September, 2024

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US is drastically behind other wealthy nations on healthcare, despite spending the most

Healthcare Dive

The Commonwealth Fund analyzed the healthcare systems of 10 nations and found the U.S. ranked last in access to care, health outcomes and overall. The U.S. “really is in a class by itself,” one researcher said.

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Epic and Oracle Health sign on to Veteran Interoperability Pledge

Healthcare It News

A little less than a year ago, the U.S. Department of Veteran Affairs announced its Veteran Interoperability Pledge – an effort to boost information exchange between its own facilities and participating health systems, with the aim of improving care coordination for veterans receiving care at both the VA and in their communities. More than a dozen major health systems – Emory Healthcare, Inova, Jefferson Health, Sanford Health, UC Davis, Intermountain, Mass General Brigham, Rush Heal

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Cigna launching E-Treatment virtual care through MDLIVE

Healthcare IT News - Telehealth

Cigna Healthcare, the health benefits division of The Cigna Group, has launched an E-Treatment option through MDLIVE by Evernorth Beginning this month, Cigna members can connect for urgent care from board-certified doctors without any direct interaction via phone or video.

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Startup Particle Health files antitrust lawsuit against Epic alleging it uses monopoly power to block competition

Fierce Healthcare

What began as a dispute between two health tech companies over healthcare data exchange practices has now led to a federal lawsuit alleging antitrust violations. | Venture-backed health tech company Particle Health filed an antitrust lawsuit against Epic in the Southern District of New York alleging that the electronic health records giant is trying to muscle out competition in the payer platform market.

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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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High-Risk Pools: A High Risk Proposition for People with Pre-Existing Conditions

Center for Health Insurance Reform

J.D. Vance, candidate for Vice President of the United States, has called for replacing the ACA's insurance reforms with "high risk pools" for people with pre-existing conditions. CHIR's Sabrina Corlette revisits how high risk pools worked (or more often, didn't work) for people, prior to the ACA.

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Pursuing an Interstate Medical Telemedicine Registration Compact

Bill of Health

by Tara Sklar Because I believe strongly in the benefits of telehealth, I have obtained licenses in six states through the Interstate Medical Licensure Compact. Doing this took months, cost thousands of dollars, and still leaves me unable to care virtually for patients in 43 states. The process is so cumbersome that less than 1% of physicians use it.

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Chronic disease 'patient burnout' – a silent issue that must be tackled

Healthcare It News

While clinician burnout is well known, "patient burnout" within the chronic disease population is an equally critical but silent issue. Managing chronic conditions, especially diabetes, is complex and overwhelming. Nonadherence affects 12% of the U.S. population with Type 2 diabetes ; 42% of patients with chronic conditions manage at least two or more.

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Will telemedicine stagnate without regulatory reform?

Healthcare IT News - Telehealth

According to a report issued by the National Center of Health Statistics , the percentage of adults who used telemedicine in the past 12 months decreased by 6.9%. As virtual care numbers come back to earth , the industry is adjusting. As Amazon consolidated and repositioned its own telehealth offerings this summer, for instance, it announced $49 pay-per-visit consults.

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4 Reasons Why the Adoption of FHIR Brings Immense Value to Medical Record Requesters

MRO Compliance

What is FHIR? The HL7® FHIR® ( Fast Healthcare Interoperability Resources ) standard is the accepted standard for exchanging healthcare information, regardless of how or where the information is stored. By enabling secure access to both clinical and administrative data, FHIR ensures that healthcare providers can access the information they need to deliver optimal patient care.

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FTC formally sues PBMs over insulin prices and warns manufacturers

Fierce Healthcare

The Federal Trade Commission is suing the titans of the pharmacy benefit manager industry for anticompetitive practices and artificially raising the price of insulin drug prices, the agency announc | As expected for weeks, the Federal Trade Commission is taking legal action against the biggest three PBMs and its related group purchasing organizations.

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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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Advancing Healthcare Equity: Federal Licensure Reciprocity for Physicians Caring for Transplant Patients and Donors

Bill of Health

By Rebecca Canino , Anne R. Links, and Fawaz Al Ammary In the face of a growing organ donation crisis in the United States, characterized by a decline in donors and a surge in transplant waitlists, it has become increasingly clear that existing regulatory barriers impede access to critical transplant services. One solution lies in dismantling the artificial barrier of state-based medical licensure, a move that holds the potential to significantly enhance access for both donors and recipients of

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Where healthcare AI startups are raising venture capital funding

Healthcare Dive

Just over 5% of companies selling AI to health systems have matured beyond seed and early-stage funding rounds, according to an analysis by Flare Capital Partners.

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Patients want healthcare's use of AI to be clear

Healthcare It News

BOSTON – The ability to change how healthcare providers communicate with patients with artificial intelligence isn't just about accuracy, transparency, fairness and data model maintenance, it's figuring out how to meet personalization challenges. What patients want to know and when adds a larger degree of complexity – one that challenges the healthcare AI industry to consider both expected and unexpected patient points of view, according to panelists Thursday at the HIMSS AI

Doctors 336
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Australia to launch virtual nursing for aged care

Healthcare IT News - Telehealth

The Department of Health and Aged Care is launching a telehealth service for aged care residents as part of reform actions in the aged care sector. It recently issued a tender request for a supplier or a group of suppliers of a telehealth solution for delivering virtual nursing services to 30 unnamed residential aged care homes. "The successful supplier/s will be responsible for delivering person-centred care through telehealth (video conferencing) consultations," it said in the reques

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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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Navigating the Complexities of Clinical Data Exchange: A Survey-Based Analysis by MRO

MRO Compliance

Earlier this year, MRO and CHIME surveyed more than 180 leaders at health systems to better understand the challenges of bidirectional exchange of clinical data with payers across seven common use cases: prior authorization, risk adjustment, care management, quality reporting and submission, claims adjudication, claims appeals, and payment integrity audits.

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Morehouse School of Medicine launches pain equity course focused on racial healthcare disparities

Fierce Healthcare

One of the first pain equity courses for medical students is launching at the Morehouse School of Medicine this fall. | The course offers insights into fostering safe, trustworthy, transparent and empathetic patient-provider interactions. It also emphasizes how to address the unique preferences and needs of Black patients in pain.

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Love and Liberalism in Surrogate Decision-Making

Bill of Health

by James Toomey If you are supposed to make a legally binding decision on behalf of someone incapacitated by dementia, chances are the law will tell you to apply the “substituted judgment” standard—you will be asked to make the decision the person for whom you are deciding would have made, if they had capacity. But why? You might think that the decision they would have made is a very bad one.

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Providers say claims denials are increasing: survey

Healthcare Dive

Nearly three in four providers surveyed by Experian Health said the number of claims denied by payers shot up between 2022 and 2024.

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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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What it takes to engage clinical workforces on AI

Healthcare It News

BOSTON – When asked about the evolution of artificial intelligence and when sentient AI would become integral to the fabric of healthcare, Dr. Patrick Thomas, director of digital innovation in pediatric surgery at the University of Nebraska Medical Center College of Medicine, said clinical training needs revamping. "We need to prepare clinical students to go into the real world that they are moving into," he said at the HIMSS AI in Healthcare Forum on Thursday.

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Hong Kong conducts robotic telesurgery pilot with Switzerland

Healthcare IT News - Telehealth

The Chinese University of Hong Kong and the Swiss Federal Institute of Technology, Zurich have recently conducted what could be the world's first remote tele-endoscopy. In a pioneering research, they conducted a biopsy on the stomach wall of a live porcine model in an operating room in Hong Kong from a control room in Zurich, Switzerland over 9,300 kilometres (5,700 miles) away.

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Fast Focus: Clinical Data Registries and the Compilation of Databases

MRO Compliance

Clinical data registries work as databases to hold and organize healthcare data. They are tasked with evaluating and improving clinical outcomes for a patient population within specific defined measures. Professional associations, specialty societies, research and patient foundations, and government organizations often use clinical registries for patient data management, aggregation, and analysis.

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PM pledges move to a ‘digital NHS’, following Lord Darzi report

Digital Health News

Prime minister Sir Keir Starmer has pledged a move “from an analogue to a digital NHS”, following the publication of Lord Ara Darzi’s report.

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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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Capacity and Medical Decision-Making in First- and Third-Person Perspectives

Bill of Health

by James Toomey Imagine that you were to develop dementia and someone else had to make medical decisions on your behalf. How would you want them to decide? Then suppose that you had to make medical decisions on behalf of another person with dementia. Would you think about decision-making in the same way? A new study in AJOB Empirical Bioethics by myself, Jonathan Lewis, Ivar Hannikainen, and Brian Earp suggests that people may favor different decisions when deciding for others versus when decidi

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House committee passes telehealth flexibility extension

Healthcare Dive

The bill would extend pandemic-era telehealth flexibilities in Medicare for another two years, averting a looming year-end deadline.

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Patients with sensitive health issues more comfortable making appointments with chatbots

Healthcare It News

Nearly two-thirds (66%) of U.S. patients with sensitive health issues are more comfortable making appointments with chatbots than with staff, according to the Talkdesk U.S. Consumer Healthcare Survey, conducted in August 2024 on the online platform Pollfish. Talkdesk received responses from 1,000 men and women aged 18 and over. Meanwhile, 62% of patients felt support provided by their healthcare organizations has either worsened or remained stagnant in the past year, the survey found.

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FCC set to require georouting for 988 Lifeline calls, enhancing access to local services

Healthcare IT News - Telehealth

New federal requirements on wireless carriers could help address the nation’s mental health crisis and improve local suicide prevention response and patient care, the U.S. Department of Health and Human Services said in an announcement Wednesday. Federal Communications Commission Chairwoman Jessica Rosenworcel said the agency will vote to codify the rule at its October meeting.

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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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Half of women skip or delay care due to 'triple threat' of factors, report finds

Fierce Healthcare

Half of women in the U.S. skip or delay medical care due to the “triple threat” of affordability, access challenges and past negative experiences, a new Deloitte report finds. | The Deloitte report, based on a survey of more than 2,000 consumers, found that 50% of women report skipping or delaying medical care and are 35% more likely to skip care than men.

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Call for NHS App to reach its potential, following Lord Darzi critique

Digital Health News

Healthcare leaders have urged NHS England to unleash the full potential of the NHS App, following critique from Lord Aria Darzi.

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Fast Focus: Clinical Registries and the Compilation of Databases

MRO Compliance

Registries work as databases to hold and organize healthcare data. They are tasked with evaluating and improving clinical outcomes for a patient population within specific defined measures. Professional associations, specialty societies, research and patient foundations, and government organizations often use clinical registries for patient data management, aggregation, and analysis.

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Healthcare labor shortage predicted by 2028, with uneven state impacts: report

Healthcare Dive

Certain states and specialties will face acute shortages, while others will see a surplus of workers, according to a new study from Mercer.

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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?