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Operating income fell for all but two insurance divisions operated by major payers in the fourth quarter. And 2025 may be no better, after many major payers released outlooks suggesting medical costs will continue climbing this year.
Quibim , a healthtech company focused on the use of imaging biomarkers for precision medicine, announced today the close of its $50 million Series A financing. The company said it has experienced growth in the number of patients analyzed by its products over the past year. Driven by several regulatory approvals and global commercial partnerships, patient analysis surged by 168% quarter-on-quarter.
Physicians surveyed by the American Medical Association say prior authorization can cause care delays or force patients to abandon treatment. Denials could also increase as insurers adopt AI to review claims.
What You Should Know: – Sonar Mental Health (Sonar), an AI-powered mental health platform helping young people thrive, today announces $2.4M in pre-seed funding led by Nina Capital, with participation from GSR Ventures and J4 Ventures and support from the Stanford University Social Impact Founder Fellowship. – Amid the worsening adolescent mental health crisis, Sonar will use this capital to accelerate its expansion across school districts nationwide, invest in R&D and app develo
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!
By Meredith Kirchner - Nearly 136 million Americans visit the ER each year for various reasons like chest pain, fever, and shortness of breath. Unfortunately, these high-cost care episodes, whether in ERs, trauma centers, or specialty facilities, carry significant financial burdens for both patients and healthcare systems. The post Sounding the Alarm on the Human Cost of Medical Debt appeared first on Health IT Answers.
Strong Customer Traction, Positive Patient Response, a Recently Granted Patent, and Achieving Clinical Safety Drive Company Expansion Hippocratic AI , the company that pioneered the first healthcare LLM for patient-facing non-diagnostic clinical tasks, today announced that the company completed its series B financing round only nine months after its series A.
In 2023, the United States indicted Brett Blackman, of Johnson County, Kansas, Gary Cox, of Maricopa County, Arizona, and Gregory Schreck, of Johnson County, Kansas, with conspiracy to commit healthcare fraud and wire fraud; conspiracy to pay and receive kickbacks; and conspiracy to defraud the United States and make false statements, in connection with the submission of $1.9 billion in false and fraudulent claims to Medicare and other government insurers for orthotic braces, prescription skin c
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In 2023, the United States indicted Brett Blackman, of Johnson County, Kansas, Gary Cox, of Maricopa County, Arizona, and Gregory Schreck, of Johnson County, Kansas, with conspiracy to commit healthcare fraud and wire fraud; conspiracy to pay and receive kickbacks; and conspiracy to defraud the United States and make false statements, in connection with the submission of $1.9 billion in false and fraudulent claims to Medicare and other government insurers for orthotic braces, prescription skin c
Look at what you can do, rather than just what you want, for maximum results Lets be 100% real you have all the ideas for maintaining your compliance program of what you want to do in 2025. You are going to put together a risk assessment and gap analysis, look at all of your data, assess patient needs with incident reports, and report all of it to corporate on a monthly basis.
What You Should Know: – myTomorrows , a global health technology company connecting patients with all possible pre-approval treatment options, today announced a new partnership with Patients Know Best (PKB), a social enterprise and the leading personal health record platform in the UK. –The collaboration will enable UK patients with unmet medical needs to access their health records and conduct more efficient searches for further treatment options.
Our avid readers may remember my review of the ElliQ by Intuition Robotics. ElliQ is a robot designed to help the aging population live healthier and happier. That’s how I’d describe my father-in-law’s experience with ElliQ. The robot has become part of the family and created a great connection between my father-in-law and myself. While at the CES conference, I had a chance to sit down withDor Skuler, CEO and Founder at Intuition Robotics , to talk about the latest with ElliQ.
The life sciences industry thrives on innovation. New therapies, groundbreaking research, and life-changing discoveries emerge constantly. However, this quick pace comes with a complex regulatory burden, particularly when it comes to promotional materials. For life sciences marketers, navigating this regulatory maze can feel like a Herculean task. Every brochure, website, social media post, and sales presentation must adhere to strict guidelines FDA regulations, global standards, and constantly
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.
What You Should Know: – Atropos Health, a pioneer in in translating clinical data into personalized real-world evidence (RWE) and insights, announced its selection by Emory Healthcare, an academic health system in Georgia, to generate evidence from real-world data (RWD) through a new decision-making tool for clinicians. – The tool aims to improve patient outcomes and lower costs through medication solutions.
Basics of Interventional Cardiology Billing Interventional cardiology billing, particularly in the outpatient (physician) setting, presents a unique landscape within medical billing. It’s more than just routine cardiology coding; its a specialized area demanding meticulous attention to detail due to the intricate nature of interventional procedures.
It was the late 2000s. The Apple iPhone had recently been introduced and on-demand music libraries were becoming popular. | Because demand for mental healthcare is high, experts say, there is a need for innovative tools to help broaden access to music therapy.
The following is a guest article by Amy Oliver, VP of Marketing at Panda Health Another ViVE is in the books, and I have to say, theres just nothing quite like cramming SO much into a few short (yetlong!) days. Between the great sessions, hallway run-ins, prebooked meetings and interviews, and the occasional “Wait, have we actually met in real life or just on LinkedIn?
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 three largest pharmacy benefit managers are looking to take their legal back-and-forth with the Federal Trade Commission to the 8th Circuit Court, according to a court filing issued late last week.
By Amy Maxmen - CDC right now is not reporting influenza data through the WHO global platforms, FluNet [and] FluID, that theyve been providing information [on] for many, many years, Maria Van Kerkhove, WHO. The post Urgent CDC Data and Analyses on Influenza and Bird Flu Go Missing as Outbreaks Escalate appeared first on Health IT Answers.
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.
The 2025 HIMSS Global Conference & Exhibition will host decisive conversations focused on healthcare workforce development, staff retention, employee wellness and clinician burnout. The post Talent Tuesday: Building the Workforce of the Future at HIMSS25 appeared first on Health IT Answers.
Image by pressfoto on Freepik Missed patient calls, lost medical records, slow computers, and faulty pulse oximeterswhat do they have in common? These issues all relate to a lack of adaptability in a medical practice. If these concerns sound too familiar to your healthcare practice, its vital to identify the underlying cause before it shuts your business down.
The Centers for Medicare & Medicaid Services (CMS) has given surveyors new rules and updates to allow surveyors to assess and cite violations of the regulations on resident discharge and transfer. On November 18, 2024, the Quality, Safety & Oversight Group at CMS issued a memorandum entitled REVISED: Revised Long-Term Care (LTC) Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC survey process (New Surveyor Guidance Memo).
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.
Introduction Over the past year, HIPAA Vault has supported healthcare providers in securing thousands of telehealth platforms, ensuring compliance for millions of virtual consultations. With telemedicine adoption increasing significantly, protecting patient data has never been more crucial. Studies show that healthcare data breaches cost an average of $10 million per incident, yet many telemedicine providers.
The executive order directs the Treasury and Labor departments and HHS to ensure hospitals and insurers "disclose actual prices, not estimates," and take action to make prices comparable across hospitals and insurers, including prescription drug prices.
Republican holdouts, who stated repeatedly they would not vote for the bill, ultimately opted to advance legislation which will require significant Medicaid cuts.
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.
The federal government under the Trump administration has turned its focus to cutting costs, and a new report from the Blue Cross Blue Shield Association highlights policy efforts it says could save nearly $1 trillion in healthcare costs over the next decade.
On February 21, 2025, the Federal District Court for the District of Maryland (“the Court”) issued a nationwide preliminary injunction pausing three provisions contained in two of President Trumps Executive Orders (Executive Orders 14173 and 14151 ). The plaintiffs challenged three specific provisions in the Executive Orders by arguing that each was likely to be found unconstitutional.
While lobbyists are supplicating President Donald Trump and the Republican-led Congress to continue their leadership on telehealth and extend expiring flexibilitieswhich Trump began duri | Hundreds of virtual care advocates wrote to Congress on Monday to extend telehealth flexibilities that expire March 31, 2025.
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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