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The following is a guest article by Ashish V. Shah, Co-Founder and CEO at Dina Payers Lean on Technology to Coordinate New Innovative Supplemental Benefits to Improve Quality, Outcomes, and Costs for Seniors Non-medical supplemental benefits like in-home support services, meal delivery, home modifications, and transportation have skyrocketed with Medicare Advantage (MA) plans.
As healthcare continues to advance with accountable care organizations and value-based care models, the industry is starting to see some real traction after a decade of groundwork in the form of CMS claims for the Medicare Shared Savings Program. There are some critical elements driving success here. The role of medication adherence and patient engagement are pivotal factors for continuing to achieve ACO and VBC goals.
Environment Fighting Wildfires with Chemicals: The Controversy and Danger of Flame Retardant Materials For the past week, I have watched my beloved city of Los Angeles become engulfed in flames. My heart aches knowing that the places I once lovedthe Will Rogers beach house, the Palisades lookout, and a drive up the Pacific Coast Highwaywill never be the same.
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!
A recent Joint Accreditation Data Report shows that healthcare continuing education is expanding to meet the growing needs of the industry. In 2022, the number of organizations providing healthcare training increased from 132 to 146, marking a 10% rise from the previous year. Additionally, learning opportunities saw significant growth, with a 31% increase in training programs and a 13% rise in participation among healthcare professionals.
2024 was a record-breaking year for whistleblower cases filed under the False Claims Act (FCA). There were 979 whistleblower filings allowing the Department of Justice (DOJ) to recover $2.4 billion. DOJ False Claims Act settlements in 2024 pulled in a total of $2.9 billion, $1.67 billion of which was attributed to healthcare. Well dig deeper into the healthcare settlements, including what allegations the organizations faced and how much these FCA violations cost them.
Cyberattacks in healthcare more frequently result in financial damage and lawsuits compared with other industries, according to a report from cybersecurity firm Netwrix.
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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.
Cyberattacks in healthcare more frequently result in financial damage and lawsuits compared with other industries, according to a report from cybersecurity firm Netwrix.
The use of artificial intelligence (AI) in healthcare, particularly radiology, continues to expand, but not without skepticism from clinicians and healthcare leaders. One way for a company to earn trust for its AI solutions is through the rigorous FDA approval process. Qure.ai is proof that it works. Dr. Samir Shah, Chief Medical Officer at Qure.ai , recently agreed to sit down with Healthcare IT Today to discuss the companys focus on seeking FDA approval for its AI solutions.
By Christie Scanlon - A carefully crafted Service Line Profitability report can be like a New Years resolution: Packed with potential, ready to reveal operational efficiencies, uncover opportunities, and provide strategic recommendations. But if not presented the right way, there is a real risk the most insightful of reports and dashboards will be ignored.
The Funding, led by Windham Capital Partners, will Further Fuel TailorMeds Mission to Eliminate Barriers to Care for Millions of Patients Today, TailorMed , a leading innovator in healthcare technology, announced a $40 million financing round combining equity and debt. This investment positions the company to advance its bold vision of transforming medication access, adherence, and affordability across the United States.
Elevance CEO Gail Boudreaux didn’t address the killing of UnitedHealthcare’s CEO directly on Thursday, but spent more time than usual arguing the insurer is working to improve healthcare.
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.
Trailblazing Technology Enhances Patient Engagement and Satisfaction, Leading to Improved Care Outcomes Relias , the trusted education and workforce enablement partner to 12,000 healthcare organizations, announces its acquisition of Feedtrail HealthcareXM , a company specializing in patient and employee experience, and reputation management. Feedtrails software, named Best in KLAS 2024 for Patient Experience Improvement , enables real-time, personalized patient experience data collection that fo
Telehealth has revolutionized mental health care by making it more accessible to patients regardless of their geographic location. As we step into 2025, mental health providers must stay informed about evolving telehealth billing regulations to ensure compliance and optimize reimbursement. This article provides a comprehensive overview of telehealth mental health billing updates for 2025, addressing key questions, coding changes, and regulatory updates that impact billing practices.
What You Should Know: – PathAI , a leading provider of AI-powered technology for pathology, today announced a strategic partnership with Discovery Life Sciences , a leading biospecimens and specialty lab testing company, to offer Discoverys customers enhanced, AI-enabled digital and quantitative insights from biospecimens to better inform drug and diagnostic development. –This collaboration marks a milestone as the first at-scale deployment of AI technologies into a leading commercia
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.
Steve Rolfes, Manager, Continuous Improvement at Savista In the ever-evolving landscape of healthcare, one constant remains: the need for financial stability and growth. Healthcare providers, facing rising operational costs, regulatory changes and increased competition, must evolve their financial strategies to ensure long-term sustainability. Historically, healthcare providers have relied heavily on chargemaster ratesthe set list prices for medical servicesas a primary method for revenue genera
Prime Therapeutics, a PBM owned by Blue Cross plans, violated federal and state antitrust laws through a collaboration with Express Scripts and must pay AIDS Healthcare Foundation more than $10 million, an arbitrator ruled.
What You Should Know: – DeepScribe , the ambient AI of choice for specialty care, and Flatiron Health, a leading healthtech company dedicated to expanding the possibilities of point of care solutions in oncology, today announced a partnership that brings DeepScribes AI documentation to clinicians using Flatirons OncoEMR, a leading cloud based electronic medical record platform. –The partnership establishes DeepScribe as the first ambient AI solution partner for Flatiron Health.
While the year's 57 Chapter 11 filings didn't reach the highs of 2023, physician practice bankruptcies continue to trend up while hospitals saw their largest bankruptcy "by far in the last 30 years.
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.
What You Should Know: – Bamboo Health , the leader in Real-Time Care Intelligence, is teaming up with Radial , a pioneer in decision support software for value-based care, to enhance care coordination and drive success in accountable care. –By empowering clinicians with actionable, in-the-moment insights, this collaboration streamlines care transitions, improves outcomes and lowers costs.
NOW on Demand The Scope With Dr. K. On this episode Dr. Kosinski chats with Krishna Ramachandran, Senior VP for Health Transformation and Provider Adoption at Blue Shield of California, discussing the challenges of implementing value-based care across different states, especially contrasting Californias capitation-heavy system with Illinois more fee-for-service model.
What You Should Know: – Tempus AI , a provider of AI-powered precision medicine launches olivia , an innovative personal health concierge app designed to revolutionize how patients manage their health information. – olivia brings together a patient’s health data from various sources, leverages AI to provide actionable insights, and empowers patients to take control of their health journey.
Health IT business news from Consensus Cloud Solutions, MRO, NextGen Healthcare, Wondr Health, Ensemble, Cotiviti, Tendo, ClearCost Health, Atropos Health, xCures, TapestryHealth, VirtuAlly, LiveData, Veradigm, HealthyBOS, ModMed, OncoHost, Experity, and more. The post Health IT Business News – January 23, 2025 appeared first on Health IT Answers.
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.
What You Should Know: – Neko Health , a pioneering preventative healthcare technology company co-founded by Hjalmar Nilsonne and Daniel Ek (founder of Spotify) raises $260M in a Series B funding round by Lightspeed Venture Partners , with participation from General Catalyst, O.G. Venture Partners , Rosello, Lakestar, and Atomico. This latest funding brings Neko Health’s total raised to over $325M. – The company’s AI-powered body scan is transforming how people understand
What You Should Know: – Centivo , a pioneering healthcare company committed to making quality healthcare radically affordable, is thrilled to announce the launch of Centivo Care, a virtual primary care practice seamlessly integrated into Centivo-administered health plans. –This innovative platform addresses the growing challenge of primary care access, offering a streamlined digital experience that connects patients and providers with unprecedented ease.
Elevance Health posted $418 million in profit for the fourth quarter of 2024, a figure that surpassed Wall Street's expectations despite decreasing 51% year over year.
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.
More than 24 million people secured coverage during open enrollment on the Affordable Care Act's exchanges, according to the latest marketplace report from CMS.
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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