Wed.Jul 10, 2024

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Federal Trade Commission to sue three largest PBMs: WSJ

Healthcare Dive

Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.

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Addressing behavioral health resources and costs in Ohio

Healthcare It News

Like many in the U.S., Ohioans are experiencing a historic shortage of behavioral healthcare resources. But population health management tools from Alera Health will help the Ohio Behavioral Health Providers Network better integrate mental health care. Meanwhile, the state’s Miami University has awarded $1 million in funding to the Ohio Alliance for Population Health for the Southern Ohio Behavioral Health Corridor to support future behavioral health practitioners committed to the state

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Judge pauses CMS rule capping compensation for Medicare Advantage brokers

Healthcare Dive

Texas Judge Reed O’Connor’s decision suggests he could overturn at least part of the rule, which is meant to curb predatory plan marketing to seniors.

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The MRO Exchange: Revenue Cycle Industry Expert Nio Queiro

MRO Compliance

Healthcare NOW Radio Podcast Network · MRO Exchange: Revenue Cycle Industry Expert Nio Queiro S1E4: Host Mo Weitnauer, Chief Product Officer at MRO, interviews revenue cycle industry expert Nio Queiro. They discuss how artificial intelligence is changing the revenue cycle landscape, and what the future may hold for the healthcare industry.

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From Payroll Pains to Growth Gains: Streamlining Payroll & HR for Success

Speaker: Joe Sharpe and James Carlson

In the world of small business management, the challenge of managing payroll & HR efficiently while scaling operations can be overwhelming. Yet, with the right strategies in place, these challenges can become opportunities for growth and innovation. In this session, Joe Sharpe, Senior Director of Managed Payroll Services at IRIS, will reveal practical methods and expert insights for outsourcing and streamlining payroll processes, resulting in substantial time and resource savings.

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Medicare proposes 2.6% bump to hospital outpatient pay next year

Healthcare Dive

The sweeping payment rule also solidifies continuous eligibility requirements for children in Medicaid and CHIP, and holds hospitals to higher obstetric care delivery standards in a bid to improve maternal mortality.

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Digital health funding shows improvement in 2024: Rock Health

Healthcare Dive

U.S. digital health startups have raised $5.7 billion across 266 deals so far this year, putting the sector on track to possibly exceed recent full-year funding totals.

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Cybersecurity Resilience in Healthcare Can Save Lives

Healthcare IT Today

The following is a guest article by Mary Lou Prevost, Group VP at Splunk Recently, we’ve witnessed a global increase of cyberattacks across the healthcare sector, including insurance providers, hospitals, and other services critical to maintaining health. This trend demonstrates an established pattern of cybercriminals attacking some of our most vulnerable institutions.

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WSJ: FTC to sue PBMs over drug pricing tactics

Fierce Healthcare

Just one day after issuing a report blasting pharmacy benefit managers for their business practices and focus on consolidation and vertical integration, the Federal Trade Commission (FTC) is report | The FTC is planning legal action against pharmacy benefit managers for rebate tactics that may hinder consumers and independent pharmacies.

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Workforce engagement is vital to the successful adoption of digital systems

Digital Health News

Appropriate engagement and support for clinical staff is not just fundamental to digital implementation, it is also essential post go-live and beyond, writes Fiona Mills in the final part of our four-part series on effective NMAHP digital teams

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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CMS floats 2.6% annual outpatient, ASC pay increase, new obstetrics Conditions of Participation

Fierce Healthcare

A proposed rule outlining the Centers for Medicare & Medicaid Services’ (CMS’) intended Medicare payment rates and policy updates for outpatient and ambulatory surgical centers (ASCs) in the co | The administration's CY 2025 OPPS and ASC Payment Systems proposed rule looks to improve obstetrical services, quality reporting and care access.

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Stanford Medicine Launches AI-Powered Consult to Improve Clinical Decisions + Outcomes

HIT Consultant

What You Should Know: – Stanford Medicine is revolutionizing the way community physicians deliver care with the launch of Patients Like Mine, a suite of services designed to equip them with the data and resources needed to provide high-quality, evidence-based treatment to their patients. – By empowering community physicians with the tools and knowledge they need, this program has the potential to revolutionize healthcare delivery, ensuring high-quality, evidence-based care for all pa

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How Chevron's demise could impact employers, purchasers, health payers

Fierce Healthcare

Healthcare legal observers are still reacting to the Supreme Court’s recent decision to gut the Chevron doctrine, fundamentally altering the power federal agencies have to handle regulations as the | Industry leaders and legal observers are still coming to terms with the Supreme Court's landmark decision to overturn the Chevron doctrine.

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Personalization, Patient Centricity, and Cost Savings with Celebrus

Healthcare IT Today

Effective patient engagement–which is fundamental to value-based care–is based on gathering all available information about each person in a privacy-respecting manner. Celebrus has been helping organizations in finance and retail build profiles of their clients for more than 25 years: “small p personalization,” according to Maigari Jinkiri, VP of Business Development.

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Advanced Compliance: OSHA & HIPAA in Healthcare Facilities

Dive into the Compliance Officer's Handbook for advanced OSHA and HIPAA strategies. This guide provides detailed steps for maintaining compliance in healthcare facilities, covering key regulations like the Bloodborne Pathogens Standard and HIPAA Privacy Rule. Learn to create a culture of compliance with management commitment, employee training, and regular risk assessments.

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Wes Streeting: We can make Britain a powerhouse for MedTech

Digital Health News

Health secretary Wes Streeting has pledged that the new government will “make Britain a powerhouse for life sciences and medical technology”.

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HHS Proposes HTI-2 Rule to Enhance Healthcare Data Sharing and Interoperability

HIT Consultant

What You Should Know: – The U.S. Department of Health and Human Services (HHS) has taken a significant step towards improving healthcare information exchange with the release of the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule. – The HTI-2 rule marks a major advancement in interoperability by focusing on seamless data exchange between patients, providers, payers, and public health auth

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Samsung announces new Galaxy Ring and Galaxy Watch Ultra

Mobi Health News

During the Galaxy Unpacked event in Paris today, the company announced its updated smartwatch and a new ring wearable with AI-enabled health features.

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Verantos Launches Alzheimer’s Disease Pragmatic Registry to Support RWE Generation

HIT Consultant

What You Should Know: – Verantos , the global leader in high-validity real-world evidence at scale, has launched its Alzheimer’s Disease Pragmatic Registry. – This registry offers life sciences organizations rich and reliable data on patients with Alzheimer’s disease and related conditions. Verantos: Leading High-Validity Real-World Evidence Verantos is the global leader in high-validity real-world evidence at scale.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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Change Healthcare preps to notify patients with breached data, states want info faster

Becker's Health IT

"Change Healthcare to contact patients affected by February ransomware attack in late July. Data breach impacted a substantial portion of Americans.

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Oracle Strengthens Pharmacovigilance Solutions with AI-Powered Enhancements

HIT Consultant

What You Should Know: – Oracle announced significant updates to its Argus and Safety One Intake solutions , bolstering its pharmacovigilance portfolio with AI-powered features. – These AI enhancements cater to the evolving needs of life science organizations, allowing them to navigate increasingly complex regulatory landscapes and manage rising adverse event caseloads.

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HHS releases HTI-2 proposed rule to advance interoperability for payer, public health IT

Fierce Healthcare

Just six months after finalizing a sweeping regulation with new requirements for AI transparency and interoperability, the federal government's healthcare tech arm is proposing another major policy | The rule establishes new certification criteria designed to enable health IT for public health as well as health IT for payers to be certified under the ONC Health IT Certification Program.

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Samsung Unveils Galaxy Ring, Galaxy Watch7 & Galaxy Watch Ultra: Expands Wearable Lineup’s Health Intelligence Capabilities

HIT Consultant

What You Should Know: – Samsung Electronics today announced a significant expansion of their wearables portfolio with the introduction of Galaxy Ring , Galaxy Watch7 , and Galaxy Watch Ultra. – These new devices, powered by Galaxy AI, are designed to deliver a holistic and personalized wellness experience for users at all levels. Galaxy Ring: Unassuming Design, Powerful Insights The Galaxy Ring offers a discreet and comfortable approach to wellness monitoring.

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Provide Real Value in Your Applications with Data and Analytics

The complexity of financial data, the need for real-time insight, and the demand for user-friendly visualizations can seem daunting when it comes to analytics - but there is an easier way. With Logi Symphony, we aim to turn these challenges into opportunities. Our platform empowers you to seamlessly integrate advanced data analytics, generative AI, data visualization, and pixel-perfect reporting into your applications, transforming raw data into actionable insights.

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Cityblock expands footprint in North Carolina through Alliance Health partnership

Fierce Healthcare

Cityblock, a Medicaid value-based care provider, has partnered with Alliance Health, a managed care organization in North Carolina, to help members with serious mental illness and substance use dis | Cityblock now serves more than 41,000 members in North Carolina following its partnership with Alliance Health, a managed care organization.

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Empara Launches AI Virtual Assistant for Navigating Benefits

HIT Consultant

What You Should Know: – Empara , a developer of healthcare technology focused on making healthcare accessible, affordable and seamless, has announced the launch of Em, its customizable AI virtual assistant. – Em is designed to make the member experience of navigating benefits simpler, more intuitive and personalized, while also increasing the efficiency and effectiveness of service providers and HR teams.

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The state of digital health investment in 2024

Fierce Healthcare

From 2020 to 2022, it was a wild ride for digital health with record-high deals and soaring valuations. | In this week’s episode of “Podnosis,” Executive Editor Heather Landi chats with Rock Health’s Megan Zweig to talk about the state of the digital health market, how startups and investors are taking a different approach to dealmaking and what to expect for the rest of the year.

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This Week’s Health IT Jobs – July 10, 2024

Healthcare IT Today

It can be very overwhelming scrolling though job board after job board in search of a position that fits your wants and needs. Let us take that stress away by finding a mix of great health IT jobs for you! We hope you enjoy this look at some of the health IT jobs we saw healthcare organizations trying to fill this week. Here’s a quick look at some of the health IT jobs we found: Epic Application Analyst/Coordinator (Remote) – Yakima Valley Farm Workers Clinic IT Systems Admin –

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Best Practices for Sharing Protected Health Information (PHI)

Explore essential topics in this ebook, including what constitutes PHI and how to identify it using 18 indicators. Gain insights into the importance of safeguarding PHI to protect patient privacy and learn about the severe consequences of HIPAA violations. Discover practical strategies for securely exchanging PHI within your healthcare organization, including assessing risks and implementing effective safeguards.