Healthcare Dive

OCTOBER 4, 2024

A handful of plans owned by the nation's largest MA payer are the latest to ask the court to help raise their valuable quality scores.

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Medicare Medicare 293

Healthcare It News

OCTOBER 4, 2024

Prioritizing wellness means taking into account the out-of-pocket cost for patients, according to Alberto "Beto" Casellas, Casayess EVP & CEO of Health and Wellness Platform at Synchrony. Synchrony is a financial services company that offers a health and wellness platform in CareCredit.

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Healthcare Dive

OCTOBER 4, 2024

The litigation comes as pharmacy benefit managers Express Scripts, CVS Caremark and Optum Rx face growing criticism over their role in high drug costs — including a recent lawsuit from the Federal Trade Commission.

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Healthcare It News

OCTOBER 4, 2024

They recognize the promises of faster diagnosis and easier access to treatment and cost info, says Mark Polyak, president of analytics at Ipsos. While they're comfortable with AI for administrative tasks, they're wary of clinical applications.

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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!

Healthcare Dive

OCTOBER 4, 2024

The CMS fails to check hospitals’ pricing data for accuracy and completeness, raising questions about whether the data can be used as intended to help payers and patients shop for services, according to the government agency.

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Healthcare IT Today

OCTOBER 4, 2024

Dean M. Harrison Joins Equiti’s Board of Directors Heritage Group , a healthcare-focused private equity firm, today announced a significant investment in Equiti Health (Equiti or the Company), a leading provider of tech-enabled, healthcare-focused language interpretation services. Heritage is partnering with GTCR and the Equiti management team to support the Company’s next phase of growth.

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Health Outcomes HIPAA Hospitals 121

Becker's Health IT

OCTOBER 4, 2024

HHS' Office for Civil Rights has imposed a $240,000 civil monetary penalty on Providence Medical Institute, located in Southern California, due to possible violations of the HIPAA security rule.

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HIPAA 114

Digital Health News

OCTOBER 4, 2024

Kevin Jarrold has retired from the role of joint CIO at Imperial College Healthcare and Chelsea and Westminster Hospital NHS FT.

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Hospitals 112

HealthIT Answers

OCTOBER 4, 2024

What makes marketing in the health IT space unique? Who are the movers and shakers? What’s working, what’s trending? Where can you learn more? News from Swaay.Health, MERGE, KNB Communications, Amendola Communications, Brafton, Clarity Quest, Matter Communications, HHA eXchange, and more. The post September 2024 Health IT Marketing Minutes appeared first on Health IT Answers.

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Digital Health News

OCTOBER 4, 2024

Women in Somerset with breast lumps will be directly referred to a breast diagnostic clinic via the NHS App under a pilot scheme.

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Governance 111

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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.

HIPAA

Fierce Healthcare

OCTOBER 4, 2024

Though their margins have largely remained level, hospitals are starting to get a handle on length of stay and per-patient expense growth as demand for inpatient care remains strong, according to A | Kaufman Hall's monthly index report showed continued demand and more efficient inpatient care, but muted revenue gains. A concurrent report on third quarter M&A also outlined a spike in dealmaking.

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Hospitals 108

Digital Health News

OCTOBER 4, 2024

Black Country Integrated Care System (ICS) is rolling out an patient engagement portal from Healthcare Communications.

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Fierce Healthcare

OCTOBER 4, 2024

A proposed rule from the Centers for Medicare & Medicaid Services (CMS) released Oct. | CMS is looking to shake up the risk adjustment model and wants the ability to suspend shady brokers from the insurance marketplace, the agency wrote among other updates in a new proposed rule.

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Fraud Medicaid Medicaid Medicare 105

HIT Consultant

OCTOBER 4, 2024

Bill Charnetski, EVP of Health System solutions and Government Affairs at PointClickCare Now that we’re halfway through 2024, we’ve gained significant insights into the most pressing healthcare issues facing our industry and how they might shape the future. From regulatory hurdles to technological advancements, our sector is at a pivotal juncture, and understanding these dynamics will be crucial for all stakeholders involved.

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Governance Nurses Compliance Hospitals 105

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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.

Medicaid

Fierce Healthcare

OCTOBER 4, 2024

As a community pediatrician with firsthand experience, I've observed an enduring curiosity among parents and caretakers about food, nutrition and health. | The potential for implementing Food as Medicine for pediatric settings is promising, with growing support from stakeholders, lawmakers and health agencies.

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HIT Consultant

OCTOBER 4, 2024

Trevor Fandale, President at Huffmaster Last summer, Mireya Bustamante , BSN, RN, had more than 51,000 TikTok followers and 4.4 million likes across her videos when she posted a TikTok about her time as a travel nurse. The 35-second clip showed Ms. Bustamante flying into an unspecified city where staff nurses were striking. In the clip, Ms. Bustamante said, “Strike contracts are a pretty quick turnaround, so you must be ready to go.

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Nurses Compliance Hospitals Licensing 98

Fierce Healthcare

OCTOBER 4, 2024

Lina Khan, chair of the Federal Trade Commission (FTC), would not rule out the possibility of the agency filing an amicus brief to weigh in on Particle Health's antitrust lawsuit against Epic, she | Lina Khan, chair of the FTC, would not rule out the possibility of the agency filing an amicus brief to weigh in on Particle Health's antitrust lawsuit against Epic, she told a Wisconsin reporter Thursday.

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HIT Consultant

OCTOBER 4, 2024

What You Should Know: – GE HealthCare a nnounced today that its MIM Software has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for a groundbreaking tool in the fight against Alzheimer’s disease. – The advancement allows MIMneuro, a vendor-neutral software solution, to perform “Centiloid scaling” for analyzing and quantifying amyloid plaque density in the brain using positron emission tomography (PET) imaging.

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FDA 98

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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.

Due Diligence

Healthcare IT Today

OCTOBER 4, 2024

While at the Oracle CloudWorld conference (See our previous Oracle Health coverage from the conference), I had a chance to sit down with Seema Verma, Executive Vice President and General Manager at Oracle Health. In this wide ranging interview, we cover a broad range of topics starting with her journey from HHS Secretary to now one of the leaders of Oracle Health.

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Hospitals 78

Compliancy Group

OCTOBER 4, 2024

Despite your best efforts in meeting healthcare compliance requirements, errors may still occur. Maintaining the security and integrity of sensitive information and preventing waste, fraud, and abuse is essential to quality healthcare and promoting workplace safety. However, when a mistake occurs or you’re targeted for a random healthcare audit, it pays to be ready.

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Compliance Officers Compliance Regulatory Compliance Fraud 59

HIT Consultant

OCTOBER 4, 2024

What You Should Know: – Mary Washington Healthcare (MWHC) has selected Ensemble , a provider of revenue cycle management solutions to outsource revenue cycle operations. – The RCM outsourcing agreement will leverage Ensemble’s innovative technologies and expert team to enhance MWHC’s financial performance and elevate the patient financial experience.

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Hospitals 52

Center for Health Insurance Reform

OCTOBER 4, 2024

Reinsurance has been a popular mechanism to stabilize insurance markets and reduce premiums. However, some argue that it could negatively affect affordability and enrollment for low-income individuals. In a new article for the State Health & Value Strategies program, Jason Levitis, Sabrina Corlette, and Claire O'Brien review the evidence and discuss considerations for state reinsurance programs.

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ACA 52

Speaker: Jennifer Hill

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.

Compliance

HIT Consultant

OCTOBER 4, 2024

What You Should Know: – A new report from Trilliant Health paints a grim picture of the US healthcare system, highlighting escalating costs and worsening health outcomes despite increased spending. – The 2024 Trends Shaping the Health Economy Report serves as a wake-up call for the US healthcare system. It underscores the urgent need for stakeholders to address the unsustainable cost trajectory and prioritize initiatives that genuinely improve health outcomes.

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COVID-19 Health Outcomes Medicare Medicare 52

Hanys

OCTOBER 4, 2024

Workshop for executive assistants and board coordinators Oct. 8-29 Understanding The Joint Commission's IC.07.01.01 and other infection control standards Oct. 10 Government relations update series Oct. 11 Standing membership call on state and federal issues Oct. 15 Quick hits session: Fiduciary governance Oct. 16 Mitigating internal cybersecurity threats Oct. 16 Blueprint for transformation: How a “Guaranteed Savings Plan” can save millions in labor costs Oct. 17 Leveraging opportuni

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Governance 52

HIT Consultant

OCTOBER 4, 2024

What You Should Know: Videra Health Partners with NSCG : Videra Health, an AI-driven clinical operations platform, has partnered with North South Consulting Group (NSCG) to help prevent suicide-related deaths among service members, addressing a significant rise in suicide rates within the military. AI-Powered Mental Health Assessments : Videra Health uses advanced AI and machine learning to analyze linguistic, audio, and video data, enabling healthcare providers to proactively identify, triage,

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FDA 52

Hanys

OCTOBER 4, 2024

The North Carolina Health Association has activated its Disaster Relief Fund to help hospital employees and communities in western North Carolina impacted by Hurricane Helene's unprecedented flooding. Among those affected are the dedicated healthcare workers who have been on the front lines during the storm's aftermath, providing critical care to those in need while grappling with the personal toll the disaster has taken on their own lives.

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Hospitals 52

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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.

Telemedicine

HIT Consultant

OCTOBER 4, 2024

What You Should Know: – The hospital and health system merger and acquisition (M&A) market experienced a significant surge in activity during the third quarter of 2024, reaching its highest level since 2017, according to Kaufman Hall’s latest M&A report. – Kaufman Hall’s M&A report reveals this surge was largely fueled by the Steward Health Care bankruptcy and a series of “mega mergers” involving prominent health systems.

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Hospitals 52

Hanys

OCTOBER 4, 2024

This week HANYS submitted comments to OMH on reproposed regulations to standardize admission and discharge criteria for comprehensive psychiatric emergency programs and inpatient psychiatric units.

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HIT Consultant

OCTOBER 4, 2024

What You Should Know: – Yung Sidekick , a US-based mental health startup, announced it has raised $825K in pre-seed funding to advance its AI-powered platform that automates administrative tasks, such as note-taking, for mental health professionals. – The round was led by Altair Capital and Ultra.VC, with participation from other VCs and angel investors.

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HIPAA 52

Hanys

OCTOBER 4, 2024

This week the governor signed the following bills of interest into law: Nursing home ratings – Chapter 336 of the Laws of 2024 Health insurance enrollment for pregnant individuals – Chapter 420 of the Laws of 2024 Physical copies of patient information – Chapter 347 of the Laws of 2024 Breast cancer screening coverage – Chapter 424 of the Laws of 2024 Use our Significant State Legislation tool to browse all bills of interest that passed both houses or were signed into law

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Nursing Homes Health Insurance Nurses 52

Advertiser: Celo

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.

Hospitals