Thu.Oct 31, 2024

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Ready to Change Your Pharmacy Strategy? It’s Time for Analytics, Data, and AI

HIT Consultant

Kayt Leonard, Global Health Care Strategic Advisor at SAS When you think about pharmacy, the first thing that comes to mind is data, right? Admittedly, it’s not my first thought either. But for organizations that are chasing after stronger, more integrated strategies to deliver care to patients, a pharmacy data strategy – and pharmacy partnership with analytics platforms – is often the first area of focus to drive change and deliver stronger outcomes.

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Pennsylvania attorney general sues Prospect Medical alleging ‘corporate greed’

Healthcare Dive

The lawsuit argues Prospect broke the terms of its agreement to purchase Pennsylvania system Crozer Health and seeks to stop the hospital operator from closing more facilities.

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Vendor AI Roundup: Enhanced EHR offerings designed to give practices a leg up

Healthcare It News

Each week, more healthcare technology vendors add artificial intelligence enhancements to their products to optimize healthcare practice and provider efficiencies and personalize patient care. To that end, eClinicalWorks announced a series of artificial intelligence enhancements to its electronic health record products, including healow Genie – a fully integrated 24/7/365 contact center system while athenahealth launched Ambient Notes into the athenaOne platform.

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Cigna CEO tamps down on Humana deal speculation

Healthcare Dive

Despite reports this fall that the two payers had reopened merger talks, Cigna plans to use excess cash to buy back its shares, David Cordani told investors.

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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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Why Your Final MIPS Score Might Be Different from What You Expected – and What You Can Do About It 

MRO Compliance

If you’re participating in the Merit-based Incentive Payment System ( MIPS ) or MIPS Value Pathways ( MVPs ), you’ve likely encountered a familiar scenario: you review your estimated MIPS score in your dashboard, only to find that months later, when CMS releases the final score, the numbers don’t quite add up. For many providers, this discrepancy can lead to confusion, frustration, and even financial uncertainty.

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UnitedHealth Group, University of Minnesota partner to launch course on value-based care

Fierce Healthcare

Making true progress toward value-based care requires buy-in and understanding from physicians — and for them to be willing to find common ground with insurers for collaborating. | UnitedHealth Group partnered with the University of Minnesota's medical school to launch a four-week elective course that exposes fourth-year medical students to value-based care and has them working in person with Optum clinicians.

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Walgreens to lay off over 250 people

Healthcare Dive

The decision follows a recent announcement that the pharmacy retailer plans to close 1,200 stores over the next three years.

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Optum Rx rolling out new initiatives aimed at supporting independent pharmacists

Fierce Healthcare

Optum Rx is rolling out a slate of new programs that seek to support independent pharmacies in managing costs and more complex patient needs. | Optum Rx is rolling out a slate of new programs that seek to support independent pharmacies in managing costs and more complex patient needs.

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Hippocratic AI Receives Investment From NVentures to Build Generative AI Healthcare Agents

Healthcare IT Today

Investment Follows Technical Collaboration on Large Language Models for Healthcare Hippocratic AI , the company building the first safety-focused Large Language Model (LLM) for healthcare, today announced it has received an investment from NVentures , NVIDIA’s venture capital arm in its recently closed extended Series A round. NVentures, along with Greycroft and Leo Shapiro of 7Wire Ventures, contributed a combined total of an additional $17 million to the round, bringing the total invested in t

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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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Cigna posts $739M in Q3 profit despite taking a $1B hit from VillageMD investment

Fierce Healthcare

The Cigna Group reported $739 million in profit for the third quarter, a figure that accounts for a $1 billion after-tax investment loss tied to VillageMD. | The Cigna Group reported $739 million in profit for the third quarter, a figure that accounts for a $1 billion after-tax investment loss tied to VillageMD.

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How Healthcare IT Teams Can Secure Executive Buy-in for Critical Cybersecurity Investments

HIT Consultant

Dmitry Sotnikov, Chief Product Officer at Cayosoft It’s well known that ransomware is on the rise across industries. Healthcare organizations experienced more ransomware attacks than any other critical infrastructure sector last year, according to the FBI’s 2023 Internet Crime Report. Given the wide-reaching consequences and direct patient impact of such attacks, it’s become clear that investing in cybersecurity is a critical priority.

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Higher MA enrollment linked to lower Medicare spending: report

Fierce Healthcare

Medicare Advantage’s popularity is associated with lower total Medicare spending, a new report from Elevance Health finds. | Elevance Health researchers might have an explanation for lower-than-expected Medicare spending: the proliferation of Medicare Advantage plans.

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How AI Can Drive the Transition to Value-Based Care

HIT Consultant

Robert Connely, Global Industry Market Leader for Healthcare at Pega The healthcare industry is at a crossroads, grappling with the dual challenges of declining health quality metrics and skyrocketing care costs. The reality is that health outcomes are driven more by what patients do than by what providers or payers do. It is estimated that 80% of health outcomes are driven by non-medical factors – often social or behavioral risks that impact health and lead to poor outcomes and high costs.

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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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Bridging the Divide: How Objective Analytics Unites Providers and Payers

Fierce Healthcare

The relationship between health systems and health plans has historically been fraught with tension, as each side tries to outmaneuver the other. | The relationship between health systems and health plans has historically been fraught with tension, as each side tries to outmaneuver the other. The latest secret weapon each side has been deploying? Artificial intelligence.

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Accenture Invests in 1910 Genetics to Accelerate AI-Powered Drug Discovery

HIT Consultant

What You Should Know: – Accenture has made a strategic investment, through Accenture Ventures , in 1910 Genetics , a biotechnology company revolutionizing drug discovery with its AI-powered platform. Terms of the investment were not disclosed. – The strategic collaboration will combine Accenture’s expertise in scaling AI solutions with 1910 Genetics’ innovative technology to help biopharmaceutical companies accelerate drug development, reduce costs, and deliver more effec

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Digital health sector reacts to Autumn Budget NHS investment

Digital Health News

Leaders from across the digital health, care and technology sectors have reacted to chancellor Rachel Reeves' Autumn Budget.

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XiFin Launches Payor Intelligence Hub, Expands Payor Rate Transparency Monitor

HIT Consultant

What You Should Know: – XiFin, Inc., a leading provider of innovative healthcare information technologies and services that deliver artificial intelligence (AI)-enabled operational efficiency, interoperability, and simplicity, announced it has significantly enhanced its Payor Rate Transparency Monitor , adding two major payors—Humana and Blue Shield of California (BSCA)—to provide healthcare organizations with deeper insights into in-network contracted rates across millions of payor-repo

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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.

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Training Healthcare Personnel to Better Serve Seniors and Disabled Patients

American Medical Compliance

A survey reveals that falls are the most frequent health issue affecting seniors in long-term care facilities. Interestingly, while 90% of caregivers feel confident in implementing fall prevention measures, only 60% have adequate knowledge to do so effectively. As the aging population grows, so does the demand for specialized healthcare tailored to the unique needs of seniors and individuals with disabilities, posing new challenges and responsibilities for healthcare providers.

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GoodRx Launches E-Commerce Solution with Opill

HIT Consultant

What You Should Know: – GoodRx , a leading prescription savings platform in the U.S., is expanding its offerings with the launch of a new e-commerce solution. This service allows consumers to purchase eligible health products and medications directly on the GoodRx platform and have them shipped to their homes. – Opill® , the first FDA-approved daily oral contraceptive available over the counter, will be the inaugural product offered through this new service.

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Insomnia app unavailable for most of NHS despite NICE approval

Digital Health News

Big Health says that its app to treat insomnia is unavailable to most NHS patients despite being recommended by NICE over two years ago.

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Q/A: Amp Health’s VP Talks How Industrial COEs Are Transforming Workforce Wellness

HIT Consultant

Rich Walsh, VP of Business Development at Amp Health In today’s demanding industrial landscape, the urgency of establishing Industrial Labor Centers of Excellence (COEs) has never been greater. COEs—specialized programs or facilities that provide high-quality, mulit-disciplinary care—are at the forefront of revolutionizing how we approach workforce wellness and safety by integrating technology, data, and proactive interventions.

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Real-Life Examples of HIPAA Violations and How to Avoid Them

Speaker: Jack Clough, Chief Growth Officer

Download our 30-minute webinar where we delve into real-life examples of HIPAA violations and preventative measures every organization should know! You will learn: The critical factors that lead to HIPAA violations and how to identify them. Three compelling real-life cases of organizations that faced severe HIPAA penalties. Proven strategies to safeguard YOUR organization against HIPAA violations.

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How Staff Education in Healthcare Drives Excellence

Healthcare Blog

Compliance with regulations is only possible when all clinical and non-clinical staff members have the proper training and support. Overlooking the importance of staff education in healthcare can make it difficult for leaders and employees to keep up with constant regulatory changes. Proper healthcare staff training and education contributes to better health outcomes, greater confidence and morale among staff, significant cost savings, and more efficient operations.

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KLAS: Small Hospitals Face Buyer’s Remorse for EHR Selections

HIT Consultant

What You Should Know: – KLAS Research has released a new report reveals EHR selection buyer’s remorse among recent decison-makers at small standalone hospitals (1-200 beds). – The report, US Acute Care EHR Market Share 2024 is based on interviews with hospital leaders and an analysis of market share data, reveals key trends in EHR selection, implementation, and satisfaction among small hospitals.

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Trial finds digital avatars reduce distressing voices in psychosis

Digital Health News

A trial has found that digital avatars can help people with psychosis reduce the distress and frequency with which they hear voices.

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1upHealth Appoints Andrew Boyd as New CEO

HIT Consultant

Andrew Boyd, CEO at 1upHealth What You Should Know: – 1upHealth , a leading provider of cloud-based FHIR technology, has announced the appointment of Andrew Boyd as its new Chief Executive Officer. – Boyd brings over 20 years of experience in healthcare technology and digital solutions to further 1upHealth’s mission of revolutionizing healthcare data interoperability. – Prior to joining 1upHealth, Boyd held various leadership roles at Virgin Pulse (now Personify Health),

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.