treating physical therapist at Baylor Scott & White Institute for Rehabilitation, says one of his first goals as a manager was to set his clinic apart from the many others in the area. And leading-edge technology would be a key change agent. THE PROBLEM Mastenbrook decided to advance and optimize Baylor's use of the CogPT platform, developed by vendor Academy Medtech Ventures.
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.
EnableComp Acquires ANI Healthcare Solutions, Expanding Its Denial Management Solutions Within Its Award-Winning Specialty RCM Platform
Healthcare IT Today
SEPTEMBER 17, 2024
EnableComp , a market leader in specialty revenue cycle solutions for healthcare, announced that it has acquired ANI Healthcare Solutions, LLC (ANI) , a San Francisco-based denial management company. With this acquisition, EnableComp adds ANI’s denial management expertise to its comprehensive solution suite and further expands the proficiency of the E360 RCM intelligent automation platform.
How to Reduce Cyber Risk in Healthcare Organizations
Electronic Health Reporter
SEPTEMBER 16, 2024
This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By David Sampson, VP of Cyber Risk & Strategy, Thrive. In February, hackers took Change Healthcare offline in one of the most high-profile and wide-reaching cyberattacks to date. Change Healthcare serves hundreds of thousands of […] The article How to Reduce Cyber Risk in Healthcare Organizations appeared first on electronichealthreporter.com.
Express Scripts files suit against FTC, demands retraction of report on PBM industry
Fierce Healthcare
SEPTEMBER 17, 2024
Express Scripts has filed suit against the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry. | Express Scripts is suing the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry.
Walgreens settles allegations of fraudulent billing with DOJ
Healthcare Dive
SEPTEMBER 16, 2024
The Illinois-based pharmacy giant has agreed to pay almost $107 million to settle claims it billed Medicare, Medicaid and other government programs for prescriptions that were never dispensed.
Enhance Healthcare Efficiency With Top Payroll & HCM Services
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Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.
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