Mon.Jun 17, 2024

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Passion in orthopedics and beyond: Meet Dr. Lew Schon on The Ortho Show

Healthcare Dive

Explore the connection between orthopedics and rock music with Dr. Lew Schon on The Ortho Show. Discover how this pioneering surgeon ended up performing with the Foo Fighters in an inspiring episode hosted by Dr. Scott Sigman.

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Google creates Tx-LLM for drug discovery and therapeutic development

Mobi Health News

Tx-LLM was fine-tuned from Google's Med-PaLM 2 and created to analyze a variety of chemical or biological entities to assist with the drug-discovery pipeline.

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By the numbers: The impact of the Ascension cyberattack

Healthcare Dive

The health system, one of the largest nonprofits in the country, lost access to its electronic health record, patient portal and some phone systems after the attack in early May.

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Color Health taps OpenAI to generate screening plans for cancer patients

Fierce Healthcare

Color Health is working with OpenAI to test out computer-generated personalized care plans for cancer patients. | Color developed a new copilot app that leverages GPT-4o to identify missing diagnostics and create tailored workup plans for patients.

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Bridging Innovation & Patient Care: The Growing Role of AI

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!

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Why the time is now for building Medicare Advantage networks

Healthcare Dive

Healthcare payers are leveraging automation and technology to build robust Medicare Advantage networks, overcoming challenges posed by changing deadlines and regulatory complexities.

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Amazon Pharmacy expands RxPass subscription service to Medicare patients

Fierce Healthcare

Amazon Pharmacy is expanding its prescription drug subscription program, called RxPass, to Prime members on Medicare insurance. | The RxPass program, launched in January 2023, provides unlimited access to 60 eligible generic medications and will ship the medications to customers' homes for a flat monthly fee of $5.

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Value-based care, GLP-1s: 4 takeaways from AHIP 2024

Fierce Healthcare

LAS VEGAS — Last week, leaders across the health insurance industry descended on Sin City to dig deep into the biggest topics facing payers. | LAS VEGAS — Last week, leaders across the health insurance industry descended on Sin City to dig deep into the biggest issues facing payers.

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CIO Podcast – Episode 76: Renovating Healthcare IT, a Health IT Book by Susan Snedaker

Healthcare IT Today

For the 76th episode of the CIO podcast hosted by Healthcare IT Today, we are joined by Susan Snedaker, Chief Information Officer at El Rio Health to talk about her new book, Renovating Healthcare IT: Building the Foundation for Digital Transformation ! We kick this episode off by talking about the motivations behind Snedaker’s newest publication.

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As nursing visas again hit their annual limit, industry groups call for Congress to step in

Fierce Healthcare

International workers’ high demand for employment-based immigrant visas has led the State Department to effectively cut off the flow of green cards for skilled workers, including nurses, for the re | "This latest visa freeze halts the flow of qualified international nurses when American hospitals need them most, and the only way to correct it is through congressional action," said American Association of International Healthcare President Patty Jeffrey.

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RingConn Smart Ring Review

Healthcare IT Today

Over the years, I’ve tried pretty much every health tracker out there. Everything from smart scales to blood pressure cuffs to thermometers and dozens of others. It’s amazing the explosion of smart devices that are available to help with remote patient monitoring. Although, for some reason I’d never had a chance to use one of the smart rings until now.

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HIPAA Compliance 2025: Navigating Regulatory Changes & Industry Trends

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.

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HealthTap now accepts insurance for virtual primary care services

Mobi Health News

The company is now an in-network provider with numerous insurers and commercial and Medicare Advantage plans, expanding its reach to all 50 states.

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Ming Tang announced as keynote at AI and Data 2024

Digital Health News

Ming Tang, the national leader at the forefront of the NHS’ data revolution in England, returns as national keynote at Digital Health AI and Data 2024.

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Mark Cuban's D2C pharmacy won't beat most insured patients' out of pocket drug prices, one study finds

Fierce Healthcare

Insured patients are often better off buying their generic prescriptions through their health insurance benefits than through Mark Cuban Cost Plus Drug Company, though those without insurance could | Only about 12% of generic prescription fills bring higher costs than the billionaire-backed pharmacy, with median savings among these landing at about $5.

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3 Ways AI Can Reduce Relapse Rates in Behavioral Health

HIT Consultant

What You Should Know: – Relapse rates in behavioral health treatment are a persistent hurdle. Up to 80% of people with substance use disorders will relapse at some point, causing discouragement for both patients and providers. However, a new weapon is emerging in the fight for sustained recovery: Artificial Intelligence (AI). Early Intervention: Catching Relapse Before it Starts Videra Health , an AI-powered mental health assessment platform, highlights how AI can play a crucial role in re

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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.

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AHIP 2024: Cutting through the 'nostalgia' for traditional Medicare

Fierce Healthcare

LAS VEGAS—The eyes of many regulators and lawmakers are on Medicare Advantage (MA), and, amid rising criticism of the program, one industry leader is making the case that "nostalgia" for traditiona | LAS VEGAS—The eyes of many regulators and lawmakers are on Medicare Advantage, and amid rising criticism of the program, one industry leader is making the case that "nostalgia" for traditional Medicare is misguided.

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OpenAI, Color Health Launch Cancer Copilot Tool To Expedite Cancer Treatment

HIT Consultant

What You Should Know: – Cancer – the second leading cause of death in the United States – is a complex disease requiring timely diagnosis and treatment. Delays in either can significantly impact patient outcomes. – Color Health , a company dedicated to improving access to healthcare, has partnered with OpenAI to pioneer a new solution: the copilot application.

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Lewisham and Greenwich NHS Trust goes live with CardMedic

Digital Health News

Healthcare translation app CardMedic has been downloaded by nearly 400 members of staff at Lewisham and Greenwich NHS Trust since its roll out.

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CMS extends dispute process amid Change hack

Becker's Health IT

In response to the February ransomware attack on Change Healthcare, CMS is introducing special measures to assist affected organizations in navigating the federal independent dispute resolution process.

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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.

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Riverside University Health System to Build $580M Behavioral Health Campus

HIT Consultant

Riverside University Health System (RUHS) and PMB broke ground on an unprecedented project, The 445,000 SF Wellness Village in Mead Valley, that will transform healthcare by integrating the behavioral health continuum of care into a single environment combining medical care, behavioral health, and social services. What You Should Know: – Riverside University Health System (RUHS) and PMB broke ground on an unprecedented project, The Wellness Village in Mead Valley, that will transform healt

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Natural Cycles Closes $55M Series C Financing Round Led by Lauxera Capital Partners

Healthcare IT Today

Natural Cycles , a leading women’s health company that developed the world’s first birth control app, announced today the closure of its Series C financing round led by Lauxera Capital Partners. The $55 million financing with participation from Point72 Private Investments will be used to invest in commercial acceleration, new product development, and healthcare reimbursement automation.

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Payers: Digital Health Investments Increase Member Satisfaction

HIT Consultant

What You Should Know: – The healthcare landscape is undergoing a significant transformation driven by advancements in digital health technology. A recent EY Health Pulse Survey reveals a wave of positive changes, with members experiencing greater control, easier access to information, and improved satisfaction thanks to these advancements. – With a focus on personalization, empowered patients, and data-driven decision-making, digital health tools are revolutionizing the industry.

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For-Profit-ization of Care

HealthIT Answers

NOW on demand, Health Unabashed episode with guest Dr. Sachin Jain, a multistate operator in the Medicare Advantage space to discuss the state of the health plan market, prospects for innovation, and obstacles to moving toward value-based care models. The post For-Profit-ization of Care appeared first on Health IT Answers.

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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.

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VA extends EHR modernization contract with Oracle Health for 11 months

Fierce Healthcare

The Department of Veterans Affairs extended its contract with Oracle Health for another 11 months as part of a massive electronic health record modernization project. | The Department of Veterans Affairs extended its contract with Oracle Health for another 11 months as part of a massive electronic health record modernization project.

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How Do CMS Checks in Healthcare Work?

Compliancy Group

The Centers for Medicare & Medicaid Services (CMS) has identified that a significant number of improper payments are issued every year. In 2023 alone, the improper payment rate reported by CMS for Part D payments alone was nearly 4%, an increase from 2022. The most common source of error is funds paid to the wrong entity. This can happen for multiple reasons, but the primary reason is insufficient documentation or payment amounts that are not supported by the documentation that was submitted

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Most Americans, Both Younger and Older, Worry About the Future of Medicare and Social Security

Jane Sarashon

You would assume that most people over 50 would be worried about the financial future of Medicare to cover health care as those middle-aged Americans age. But a surprising two-thirds of young Americans between 18 and 29, and 7 in 10 between 30 and 39 years of age, are concerned that Medicare’s solvency will worsen leading to their not being able to receive Medicare when eligible to receive it, discovered in the 2024 Healthcare in America Report from West Health and Gallup.

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What’s Happening at the ONC

HealthIT Answers

Supporting the adoption of health IT and the promotion of nationwide health information exchange to improve health care, here is what is happening at the ONC, including the upcoming quarterly Health IT Certification Program Developer Roundtable, a new funding opportunity for LEAP in Health IT, and a new Data Brief. The post What’s Happening at the ONC appeared first on Health IT Answers.

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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.

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May 2024 Bad Actors Roundup

Verisys

May 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Barbourville Pharmacy and its Pharmacist-in-Charge to Pay $215,000 to Resolve Alleged Violations of the Controlled Substances Act ( Full Story ) Gynecologist, Two Pharmacists, and Others Sentenced for Operating Massive Pill Mill Network ( Full Story ) Former West Michigan Doctor Sentenced to 5 Years in Federal Prison ( Full Story ) Miss

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Policy Management Software As a Part of Risk Management in Healthcare

Healthcare Blog

Effective risk management systems serve as the backbone of healthcare organizations, as managing risks is an ongoing responsibility for all healthcare systems. Risk management systems help to increase patient safety and satisfaction. These systems also benefit the organization by protecting assets, market share, accreditation, reimbursement levels, and brand value.

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June 2024 Regulatory Compliance Updates

Verisys

– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: June 2024 Overlook: Federal Legislation DEA Licensure Compacts Other Legislation Board Updates Alabama: Veterinarians do not have NPI Numbers: The Board of Pharmacy has been asked to remind all pharmacists that veterinarians do not have NPI numbers. The Alabama State Board of Veterinary Medical Examiners has found that veterinary prescriptions were delayed in being filled due to the pharmacist requestin

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Streamlining Medicare Advantage Organizations Member Communication: A Guide to CMS’s Model Materials for CY 2025

Innovaare Compliance

Every year, Medicare Advantage Organizations (MAO) 1 must update their member communication materials, such as the Annual Notice of Change (ANOC), Evidence of Coverage (EOC), Provider Directory, Excluded Provider Model, Formulary (Comprehensive and Abridged), Low-Income Subsidy (LIS) Rider, Notice of Formulary Changes, and Transition Letter, among others.

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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.