Wed.Dec 20, 2023

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UnitedHealth, OptumRx sued by independent pharmacy over ‘unconscionable’ fees

Healthcare Dive

Osterhaus Pharmacy in Iowa — which is also suing CVS Caremark — is taking issue with pharmacy benefit managers’ use of performance-based fees that it says are contributing to independent pharmacy closures.

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The SCOTUS Antibody Ruling Has an Uncertain Impact for Drug Makers and Patients

Bill of Health

How Amgen v. Sanofi will affect innovation and the pharmaceutical industry. By Timothy Bonis Millions of patients rely on monoclonal antibodies. The global market in 2022 was $210B with a compound annual growth rate of 11 percent. Monoclonal antibody patents are now some of the world’s most valuable intellectual property. Monoclonal antibody patent law has been in turmoil for the past two decades.

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Steward Health Care hit with False Claims Act lawsuit

Healthcare Dive

The suit alleges a Steward-run hospital improperly billed Medicare for more than 1,000 false claims.

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2024 Outlook: 'Blurring of the lines' as providers, retailers and payers plotting primary care plays

Fierce Healthcare

Health systems, insurers, retailers like CVS and tech companies like Amazon are all scrambling for a bigger piece of the medical pie. | Patients are looking for easier access to medical services and more convenience and this is opening big opportunities for insurers, retailers, tech companies and nontraditional players to muscle their way into primary care.

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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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Shared Savings Program linked to net losses in traditional Medicare, study finds

Healthcare Dive

However, the program was linked to savings in Medicare Advantage and for the CMS overall.

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More Trending

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Jefferson Health and Lehigh Valley Health Network announce intent to merge

Healthcare Dive

The deal would create a 30-hospital health system serving Pennsylvania and New Jersey.

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Obesity, primary care startup Knownwell raises $20M, launches program for teens

Fierce Healthcare

Knownwell, an integrated primary and obesity care provider, is launching a new teen program for weight management. | The new program aims to create a patient-focused environment to uncover and treat the root cause of early obesity. The care model is built on involving the teen’s family with nutritional counseling, behavioral health services and pharmacotherapy when appropriate.

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Nervecentre is in right place at right time for digital transformation – CEO

Digital Health News

As more NHS junior doctors’ strikes take place, many health service staff and suppliers are looking at 2024 with trepidation. Not Nervecentre.

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Employer Direct Healthcare secures $92M, boosting valuation to $1B

Mobi Health News

The company announced the appointments of numerous individuals to its executive team and will use the funds to expand its partnerships and oncology platform.

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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.

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VA deepens partnership with AppliedVR to expand access to immersive therapeutics

Fierce Healthcare

The Veterans Health Administration is tapping AppliedVR to expand military veterans' access to virtual reality-based therapy for chronic lower back pain. | The Veterans Health Administration is tapping AppliedVR to expand military veterans' access to virtual reality-based therapy for chronic lower back pain.

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Featured Health IT Job: Epic PB and HB Claims Analyst

Healthcare IT Today

We like to regularly feature a healthcare IT job that might be of interest to readers. Today, we’re featuring the Epic PB and HB Claims Analyst position that was recently posted on Healthcare IT Central. This position was posted by Stoltenberg Consulting Inc. and is remote. Here’s a description of the position: Now seeking an Epic PB Claims and HB Claims certified analyst to support a client health system in Texas with claims and remittance build and troubleshooting, in coordination

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Veterans Health Administration expands contract with AppliedVR

Mobi Health News

The award will support veterans' access to the California-based virtual reality company's FDA-authorized at-home chronic low back pain offering, RelieVRx.

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Top drivers of food insecurity include disability, disease, FarmboxRx survey finds

Fierce Healthcare

The top contributors to food insecurity in American households are disability and disease, fixed income, age and being a single parent, according to | The FarmboxRx report surveyed more than 2,000 individuals living on food stamps to explore the factors driving higher food insecurity rates.

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The Role of Technology in Remote Patient Monitoring

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.

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Northern Ireland HSC trusts sign with RLDatix for e-rostering

Digital Health News

All five acute Northern Ireland Health and Social Care Trusts have signed a deal with RLDatix for its e-rostering software.

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Rite Aid's 'reckless' use of AI facial recognition tech earns 5-year ban from FTC

Fierce Healthcare

Rite Aid has been hit with a five-year ban on the use of AI facial recognition technologies after the Federal Trade Commission (FTC) said the retail pharmacy chain “failed to implement reasonable p | The retail pharmacy chain's spotty facial recognition and "persons of interest" database generated "thousands" of false-positives, particularly among women and people of color, the FTC says.

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Digital Health Coffee Time Briefing ? 

Digital Health News

Today's briefing includes a study looking at the efficacy of mobile health apps and news that ICSs are working with housing providers to improve healthcare.

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Editor's Corner—Fierce Health Payer's top 10 stories of 2023

Fierce Healthcare

Among our most-read stories of the year, one topic clearly rose to the top: Medicare Advantage. | Many of the most-read health insurance stories from Fierce Healthcare in 2023 center on Medicare Advantage.

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15 Modern Use Cases for Enterprise Business Intelligence

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?

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RPA Adoption: 74% of Hospitals Automate Revenue Cycle Tasks

HIT Consultant

What You Should Know: The healthcare revenue cycle is getting a major makeover, driven by a surge in automation and artificial intelligence (AI). A new survey by AKASA , a leading developer of AI-powered revenue cycle automation solutions, reveals that 74% of healthcare organizations are already automating some part of their revenue cycle operations, and 80% of those not currently using it plan to do so by the end of 2025.

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Iowa hospital caught in vendor breach

Becker's Health IT

Cedar Rapids, Iowa-based Mercy Medical Center's patient information has been compromised as its former medical transcription service, Perry Johnson & Associates, experienced a cybersecurity incident.

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Not Just a Bill: The Importance of Empathy and Clarity in Healthcare Billing

HIT Consultant

Suman Chaudhuri, Vice President, CSG Forte When you leave the doctor, you’ll have a plan of care in hand. For instance, when you break an ankle, you may get instructions for the next 24 hours, a prescription, a follow-up appointment, a number to call if something goes wrong and a picture of what your next six weeks might look like. These plans are comprehensive and consider things like your activity level, the specific way your bone is broken, your ability to make it to appointments and any medi

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The Future of Healthcare: Integrated Data for Integrated Care

Healthcare IT Today

The following is a guest article by Venki Subramanian , SVP Product Management at Reltio When data is missing, inaccurate, incomplete, or misdirected, it can have severe, sometimes life-altering impacts. For example, in a survey by the Journal of the American Medical Association , approximately 1 in 5 patients who reviewed their electronic health record (EHR) ambulatory notes found an error–and 40% of these patients perceived the mistakes as serious, including mistakes in diagnoses, medical hist

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

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

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HIPAA Enforcement is Changing. Providers Must Too.

HIT Consultant

Cam Roberson, VP at Beachhead Solutions Healthcare delivery organizations and those working with them that are still in business are either well aware of their duties under HIPAA, work with managed service providers that understand the law well, or…are lucky to have made it this far. Even for organizations that have steered clear of both cyberattacks and regulatory fines, vigilance is essential to maintaining a clean bill of (cybersecurity) health.

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FBI disrupts healthcare ransomware group

Becker's Health IT

The Justice Department has taken down Blackcat ransomware group, the hackers behind the cyberattack on Allentown, Pa.-based Lehigh Valley Health Network.

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Why We Cannot Wait Any Longer: The Urgent Case for AI in Healthcare

HIT Consultant

Charles Aunger, Managing Director, Technology | Health2047 In Handel Jones’ literary alarm, “When AI Rules the World,” we are drawn to envision an age where AI doesn’t merely complement but dominates every strand of our societal fabric. One domain in dire need of this revolutionary touch is healthcare — a sector where the United States, alarmingly, trails behind in the global AI adoption race.

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QHIN Reactions at the ONC Annual Meeting

Healthcare IT Today

We previously shared ONC’s big QHIN announcement which shared the names of five officially designated QHINs as part of TEFCA: eHealth Exchange Epic Nexus Health Gorilla KONZA MedAllies No doubt, the timing of this announcement was planned to coincide with the ONC Annual Meeting in Washington DC. It was Healthcare IT Today’s first time attending the ONC Annual Meeting despite multiple years of FOMO for not attending.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

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.