Humana used algorithm to deny care to Medicare Advantage patients, lawsuit claims
Healthcare Dive
DECEMBER 13, 2023
It's the latest insurer to face a suit over its use of algorithms when appraising claims.
Wed.Dec 13, 2023
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When the Law of Scientific Evidence Collides with Medical Practice
Bill of Health
DECEMBER 13, 2023
By Barbara Pfeffer Billauer Approaches to resolving scientific evidentiary issues continue to diverge throughout the country. [1] A prominent recent example includes the rejection of the medical diagnosis of Shaken Baby Syndrome (SBS) to reflect disparate views in the scientific, medical, and legal communities. Under guise of making a scientific evidentiary ruling, a New Jersey court has just dismembered the medical diagnosis of SBS, with the judge disavowing the condition’s validity.
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Google reveals new generative AI models for healthcare
Healthcare Dive
DECEMBER 13, 2023
MedLM, which currently includes two models, has been tested by HCA and Accenture.
Class action lawsuit accuses Humana of using AI algorithms to restrict access to care
Fierce Healthcare
DECEMBER 13, 2023
A newly filed lawsuit alleges that Humana used artificial intelligence algorithms to deny key rehabilitation care for seniors. | A newly filed lawsuit alleges that Humana used artificial intelligence algorithms to deny key rehabilitation care for seniors.
The Evolution of Communication in Healthcare Settings
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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.
KKR in talks to buy stake in healthcare data analytics firm Cotiviti: WSJ
Healthcare Dive
DECEMBER 13, 2023
The deal would value Cotiviti at around $11 billion.
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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.
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Best Buy Health, Biobeat partner on RPM wearables
Healthcare IT News - Telehealth
DECEMBER 13, 2023
The company's portable, battery-operated and Bluetooth-connected device with RPM capabilities enables patients to complete respiratory treatments from anywhere.
Payers' increasing claims denials, delays 'wreaking havoc' on provider revenue cycles
Fierce Healthcare
DECEMBER 13, 2023
A jump in claim delays and denials is “wreaking havoc on providers’ revenue cycle performance” and contributing to health systems’ “volatile” accounts receivable and diminishing cash reserves, acco | More frequent pushback from commercial and Medicare Advantage payers is complicating patient self-pay collections and, ultimately, undermining the revenues and cash reserves of hospitals, health systems and physician groups, according to a pair of recent reports.
Birmingham and Women’s and Children’s picks Epic for EPR
Digital Health News
DECEMBER 13, 2023
Digital Health News can exclusively reveal that Birmingham and Women’s and Children’s NHS FT has picked Epic as preferred supplier for its next EPR.
HHS finalizes rule to move the needle on interoperability, algorithm transparency
Fierce Healthcare
DECEMBER 13, 2023
The federal government's healthcare tech arm finalized a sweeping regulation that requires new technology upgrades while also advancing interoperability and transparency in predictive decision supp | The federal government's healthcare tech arm finalized a sweeping regulation that requires new technology upgrades while also advancing interoperability and transparency in predictive decision support tools.
3 Reasons to Retire Pagers from Healthcare Settings
Advertiser: Celo
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.
Best Buy Health, Biobeat partner on RPM wearables
Mobi Health News
DECEMBER 13, 2023
The company's portable, battery-operated and Bluetooth-connected device with RPM capabilities enables patients to complete respiratory treatments from anywhere.
Positive Feedback for NextGen’s Ambient Assist
Healthcare IT Today
DECEMBER 13, 2023
At the 2023 NextGen Healthcare User Group Meeting (#NextGenUGM23), Healthcare IT Today had the opportunity to speak with Sri Velamoor, Chief Growth & Strategy Officer. We wanted to learn more about the company’s AI plans and what the initial reaction has been to their AI-powered ambient clinical voice solution called Ambient Assist. According to Velamoor, the early response to Ambient Assist has been very positive and exceeded the company’s expectations.
Digital twin company Twin Health secures $50M
Mobi Health News
DECEMBER 13, 2023
The California-based company will use the funds to expand its Whole Body Twin Technology aimed at preventing and reversing metabolic disease.
Recent HHS Settlement Underscores the Importance Compliance Plays in Cybersecurity
Healthcare IT Today
DECEMBER 13, 2023
The following is a guest article by Dotty Bollinger, JD, Healthcare Compliance Consultant, Compliancy Group The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) reached a settlement with Doctors’ Management Services after the healthcare vendor succumbed to a ransomware attack. The settlement, announced in a press release on the HHS site, resulted in a $100,000 fine, two years of OCR monitoring, and the requirement to adopt a corrective action plan.
The Role of Technology in Remote Patient Monitoring
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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.
NHS to expand NHS App to allow patients to view records and book jabs
Digital Health News
DECEMBER 13, 2023
The NHS said Wednesday that it will expand the NHS app to allow more people to view their vaccination record and book in for vaccines.
Virtual doula care improves outcomes on par with in-person care, Maven study finds
Fierce Healthcare
DECEMBER 13, 2023
Virtual doula care improves birth experiences and reduces the odds of a cesarean section at rates comparable to in-person doula care, a new study finds. | The odds of a C-section decreased notably with several doula visits on the Maven platform, and more so for Black members.
Featured Health IT Jobs – Epic Business Intelligence Analyst (Product Owner)
Healthcare IT Today
DECEMBER 13, 2023
We like to regularly feature a healthcare IT job that might be of interest to readers. Today, we’re featuring the Epic Business Intelligence Analyst (Product Owner) position that was recently posted on Healthcare IT Central. This position was posted by Yakima Valley Farm Workers Clinic and is remote. Here’s a description of the position: Join our team as an Epic Business Intelligence Analyst (Product Owner) and help transform healthcare delivery.
Back to normal? Health care spending growth rates down from pandemic era
Fierce Healthcare
DECEMBER 13, 2023
Healthcare spending has increased 4.1% to $4.5 trillion, or $13,493 per person, according to a new report from the Centers for Medicare & Medicaid Services published in Health Affairs. | Health care spending increased to $4.5 trillion in 2022, or $13,493. Here's how that breaks down.
15 Modern Use Cases for Enterprise Business Intelligence
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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?
Digital Health Coffee Time Briefing ?
Digital Health News
DECEMBER 13, 2023
This briefing features medical students proposing a standardised AI-centric medical curriculum and AdvaMed naming Peter Arduiini as chair of its board.
New York hospital discloses data breach
Becker's Health IT
DECEMBER 13, 2023
Kingston, N.Y.-based HealthAlliance is notifying patients that an unauthorized party accessed some of its IT systems, potentially compromising patient information.
NHS England’s digital leaders to front keynote sessions at Rewired 2024
Digital Health News
DECEMBER 13, 2023
Senior digital leaders from NHS England will speaking as part of back-to-back keynote sessions on day two of Rewired 2024.
What Patients Want: Zocdoc’s Report Reveals Patient Preferences
HIT Consultant
DECEMBER 13, 2023
What You Should Know: – Zocdoc , the healthcare marketplace, has released its inaugural What Patients Want Report , offering valuable insights into what patients seek from their healthcare experience and providers. – Based on millions of bookings and patient interactions, the report paints a picture of how patients are navigating the healthcare landscape today, and what they expect from their providers and the industry at large.
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
Sectra awarded NHS Scotland diagnostic imaging technology contract
Digital Health News
DECEMBER 13, 2023
Medical imaging IT company Sectra has been awarded a contract to deliver its cloud-based enterprise imaging service across 15 NHS boards in Scotland.
1 in 3 Primary Care Physicians Have Already Tried AI Scribe Tools
HIT Consultant
DECEMBER 13, 2023
What You Should Know: Elation Health , the clinical-first technology company powering innovation in primary care, today announced the results of a survey of 229 primary care physicians focused on the benefits, desired features, and hurdles to adoption of artificial intelligence–powered (AI) medical scribe tools in the EHR. AI scribe tools use speech recognition and natural language processing to capture and transcribe conversations between a physician and a patient during clinical encounters.
Special Report: Medicines Management
Digital Health News
DECEMBER 13, 2023
Digitisation is crucial to driving productivity in medicines management - and the ‘system view’ provided by integrated care systems is having a positive impact.
Augmedix Integrates Google Cloud AI to Boost Medical Documentation
HIT Consultant
DECEMBER 13, 2023
What You Should Know: – Augmedix , a leader in ambient medical documentation, is partnering with Google Cloud to integrate MedLM , a new healthcare-focused generative AI model, into its technology stack. – This strategic integration partnership aims to improve the quality and efficiency of medical note generation, ultimately benefiting healthcare providers and patients alike.
Why Every Small Business Needs an HCM Solution: A Comprehensive Guide
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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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