Fri.Jun 21, 2024

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States using unwinding lessons to improve Medicaid: KFF

Healthcare Dive

Medicaid unwinding has been less than perfect. However, the process has helped states expand Medicaid eligibility to more people and streamline enrollment and outreach, according to a new survey.

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‘A mixed bag’: Fifth Circuit rules on ACA preventive services legal case

Fierce Healthcare

The Fifth Circuit Court of Appeals has issued a decision in a major legal case that observers have said could fundamentally alter the preventive services provision in the Affordable Care Act. | The Fifth Circuit Court of Appeals has issued its ruling on Braidwood Management v. Becerra, a case that has wide-ranging implications on millions of Americans.

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Change Healthcare starts sending data breach notifications after cyberattack

Healthcare Dive

The attack may have exposed data like medical information, payment details and Social Security numbers for a potentially huge swath of Americans.

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Virtual maternity care provider Pomelo clinches $46M to scale

Fierce Healthcare

Pomelo Care, a virtual value-based provider focused on maternal health, raised $46 million in a series B round to expand its care model and grow its headcount. | Pomelo offers virtual pregnancy, postpartum and infant care to patients between visits, while also analyzing claims and health record data to proactively identify individual risk factors.

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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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Steward further extends asset sale timeline. More delays could follow.

Healthcare Dive

It’s the second time the distressed health system has pushed back the proposed sale timeline since it entered Chapter 11 restructuring in May.

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Done responds to fraud charges, 'stands by' integrity of its services even as former employees raise the alarm

Fierce Healthcare

Telehealth startup Done said it "disagrees" with the criminal charges filed last week against its founder, Ruthia He, and David Brody, M.D., and plans to continue operating. | Telehealth startup Done said it "disagrees" with the criminal charges filed last week against its founder, Ruthia He, and David Brody, M.D. and plans to continue operating.

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More Trending

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Industry Voices—The future of U.S. healthcare must be primary care-led

Fierce Healthcare

There is an old saying that if you do not make time for your wellness, you will be forced to make time for your illness. | The time has come to recognize the power of primary care to lead transformation of the U.S. healthcare system.

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Biden administration to roll out new healthcare cybersecurity rules

Becker's Health IT

In the coming weeks, the Biden administration is set to unveil regulations aimed at enhancing cybersecurity across the healthcare sector, GovInfoSecurity reported June 20.

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West Hertfordshire Teaching rolls out OptiRad radiology tech

Digital Health News

West Hertfordshire Teaching Hospital NHS Trust has rolled out Hexarad technology which aims to boost the performance of its radiology departments.

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IT security exec sentenced for cyberattack on Georgia hospital

Becker's Health IT

A cybersecurity executive, who breached the computer system of Lawrenceville, Ga.-based Gwinnett Medical Center in 2018 in an effort to improve his company's financials, has been sentenced to two years of home detention after paying more than $800,000 in restitution, The Atlanta Journal-Constitution reported June 21.

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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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Healthcare Providers’ Role in Preventing Fraud, Waste, and Abuse 

American Medical Compliance

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Fraud, waste, and abuse (FWA) in healthcare present significant challenges, causing substantial financial losses, eroding public trust, and compromising the quality of patient care. Moreover, as frontline defenders of the healthcare system, healthcare providers play a crucial role in preventing these issues.

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Kaiser Permanente's Risant Health signs deal to acquire Cone Health

Fierce Healthcare

Kaiser Permanente’s Risant Health has named North Carolina’s Cone Health as the second acquisition target on its path toward a multisystem, multiregional value-based care entity. | The definitive agreement to purchase the $2.8 billion North Carolina nonprofit comes shortly after the value-based care subsidiary completed its deal for Geisinger Health.

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knownwell acquires Alfie Health to enhance metabolic health offerings

Mobi Health News

Alfie's personalized treatment platform, ObesityRx, will be integrated into knownwell's primary care and metabolic health offerings.

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Attorney general outlines 40 'non-negotiable' terms for Prospect's safety net hospitals sale

Fierce Healthcare

Rhode Island Attorney General Peter Neronha announced Thursday that his office will permit a heavily scrutinized sale of two struggling safety net hospitals, though it will be imposing a laundry li | “This decision. ensures that Prospect cannot walk away from these hospitals until they have met their baseline obligations,” Rhode Island Attorney General Peter Neronha said Thursday.

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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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Eko Health Raises $41 Million to Scale AI-Driven Heart and Lung Disease Detection

Healthcare IT Today

Supporting More than 500,000 U.S. Healthcare Professionals, Eko Combines FDA-Cleared Algorithms with Digital Medical Devices to Enhance the Early Detection of Cardiac and Pulmonary Diseases During Physical Exams Eko Health , a pioneer in applying artificial intelligence for early detection of heart and lung diseases, today announced it has raised $41 million in Series D financing.

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Chutes & Ladders—Carelon Health taps new president; AAMC announces new board of directors

Fierce Healthcare

Chutes & Ladders—Carelon Health taps new president; AAMC announces new board of directors ebeavins Fri, 06/21/2024 - 11:57

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Patient data published online following south east London cyber attack

Digital Health News

Cyber criminals have published patient data online which they claim was stolen as part of an attack on Synnovis, NHS England has confirmed.

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Friday at Five: 5 RCM Strategies for Successful AI Implementation

HealthIT Answers

By Jim Bohnsack - As artificial intelligence continues revolutionizing various industries, healthcare revenue cycle management stands out as a field ripe with opportunity. Here are five key takeaways on how AI is reshaping healthcare RCM and what organizations must consider for successful implementation. The post Friday at Five: 5 RCM Strategies for Successful AI Implementation appeared first on Health IT Answers.

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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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Zing Coach Raises $10M to Expand AI-Powered Fitness Coach

HIT Consultant

What You Should Know: – Zing Coach , a health-tech leader backed by Palta , has secured $10M in Series A funding led by Zubr Capital and Triple Point Capital. – The secured funding will empower Zing Coach to expand its development team and bolster marketing efforts to reach new international markets. Additionally, the company will further refine its AI Coach technology. – Currently, in beta testing, the AI Coach will be available to all Zing Coach users this fall.

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2024 HL7® FHIR® DevDays Top 5 takeaways (a newbie’s take)

Redox

This year marked my inaugural voyage to HL7® FHIR® DevDays , alongside my Redox colleagues, Autumn Ike , and Mike Paetz. This blog represents our collective Top 5 takeaways from this year’s 4-day affair. I work with FHIR daily and consider myself to have an intermediate understanding of it, including: Formats Terminologies Data types and domains Associated protocols The legislation that’s led to its accelerated adoption (for some pointed use cases) This intermediate knowledge is enough for

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Digital Health’s monthly roundup of contracts and go lives

Digital Health News

This roundup features new standard infusion pump software at Alder Hey Children’s Hospital and a new EPR for Kent Community Health’s sexual health service.

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Unlocking the ROI of Digitizing Competency Management

Dossier

Authored By: Geir Arnhoff CEO Linkedin The push toward digitization has become a central strategy for healthcare organizations aiming to enhance operational efficiency, improve patient outcomes, and streamline workforce management. One critical area undergoing this transformation is competency management — the systematic approach to identifying, developing, and tracking the skills and knowledge of healthcare professionals.

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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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Effective Communication with the Hearing-Impaired Training

American Medical Compliance

The following Effective Communication with the Hearing-Impaired Training is designed to educate healthcare providers (HCP) on the basis of hearing-impairment and how to effectively communicate with patients who are affected by hearing loss. Furthermore, it is crucial for healthcare providers to understand how to communication and care for the impaired.

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Helping Chiropractors to Navigate OIG Compliance

Compliancy Group

The Office of the Inspector General (OIG) has honed in on chiropractic practices over the last few years because of improper payments and claims, and noncompliance with Medicare requirements. There seems to be a gap between chiropractic services and positive compliance outcomes. This is why an OIG compliance manual for chiropractors is essential. These programs cut down on noncompliance with standards for care and prevent discrepancies with submitted billing codes.

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Upcoming events

Hanys

Standing membership call on state and federal issues June 25 A new era of treatment: Lessons in anti-amyloid care pathways June 27 How to do a thorough Nursing Home Facility Assessment July 9 Government relations update series July 12

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Reporting Elder Abuse on the Claim

AIHC

Part 4 in a series of articles to support World Elder Abuse Awareness Written by Joy Rose , MSA, RHIA, CCS, CHA, CHPS ICD-10-CM Rules for Coding Abuse World Elder Abuse Awareness Day was June 15. Adult and child abuse, neglect and other maltreatment is unfortunately prevalent in society, and many believe that these cases are underreported (refer to the June 2024 article “ Detecting Abuse of the Elderly ” Part 2 in a series of AIHC Elder Abuse Awareness Training for your Workforce articles).

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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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HANYS honors Senate Majority Leader Charles Schumer

Hanys

HANYS recognized Sen. Schumer this week with our 2024 Distinguished Service Award! Sen. Schumer has always gone the extra mile to support and protect New York's healthcare providers and preserve New Yorkers' access to care. His efforts have benefitted the health of Americans across the nation. Learn more about his extraordinary contributions to healthcare.

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Remanufacturing or Servicing of Medical Devices: FDA Issues Final Guidance Providing Additional Clarification

Hall Render

In May 2024, the U.S. Food and Drug Administration (“FDA”) issued a Final Guidance titled “Remanufacturing of Medical Devices,” clarifying the definition of “remanufacturing” for reusable medical devices in need of maintenance or repair (“Final Guidance”). According to the FDA, the Final Guidance is designed to help medical device servicers understand when certain device repairs and modifications performed on devices “are likely manufacturing,” as well as to “

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What Is the Status of the FTC’s Non-Compete Ban?

Hall Render

As previously discussed here , on April 23, 2024, the Federal Trade Commission (“FTC”) voted to adopt a final rule banning a majority of workers’ non-compete clauses (“Final Rule”). The Final Rule is set to go into effect on September 4, 2024. Nevertheless, pending litigation may delay the Final Rule or negate it entirely, and a decision is expected from the court on July 3, 2024.

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Health Provider News

Hall Render

NATIONAL 50% of U.S. military bases are in a health care desert, NPR probe finds AHA blog pushes back on report on nonprofit hospitals AMA adopts new prior authorization reform policies Change Healthcare cyberattack: CMS to end relief funding program CMS extends dispute process amid Change hack CMS closes headquarters after Legionella detected FDA again delays Drug Supply Chain Security Act enforcement HHS alerts health sector to 14 new cyber vulnerabilities Leaked documents reveal patient safet

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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.