UnitedHealth sues CMS over Medicare Advantage star ratings
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.
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.
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.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
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.
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.
Advertisement
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.
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.
Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
Healthcare Dive
OCTOBER 4, 2024
As access challenges to the site continue, Baxter has limited purchases of certain products to avoid stockpiling, manage inventory and minimize disruption to patient care.
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.
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.
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.
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.
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.
Digital Health News
OCTOBER 4, 2024
Black Country Integrated Care System (ICS) is rolling out an patient engagement portal from Healthcare Communications.
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.
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.
Advertisement
Remote patient monitoring (RPM) is transforming healthcare by enabling providers to track patient health outside traditional clinical settings. This blog explores the role of technology in RPM, including wearable devices, mobile apps, and connected medical tools that collect and share real-time data. Discover how RPM expands care access, improves outcomes, enhances patient engagement, and reduces costs by shifting from reactive to proactive care.
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.
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.
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.
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.
Advertisement
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?
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.
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.
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.
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.
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
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.
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
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,
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.
Advertisement
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.
Let's personalize your content