Tue.Feb 25, 2025

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Insurers closed out 2024 on shaky footing

Healthcare Dive

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.

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Quibim: $50M Series A for Precision Medicine with AI-Powered Imaging Biomarkers

Healthcare IT Today

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.

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Physicians say prior authorization stands in the way of medically necessary care

Healthcare Dive

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.

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Sonar Secures $2.4M for AI-Powered Mental Health Platform for Teens

HIT Consultant

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

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Bridging Innovation & Patient Care: The Growing Role of AI

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!

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Sounding the Alarm on the Human Cost of Medical Debt

HealthIT Answers

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.

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Hippocratic AI Completes $141MM Series B Financing Round Led by Kleiner Perkins, Valuing the Company at $1.64B

Healthcare IT Today

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.

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Do What’s Doable for your Compliance Program

YouCompli

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.

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Streamlining Clinical Trial Search for UK Patients: myTomorrows and PKB Partnership

HIT Consultant

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.

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A Demo of the ElliQ Robot for the Aging Population

Healthcare IT Today

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.

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Staying Ahead of the Curve: Best Practices for Promotional Material Management

Dot Compliance

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

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HIPAA Compliance 2025: Navigating Regulatory Changes & Industry Trends

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.

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Emory Healthcare Taps Atropos Health as Real-World-Evidence Partner

HIT Consultant

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.

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Interventional Cardiology Billing: A Guide for Outpatient Practices

Medisys Compliance

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.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

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.

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ViVE 2025: Big Ideas, Bigger Connections, and A Winter Snowstorm Warning

Healthcare IT Today

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?

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Simplify Screening for Excluded Providers

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.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

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.

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North Cumbria signs 10-year EPR contract with Alcidion

Digital Health News

North Cumbria Integrated Care NHS Foundation Trust has signed a 10-year deal to roll out Alcidion's Miya Precision electronic patient record.

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Urgent CDC Data and Analyses on Influenza and Bird Flu Go Missing as Outbreaks Escalate

HealthIT Answers

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.

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Amanda Pritchard to step down as NHS England chief executive

Digital Health News

Amanda Pritchard has announced that she will stand aside from the role of chief executive of NHS England at the end of March 2025.

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Healthcare Vendor Risk Management: Strategies for Protected Data

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.

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Talent Tuesday: Building the Workforce of the Future at HIMSS25

HealthIT Answers

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.

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Partnership will support patients to find pre-approval treatments

Digital Health News

Patients Know Best (PKB) and myTomorrows have partnered to enable UK patients to conduct more efficient searches for clinical trials.

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5 Signs Your Healthcare Practice Needs a Tech Upgrade

HIT Consultant

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.

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Nursing Home Update: CMS Updates and Expands Surveyor Guidance for Transfers and Discharges

Hall Render

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).

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Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

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.

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HIPAA Compliance for Telemedicine: Challenges & Solutions

HIPAA Vault

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.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

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.

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Digital Health Coffee Time Briefing ☕

Digital Health News

This briefing includes an Essex County Council project for fall detection and a new app launched for breast cancer patients.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Republican holdouts, who stated repeatedly they would not vote for the bill, ultimately opted to advance legislation which will require significant Medicaid cuts.

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The Evolution of Communication in Healthcare Settings

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.

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‘Fear and uncertainty’: Biotech investors warn of impact from NIH research cuts

Healthcare Dive

The Trump administration’s plans to reduce NIH grant funding could have long-term consequences for the U.S. drug industry, investors said.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

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.

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Federal District Court Issues Nationwide Injunction Preventing Implementation of Core Provisions of President Trump’s Anti-DEI Executive Orders, Including FCA Liability

Hall Render

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.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

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.

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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.