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The leaders of Caremark, Optum Rx and Express Scripts had until Wednesday to walk back statements they made in July — or face potential legal action. However, the executives are sticking to their guns.
by James Toomey If you are supposed to make a legally binding decision on behalf of someone incapacitated by dementia, chances are the law will tell you to apply the “substituted judgment” standard—you will be asked to make the decision the person for whom you are deciding would have made, if they had capacity. But why? You might think that the decision they would have made is a very bad one.
Hospitals are primed for natural disasters like earthquakes and hurricanes, but many haven’t thought about the domino effect cyberattacks can have locally, said Scott Gee, who joined AHA last month.
Queensland to pilot telestroke service at Hervey Bay Hospital The Queensland government has designated Hervey Bay Hospital as the pilot site for the upcoming statewide telestroke service. Based on a media release, doctors and nurses at Hervey Bay Hospital are being prepared for the Queensland Telestroke Service pilot happening in the coming weeks. Queensland is the remaining Australian state to launch a telestroke service.
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!
The National Committee for Quality Assurance this week announced new accreditation standards to help healthcare organizations meet virtual care program quality and regulatory requirements and to help facilitate alignment with value-based care contracting agreements. WHY IT MATTERS During last year's Virtual Care Accreditation Pilot Program, healthcare organizations provided valuable and strategic input in developing the new accreditation program NCQA said in its announcement this week.
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Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
Iris Telehealth, a virtual-first behavioral health company, has launched two new technology-driven solutions, its new Virtual Clinic and back-end AI assistant, Iris Insights. | Iris Telehealth, a virtual-first behavioral healthcare managed services organization, unveiled two new technology offerings for health systems and community clinics to increase the efficiency of their behavior health practices.
Lehigh Valley Health Network has come to a $65 million class-action lawsuit settlement stemming from a 2023 ransomware attack that led to hundreds of patients’ nude medical record photos being post | After the nonprofit system refused to meet a ransomware gang's demands, over 600 patients' nude medical record photos were posted online. The plaintiffs' legal representation described the settlement as the largest of its kind.
Lehigh Valley Health Network, based in Allentown, Pa., has agreed to a proposed $65 million settlement in a class-action lawsuit related to a 2023 ransomware attack that exposed the medical records of 134,000 patients, according to a Sept. 11 report by The Times Tribune.
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.
Steward Health Care CEO Ralph de la Torre, M.D., defied a subpoena to testify before Congress Thursday morning, leading heads of the investigating committee to promise civil enforcement and crimina | Despite receiving a Congressional subpoena, Ralph de la Torre, M.D., did not attend a Thursday morning hearing where he was scheduled to testify on the for-profit's financial struggles.
Elevance Health has entered into a deal to acquire Indiana University Health Plans, the company's Anthem Blue Cross unit announced this week. | Elevance Health has entered into a deal to acquire Indiana University Health Plans, the company's Anthem Blue Cross unit announced this week.
Alex Young, Director of Technical Operations, DirectTrust The concept of interoperable care centers on the ability of providers to share patient information. Still, providers continue to find navigating the exchange of patient data difficult. A 2019 data brief from the Office of the National Coordinator for Health Information Technology underscores the interoperability challenges that clinicians face: 85% find it challenging to exchange data with EHRs that aren’t theirs 73% use multiple systems
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.
Alignment Healthcare CEO John Kao gave strategic insights into how the insurer is thinking about market expansion and star ratings during the Baird Global Healthcare Conference on Wednesday. | Alignment Healthcare downplayed recent concerns surrounding star ratings cut points and stressed sizable long-term membership growth.
What You Should Know: – Fathom , a pioneer in autonomous medical coding, announced today that its technology has been added to Epic’s Toolbox program within the Fully Autonomous Coding category. – By being part of Toolbox, Fathom can reach a wider audience of healthcare providers and demonstrate its compatibility with Epic’s systems.
The Health Sector Cybersecurity Coordination Center (HC3) has issued a sector alert about a grant donation email scam that impersonates Mackenzie Scott, the former wife of Amazon Founder Jeff Bezos. HC3 said it is aware of several healthcare and public health (HPH) sector entities that have received the emails. The emails, a copy of one which was obtained by PCRisk, offer the recipient a share of $4 billion that is being donated to charities, churches, individuals, colleges, and businesses that
What You Should Know: – Innovaccer Inc. , a leading healthcare AI company, announced the launch of its Care Management Copilot. – This new solution brings Innovaccer’s healthcare-native AI model, Sara, into its industry-leading care management solution, reducing the documentation burden on care managers, saving them over ten hours per week, and enabling them to engage 30-40% more patients.
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.
Clarium also Introduces Astra OS, its AI-Powered Workflow Platform and Data Ecosystem that Reimagines and Transforms Supply Chain Management for Hospitals and Health Systems Clarium, Inc. the healthcare technology company revolutionizing hospital supply chain operations, today announced a $10.5M strategic financing round. The investment was led by General Catalyst , with backing from Kaiser Permanente Ventures, Texas Medical Center Venture Fund, Yale New Haven Health, as well as existing invest
What You Should Know: – Noom , a digital healthcare company, is shaking up the weight loss industry with the launch of Noom GLP-1Rx , an innovative program offers affordable, accessible, and sustainable weight loss by combining compounded GLP-1 injections with Noom’s proven behavioral change program. – Noom GLP-1 Rx delivers highly efficacious medications to the door within seven days starting at $149 and pairs those powerful medications with Noom GLP-1 Companion with Muscle De
A $65 million settlement has been agreed to resolve a class action data breach lawsuit against Lehigh Valley Health Network (LVHN) that will see plaintiffs compensated for having nude photographs and other sensitive data stolen and published on the dark web. In February 2023, LVHN in Pennsylvania confirmed it had fallen victim to a Blackcat ransomware attack.
What You Should Know: – WhiteGlove , the first full-service healthcare concierge for international care coordination, was unveiled today under the leadership of Dropbox, LinkedIn, and IIT Bombay alum, Anand Prakash. – WhiteGlove’s mission is to provide a streamlined approach to managing healthcare for loved ones living outside of the United States, with an initial focus on India.
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.
A new study suggests that major pharmacy benefit managers may be focusing on specific payer segments in a bid to maintain strong market share. | A new study suggests that major pharmacy benefit managers may be focusing on specific payer segments in a bid to maintain strong market share.
Ferdinand Hamada, Managing Director and Pharma Life Sciences Industry Lead Partner at MorganFranklin Consulting The role of the Chief Information Security Officer (CISO) has evolved far beyond traditional cybersecurity responsibilities, especially in healthcare organizations. Today, a CISO must be positioned as a vital connector, aligning business goals, operational efficiency, and security needs.
The following is a guest article by Mohammad Waqas, CTO for Healthcare at Armis When it comes to critical infrastructure protection, there is arguably no sector more vital than healthcare – lives are on the line. Unfortunately, the healthcare industry has been afflicted with a ransomware epidemic that has lasted more than half a decade. In 2023 alone, healthcare organizations saw a consistent month-over-month increase in attack attempts of 13%.
What You Should Know: – Iris Telehealth , a leader in transformative behavioral health services, announced today the launch of its Virtual Clinic and Iris Insights platforms. – The innovative suite of solutions aims to address the critical need for increased access to quality mental health services by seamlessly integrating behavioral healthcare into existing patient journeys.
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.
This week Oracle has descended upon Las Vegas for the massive Oracle CloudWorld conference. This event brings together Oracle’s users and partners in once place and provides a venue for the company to make big announcements about what’s happening at Oracle. The event was being held at the Venetian conference center and Caesar’s Forum.
“If the U.S. were sensible, weight management would be treated as a public health issue,” David Cutler writes in the JAMA Health Forum dated August 15, 2024. Dr. Cutler, distinguished economics professor at Harvard, talks about “the pathology of U.S. health care” citing the example of weight loss medications — in short, the uptake of GLP-1 drugs to address Type 2 diabetes first, and subsequently obesity.
Authored By: Geir Arnhoff CEO Linkedin Achieving the American Nurses Credentialing Center’s (ANCC) Magnet® status isn’t just an accolade—it’s a testament to an organization’s commitment to nursing excellence and patient care. For healthcare facilities aspiring to attain this prestigious recognition, effective competency management plays a pivotal role.
Respiratory illness season is fast approaching once again and typically peaks in fall and winter. The CDC expects that the upcoming fall and winter virus season will likely have a similar or lower peak number of combined hospitalizations from COVID-19, influenza (flu), and Respiratory Syncytial Virus (RSV) compared to last year. At the time of this article, flu and RSV are being reported low nationally; COVID is elevated nationally, but there are signs of decline in many areas.
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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