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Hundreds of thousands of seniors could switch plans during next year’s open enrollment, depending on how drastically the MA market giants slash benefits in an attempt to improve profits.
According to Rich Eells, VP of Innovation & Integration at United Digestive , the company is committed to continuous improvement. This trait works well with eClinicalWorks in the cloud, given the ability of a cloud service to introduce new features quickly. Running on Microsoft Azure also provides access to many resources and features. United Digestive employs 200 practitioners in the Southeastern US.
A federal court struck a blow to antitrust regulators on Wednesday when it ruled that Novant’s purchase of two hospitals from CHS could go through, arguing the deal seems likely to promote competition in North Carolina.
Restrictive health plan policies are increasingly relying on step therapy for cancer drugs, recent analysis from consulting firm Avalere shows. | Step therapy is embedded within prior auth requirements by health plans, potentially delaying critical access to care for cancer patients. In rare circumstances, patients must go through triple or quadruple step therapy.
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
Before his job as CEO ends this summer, Healthcare Dive spoke with Mark Schuster about the new medical school and how immersive technologies can aid instruction.
Dr. Guido Giunti discusses patient involvement and the necessity of being forward-thinking in creating digital therapeutics.
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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.
Leeds Teaching Hospitals NHS Trust saved an estimated 959 bed days in the first six months of a virtual ward service, according to analysis by the trust.
Insurers are likely to pay $1.1 billion in Affordable Care Act medical loss ratio rebates in 2024, according to a new analysis. | Insurers are likely to pay $1.1 billion in Affordable Care Act medical loss ratio rebates in 2024, according to a new analysis.
Healthcare IT supplier Clanwilliam is testing its pharmacy system technology in Wales to support the delivery of an Electronic Prescription Service (EPS).
Based on comprehensive survey data from diverse healthcare providers, the 2025 HIPAA Benchmark Report delivers actionable intelligence for modern compliance programs. This report examines how organizations are restructuring HIPAA Privacy Programs to address emerging regulatory requirements. Through analysis of staffing models, program operations, and breach management protocols, it provides a clear picture of current best practices.
What You Should Know: – AppliedVR , an immersive therapeutics (ITx) pioneer advancing a novel, virtual reality-based approach to medicine, today announced results from a secondary analysis of a large randomized controlled trial (RCT) that evaluated whether socio-demographic factors affected the clinical effectiveness of receiving a virtual reality (VR) therapy that treats chronic low back pain (cLBP) at home. – Researchers sought to determine whether there were differences among key
Healthcare fraud is a significant issue in the U.S. and one that continues to grow in scale as fraudulent actors seek to exploit the healthcare system for their own financial gain. According to the U.S. Department of Justice (D.O.J.), the cost of healthcare fraud in the country is close to $100 billion a year. This figure encompasses a wide range of deceptive practices by healthcare providers, patients, and third parties which include billing for services not rendered, falsifying documents, offe
The White House is calling on hospital executives, doctors and other healthcare leaders to take bolder steps to prevent gun violence by gathering more data about gunshot injuries and routinely coun | In 1996, Congress cut federal funding for gun control research by the CDC, essentially shifting the responsibility for funding and conducting the research to the private sector and academia—and with a fraction of the previous budget.
Every health care provider that accepts federal payments must screen for excluded providers. Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.
The following is a guest article by Laura Miller, Founder and CEO at TempDev It is a trusted healthcare provider’s responsibility to put the patient’s needs at the forefront of everything else. Their health and well-being should always be the top consideration when providing the best possible care. By prioritizing patients, you can ensure that they receive the attention and treatment they deserve and help them achieve optimal health outcomes.
Startup Eyebot aims to bring 21st-century innovation to vision care to make eye exams more accessible to people. | Startup Eyebot developed kiosks that provide automated, self-serve vision tests in as quickly as 90 seconds and can offer prescriptions for corrective eyewear.
In November 2023, the Office of Inspector General (OIG) issued updated General Compliance Program Guidance , marking a significant evolution in the standards governing healthcare compliance. It has been 16 years since they last touched guidance for an industry-specific entity and 26 years since OIG issued the original Compliance Program Guidance for Hospitals.
Two months after it released a scathing report on digital diabetes management solutions, the Peterson Health Technology Institute (PHTI) gave high marks to virtual physical therapy services for imp | Two months after it released a scathing report on digital diabetes management solutions, the Peterson Health Technology Institute gave high marks to virtual physical therapy services for improving patient outcomes and cutting healthcare costs.
In healthcare, where patient data protection is paramount, effective vendor risk management isn't just good business—it's essential for maintaining compliance and trust. This comprehensive guide helps healthcare compliance professionals navigate the complexities of third-party vendor relationships in an increasingly interconnected healthcare environment.
NOW on-demand, Value-Based Care Insights host Daniel J. Marino speaks with Damon Morse, an expert in rate analyses to discuss the challenges healthcare providers face with payer contract negotiations, and the strategies required to level discussions. The post Leveraging Data to Guide Discussions on Provider-Payer Contracts appeared first on Health IT Answers.
In the wake of the cyberattack on Change Healthcare, a key senator is urging federal regulators to take immediate steps to require major healthcare companies to beef up their cybersecurity. | In the wake of the cyberattack on Change Healthcare, a key senator is urging federal regulators to take immediate steps to require major healthcare companies to beef up their cybersecurity.
Many compliance violations in healthcare arise from financial conflicts of interest, particularly when providers get kickbacks or achieve financial gain from their referral services. With the establishment of Stark Law in healthcare, physicians and their organizations can see legal and economic repercussions for such “self-referrals.” Understanding Stark Law or Designated Health Services Designated health services (DHS) under Stark Law ensures physicians don’t receive financial gain from referri
This story will be updated as details about the partnership unfold. | The Digital Therapeutics Alliance announced a partnership with DirectTrust to start an accreditation program for digital therapeutics products to help gain uptake with payers.
Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.
Building a scalable enterprise data strategy to tackle AI can be complex and challenging, especially in a constantly evolving healthcare ecosystem. Snowflake, Redox’s newest partner , recently hosted Accelerate to help health and life sciences (HLS) organizations navigate this complexity and simplify their data foundations. As healthcare organizations start to tackle business and clinical use cases, they often struggle to harmonize disparate, siloed data and derive meaningful insights.
During Day 2 of the Digital Therapeutics Alliance's annual conference in Washington, D.C., industry stakeholders addressed the reality of the digital therapeutics market and offered advice to DTx c | The Digital Therapeutics Alliance, a trade group representing companies that provide therapy through software, hosts its annual conference in Washington, D.C., to discuss movements and lessons from the industry.
Health IT business news from NextGen Healthcare, Waystar, SPRY Therapeutics, Avel eCare, Seqera, Crosby Health, TruBridge, Lindus Health, Doctena, Aspirion, Rimidi, Wolters Kluwer Health, Navina, AArete, Marvin Behavioral Health, athenahealth, AvaSure, Lynx Dx and more. The post Health IT Business News – June 6, 2024 appeared first on Health IT Answers.
What You Should Know – Sware has secured $6 million in Series B funding to enhance its software validation solution for life sciences companies. – The new funding will support research and development, AI-driven capabilities, and expansion of Sware’s sales team to address validation debt. Insights into Sware’s Growth and Innovation Sware, a leading provider of comprehensive software validation solutions for the life sciences industry, has announced a successful raise of $
Healthcare communication has evolved from handwritten notes and paper charts to digital tools like EHRs, telemedicine, and AI-powered platforms. This blog explores how these advancements improve patient outcomes, streamline care delivery, and enhance provider collaboration. Learn about the role of mobile health (mHealth) apps, secure messaging, and social media in bridging communication gaps.
By Vanessa Justice - The world of health care is on the cusp of a revolution. Patients can conduct medical check-ups from the comfort of their homes using virtual platforms. Their medical records can be accessed and shared across all their healthcare providers at the click of a button. The post Stranded in Progress: Closing the Digital Skills Gap Amidst Transformation in Health Care appeared first on Health IT Answers.
Introduction In the competitive landscape of medical billing, the choice of a billing partner can significantly impact the financial health of a medical practice. Among the many medical billing companies competing for attention, Medisys Data Solutions (MDS) distinguishes itself with a unique, physician-focused approach that addresses the specific needs and challenges faced by healthcare providers.
At Healthicity, we believe in recognizing the exceptional contributions of compliance professionals who go above and beyond to ensure that their organizations uphold the highest standards of integrity and ethics. This year, we are thrilled to feature our first-ever Compliance Officer of the Year Award recipient, Johanna Brown , Director of Compliance at Kootenai Health in Coeur d'Alene, Idaho.
Choosing the best healthcare learning software is more than the sum of available courses. The healthcare industry is unique, with a steady stream of new requirements and safety measures. You want a partner just as committed as you are — to ensure compliance and top-notch patient care. In this blog post, I’ll share the features you should look for and your expectations, but more than that, I’ll help you see the value a true partner can provide.
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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