Wed.Jul 10, 2024

article thumbnail

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.

343
343
article thumbnail

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

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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.

Medicare 301
article thumbnail

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.

182
182
article thumbnail

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.

article thumbnail

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.

Hospitals 282

More Trending

article thumbnail

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.

176
176
article thumbnail

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.

123
123
article thumbnail

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.

Hospitals 120
article thumbnail

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.

article thumbnail

15 Modern Use Cases for Enterprise Business Intelligence

Large enterprises face unique challenges in optimizing their Business Intelligence (BI) output due to the sheer scale and complexity of their operations. Unlike smaller organizations, where basic BI features and simple dashboards might suffice, enterprises must manage vast amounts of data from diverse sources. What are the top modern BI use cases for enterprise businesses to help you get a leg up on the competition?

article thumbnail

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.

123
123
article thumbnail

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.

117
117
article thumbnail

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

113
113
article thumbnail

How automated RPM referrals help reduce readmissions

Healthcare IT News - Telehealth

The HIMSS AI in Healthcare Forum is scheduled to take place September 5-6 in Boston. Learn more and register.

116
116
article thumbnail

From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

article thumbnail

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”.

article thumbnail

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

114
114
article thumbnail

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.

article thumbnail

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.

98
article thumbnail

Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

article thumbnail

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.

article thumbnail

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

article thumbnail

Managing Policy Changes in Healthcare: Strategies for Success

Healthcare Blog

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.

article thumbnail

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.

article thumbnail

Real-Life Examples of HIPAA Violations and How to Avoid Them

Speaker: Jack Clough, Chief Growth Officer

Download our 30-minute webinar where we delve into real-life examples of HIPAA violations and preventative measures every organization should know! You will learn: The critical factors that lead to HIPAA violations and how to identify them. Three compelling real-life cases of organizations that faced severe HIPAA penalties. Proven strategies to safeguard YOUR organization against HIPAA violations.

article thumbnail

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.

article thumbnail

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.

FDA 97
article thumbnail

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.

70
article thumbnail

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.

95
article thumbnail

Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.