Wed.Jan 24, 2024

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Senator probes MA exchanges’ marketing tactics

Healthcare Dive

The head of the Senate Finance Committee sent letters to several health insurance exchanges on Tuesday, as part of an inquiry into allegedly predatory Medicare Advantage marketing to seniors.

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MRO Is Among Latest to Earn Validated Data Stream Designations in NCQA Data Aggregator Validation Program, For Third Time

MRO Compliance

Norristown, Pa. – January 24, 2024 – MRO Corp., the leading clinical data exchange company in healthcare, announced today that it has earned the Validated Data Stream designation in the National Committee for Quality Assurance (NCQA) Data Aggregator Validation program. It is part of the latest NCQA cohort to earn the NCQA validation. “MRO is excited to earn data stream validations for a third time and to continue providing clinical data directly sourced from multiple EHRs, with proven accuracy,

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Elevance controls medical costs to $6B profit in 2023

Healthcare Dive

The payer curbed the worst of medical cost growth last year, and expects to do the same in 2024 — an assumption one analyst called “aggressive” given persistent higher utilization among seniors.

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AI, Copyright, and Open Science: Health Implications of the New York Times/OpenAI Lawsuit

Bill of Health

By Adithi Iyer The legal world is atwitter with the developing artificial intelligence (“AI”) copyright cage match between The New York Times and OpenAI. The Times filed its complaint in Manhattan Federal District Court on December 27 accusing OpenAI of unlawfully using its (copyrighted and paywalled) articles to train ChatGPT. OpenAI, in turn, published a sharply-worded response on January 8, claiming that its incorporation of the material for training purposes squarely constitutes fair use.

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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.

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Humana posts big loss, dour outlook on Medicare Advantage cost spike

Healthcare Dive

The health insurer’s stock plunged Thursday morning following its 2023 results, which fell startlingly short of Wall Street’s expectations.

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Congressmen press Steward Health Care over reports of ‘grave financial distress’

Healthcare Dive

Lawmakers demanded the operator detail how it will "ensure the communities Steward’s hospitals serve are not abandoned" amid financial troubles.

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Instacart taps DispatchHealth to expand its reach to home care providers

Fierce Healthcare

Grocery delivery company Instacart notched another partnership with a care provider as it extends its reach into healthcare. | The company will work with in-home care provider DispatchHealth to enable providers to prescribe food interventions, much like traditional medications, right to patients' homes.

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Walgreens exploring sale of Shields Health Solutions: Bloomberg

Healthcare Dive

The specialty pharmacy could be valued at more than $4 billion in a sale, but a deal might slow the healthcare segment’s drive toward profitability.

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Digital Health at CES 2024

Healthcare IT Today

CES is always a fun show for a tech guy like myself. With 130,000 people, there’s a lot of noise that doesn’t relate to healthcare IT, but over the years the digital health portion of CES has really grown. This year that growth was particularly true thanks to the great efforts of Catherine Pugh who put together an entire Digital Health track, a long list of digital health vendors, and a packed house digital health networking event.

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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?

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Marshfield Clinic to close Wisconsin hospice center due to ‘limited resources’

Healthcare Dive

The announcement comes weeks after the financially troubled health system called off merger discussions with Duluth, Minnesota-based Essentia Health.

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The Big Consult: Major Criteria for Adopting a Digital App or Service

Healthcare IT Today

The previous article in this series described how digital IT companies differ from clinical settings , and focused on the importance of clinicians deciding what their particular IT needs are. This article, and the next, lay out criteria for choosing a solution. Even once you know what you need in your clinical setting, demonstrating the value of a new technology is hard.

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Walgreens exploring sale of specialty pharmacy company Shields Health: media report

Fierce Healthcare

Walgreens is exploring a potential sale of its specialty pharmacy business Shields Health Solutions, just two-and-half years after it bought a majority stake in the business. | Walgreens is exploring a potential sale of its specialty pharmacy business Shields Health Solutions, just two-and-half years after it bought a majority stake in the business, according to a Bloomberg report.

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Smart Hospital Solutions from Artisight

Healthcare IT Today

Stephanie Lahr, MD, CHCIO and president of Artisight , envisions a future where every hospital room hosts a camera and speaker in order to support two-way video. Hospitals are using Artisight’s capabilities for remote support of nurses, but they are expanding to other disciplines as well. When you leverage nurses at the bedside and others watching over video, each can focus on different aspects of care.

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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

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Why this Fortune 100 company swapped from Caremark to a startup PBM

Fierce Healthcare

Amid an ongoing conversation about pharmacy benefit managers and the role they play in rising drug costs, a Fortune 100 company is making the jump from one of the industry's biggest players to a st | Amid an ongoing conversation about pharmacy benefit managers and the role they play in rising drug costs, a Fortune 100 company is making the jump from one of the industry's biggest players to a startup.

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Featured Health IT Job: Service Desk CSM Lead

Healthcare IT Today

We like to regularly feature a healthcare IT job that might be of interest to readers. Today, we’re featuring the Service Desk CSM Lead position that was recently posted on Healthcare IT Central. This position was posted by Stoltenberg Consulting Inc. and is a hybrid position based in New York City, New York. Here’s a description of the position: Now seeking a CSM to lead daily operations and oversight of the Epic and technical support service desk for a health system client in New

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Federal officials trumpet record high ACA enrollment

Fierce Healthcare

More than 21.3 million people will be enrolled in an Affordable Care Act during this year's open enrollment period, Centers for Medicare & Medicaid Services (CMS) announced today. | Affordable Care Act enrollment has hit an all-time high, prompting federal officials to recognize its importance to the insurance marketplace today.

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AI identified as a top risk for healthcare

Mobi Health News

AI and new technologies are among the top five management risks providers face in 2024, according to an annual report by Kodiak Solutions. The other risks are based around financial performance, competition, workforce and cybersecurity, with AI and new technologies affecting most of those categories, according to the report.

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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.

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Cleveland Clinic has 'ethical imperative' to build on 2023's 14M patient encounters, CEO says

Fierce Healthcare

Cleveland Clinic CEO and President Tom Mihaljevic, M.D., is promising his team a year of workforce development, physical security initiatives and sustainable growth amid an industry rife with risin | Despite 2023's tight 0.4% operating margin, CEO Tom Mihaljevic, M.D., told employees that the nonprofit system is prioritizing continued workforce investments and worldwide expansion.

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Bon Secours Mercy Health hit with data breach lawsuit

Becker's Health IT

Cincinnati-based Bon Secours Mercy Health is the latest big health system to face a lawsuit over a data breach involving a medical transcription vendor.

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Blue Cross Blue Shield of Massachusetts delays controversial anesthesia policy

Fierce Healthcare

A Blue Cross Blue Shield of Massachusetts policy that was set to begin Jan. | The health plan said its delaying implementation of its new monitored anesthesia care policy, just one month after we reported on patient advocacy groups' concerns over the policy.

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Nordic EPR lead: UK EPR market will never be dominated by one system

Digital Health News

Alison MacDonald, senior VP and global lead, EHR implementation at Nordic Consulting, says the UK EPR market will never be dominated by one system.

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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.

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Emory Healthcare Appoints Dr. Nitu Kashyap as Chief Health Informatics Officer

HIT Consultant

Dr. Nitu Kashyap, MD, FAMIA, Chief Health Informatics Officer at Emory Healthcare What You Should Know: Emory Healthcare has announced the appointment of Dr. Nitu Kashyap, MD, FAMIA, as its Chief Health Informatics Officer (CHIO), effective from February 5, 2024. In her new role, Dr. Kashyap will be responsible for overseeing technology projects spanning clinical disciplines to ensure alignment with Emory’s strategic goals in patient experience, care, teaching, and research.

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C2-Ai named as winner of Health Inequalities Targeted Call

Digital Health News

C2-AI has been named as one of the winners of the Health Inequalities Targeted Call, for its AI solutions for patient risk assessments.

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Ethics for AI in Health – A View From The World Health Organization

Jane Sarashon

For health care, AI can benefit diagnosis and clinical care, address paperwork and bureaucratic duplication and waste, accelerate scientific research, and personalize health care direct-to-patients and -caregivers. On the downside, risks of AI in health care can involve incomplete or false diagnoses, inaccuracies and errors in cleaning up paperwork, exacerbate differential access to scientific knowledge, and exacerbate health disparities, explained in the World Health Organization’s (WHO)

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Cylera and Integra e-Quip partner to improve cyber defence in health

Digital Health News

Cylera has partnered with Integra e-Quip to streamline cybersecurity protection and asset management solutions for IoMT and IoT environments.

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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.