Healthcare Dive

AUGUST 20, 2024

The insurer, which did not admit wrongdoing, agreed to the settlement on the eve of a jury trial.

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Fraud Medicare Medicare 322

Fierce Healthcare

AUGUST 20, 2024

Health IT giant Epic is pushing ahead rapidly to build out artificial intelligence technologies and generative AI features in its electronic health record software. | The goal, according to Epic executives, is to ease the documentation burden for clinicians, streamline charting and coding and bring evidence-based medical insights and research right to doctors' fingertips at the point of care.

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Doctors 144

Healthcare Dive

AUGUST 20, 2024

Disruptions at the Michigan-based health system are expected to last through this month, McLaren said Friday. The provider was also hit by a ransomware attack last year.

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Ransomware 318

Digital Health News

AUGUST 20, 2024

A Digital Health Networks Clinical Safety Officer (CSO) Council has been launched for CSOs to share knowledge, experience and best practice.

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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!

Fierce Healthcare

AUGUST 20, 2024

The upward trajectory of Medicare Advantage (MA) enrollment is likely to become an issue for hospitals and other healthcare providers forced to contend with plans’ prior authorization requirements | Prior authorization burdens and "a challenging contract negotiation season" on the horizon are likely headwinds for providers, and hospitals in particular, according to a recent report.

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Medicare Medicare Hospitals 131

Digital Health News

AUGUST 20, 2024

The Tony Blair Institute for Global Change has proposed a programme to create digital health records for all UK citizens within five years.

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HIT Consultant

AUGUST 20, 2024

What You Should Know: – Google Research has unveiled a groundbreaking advancement in healthcare technology with the introduction of HeAR, a bioacoustic foundation model designed to analyze human sounds and identify potential health issues. – By leveraging the power of AI and vast amounts of audio data, HeAR aims to revolutionize disease screening, diagnosis, and monitoring.

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Fierce Healthcare

AUGUST 20, 2024

Below is a roundup of payer-centric news headlines you may have missed during the month of August 2024. | This month, Devoted Health completed its series E funding round, L.A. Care Health Plan slashed prior auth codes for catheter supplies, and Illinois signed laws cracking down on insurers involving colonoscopies, inhalers and more.

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HIT Consultant

AUGUST 20, 2024

In the rapidly evolving world of pharmaceuticals, artificial intelligence (AI) is emerging as a game-changer. From accelerating drug discovery to enhancing the efficiency of clinical trials, AI is revolutionizing how new medicines are brought to market. This transformation is not just limited to the research and development phases; AI is also playing a critical role in ensuring that drugs meet regulatory standards.

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Compliance Pharmaceutical Industry Regulatory Compliance 111

Fierce Healthcare

AUGUST 20, 2024

Amid significant scrutiny from lawmakers and regulators on Medicare Advantage, a new report suggests that consumer satisfaction with these plans is notably higher than with commercial insurance.

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Medicare Medicare 116

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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.

HIPAA

HIT Consultant

AUGUST 20, 2024

What You Should Know: – GrayMatters Health (GMH) , developer of non-invasive treatments based on proprietary brain biomarkers associated with mental health disorders, today announced it is expanding its U.S. footprint with additional clinics now offering Prism for PTSD™ to patients. – Prism for PTSD is the first prescribed self-neuromodulation device, cleared by the FDA to treat post-traumatic stress disorder (PTSD) as an adjunct to standard-of-care therapies.

Patient Satisfaction 98

Patient Satisfaction FDA Compliance 98

MedTrainer

AUGUST 20, 2024

A huge part of assessing your healthcare organization’s risk is understanding the quality and performance of your compliance training program. Without proper tracking and reporting, you have no idea if employees are completing assigned training and if you’re meeting regulatory compliance. If employees aren’t completing training, there’s a much higher risk of critical incidents, fines, and penalties.

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Compliance Regulatory Compliance HIPAA 96

HIT Consultant

AUGUST 20, 2024

What You Should Know: – MEDITECH today announced two critical access hospitals in Idaho, St. Mary’s Health (Cottonwood) and Clearwater Valley Health (Orofino), have partnered to implement a shared MEDITECH Expanse EHR across their hospitals and associated clinics. – Clearwater Valley Health and St. Mary’s Health currently serve the healthcare needs of people across Clearwater, Idaho, and Lewis counties, providing more than 45,000 outpatient visits annually.

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Hospitals 97

Healthcare IT Today

AUGUST 20, 2024

The following is a guest article by Asaf Kochan, Co-Founder and President at Sentra The hardest part about securing sensitive healthcare data is continuously knowing where sensitive data resides and who has access to it. This creates data security and compliance challenges – especially when healthcare data is constantly shared and moved between teams and departments.

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Compliance Regulatory Compliance HIPAA Hospitals 89

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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.

Medicaid

Fierce Healthcare

AUGUST 20, 2024

Mayo Clinic maintained its solid start to the year, reporting this week a $812 million (8.3% margin) six-month income from current activities for the period ended June 30. | Hot off of a "mission-sustaining" 2023, the nonprofit system is logging sharp year-over-year operating gains halfway through 2024.

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Healthcare IT Today

AUGUST 20, 2024

Acquisition will Expand Ambient AI Capabilities of AvaSure’s Intelligent Virtual Care Platform, Driving Improvements in Patient Care and Operational Efficiency AvaSure , a market leader in acute virtual care, announced today that it has acquired Ouva ’s smart room solutions to accelerate innovation with AI-powered virtual care solutions for hospitals.

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Nurses Hospitals 78

Digital Health News

AUGUST 20, 2024

A ‘check and cancel’ appointment solution at Hall Green Health GP practice in Birmingham has helped save patient and staff time.

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Healthcare IT Today

AUGUST 20, 2024

The term “workflow” comes up repeatedly in this interview with Dr. Ed Lee, Chief Medical Officer at Nabla , and Dr. David Lovinger, MD, FHM, FACP, Associate Chief Medical Officer and Chief Informatics Officer at one of Nabla’s clients, Carle Health of central Illinois. Dr. Lee said that it’s critical for Ambient AI Assistant solutions to fit in with clinicians’ workflows.

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Doctors Hospitals 69

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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.

Due Diligence

HIT Consultant

AUGUST 20, 2024

Anish Sebastian, CEO and Co-founder, Babyscripts A health plan’s success rests on many factors: improving health outcomes, controlling costs, optimizing risk adjustment, and encouraging member adherence to a specific care plan. Member engagement is foundational to all of these goals. Health plans have struggled to close the loop on engagement for various reasons.

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Medicaid Medicaid Health Outcomes Doctors 64

HealthIT Answers

AUGUST 20, 2024

HHS launched a new national campaign to inform the public about common respiratory viruses and available vaccines. The campaign, Risk Less. Do More., aims to increase awareness of vaccines that reduce serious illness from influenza, COVID-19, and respiratory syncytial virus in high-risk populations and to limit the spread of these viruses among all Americans.

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COVID-19 59

Medisys Compliance

AUGUST 20, 2024

Billing for behavioral health services presents unique challenges that differ from other medical specialties. With the growing demand for mental health services, providers must understand the complexities of behavioral health billing to ensure timely reimbursements, minimize denials, and maintain financial stability. This guide aims to provide mental health providers with comprehensive information on billing behavioral health services, covering key aspects such as psychiatric services, telehealt

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Medical Billing Outsourcing Licensing Medical Billing Informed Consent 59

HealthIT Answers

AUGUST 20, 2024

Latest announcements made from companies and organizations on hiring include Pfizer, AI MINDSystems, restor3d, CHG Healthcare, Pivot Point Consulting, Podimetrics, Walgreens, Bicara Therapeutics, Included Health, & VITL. The post Health IT Appointments and Hires appeared first on Health IT Answers.

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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.

Compliance

HIT Consultant

AUGUST 20, 2024

What You Should Know: – Xsolis , the AI-driven health technology company fostering collaboration between healthcare providers and payers, today announced an expansion of its partnership with West Tennessee Healthcare , a healthcare system with seven hospitals serving West Tennessee, to streamline medical necessity case reviews and reduce length of stay. – The collaboration between Xsolis and West Tennessee Healthcare has led West Tennessee Healthcare to $5.1 million in savings since

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Hospitals 52

HealthIT Answers

AUGUST 20, 2024

By Venky Chellappa PhD - The book “Finite and Infinite Games” by James P. Carse, although published in 2013, long before things like COVID or even AI invaded our public consciousness, the book’s message sticks with me and applying it to healthcare. The post Playing the Infinite Game: Why It Matters for the Future of Healthcare appeared first on Health IT Answers.

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The Health Law Firm Blog

AUGUST 20, 2024

By: George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law In 2024, the U.S. Department of Health and Human Services (HHS) released a Final Rule modifying the Confidentiality of Substance Use Disorder (SUD) Patient Records regulations (42 CFR Part 2). The rule helps to ensure that healthcare providers [.

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HIT Consultant

AUGUST 20, 2024

What You Should Know: – Hackensack Meridian Health (HMH) launches comprehensive cancer risk and early detection program designed to identify individuals at higher risk for cancer and enable earlier diagnosis. – Powered by CancerIQ’s precision health platform, the program is the first of its kind in New Jersey, joining a select group of programs nationwide focused on large-scale cancer screening and interception.

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Nurses 52

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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.

Telemedicine

Jerri Lynn Ward

AUGUST 20, 2024

This is an interesting summary of the two tickets’ positions on the issues and their relevant histories. The author notes that a poll by the Pew Research Center found that the issue of healthcare “tops illegal immigration, the federal budget deficit, gun violence, and drug addiction. It will be interesting to see how this issue is addressed in the debates.

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Healthicity

AUGUST 20, 2024

The stakes are high when it comes to compliance. Discover how regular exclusion checks can protect your organization from costly compliance pitfalls.

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Compliance Medicaid Medicaid Medicare 52

HIT Consultant

AUGUST 20, 2024

What You Should Know: – BayCare , a healthcare system, has announced a strategic partnership with Cadence , a chronic disease management company, to implement a comprehensive remote patient monitoring and virtual care program. – This collaboration aims to enhance the care of seniors with chronic conditions such as hypertension, congestive heart failure, and type 2 diabetes across Florida’s Tampa Bay and West Central regions.

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Nurses Hospitals 52

Hall Render

AUGUST 20, 2024

Hall Render is pleased to announce Dougie Barnard has joined the firm in its Indianapolis office. Dougie Barnard specializes in health care transaction-related matters. Dougie assists a broad array of clients, comprising hospitals, hospital foundations, physician groups, health systems and other nonprofit organizations, by providing counsel on commercial leases and other space arrangements, including those subject to health care regulatory constraints and development projects, including the cons

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Governance Hospitals 40

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.

Hospitals