Sat.Jul 06, 2024 - Fri.Jul 12, 2024

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Federal Trade Commission to sue three largest PBMs: WSJ

Healthcare Dive

Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.

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Addressing behavioral health resources and costs in Ohio

Healthcare It News

Like many in the U.S., Ohioans are experiencing a historic shortage of behavioral healthcare resources. But population health management tools from Alera Health will help the Ohio Behavioral Health Providers Network better integrate mental health care. Meanwhile, the state’s Miami University has awarded $1 million in funding to the Ohio Alliance for Population Health for the Southern Ohio Behavioral Health Corridor to support future behavioral health practitioners committed to the state

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The MRO Exchange: Revenue Cycle Industry Expert Nio Queiro

MRO Compliance

Healthcare NOW Radio Podcast Network · MRO Exchange: Revenue Cycle Industry Expert Nio Queiro S1E4: Host Mo Weitnauer, Chief Product Officer at MRO, interviews revenue cycle industry expert Nio Queiro. They discuss how artificial intelligence is changing the revenue cycle landscape, and what the future may hold for the healthcare industry.

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How AI transcription, integrated with telehealth tools, can boost care quality

Healthcare IT News - Telehealth

There has been a lot of discussion around the ways in which artificial intelligence can be used in telehealth, balancing the need for efficiency with patient security and privacy. Howard Hu, CEO of Whereby, vendor of a videoconferencing API for telehealth platforms, knows quite a bit about this niche. His company is implementing AI to enable real-time transcription of patient sessions, freeing practitioners to engage more deeply with patients without the distraction of note-taking.

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From Payroll Pains to Growth Gains: Streamlining Payroll & HR for Success

Speaker: Joe Sharpe and James Carlson

In the world of small business management, the challenge of managing payroll & HR efficiently while scaling operations can be overwhelming. Yet, with the right strategies in place, these challenges can become opportunities for growth and innovation. In this session, Joe Sharpe, Senior Director of Managed Payroll Services at IRIS, will reveal practical methods and expert insights for outsourcing and streamlining payroll processes, resulting in substantial time and resource savings.

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FTC slams pharmacy benefit managers in first report from ongoing investigation

Healthcare Dive

On Tuesday, regulators updated the public on their almost three-year-old inquiry into PBMs’ anticompetitive business practices. The report is not positive for the drug middlemen, which immediately criticized it as one-sided.

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More Trending

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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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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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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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ONC says stakeholders can 'pick up and run' with new regs

Healthcare It News

Touted as the product of 10 years of work, the most recent proposed rule issued July 10 by the Office of the National Coordinator for Health IT will usher in an age of automation for healthcare interoperability through application programming interface-based exchange capabilities, officials said on Wednesday. The second version of ONC's Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing and Public Health Interoperability rule, or HTI-2, is designed to supp

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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Bringing the Fax into the 21st Century at MedPeds

Healthcare IT Today

MedPeds is strongly oriented toward innovation. Twenty years ago, before the HITECH Act subsidized electronic medical records, MedPeds adopted eClinicalWorks in a purposeful way: They scanned active medical records into eClinicalWorks and took away the clinicians’ pens and paper. But the health care field as a whole has not made such intrepid advances.

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Digital health funding hit $5.7B through June, on track to surpass 2019 and 2023, Rock Health reports

Fierce Healthcare

U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year. | U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year.

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CMS proposes 2.9% cut to physician pay for 2025

Healthcare Dive

Regulators said Medicare’s budget neutrality requirement is to blame for the reduction, which was quickly decried by provider groups. However, it’s likely Congress will step in to mitigate the drop.

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Improving AFib patient experiences

Healthcare It News

An online community for atrial fibrillation will connect patients and caretakers with information on the disease and help to increase beneficial partnerships, says Jim Kaveney, founder of Unlimited Heart Health & Wellness.

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Advanced Compliance: OSHA & HIPAA in Healthcare Facilities

Dive into the Compliance Officer's Handbook for advanced OSHA and HIPAA strategies. This guide provides detailed steps for maintaining compliance in healthcare facilities, covering key regulations like the Bloodborne Pathogens Standard and HIPAA Privacy Rule. Learn to create a culture of compliance with management commitment, employee training, and regular risk assessments.

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How automated RPM referrals help reduce readmissions

Healthcare IT News - Telehealth

The HIMSS AI in Healthcare Forum is scheduled to take place September 5-6 in Boston. Learn more and register.

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OpenAI Startup Fund, Arianna Huffington back new AI health coach venture focused on chronic conditions

Fierce Healthcare

OpenAI's venture fund and Arianna Huffington's Thrive Global are backing a new startup, Thrive AI Health, that aims to build an AI health coach to promote healthier lifestyles. | OpenAI's venture fund and Arianna Huffington's Thrive Global are backing a new startup that aims to build an AI health coach to promote healthier lifestyles.

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Judge pauses CMS rule capping compensation for Medicare Advantage brokers

Healthcare Dive

Texas Judge Reed O’Connor’s decision suggests he could overturn at least part of the rule, which is meant to curb predatory plan marketing to seniors.

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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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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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Cybersecurity Resilience in Healthcare Can Save Lives

Healthcare IT Today

The following is a guest article by Mary Lou Prevost, Group VP at Splunk Recently, we’ve witnessed a global increase of cyberattacks across the healthcare sector, including insurance providers, hospitals, and other services critical to maintaining health. This trend demonstrates an established pattern of cybercriminals attacking some of our most vulnerable institutions.

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CMS proposes new payments for digital health under CY2025 PFS draft rule

Fierce Healthcare

The Centers for Medicare & Medicaid Services' (CMS') proposed calendar year 2025 physician fee schedule rule, out Wednesday, proposed an assortment of new payments and coverage for digital heal | CMS' proposed changes to digital health payment for physicians includes new codes for mental health-related digital therapeutics, an assortment of telehealth extensions and more flexibilities for opioid treatment programs to use audio and video telehealth services.

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Medicare proposes 2.6% bump to hospital outpatient pay next year

Healthcare Dive

The sweeping payment rule also solidifies continuous eligibility requirements for children in Medicaid and CHIP, and holds hospitals to higher obstetric care delivery standards in a bid to improve maternal mortality.

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How one digital health app helps encourage clinical collaboration

Healthcare It News

Celo's HIPAA-compliant messaging app allows care teams to share information easily without compromising patients' privacy. Jack Clough, the company's chief growth officer, shares more about the technology.

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Provide Real Value in Your Applications with Data and Analytics

The complexity of financial data, the need for real-time insight, and the demand for user-friendly visualizations can seem daunting when it comes to analytics - but there is an easier way. With Logi Symphony, we aim to turn these challenges into opportunities. Our platform empowers you to seamlessly integrate advanced data analytics, generative AI, data visualization, and pixel-perfect reporting into your applications, transforming raw data into actionable insights.

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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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Healthcare industry rails against CISA's 'redundant' and 'burdensome' cyber incident reporting proposal

Fierce Healthcare

Healthcare industry groups are urging the federal government to streamline and loosen a recent proposed rule outlining cybersecurity incident reporting requirements for entities considered to be cr | Hospitals, practices, information management executives and even insurers criticized a proposed rule for its overlap with other federal reporting requirements and limited oversight of smaller third-parties, among other concerns.

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Federal officials step down from health AI group’s board

Healthcare Dive

HHS officials Micky Tripathi and Troy Tazbaz resigned from their roles as non-voting members of the Coalition for Health AI, an industry group working to create standards for artificial intelligence in healthcare.

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OpenAI Startup Fund, Thrive Global launch new company Thrive AI Health

Healthcare It News

The company will build a genAI-enabled expert health coach that personalizes behavioral change.

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Best Practices for Sharing Protected Health Information (PHI)

Explore essential topics in this ebook, including what constitutes PHI and how to identify it using 18 indicators. Gain insights into the importance of safeguarding PHI to protect patient privacy and learn about the severe consequences of HIPAA violations. Discover practical strategies for securely exchanging PHI within your healthcare organization, including assessing risks and implementing effective safeguards.