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.

Doctors 144
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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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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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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.

ACA 139
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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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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 272
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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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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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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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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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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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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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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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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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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?

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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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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.

Bioethics 230
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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.

Medicare 318
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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

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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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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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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.

Hospitals 139
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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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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

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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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

Bioethics 223
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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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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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Virtual physical therapy programs help patients stay motivated

Healthcare IT News - Telehealth

Luca Chittaro of Italy's University of Udine talks about how immersive virtual reality stories can gamify physical therapy to help distract from pain and encourage patients to increase treatment compliance.

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

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‘Two-factor authentication may have stopped Synnovis cyber attack’

Digital Health News

Beverley Bryant has said that two-factor authentication is the biggest deterrent to cyber attacks in the NHS and healthcare sector.

Hospitals 137
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UTHealth Houston collaborates with OpenAI to offer clinicians HIPAA-compliant ChatGPT solutions

Fierce Healthcare

UTHealth Houston unveiled a partnership with OpenAI on Friday to build and deploy algorithms for use in medical training and at the patient’s bedside. | UTHealth Houston, an academic medical center in Texas, is partnering with OpenAI to give clinicians, faculty and students access to ChatGPT tools to build custom, HIPAA-compliant AI solutions.

HIPAA 136
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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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Cigna scaling back Medicare Advantage footprint in 8 states next year

Healthcare Dive

The reductions will affect roughly 5,400 members, mostly in Florida, according to a notice to marketing agents.

Medicare 311
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The Role of Technology in Remote Patient Monitoring

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.