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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.
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
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.
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!
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.
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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Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
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.
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.
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
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.
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.
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.
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.
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.
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.
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
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
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: – 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.
Managing policy changes in healthcare can be difficult, but it doesn’t have to be. Healthcare businesses may implement effective policy management systems that keep them compliant and patients safe. Establishing a clear policy-making process and applying the appropriate technologies can make policy management more efficient. Furthermore, making policies and pertinent changes easily accessible can help ensure that everyone understands and complies with the applicable regulations.
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.
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.
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: – 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.
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 –
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.
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.
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.
Melissa Easy, VP & General Manager of Clinical Technologies, IQVIA The clinical trial landscape has greatly benefited from technological innovations over the past few decades. Innovation has expanded remote monitoring capabilities, patient recruitment tactics and the decentralization of clinical trials. However, one of the greatest hurdles that clinical researchers are currently facing is a deluge of disparate solutions across the clinical trial workflow.
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.
Compliance with healthcare regulations protects patients, safeguards employee safety, and maintains the security of electronic medical records (EMRs) and cyber networks. Ensuring compliance with critical regulations falls on the compliance officer. If you hold this position, you likely understand what’s at stake in protecting health information and preventing fraud, abuse, and adverse incidents.
Midwest health systems Sanford Health and Marshfield Clinic Health System announced plans Wednesday to explore a merger forming a 56-hospital, $10 billion revenue nonprofit heavyweight. | Following a string of botched mergers for both parties, the nonprofits are getting back in the saddle for a 56-hospital, cross-market deal they say will deliver integrated care and new population health efforts across the Midwest.
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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