Fri.Jul 12, 2024

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CMS’ first No Surprises audit targets Aetna, finds some noncompliance

Healthcare Dive

The findings are a “big deal,” according to one expert, as CVS’ health insurer didn’t follow some “major requirements that are essential to ensuring that the IDR process runs smoothly.

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VR opens new avenues for teaching neurodiverse people

Healthcare It News

Virtual reality is particularly beneficial for teaching social and life skills, says Floreo CEO Vijay Ravindran, who explains and how investment in extended-reality digital therapeutics is evolving.

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Steward Health Care under federal investigation for fraud and corruption

Healthcare Dive

The Department of Justice investigation follows a multi-year international probe into Steward's deal to improve three hospitals in Malta.

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Enabling teledermatology using patients' cell phone pictures

Healthcare It News

Steven Osborne, Medweb's director of federal business, discusses the company's new teledermatology app, which compresses the highest-resolution images a patient's phone can take without compromising data quality for a doctor's review.

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Bridging Innovation & Patient Care: The Growing Role of AI

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!

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Patients less likely to seek virtual behavioral care when paying out-of-pocket

Healthcare IT News - Telehealth

Patients in high-deductible health plans are less likely to seek telemental health visits when required to pay out-of-pocket, according to an Included Health and Harvard Medical School study published in JAMA Network Open. The cohort study included patients from all 50 states and Washington, D.C.

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Moderna’s U.K. Vaccine Patent Pledge Cut Short by Boilerplate

Bill of Health

By Jorge L. Contreras On July 2, 2024, the High Court of the United Kingdom issued a decision in Moderna’s mRNA vaccine patent litigation against Pfizer and BioNTech. As I previously discussed in October of 2020, Moderna pledged not to enforce its patents against makers of COVID-19 vaccines during the pandemic. Then, in 2022, Moderna sued competing vaccine makers Pfizer and BioNTech.

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HIMSS 2024 – It Is A Tough Time to Be In Healthcare Right Now as Budgets Continue to Be Tight. What Sign of Hope and Excitement Do You Have Looking Forward?

Healthcare IT Today

It is a tough time to be in healthcare right now for a multitude of reasons, but the one that we are going to focus on today is the budgets that continue to be tight. There are so many new and exciting ideas happening in healthcare that could be a huge help to your organization – if you can only find the budget to support implementing and sustaining those ideas.

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Colorado dropped Medicaid enrollees as red states have, alarming advocates for the poor

Fierce Healthcare

Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S. | Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S. government lifted a pandemic-era restriction on removing people from the health insurance program.

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Digital Health’s monthly roundup of contracts and go lives

Digital Health News

This contracts and go lives roundup includes University Hospitals of Derby and Burton rolling out the BadgerNet EPR for maternity services.

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Report: Digital health investment is rebounding in 2024

Mobi Health News

If investment patterns in the first half of 2024 persist, this year could exceed year-end totals seen in 2019 and 2023, according to Rock Health's H1 2024 digital health funding report.

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HIPAA Compliance 2025: Navigating Regulatory Changes & Industry Trends

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.

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Sheffield Teaching Hospitals robot enables less invasive prostate surgery

Digital Health News

Sheffield Teaching Hospitals aims to offer robotic-assisted surgery to more prostate cancer patients with its newly installed da Vinci Xi system.

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CMS proposes new payments for digital health in 2025 PFS draft rule

Mobi Health News

The proposed 2025 physician fee schedule from the Centers for Medicare & Medicaid Services includes payment and coding for digital health tools for behavioral health.

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Waiting list validation system launches at Torbay and South Devon

Digital Health News

A waiting list validation system launched at Torbay and South Devon will confirm if patients still need their appointments.

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Industry Voices—Prior authorization regulations: Where they fall short, where we’re moving the needle

Fierce Healthcare

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. | Regulations and policies are moving the industry in the right direction, but there is still room for improvement in key areas where regulations don't go far enough.

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Simplify Screening for Excluded Providers

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.

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New York hospital's patient data exposed in vendor breach

Becker's Health IT

"Staten Island University Hospital reports data breach during Medibase's security incident. Patients' personal information may have been compromised.

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mpathic Receives SBIR Award to Address Racial Bias in Healthcare AI

HIT Consultant

What You Should Know: – mpathic , the leader in AI-powered actionable conversation analytics specializing in healthcare, life sciences, and client services was recently awarded an NIH SBIR grant to address racial bias in mental healthcare AI. – The prestigious grant will support the development of a groundbreaking project titled “ Empathy for Everyone: Generative AI that Improves Patient-Provider Cultural Attunement in Real Time. ” mpathic wants all mental health provider

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Healthcare in the Cloud: A Secure Path to Improved Care

Healthcare IT Today

The following is a guest article by Jake Madders, Co-Founder and Director at Hyve Managed Hosting Cloud technology is at the forefront of digital transformation strategies for the healthcare industry. Indeed, 81% of healthcare executives stated that they use it in most or all of their operations. And while the shift to the cloud promises to enhance patient care, streamline workflows, and improve safety, it also introduces new security challenges.

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3.8 Million Patients Affected by June 2024 Healthcare Breaches

Compliancy Group

In June 2024 the OCR Breach Portal listed 46 incidents affecting 3,825,082 patients. The most affected group was healthcare providers, reporting 33 incidents affecting 3.5 million patients. This was followed by business associates who reported 6 incidents, affecting 273,373 million patients. Health plans also reported 7 incidents, affecting 25,905 patients.

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Healthcare Vendor Risk Management: Strategies for Protected Data

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.

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D2 Solutions Lands Growth Funding From Decathlon Capital Partners

Healthcare IT Today

Financing Package will Support Expansion for the Rapidly-Growing Software and Consulting Company D2 Solutions , whose software solutions and consulting expertise help healthcare providers deliver better experiences across the prescription journey, acquired a seven-figure growth funding package from Decathlon Capital Partners to support its growth initiatives.

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Friday at Five – 5 Key Provisions of the CMS Medicaid Managed Care Final Rule

HealthIT Answers

What do managed care organizations (MCOs) need to consider to successfully comply with the various requirements and achieve the goals the CMS final rule sets out to accomplish? This week’s Friday at Five, courtesy of Sellers Dorsey, provides five critical considerations for MCOs. The post Friday at Five – 5 Key Provisions of the CMS Medicaid Managed Care Final Rule appeared first on Health IT Answers.

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AI platform helps employers spot ERISA violations

Fierce Healthcare

Darrow AI, a platform that helps firms spot irregularities in legal cases, says its engine can help employers pinpoint the most extreme ERISA (Employee Retirement Income Security Act of 1974) viola | Darrow is using its proprietary AI algorithms to find ERISA violations for employers they may not know exist.

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Vendor employee who breached Geisinger data gets trial delayed

Becker's Health IT

A former employee of Nuance Communications who was responsible for breaching the records of more than 1.2 million patients at Danville, Pa.-based Geisinger has had their trial pushed back, The Daily Item reported July 12.

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Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

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.

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How Effective Infection Control Programs Protect Patients and Providers Alike

Total Medical Compliance Resources

Infection prevention and control is the field dedicated to preventing healthcare-associated infections. The World Health Organization defines infection prevention and control as a “practical, evidence -based approach to prevent patients and healthcare workers from becoming infected by avoidable infections.” Similarly, the Centers for Disease Control defines it as the measures taken to “prevent or stop the spread of infections in healthcare settings.

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10 Reasons eQMS Solutions are Critical in Pharma

Dot Compliance

Implementing an electronic quality management system (eQMS) is crucial for organizations in the pharmaceutical industry. These systems are designed to help pharma companies comply with regulatory requirements and standards such as 21 CFR Part 11, ISO 14971 as well as guidelines set forth by regulatory agencies like the US Food and Drug Administration (FDA) and European Medicines Agency (EMA).

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Philips IntelliSite Pathology Solution Receives 510(k) Clearance

HIT Consultant

What You Should Know: – Philips IntelliSite Pathology 5.1 has received 510(k) clearance from the FDA, solidifying its position as the most widely deployed digital pathology solution for primary diagnosis globally. – With over 300 pathology labs already implementing Philips’ solution, and over 20 labs achieving complete digital workflows, the success of this technology is evident.

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Expect the Best With a Professional Certified in Healthcare Compliance (CHC)

MedTrainer

The Certified in Healthcare Compliance (CHC) designation is one of the most recognized and prestigious healthcare compliance certifications, and for good reason. Unlike other compliance certifications, the CHC designation demonstrates a professional’s expertise in understanding and applying healthcare compliance laws, regulations, and best practices.

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The Evolution of Communication in Healthcare Settings

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.

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CRISP Awarded $255M Grant to Accelerate Public Health Data Modernization

HIT Consultant

What You Should Know: – CRISP Shared Services (CSS) , a leading non-profit focused on public health data exchange technology, has been selected as an Implementation Center awardee under the newly launched $255M National Implementation Center Program. – The program, funded by the Centers for Disease Control and Prevention (CDC) through the Public Health Infrastructure Grant (PHIG), positions CSS as a key player in modernizing data exchange and integrating health data into the public h

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Upcoming events

Hanys

Key components of the Medicare home health PPS proposed rule July 16 Best practices in action: Comprehensive dementia care July 18 Fiscal policy update call July 18 Navigating non-emergency medical transport July 23 Standing membership call on state and federal issues July 23 The fundamentals of healthcare strategic planning July 24 A brave new world?

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State regulatory update

Hanys

This week's update includes the adoption of educational requirements for certified emergency medical service providers. Stay up to date with HANYS' regulatory chart.

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How to use rounding as a board engagement strategy

Hanys

Providing your board members with a visit or “walk-in-the-shoes” experience in the hospital they govern can make a big difference. Read the July edition of Trends to learn the benefits of rounding and how to maximize its effectiveness.

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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.