Thu.Jan 23, 2025

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Supplemental Benefits Skyrocket but Access to Care Remains a Challenge

Healthcare IT Today

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.

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Even modest meds adherence can be financially transformative for health systems

Healthcare It News

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.

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Fighting Wildfires with Chemicals: The Controversy and Danger of Flame Retardant Materials

Bill of Health

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.

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Jefferson, Lehigh Valley Health to lay off 271 workers

Healthcare Dive

The layoffs come five months after the hospital operators merged, creating a 32-hospital system.

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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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Healthcare Continuing Education Professionals Day: Celebrating the Unsung Heroes of Patient Care 

American Medical Compliance

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.

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2024 DOJ False Claims Act Settlements in Healthcare Recover $1.67B

Compliancy Group

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.

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Why the FDA’s Involvement in AI is a Good Thing

Healthcare IT Today

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.

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Ensuring Your Service Line Profitability Report Gets the Attention it Deserves

HealthIT Answers

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.

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TailorMed Secures $40 Million to Expand the Largest Affordability Network into an End-to-End Platform, Transforming Patient Access to Care Nationwide

Healthcare IT Today

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.

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Elevance’s fourth-quarter profit slashed in half amid higher Medicaid costs

Healthcare Dive

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.

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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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Relias Acquires Feedtrail to Enhance Workforce Solutions With Patient Feedback Capabilities

Healthcare IT Today

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

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Telehealth Mental Health Billing 2025: Key Updates and Insights

Medisys Compliance

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.

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PathAI Partners to Deploy First AI-Powered Biospecimen Solutions

HIT Consultant

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

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Digital Health Coffee Time Briefing ☕

Digital Health News

Today's news roundup covers Cambridgeshire and Peterborough's EPMA rollout and BT urging a faster move to adopting digital connectivity.

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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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Beyond Chargemaster Rates: Rethinking Revenue Generation in Healthcare

HIT Consultant

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

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Fierce Healthcare - Untitled Article

Fierce Healthcare

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.

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DeepScribe and Flatiron Health Partner to Bring Ambient AI to Oncology

HIT Consultant

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.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

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.

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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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AI-Powered Care Coordination: Bamboo Health and Radial Join Forces

HIT Consultant

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.

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Krishna Ramachandran, Senior VP, Health Transformation and Provider Adoption

HealthIT Answers

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.

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Tempus AI Launches AI-Powered Personal Health Concierge App

HIT Consultant

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.

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Health IT Business News – January 23, 2025

HealthIT Answers

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.

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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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Neko Health Raises $260M to Expand AI-Powered Body Scans for Preventative Health

HIT Consultant

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

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Synnovis cyber attack caused two cases of severe patient harm

Digital Health News

Two patients have suffered long-term or permanent damage to their health as a result of the cyber attack on NHS pathology provider Synnovis.

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Centivo Launches No-Cost Virtual Primary Care

HIT Consultant

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.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

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.

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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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UHNM Heart and Lung Centre to help develop national AI training

Digital Health News

The Heart and Lung Centre at University Hospitals of North Midlands NHS Trust (UHNM) will help develop a national AI training programme.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

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.

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Vin Diwakar to keynote on Digital Transformation Stage at Rewired

Digital Health News

Dr Vin Diwakar, national director of transformation at NHS England, will open day two of Digital Health Rewired 2025 with a keynote address.

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Tempus unveils AI-enabled personal health concierge app

Mobi Health News

The olivia app will allow patients to aggregate their health data in a central location.

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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.