Wed.Nov 15, 2023

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UnitedHealth sued over use of algorithm to deny care for MA members

Healthcare Dive

The lawsuit alleges UnitedHealth used nH Predict to deny claims for Medicare Advantage seniors, despite the algorithm’s determinations being overturned in more than 90% of appeals.

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Where social work, tech and health equity intersect

Healthcare It News

Felisha Norrington, director of academic assistance at GSU's College of Nursing and Health Professions, says while there is movement on health equity, social work and technology investments help ensure care resources are accessible to all people.

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New rule requires nursing homes to disclose ownership

Healthcare Dive

The final rule comes in response to growing concerns about the role of private equity firm ownership in nursing homes.

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Using Automation to Improve Payer Collaboration: On Air Insights

MRO Compliance

Managing laborious payer processes is one of the most cumbersome operational challenges for hospitals and health systems. From initial claim submission to filling additional documentation requests, and responding to payer audits or denials, healthcare provider organizations dedicate significant time and resources to collaboration with payers. I recently had the pleasure of sitting down with Beth Friedman, Senior Partner of FINN Partners, on FINN Voices , part of Healthcare NOW Radio.

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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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‘Finger-pointing and blame-shifting’: House subcommittee voices frustration over VA Oracle EHR rollout

Healthcare Dive

Witnesses at the hearing said system performance has improved, but lawmakers called the persistent outages “unacceptable.

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More Trending

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Centene names new COO following leadership turnover

Healthcare Dive

Current SVP Susan Smith will take the reins as the health insurer’s chief operating executive starting next year.

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Primary care player Forward unveils AI-based, self-serve CarePods backed by $100M investment

Fierce Healthcare

Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.< | Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.

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Senate subcommittee signals support for permanent telehealth flexibilities

Healthcare Dive

But witnesses noted Congress shouldn’t wait to enshrine pandemic-era accommodations for virtual care, arguing regulatory uncertainty is a danger to telehealth’s longevity.

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UnitedHealthcare hit with class action over alleged use of AI to deny Medicare Advantage claims

Fierce Healthcare

UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage. | UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage.

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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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Amazon’s One Medical partners with employer group for primary care

Healthcare Dive

The primary care chain will serve as a virtual and in-person primary care provider for companies like Coca-Cola, Boeing and JPMorgan.

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Frontline digitisation funds at risk to cover industrial action costs

Digital Health News

A new guidance letter from NHSE to trusts on industrial action suggests investment for frontline digitisation may be pulled from more mature trusts

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What Are Some of the Uses of AI You’ve Already Seen Implemented in Healthcare?

Healthcare IT Today

AI is a big field in the world of healthcare. It feels as though there is a new theory on the mass potential of AI in (insert field of choice here) every. single. day. But what is actively being done right now? What organizations and fields are using AI? What sort of tasks is it being asked to do and is it doing it well? In the search for answers, we pulled aside some of our most knowledgeable members of the Healthcare IT Today Community at the recent HLTH Conference to get their experiences wit

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Amazon's One Medical announces three new partnerships

Mobi Health News

Hackensack Meridian Health, CommonSpirit Health's Virginia Mason Franciscan Health, and the Health Transformation Alliance will utilize One Medical's primary care services.

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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.

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Digital pharmacy startup Truepill confirms hackers accessed health data for 2.3M users

Fierce Healthcare

Postmeds, doing business as Truepill, confirmed that hackers accessed the personal data of more than 2.3 million patients. | Postmeds, doing business as Truepill, confirmed that hackers accessed the personal data of more than 2.3 million patients.

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Zealous for Wellness: Deciding What Kind of Change You Want

Healthcare IT Today

The previous article in this series explained some of the ways payers, providers, and digital health companies demonstrate that they have made a positive difference in their patients’ lives. Jim Wallace, CEO of DecisionRx , writes to me that, “Payer incentives for wellness are largely stuck at the water’s edge, so to speak: few payers have gotten a lot of people to go in for a swim.” Their incentives (health club memberships, subsidies for over-the-counter healthcare products)

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Pediatric telehealth startup Summer Health expands text-based service into primary care for kids

Fierce Healthcare

Summer Health launched a year ago as a text-based service for parents to get answers to urgent needs from pediatricians. | There is a growing shortage of pediatric clinicians. To meet the demand for primary care services, Summer Health rolled out a new on-demand text message service for parents to connect with pediatricians, sleep coaches and lactation experts.

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Surescripts Acquires ActiveRADAR to Offer Therapeutic Alternatives for Prescriptions

Healthcare IT Today

Surescripts , the nation’s leading health information network, acquired ActiveRADAR , a clinical intelligence company that identifies therapeutic alternatives for prescriptions. “We are always looking for ways to broaden our impact on patients and the people who care for them,” explained Frank Harvey, Chief Executive Officer at Surescripts. “Our acquisition of ActiveRADAR underscores our commitment to optimizing our network solutions with even more comprehensive clinical and cost data avai

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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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Mental health platform UpLift acquires women-focused company Minded

Mobi Health News

The acquisition brings UpLift's offerings to Illinois, New York, Pennsylvania, Texas and California, helping to speed up its ability to expand nationally.

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Mental health platform UpLift acquires women-focused company Minded

Healthcare IT News - Telehealth

The acquisition brings UpLift's offerings to Illinois, New York, Pennsylvania, Texas and California, helping to speed up its ability to expand nationally.

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Koa Health external ethics audit shows 24% improvement

Digital Health News

Koa Health has announced that the results of its 2022-2023 external ethics audit show a 24% improvement in comparison to the year before.

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Lunit receives $150M capital chip-in, doubles down on US market

Mobi Health News

It has also obtained its third US FDA 510(k) clearance.

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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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NHS Confederation CEO: Innovation can help streamline NHS

Digital Health News

Ahead of the Digital Health Rewired conference in March 2024, Matthew Taylor explains why innovation and greater use of technology hold significant potential to improve the efficiency and effectiveness of the NHS.

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Ohio hospital reports 3rd party data breach

Becker's Health IT

Salem (Ohio) Regional Medical Center is the latest hospital to confirm being affected by a data breach that occurred at Perry Johnson & Associates, a medical transcription service, local news outlet, WFMJ reported Nov. 15.

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Digital Health Coffee Time Briefing ?

Digital Health News

This coffee briefing features a drug discovery partnership between Almirall and Absci, and a new rehabilitation hub for stroke survivors in Lanarkshire.

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CIO Perspective: The Crucial Role of a Trustworthy Consultant in Building a Sustainable Program

HIT Consultant

Anis Trabelsi, CIO at Palomar Health As a CIO with experience working with various consultants, I understand the importance of finding the right partner, especially in the realm of cybersecurity. Many consultants prioritize financial gains over personalized solutions, making it crucial to seek out ethical, committed and knowledgeable experts. In this article, I will highlight the key factors that make a good consultant, emphasizing the need for trust, a personal touch and a focus on tailored sol

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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.