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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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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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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Unseen Scars: The Devastating Impact of Corruption on Mental Health Systems in Low and Middle-Income Countries

Bill of Health

by Daniela Cepeda Cuadrado There is a wealth of research demonstrating that corruption — the abuse of entrusted power for private gain — has contributed to weakening health systems and worsening public health globally. Corruption is associated with a higher infant mortality rate , the rise of antimicrobial resistance , and the diversion of key resources to invest in strengthening health systems.

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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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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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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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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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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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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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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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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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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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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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CMS revised Medicare Advantage star ratings. Here’s which payers benefited.

Healthcare Dive

More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a Healthcare Dive analysis.

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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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Real-Life Examples of HIPAA Violations and How to Avoid Them

Speaker: Jack Clough, Chief Growth Officer

Download our 30-minute webinar where we delve into real-life examples of HIPAA violations and preventative measures every organization should know! You will learn: The critical factors that lead to HIPAA violations and how to identify them. Three compelling real-life cases of organizations that faced severe HIPAA penalties. Proven strategies to safeguard YOUR organization against HIPAA violations.

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Patient Data Compromised in Palomar Health Medical Group Cyberattack

HIPAA Journal

Palomar Health Medical Group has warned patients that they may have been affected by an April 2024 cyberattack, and DaVita has learned that tracking tools on its website and mobile app may have sent user data to third-party vendors. Palomar Health Medical Group Announces April 2024 Cyberattack Palomar Health Medical Group, a provider of primary and specialty care to communities in North San Diego County, has informed patients about a recent cyberattack that exposed some of their protected health

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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 judge blocks LGBTQ+ healthcare protections

Healthcare Dive

The judge ruled the HHS overstepped in applying an employment law decision to healthcare, a decision experts say could occur more frequently now that the Chevron doctrine has been overturned.

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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 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.