Thu.Jun 06, 2024

article thumbnail

Humana and CVS are downsizing their Medicare Advantage plans for 2025. Which insurers could benefit?

Healthcare Dive

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.

Medicare 334
article thumbnail

AI and eClinicalWorks in the Cloud at United Digestive

Healthcare IT Today

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.

Doctors 124
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

FTC cannot block $320M Novant, CHS deal

Healthcare Dive

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.

Hospitals 266
article thumbnail

Burdensome step therapy requirements could delay care for cancer patients: analysis

Fierce Healthcare

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.

120
120
article thumbnail

Simplify Screening for Excluded Providers

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.

article thumbnail

Kaiser Permanente School of Medicine’s outgoing CEO on how technology aids student learning

Healthcare Dive

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.

266
266
article thumbnail

NHS England scraps £300m digital pathways framework for GP tech

Digital Health News

NHS England has confirmed that its £300 million digital pathways framework has been cancelled, following delays caused by a legal claim.

116
116

More Trending

article thumbnail

Almost 1,000 bed days saved by virtual wards at Leeds Teaching Hospitals

Digital Health News

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.

Hospitals 115
article thumbnail

KFF: Insurers likely to pay out $1.1B in premium rebates this year

Fierce Healthcare

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.

112
112
article thumbnail

HHS warns hospitals of DDoS cyberattacks

Becker's Health IT

HHS warns hospitals of growing threat of DDoS cyberattacks and offers tips for prevention. Learn how to protect your critical infrastructure.

Hospitals 111
article thumbnail

Clinical Study Shows VR Treats Pain Consistently Across Sociodemographic Categories

HIT Consultant

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

article thumbnail

Healthcare Vendor Risk Management: Strategies for Protected Data

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.

article thumbnail

Clanwilliam tests electronic prescription technology in Wales

Digital Health News

Healthcare IT supplier Clanwilliam is testing its pharmacy system technology in Wales to support the delivery of an Electronic Prescription Service (EPS).

105
105
article thumbnail

Ada Health expands leadership team on back of revenue growth

Mobi Health News

Nick Altebrando has joined Ada as chief product officer, and Yury Rozenman will serve as the company's senior vice president of business development.

ADA 97
article thumbnail

How Technology is Helping Combat Healthcare Fraud

HIT Consultant

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

Fraud 94
article thumbnail

White House enlists doctors and hospitals to combat gun violence

Fierce Healthcare

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.

Doctors 92
article thumbnail

Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

Speaker: Jennifer Hill

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.

article thumbnail

The 7 Elements of an Effective Hospital Compliance Program | symplr

Symplr

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.

article thumbnail

Eyebot wants to make vision care more accessible through AI-powered kiosks. It just nabbed $6M to expand

Fierce Healthcare

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.

82
article thumbnail

Integrating Patient Engagement Solutions for Enhanced Value-Based Care Outcomes

Healthcare IT Today

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.

article thumbnail

Digital physical therapy solutions can improve patient outcomes, reduce healthcare spending, report finds

Fierce Healthcare

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.

78
article thumbnail

The Evolution of Communication in Healthcare Settings

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.

article thumbnail

Leveraging Data to Guide Discussions on Provider-Payer Contracts

HealthIT Answers

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.

59
article thumbnail

Wyden: HHS' current cybersecurity approach is 'woefully inadequate'

Fierce Healthcare

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.

73
article thumbnail

What Compliance Officers Need to Know About Stark Laws in Healthcare

Compliancy Group

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

article thumbnail

Digital Therapeutics Alliance to launch accreditation program to help DTx products gain uptake with payers

Fierce Healthcare

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.

70
article thumbnail

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.

article thumbnail

Accelerate AI adoption in healthcare with Redox and Snowflake

Redox

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.

59
article thumbnail

Digital Therapeutics Alliance conference, Day 2—'These were the kinds of moments that Google was born in'

Fierce Healthcare

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.

67
article thumbnail

Health IT Business News – June 6, 2024

HealthIT Answers

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.

59
article thumbnail

Sware Secures $6M to Help Life Sciences Eliminate Validation Debt

HIT Consultant

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 $

FDA 59
article thumbnail

The Role of Technology in Remote Patient Monitoring

Remote patient monitoring (RPM) is transforming healthcare by enabling providers to track patient health outside traditional clinical settings. This blog explores the role of technology in RPM, including wearable devices, mobile apps, and connected medical tools that collect and share real-time data. Discover how RPM expands care access, improves outcomes, enhances patient engagement, and reduces costs by shifting from reactive to proactive care.

article thumbnail

Stranded in Progress: Closing the Digital Skills Gap Amidst Transformation in Health Care

HealthIT Answers

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.

article thumbnail

Medisys Data: Standing Out Among Medical Billing Companies with Physician-Focused Solutions

Medisys Compliance

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.

article thumbnail

An Interview with Healthicity's First Compliance Officer of the Year

Healthicity

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.

article thumbnail

Choose the Best Healthcare Learning Software

MedTrainer

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.

article thumbnail

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?