February, 2025

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Physicians say prior authorization stands in the way of medically necessary care

Healthcare Dive

Physicians surveyed by the American Medical Association say prior authorization can cause care delays or force patients to abandon treatment. Denials could also increase as insurers adopt AI to review claims.

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Roundup: AI helps health systems achieve goals as developers push innovation

Healthcare It News

Doctors are finding more time for patients each week at John Muir Health, according to its Epic electronic health record data. The EHR metrics also show a decrease in after-hours time spent entering clinical notes, Ambience, the health system's partner on artificial intelligence-driven clinical documentation and care coordination, said. Also this week we are highlighting a new partnership that aims to push the development of AI to achieve autonomous operations in command centers by starting

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Europe Tightens Data Protection Rules for AI Models—And It’s a Big Deal for Healthcare and Life Sciences

Bill of Health

Artificial Intelligence Europe Tightens Data Protection Rules for AI ModelsAnd Its a Big Deal for Healthcare and Life Sciences Imagine youre a researcher developing an AI model, such as an algorithm or other computer process, that can predict early-stage cancer using data from thousands of patient records. Youve been careful anonymizing datasets, following ethical guidelines, and ensuring patient confidentiality.

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HEDIS Preparation Guide: 3 Essential Steps

MRO Compliance

HEDIS (Healthcare Effectiveness Data and Information Set) is a critical quality measurement tool used to assess healthcare performance across various domains. For healthcare organizations, the HEDIS season, which typically spans February to May, requires a proactive approach to ensure data accuracy, compliance, and efficiency. Below are three key steps health systems, hospitals, and physician practices should take to effectively prepare for the upcoming HEDIS season.

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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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Red Dye No. 3 and the Delaney Clause: A Relic of the Past or a Necessary Safety Measure?

Bill of Health

Food Safety Red Dye No. 3 and the Delaney Clause: A Relic of the Past or a Necessary Safety Measure? Its time to stock up on maraschino cherriesRed Dye No. 3 is officially off the market (sorry, Peter Barton Hutt, cherry enthusiast and leading food and drug lawyer). On Jan. 15, 2025, the U.S. Food and Drug Administration (FDA) banned the use of Red Dye No. 3 in food, drinks, and drugs.

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Why are pharma, medical device and DTx companies investing in telemedicine?

Healthcare IT News - Telehealth

There has been a rise in pharmaceutical, medical device and digital therapeutics companies investing in telehealth. UpScriptHealth is one telemedicine technology and services organization that caters to these companies. UpScriptHealth has more than 100 of these deals in its pipeline, reported Peter Ax, founder and CEO of the virtual care company, with many already live including Pfizer, Dexcom, Axena Health, Spark Biomedical and Lucid Diagnostics.

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Texting the CEO proves wildly popular at Banner Health

Healthcare It News

Patients have valuable feedback on their experience during their hospital stays and clinic visits. Waiting for the patient to be discharged or leave the facility, then to provide feedback after the fact, represents a common lost opportunity for follow-up and a better, more responsive care journey for that patient. Despite a high level of digital adoption, including EMRAM 7 and regular digital transformation initiatives, Banner Health's patient feedback process remained manual.

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Data Readiness: The Key to Healthcare’s Digital Future

Healthcare IT Today

The following is a guest article by Gurpreet (G.P.) Singh, VP Interoperability Solutions at ELLKAY. How Healthcare Organizations Can Modernize Legacy Data Infrastructure to Power AI, Cloud, and Digital Transformation The Next Era of Healthcare is Data Driven The future of healthcare belongs to organizations that can harness the power of their data. With innovations like AI, predictive analytics, and digital health solutions transforming patient care, success hinges on having a strong, interopera

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MRO Is 2025 Best in KLAS for Release of Information

MRO Compliance

NORRISTOWN, Pa. February 7, 2025 MRO Corp (MRO), the leading clinical data exchange company in healthcare, has been named 2025 Best in KLAS for the release of information (ROI) services market segment as part of the 2025 Best in KLAS: Software and Services report. In addition to achieving the top overall performance score, since ROI has been ranked, MRO received As across all five customer excellence pillars included in the annual report loyalty, operations, services, relationship and value.

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Mind over Machine: Navigating the Legal and Ethical Frontier of Neurotech

Bill of Health

Artificial Intelligence Mind over Machine: Navigating the Legal and Ethical Frontier of Neurotech Picture a world where a patient suffering from a debilitating neurological disorder receives not only a diagnosis but also a bespoke brain implant designed to restore lost function. Published February 27, 2025 Author Abeer Malik Share Share on LinkedIn Share on X Share on Bluesky Share on Facebook Picture a world where a patient suffering from a debilitating neurological disorder receives not only a

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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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While providers make clinical discoveries faster, RPM is shifting to a new care model

Healthcare IT News - Telehealth

Every day in the United States, 10,000 Americans turn 65 , according to the AARP. And 85% of older Americans have at least one chronic condition , according to the National Institutes of Health. Against this backdrop, health systems usually wait until a patient is in a costly state before implementing a remote patient monitoring program. That's because distributing connected devices to homes is extremely difficult to scale.

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Federal Medicaid cuts could shift $44.3B in costs to expansion states

Healthcare Dive

The 41 states that expanded Medicaid could be asked to spend 25% more to cover care costs if planned cuts are approved by Congress. Some states may cut the expansion program instead.

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Breaking down barriers in patient-centered clinical research

Healthcare It News

Made possible through pilot funding and informed by user experience research, Mayo Clinic's Clinical Trials Beyond Walls initiative leverages telehealth, remote assessments and other hospital-at-home innovations to bring all or some trial aspects into patient homes or a local community. While decentralized clinical trials began emerging before the COVID-19 pandemic, the public health crisis accelerated the trend.

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Fabric Introduces Hybrid AI for Safe, Accessible Healthcare

HIT Consultant

What You Should Know: – Fabric , a leader in healthcare technology, is transforming care delivery with its Hybrid AI. By combining advanced conversational AI and physician-built clinical logic, Hybrid AI enables healthcare organizations to confidently adopt AI solutions that ensure seamless, safe, and effective patient experiences. –This technology powers Fabrics integrated platform, which includes an AI assistant, symptom checking, virtual care, care pathways, provider search, and s

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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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Automatic for the People

MRO Compliance

With rising request volumes and a shrinking health information (HI) workforce, the demand for efficiency in the release of information (ROI) process has reached a tipping point. For example, within MROs efforts we see a 25% increase in medical record requests year over year. Whether outsourced or managed in-house, health systems juggle hundreds of thousands of requests annually, while navigating alongside tighter deadlines and evolving regulations.

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Actionable Insights from the International Collaborative Research Program in Bioscience Innovation & Law

Bill of Health

Artificial Intelligence Actionable Insights from the International Collaborative Research Program in Bioscience Innovation & Law Edited by Timo Minssen and Marcelo Corrales Compagnucci, the symposium convenes leading researchers from the International Collaborative Bioscience Innovation & Law Program, which is supported by a generous scientifically independent grant from the Novo Nordisk Foundation (NNF).

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Unifying telemedicine efforts can help health systems succeed with virtual care

Healthcare IT News - Telehealth

Many health systems' journeys into wide-scale virtual care really began with the urgent need to respond to the COVID-19 pandemic. Some health systems have been able to streamline and standardize processes across their extensive networks, even extending care to such locations as rural schools. Success lies in strategic collaboration between leaders who prioritize new virtual care areas, demonstrate value, and ensure seamless integration with staff, patients and stakeholders.

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FTC case against Caremark, Express Scripts, Optum Rx can move forward, judge rules

Healthcare Dive

A Missouri district court judge on Tuesday said stopping the FTC’s suit against the Big Three PBMs would be “against the public’s interest.

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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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Improving the patient experience can pay dividends you may not expect

Healthcare It News

As is the case with any industry, it is important for healthcare organizations to understand the consumer of their services. What drives their engagement and what are their pain points? During the pandemic, hospitals and health systems saw how quickly digital health and virtual care programs could be rolled out. This offered confidence and lessons to inform a more guided approach to offering a more digital patient experience that smooths areas of frustration – while not interfering with wh

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First Choice Neurology to Deploy healow Genie’s AI Contact Center

HIT Consultant

What You Should Know: – First Choice Neurology , the largest neurology center in Florida, has partnered with eClinicalWorks to implement healow Genie , an AI-powered contact center solution. – The strategic move aims to enhance patient engagement and streamline operations by providing 24/7 access to vital health information and automating routine tasks.

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Payers share data, too! Seven information exchange insights to know

MRO Compliance

Clinical data is a two-way street for payers. These organizations require timely and accurate patient data from their healthcare provider partners. Likewise, payers are mandated by the Centers for Medicare & Medicaid Services to make member data available to external stakeholders via application program interfaces. These bidirectional payer connections with mobile apps or to a provider’s electronic health records systems and practice management systems include clinical data exchange us

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The Key Principles of Restorative Nursing: What Every Provider Should Know 

American Medical Compliance

Patients who receive restorative nursing care are 32% less likely to be readmitted to the hospital than those receiving standard care, as reported in the Journal of the American Geriatrics Society. This is because the principles of restorative nursing go beyond basic medical careit actively engages patients in their recovery through mobility training, self-care support, and personalized rehabilitation.

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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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Innovative app offers connection between inpatients and their families in Saudi Arabia

Healthcare IT News - Telehealth

The word "Bynahm" () in Arabic translates to "Between Them," explains Nouf Al Deligan, associate executive director for corporate digital health at Ministry of National Guard Health Affairs, based in King Abdulaziz Medical City in Riyadh, Saudi Arabia. So when MNGHA started developing a new virtual reality-enabled application – designed in alignment with Saudi Arabia's Digital Government Strategy (2023-2030) – that sought to help connect hospitalized inpatient

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Healthcare was most breached sector in 2024: report

Healthcare Dive

Last year, the healthcare industry accounted for 23% of data breaches handled by financial and risk advisory firm Kroll, compared with 18% in 2023.

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Thailand's first int'l private hospital goes 'all the way' with EMR

Healthcare It News

BNH Hospital, the first international private hospital in Thailand, has fully gone paperless following its implementation of an integrated HIS and EMR system. Founded by King Rama V 127 years ago as a modern hospital for foreign expatriates, BNH now provides tertiary-level care known for its Spine Center and Mother and Child care. 25-year journey It was only over two decades ago the hospital began using electronic records, BNH assistant director Dr Apichai Chaiyaroj told Healthcare IT News.

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Harnessing AI to Transform Urgent Care Centers: Improving Efficiency, Morale, and Profitability

Healthcare IT Today

The following is a guest article by Lohith Reddy, Executive Vice President at Exdion Health Artificial Intelligence (AI) is transforming healthcare, and Urgent Care Centers (UCCs) stand to benefit significantly from its capabilities. With AI-powered coding and clinical documentation improvement (CDI) solutions, Urgent Care operators can streamline processes, boost provider morale, enhance care quality, and increase profitability.

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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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MRO Achieves HITRUST CSF Certification for Exchange Services Platform

MRO Compliance

NORRISTOWN, Pa. February 14, 2025 MRO Corp (MRO), the leading clinical data exchange company in healthcare, has achieved HITRUST CSF Certification for another two years for its Exchange Services platform, including Exchange Manager , Exchange Connector , Patient Central, and Requester Central. HITRUST CSF is a certifiable security and privacy framework which incorporates information protection requirements based on input from leading organizations worldwide.

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Advancing Drug Development and Regulatory Compliance with AI-Enhanced Real-World Evidence

HIT Consultant

Sujay Jadhav, Verana Health CEO In recent years, regulatory bodies, such as the Food and Drug Administration (FDA) and the European Medicines Agency (EMA) have increasingly emphasized the use of real-world data (RWD) in clinical research and regulatory decisions, recognizing its potential to enhance drug development and improve patient outcomes. This shift includes a focus on sourcing RWD that adheres to strict regulatory standards for effective use in drug approvals and postmarket surveillance.

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Asan Medical Center streamlines international patient service with AI

Healthcare IT News - Telehealth

Asan Medical Center has launched an AI-powered integrated service platform for its international patients. HOW IT WORKS According to a media release, the newly launched web-based platform of AMC International Healthcare Center allows patients to register, share their medical records, book a pre-consultation, and receive remote treatment. "Any foreign patient can easily upload a description of their symptoms, photos or videos of the affected area, opinions from the medical team at their loca

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Cigna to tie executive compensation to customer satisfaction

Healthcare Dive

Cigna is one of a handful of national insurers that pledged to ameliorate customer pain points with healthcare, but the first to release a specific plan.

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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.