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The settlement adds to the billions of dollars that McKesson, Cencora and Cardinal have already agreed to pay in restitution for flooding the U.S. with highly addictive painkillers.
By Rebecca Canino , Anne R. Links, and Fawaz Al Ammary In the face of a growing organ donation crisis in the United States, characterized by a decline in donors and a surge in transplant waitlists, it has become increasingly clear that existing regulatory barriers impede access to critical transplant services. One solution lies in dismantling the artificial barrier of state-based medical licensure, a move that holds the potential to significantly enhance access for both donors and recipients of
Humana reaffirmed its full-year guidance but is leaving 13 Medicare Advantage (MA) markets next year, Chief Financial Officer Susan Diamond said during the Wells Fargo Healthcare Conference on Wedn | Humana is pulling back from Medicare Advantage markets and cutting benefits next year. The insurer expects it will lose thousands of members and supplemental benefit utilization will be high toward the end of this year.
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!
Chief financial officer Mark Keim is taking the reins of the health insurer’s bread-and-butter business — Medicaid — along with a growing marketplace division.
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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.
The following is a guest article by Scott Heatherly, Vice President of Sales and Partnerships at Amenities Health Patient registration is a crucial first step in engaging with a healthcare facility, serving as the gateway to all subsequent interactions. This process, though often seen as a mere administrative necessity, plays a vital role in shaping the patient experience and can significantly impact patient satisfaction and retention.
Centene’s business is still impacted by Medicaid redeterminations, a process that began in early 2023, the company said during the Wells Fargo Healthcare Conference. | Centene's stock sunk Wednesday after the company highlighted issues it faces surrounding Medicaid redeterminations.
Kevin Landt, VP Product, Cybersecurity at Thrive The healthcare industry poses a unique set of challenges when it comes to its cybersecurity framework. Hospitals, doctors’ offices, and local clinics are all home to vast amounts of sensitive patient and employee data. Hospitals alone store about 50 petabytes of sensitive data every year. In order to operate seamlessly and provide the best care possible, these healthcare havens need to ensure that their IT stack is robust.
Over the past several years, Humana has made significant strides in growing its senior-focused primary care business, and a new study highlights areas where it's seeing success in this model. | Over the past several years, Humana has made significant strides in growing its senior-focused primary care business, and a new study highlights areas where it's seeing success in this model.
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.
Less than a quarter of rural hospitals have used a new program that provides free cybersecurity assistance from Microsoft and Google, Nextgov/FCW reported.
Evernorth's Accredo specialty pharmacy will offer biosimilars for the popular immunotherapy Stelara at $0 for eligible patients, the company announced Thursday. | Evernorth's Accredo specialty pharmacy will offer biosimilars for the popular immunotherapy Stelara at $0 for eligible patients, the company announced Thursday.
Microplastics are everywhere, including our bodies. | In this week's episode of "Podnosis," two experts break down the history of plastics use in the healthcare sector and what it would take for an organization to phase them out.
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.
The Drug Enforcement Administration is reaching the final steps of its proposed rulemaking process for the prescription of controlled substances via telehealth, but its plans have been le | The Drug Enforcement Administration was expected to publish its proposed telehealth prescribing rule in September. A former official shared the agency's plans, which shattered the expectations of stakeholders.
According to a 2023 report by the US Cyber Threat Intelligence Integration Center , the number of cyberattacks on the healthcare sector doubled in 2023 from the year prior. So far in 2024 that accelerated trajectory shows no sign of slowing down. The incident at Change Healthcare and the downstream impact it had on the entire healthcare sector was yet another wake-up call for the industry.
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.
Specialty drugs are offering new hope for many patients with complex medical conditions, yet they aren’t without their challenges. | Optum’s Senior VP Peter Demogenes outlines the two typical approaches taken in managing specialty drugs and highlights the importance of innovation in both improving patient outcomes and reducing barriers.
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: Medical Billing Specialist – Aspire Health Partners Outpatient Coder – HCA Healthcare EverHealth Par
The stir around artificial intelligence hasn't cooled in the past year, as health executives once again tapped AI as most exciting and most improved technology for the fourth year in a ro | The Center for Connected Medicine at UPMC found that AI and telehealth were the most exciting technologies for health system executives this year.
Joshua Liu MD explains 3 unpopular opinions he has about digital health. The post 3 Unpopular Opinions I Have about Digital Health appeared first on Health IT Answers.
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.
July was another month of operational stability and moderating expenses for hospitals, new industry data show. | Hospitals logged “improvements across the board" through July, though Kaufman Hall's latest monthly report warns that health systems are having a bit more trouble.
Reported payers and health insurance industry news from Aetna, UnitedHealth Group, Humana, CareSource, CareFirst BlueCross BlueShield, Oscar Health Insurance, and more. The post Revenue Cycle and Payer News – September 4, 2024 appeared first on Health IT Answers.
After weathering a few years of COVID-19 interruptions, hospitals are now riding a wave of strong demand for acute care services. | Hospitals and health systems that prioritized "disciplined" expansions and data-driven cost management will be rewarded with earnings growth after recent quarters' volume spikes return to normal, Saum Sutaria, M.D., said at the 2024 Wells Fargo Healthcare Conference.
Loren Larsen, CEO and co-founder of Videra Health The causes and effects of America’s mental health crisis are well-documented. Easing access to necessary clinical help has not grown in tandem. A study by the National Council for Mental Well-Being reveals that mental health services in the U.S. are insufficient despite more than half of Americans (56 percent) seeking help, with limited options and long waits becoming the norm.
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.
At least 60% of businesses lack efficient methods for monitoring employee compliance training, and many struggle to keep up with compliance and regulatory changes. This is the primary reason healthcare businesses adopt compliance learning management systems (LMS). A centralized LMS for compliance training can offer custom learning paths, real-time training tracking capabilities, and cost-effective employee training.
If you’re not currently worrying about credentialing-related issues, then you probably have a great credentialing specialist — and you should go say thank you. If you’re dealing with issues related to provider eligibility, claim denials, delays, and lost revenue, you might be asking what is a CPCS? A Certified Professional Credentialing Specialist (CPCS) is probably the most well-known designation for the credentialing profession.
Authored By: Geir Arnhoff CEO Linkedin Continuous learning and skill acquisition are paramount in healthcare. To provide the highest level of patient care, healthcare professionals must stay abreast of new technologies, treatment protocols, and regulatory changes. One effective approach to fostering ongoing professional growth is the tiered skills acquisition model.
By Jennifer Sagerian and Tammy Coutts - According to the BOIA, 90% of US adults said the internet was “essential” during the pandemic. However, more than 97% of homepages tested in 2021 had identifiable issues preventing them from conforming with the Web Content Accessibility Guidelines (WCAG). The post Harnessing Design Systems to Advance EHR Accessibility and Digital Health Equity appeared first on Health IT Answers.
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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