Tue.Feb 13, 2024

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Humana sued over alleged 340B underpayments in Medicare Advantage

Healthcare Dive

Alabama-based Baptist Health argued the insurer had received a “windfall” due to illegal payment cuts in the 340B drug discount program.

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Hospital violence isn't confined to EDs, often rising during COVID-19 surges, full moons, data show

Fierce Healthcare

Most alarms triggered by hospital staff’s wearable safety alert systems occurred outside of the emergency department and more often during weekdays, non-holidays, surges of COVID-19 and even during | Aggregate data from 200,000 workers' wearable duress systems suggest emerging or active violent incidents occur "throughout every part of the hospital," and are more frequent during weekdays, COVID-19 surges and full moons.

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Elevance lays off more employees

Healthcare Dive

The health insurer has quietly laid off thousands of employees since September, according to sources.

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Redesign Health reduces workforce as it slows down pace of new company launches in 2024

Fierce Healthcare

Redesign Health, a healthcare startup creator, is reducing its workforce, cutting 77 staff positions, as it slows the pace of new company launches this year, Fierce Healthcare has learned. | Redesign Health, a healthcare startup creator, is reducing its workforce, cutting 77 staff positions, as it slows the pace of new company launches this year, Fierce Healthcare has learned.

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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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Washington state bill seeks to regulate hospital mergers, care access

Healthcare Dive

The Washington state Senate advanced legislation Thursday that grants the state attorney authority to deny mergers that may limit healthcare access.

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Beta Boom Closes $14.5M Fund to Invest in Digital Health Startups

HIT Consultant

Managing Partners Kimmy and Sergio Paluch What You Should Know: – Beta Boom, a pre-seed and seed-stage VC firm focused on impact investing, has secured $14.5 million for its Fund II. – Led by Managing Partners Kimmy and Sergio Paluch, the fund targets early-stage startups addressing critical needs within fast-growing, underserved communities.

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Health2047 Portfolio Company HEAL Security Launches from Stealth with $4.6 Million Raised

Healthcare IT Today

The Platform Offers Comprehensive, Tailored Threat Intelligence and Risk Assessment, Empowering Hospitals and Health Systems to Protect Patient Data with Precision Health2047 , a Silicon Valley-based venture studio founded by the American Medical Association (AMA) , today announced its investment in and launch from stealth of portfolio company HEAL Security , a cognitive cybersecurity intelligence platform custom-designed for the healthcare sector.

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Healthcare executives are investing in digital health tech without seeing an ROI

Mobi Health News

A study commissioned by EY revealed that 71% of healthcare executives said hospital expenses have not decreased, although their systems have integrated digital health.

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Context Makes Innovaccer More than a Note Generator

Healthcare IT Today

This video presents the current and upcoming features of the ambient clinical voice solutions from Innovaccer , notably its InScribe analytics tool. It is currently offered in ambulatory settings and integrates with major EHRs. According to Abhinav Shashank, CEO and co-founder, the chief differentiating factor of InScribe comes from its integration with other systems: clinical, claims, and labs data.

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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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Private equity deals in MA are declining, but experts say regulators should keep an eye on this space

Fierce Healthcare

Private equity firms have seen plenty of potential in the rapidly growing Medicare Advantage space, but deal volumes are slowing, according to a new report. | Private equity firms have seen plenty of potential in the rapidly growing Medicare Advantage space, but deal volumes are slowing, according to a new report.

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5 Key Steps to Successful AI-powered Discharge in Hospitals

HIT Consultant

Jason Harber, Vice President of Client Services, iQueue for Inpatient Flow, LeanTaaS Every day, hospital teams are facing inpatient flow challenges like excessive emergency department surgical admit boarders. To help overcome these challenges and improve access to urgent care, clinical leaders have focused on improving efficient discharge practices to ensure beds are available for incoming patients.

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ZocDoc launches new search capability and more digital health news

Mobi Health News

Quest Diagnostics announces an algorithm-assisted test for oncology care teams, and KeyCare partners with WellSpan Health to expand virtual care access.

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How Open-Source Technologies Will Transform Digital Clinical Trials

HIT Consultant

Brian Williams, Life Sciences Strategy & Innovation at EPAM Systems, Inc. Although the traditional nearly decade-long clinical trial timelines completely collapsed during COVID, this truncating was not necessarily novel. Precedent exists for accelerating approval timelines during health emergencies such as the AIDs/HIV epidemic, where Compound S, a re-make of AZT, or azidothymidine, originally developed to fight cancer, became controversially fast-tracked after the discovery that it could bl

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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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Curam and Doctify advance patient-centric feedback platform

Digital Health News

A new partnership between Curam and Doctify is helping patients to select carers based on previous users' feedback of the service they received.

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New Incentive Program for Exchanging Public Health Data Launches

HIT Consultant

What You Should Know: – eHealth Exchange , a health information exchange network, is offering an incentive program to encourage early adoption of public health data sharing. – The initiative aims to increase the flow of critical information to public health agencies, ultimately leading to a healthier population across the United States. HIE and Public Health Incentive Program Details Free Annual Fees for Three Years: The first five health information exchanges (HIEs) or state and loc

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Cityblock extends reach to New York Medicaid members with Fidelis Care partnership

Fierce Healthcare

Cityblock is expanding its services to Medicaid patients in the New York City area through a partnership with Centene-owned Fidelis Care. | Cityblock will collaborate with the health plan to provide primary care, mental health and social services to thousands of members in the New York City area and Long Island.

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Butterfly Launches iQ3: A Next-Generation Point-of-Care Ultrasound System

HIT Consultant

What You Should Know: – Butterfly Network has unveiled its next-generation handheld ultrasound system, the Butterfly iQ3 , marking a significant advancement in point-of-care ultrasound (POCUS) technology. – Butterfly iQ3 is built on the next-generation P4.3 Ultrasound-on-Chip™ technology with the world’s fastest digital data transfer, enhancing frame rates, frequency and new 3D imaging capabilities – all on a smaller, lighter and more ergonomically designed probe. – Effective t

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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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Zocdoc unveils guided search with questionnaire to improve patient-provider matching

Fierce Healthcare

Zocdoc has launched a new guided search to help patients choose and book the right provider with greater confidence. | The guided search offers a more tailored set of results based on patients’ unique care needs. It aims to take the guesswork out of what provider is the best fit by using symptoms and the type of treatment being sought, instead of the type of provider.

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Top 5 CPT Codes in Mental Health Billing

Medisys Compliance

Introduction Understanding the intricate world of mental health billing is crucial for therapists and providers to ensure accurate reimbursement and smooth claims processing. Here, we explore the top 5 CPT codes in mental health billing, providing a detailed breakdown of each code, its essential billing tips, and key considerations for compliant and efficient billing.

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Alabama health system sues Humana to recoup MA payments after 340B rate revision

Fierce Healthcare

Baptist Health has filed a lawsuit against Humana arguing the payer’s Medicare Advantage Plans had underpaid for outpatient drugs purchased through the 340B Drug Pricing Program in light of a 2022 | After HHS was ordered to revise and repay a five-year 340B pay cut, Baptist Health argues in a recent lawsuit that Humana's failure to do the same breaches the terms of the pair's Medicare Advantage agreement.

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HHS Expands TEFCA by Adding Two Additional QHINs

HealthIT Answers

The ONC announced that two additional organizations—CommonWell Health Alliance and Kno2—have been designated as Qualified Health Information Networks™ (QHINs) capable of nationwide health data exchange governed by the Trusted Exchange Framework and Common Agreement. The post HHS Expands TEFCA by Adding Two Additional QHINs appeared first on Health IT Answers.

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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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Cigna, HelloFresh team up on meal kit benefit in employer plans

Fierce Healthcare

Cigna is teaming up with HelloFresh, which delivers meal kits to customers' homes, to make discounts for its services available in its employer plans. | Cigna is teaming up with HelloFresh, which delivers meal kits to customers' homes, to make discounts for its services available in its employer plans.

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Health IT Hires and Appointments

HealthIT Answers

Latest announcements made from companies and organizations on hiring include Availity, RxBenefits, Hallmark Health Care Solutions, Intelerad, Humana, Pelago, ImagineCare, Kyruus Health, Verseon, Savista, athenahealth, Oracle, BCBS, Shearwater Health, AArete, IBX, & Clarify Health. The post Health IT Hires and Appointments appeared first on Health IT Answers.

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The 'ripple effects' of a children's hospital cyberattack

Becker's Health IT

The cyberattack on Lurie Children's Hospital, the largest pediatric medical center in the Chicago area, is having "ripple effects" for patients and physicians across the region, WBEZ reported.

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Is Clinical Trial Diversity the New Patient Centricity?

HealthIT Answers

By Hiren Thakkar - Inadequate ethnic diversity in clinical trials, tight eligibility criteria, delayed or missing prescription recommendations for certain communities, and access gaps affecting global health are all hot topics in academia, business, and government. The post Is Clinical Trial Diversity the New Patient Centricity? appeared first on Health IT Answers.

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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.