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One of the most important tools utilized by payers across the country is the Health Effectiveness Data and Information Set ( HEDIS ), which is maintained by the National Committee for Quality Assurance ( NCQA ). HEDIS is a measurement set used to determine the efficacy of a payer to care for its members. The performance data collected through HEDIS assists payers in identifying areas for improvement as well as tracking successes through a measurement set that allows them to be compared to other
Though our movement into a digital and remote world was accelerated by the COVID-19 Pandemic, it is a movement that has proven to be quite beneficial. We were able to roll out various digital health tools , telemedicine , and mobile health applications that not only better the lives of our patients but also our staff. These tools helped to keep us safe during the pandemic and are now working to ease the burden healthcare can have on people.
During a meeting Thursday, commissioners debated different solutions to lackluster physician pay with one theme in common: linking doctors’ annual payment update to the Medicare Economic Index.
Investment Aims to Accelerate the Expansion of Nym’s Multi-Specialty Solution to Support New Care Areas Nym , a leader in autonomous medical coding, today announced a $47 million growth investment led by PSG , a leading growth equity firm that specializes in partnering with software and technology-enabled services companies. The new funding includes participation from existing and new investors including Google Ventures, Addition, Samsung Next, and Dynamic Loop Capital.
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!
In healthcare settings, injuries among staff and patients are unfortunately not uncommon. According to a National Institutes of Health article , there are 34.1 total injury incidences for all professions per 1,000 healthcare workers. Additionally, according to the World Health Organization, around 1 in every 10 patients is harmed in health care. Incidents can happen even with the best protocols in place.
Happy Friday everyone! I’ve been enjoying an amazing week in San Diego at the CHIME Fall Forum conference. Hopefully, you’ve had a great week. As we wrap up the week we wanted to do another edition of our Fun Friday series where we offer something humorous to start your weekend off right and maybe learn something along the way. This week’s humor comes from a post on LinkedIn that illustrates what some healthcare AI solutions look like as they work to adress a simple problem:
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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.
Happy Friday everyone! I’ve been enjoying an amazing week in San Diego at the CHIME Fall Forum conference. Hopefully, you’ve had a great week. As we wrap up the week we wanted to do another edition of our Fun Friday series where we offer something humorous to start your weekend off right and maybe learn something along the way. This week’s humor comes from a post on LinkedIn that illustrates what some healthcare AI solutions look like as they work to adress a simple problem:
What You Should Know: – The American Brain Foundation has launched a $10 million cross-disciplinary research initiative that transcends traditional research and philanthropy boundaries by bringing together nonprofit organizations, pharmaceutical and biotech investors, philanthropists, and researchers. – The initiative will provide funding for research by top neuroscientists to investigate the role of neuroinflammation in a wide range of brain diseases, both neurologic and psychiatri
Virtual reality holds huge potential, says Adam Hutchinson, founder and CEO of oVRcome, which recently ran a trial of its self-guided tool for social anxiety. He discusses the goal of closing the gap in access to VR treatment for providers and patients.
Key Lessons from the Cascade Eye and Skin Centers Settlement The recent settlement between the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and Cascade Eye and Skin Centers underscores OCR’s expectations for healthcare providers regarding cybersecurity under the HIPAA Security Rule. Following a ransomware attack that compromised nearly 291,000 patient records, Cascade agreed to a $250,000 settlement and a corrective action plan.
This week’s Friday at Five highlights the Informonster Podcast, a podcast about the Healthcare IT industry hosted by Charlie Harp, CEO of Clinical Architecture. This latest series relates to the challenges that all healthcare professionals face in gathering, organizing, and using patient data. The post Friday at Five: Informonster Podcast appeared first on Health IT Answers.
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.
Healthcare compliance can’t happen without well-trained staff, and it doesn’t just happen with informed in-house employees. You must ensure that you are on top of training on information security and compliance for external workers, such as for contractors, vendors, and other parties who work with your organization. Everyone who works with protected health information (PHI) or your entity’s information infrastructure is responsible for safeguarding against threats to patient privacy and security
In recent years, federal price transparency rules have required hospitals and health plans to publicly post health care prices in both consumer-friendly formats and machine-readable files. However, challenges persist with data accessibility and usability, limiting its effectiveness for consumers and policymakers. Two bipartisan bills in Congress, the LCMT Act and the PRICE Act 2.0, seek to strengthen and standardize these rules.
The U.S. faces a critical shortage of primary care physicians, and the labor crunch is projected to get worse. | The company is working with New Mexico-based Presbyterian Healthcare Services to pilot its primary care AI pilot.
– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: November 2024 Overlook: Other Legislation Board Updates Alabama: The Alabama Board of Pharmacy has issued a policy statement on pharmacist licensure via reciprocity. An applicant is eligible to reciprocate to Alabama if they (1) hold an active pharmacist license in any state, and (2) have confirmed licensure by examination in any state regardless of license status.
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.
LAS VEGAS — Employers' healthcare costs continue to rise, leading them to seek new alternatives to drive down expenses while avoiding steps to shift additional costs to workers. | In response to rising costs, some in the industry have been beating the drum for individual coverage health reimbursement arrangements, or ICHRA.
In the pharmaceutical industry, a leading Corrective and Preventive Action (CAPA) process is essential for ensuring product quality and regulatory compliance. This blog post shares a seven-step approach that outlines the key stages for effective CAPA management. Read on to learn more about each step. Step 1: Problem Identification Clearly define the product or process deviation.
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.
– The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: November 2024 Overlook: Other Legislation Board Updates Alabama: The Alabama Board of Pharmacy has issued a policy statement on pharmacist licensure via reciprocity. An applicant is eligible to reciprocate to Alabama if they (1) hold an active pharmacist license in any state, and (2) have confirmed licensure by examination in any state regardless of license status.
Based on the largest global survey of its kind, the Future Health Index report analyses the three gaps that stand in the way of better care (staffing, insights and sustainability), and outlines actions healthcare leaders are taking to overcome them.
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.
Standing membership call on state and federal issues Nov. 12 Age-Friendly Health Systems Action Community recruitment webinar Nov. 13 Fall 2024 HIM user group meeting Nov. 14 Nursing home back-to-basics series: Site visit readiness Nov. 18 Post-acute and continuing care quarterly meeting Nov. 20 Latest updates on HIPAA, web tracking and state privacy laws Nov. 21 Surgical Value Incubator: Identifying high-value solutions to improve surgical care Nov.
Boulder Care, a telehealth addiction treatment company, is positioning itself to follow in the footsteps of major telehealth players like Livongo, Teladoc and Brightline. | Following a $35 million series C round in May, Boulder Care has invested in two new executive hires, Mitzi Yue and Meena Narayanan. Both come from top name digital health companies.
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.
Learn about the decline in ransomware attacks at major health systems in the first half of 2024 and the top findings from a cybersecurity insurance report.
Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry. | Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry. Please submit the good news—or the bad—from your shop, and we will feature it here at the end of each week.
The best resource for monthly healthcare regulatory compliance updates. Compliance Updates: November 2024 Overlook: Other Legislation Board Updates Alabama: The Alabama Board of Pharmacy has issued a policy statement on pharmacist licensure via reciprocity. An applicant is eligible to reciprocate to Alabama if they (1) hold an active pharmacist license in any state, and (2) have confirmed licensure by examination in any state regardless of license status.
HANYS congratulates the winners of the election and looks forward to continuing our strong tradition of working with policymakers on both sides of the aisle at the state and federal levels to advance New York hospital and health system priorities. Register now for our Dec. 17 government relations advocacy strategy session where we'll provide expert analysis of the election's impact and discuss our 2025 federal and state advocacy agendas.
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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