Sat.Sep 14, 2024 - Fri.Sep 20, 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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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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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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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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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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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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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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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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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.

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The Light Collective amplifies its call for patient data rights

Healthcare It News

To mark World Patient Safety Day on September 17, the patient-led Light Collective plans to lead discussions in Washington, D.C., designed to help ensure that patient concerns about health data aggregation are given the stage. WHY IT MATTERS Large corporations and social media platforms continue to aggregate patient data and profit from it, the collective says.

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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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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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Telehealth providers at a crossroads: Navigating insurance, compliance and cash-only models amid state regulations

Healthcare Dive

Providers using telehealth face an evolving landscape, and they must balance complexities around insurance, regulatory compliance and data privacy, argues one legal expert.

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Moving aging patients from confusion to the point of care

Healthcare It News

There's help for providers who want to help aging patients navigate complex government websites and access the information and resources they need to overcome isolation, lack of transportation and limited financial resources barring full access to healthcare opportunities. By making use of technologies such as artificial intelligence, providers can empower senior patients with the extra guidance and support that informs them and gets them to the point of care, according to Karl Ulfers, cofou

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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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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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Indiana insurers, hospitals accused of Medicaid fraud in giant whistleblower lawsuit

Fierce Healthcare

Major Indiana managed care organizations and health systems are blamed for defrauding the state Medicaid system by tens, if not hundreds, of millions of dollars, says a newly unsealed whistleblower | A newly unsealed lawsuit alleges major health insurers and health systems defrauded Indiana Medicaid by hundreds of millions of dollars, with the government office likely influenced by corporate lobbying.

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Express Scripts sues FTC over report damning pharmacy benefit managers

Healthcare Dive

The major pharmacy benefit manager said its lawsuit is necessary to protect against misinformation about the controversial drug middlemen, while the FTC promised to defend its research.

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Atrium Health responds to new social engineering attack

Healthcare It News

Atrium Health announced on its website Friday that it is sending notifications to certain patients and staff who may have been affected by a malicious email sent to some of the health system’s employees on April 29. The Charlotte, North Carolina-based health system noted that its electronic medical records are separate from its email system and were unaffected by the incident.

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FDA FHIR Pilot Automates Adverse Events Reporting and Validation with Cedars-Sinai and the VA Through eHealth Exchange

Healthcare IT Today

The following is a guest article by Jay Nakashima, President at eHealth Exchange An FDA project aims to make it as easy as possible for clinicians to report adverse drug events and share important clinical data with public health agencies to investigate the event. When new drugs and biologics are vetted for release, clinical trials provide a strong understanding of overall safety and efficacy.

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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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Express Scripts files suit against FTC, demands retraction of report on PBM industry

Fierce Healthcare

Express Scripts has filed suit against the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry. | Express Scripts is suing the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry.

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FTC sues major pharmacy benefit managers over insulin prices

Healthcare Dive

The agency brought action against Caremark, Express Scripts and Optum Rx on Friday, arguing their “anticompetitive and unfair” rebating practices “artificially inflated” the list price of life-saving insulin drugs.

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Clinical IT leaders on meeting CMS' mandate for patient data access

Healthcare It News

Making health data more accessible to patients – not to mention doctors and health plans – is a priority for all hospitals and health systems today, as the final Centers for Medicare and Medicaid Services Interoperability Rule mandates patient access. But patients across the country know getting access to their health information is often challenging.

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Knack Global Acquires Anesthesia RCM Leader, Merrick Management, Inc.

Healthcare IT Today

Knack Global (Knack) , an industry-leading provider of tech-enabled, end-to-end revenue cycle management (RCM) solutions, is pleased to announce its acquisition of Merrick Management, Inc. (Merrick). Founded in 1975 with offices in Lexington, Kentucky, Merrick provides comprehensive RCM, practice management, accounting, and tax services to anesthesia providers across the southeast.

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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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Nvidia's venture arm backs $17M investment in Hippocratic AI to build out generative AI healthcare agents

Fierce Healthcare

Three months ago, startup Hippocratic AI released its first commercial product, a generative AI-based, task-specific healthcare agent. | Nvidia's venture capital arm, NVentures, along with Greycroft and Lee Shapiro of 7Wire Ventures, backed a $17 million investment in Hippocratic AI to fuel its product development of generative AI "agents.

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Supply chain cyberattacks threaten healthcare. How the industry can work together to limit disruption.

Healthcare Dive

At a Google Cloud panel this week, information security officers from major health systems said the sector needs to assess their vendor risks to prevent disruptive cyberattacks.

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AI can be a key health equity driver

Healthcare It News

Enterprise Taxonomy: AI Operations Population and Public Health Quality Care Analytics Strategic Planning Business Care Data and Information Organizational Governance Node settings: Exclude from Accelerate RSS feed

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Hexoskin Announces $4.2M Additional Funding Round and Acceleration of Clinical AI Development Platform

Healthcare IT Today

Hexoskin , a Montreal-based digital health and AI company developing medical-grade wearables and algorithms for health monitoring and diagnostics, is very excited to announce today an additional USD $4.2M capital raise to invest in growth, digital biomarkers research, and new AI-based digital diagnostics solutions. Investors include AQC Capital and Anges Quebec (Canada), BDC Capital (Canada), ballas invest (Europe), Deep Divers Ltd (UK), and 19 other US and Canadian private investors.

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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.

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CVS' Oak Street to pay $60M to settle kickback allegations

Fierce Healthcare

CVS' Oak Street Health unit has agreed to pay a $60 million settlement to resolve kickback allegations, the Justice Department announced on Wednesday. | CVS' Oak Street Health unit has agreed to pay a $60 million settlement to resolve kickback allegations, the Justice Department announced on Wednesday.

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Health benefit costs to rise 5.8% per employee in 2025: survey

Healthcare Dive

About half of employers said they would make cost-cutting changes to their plans next year, like increasing deductibles or other cost-sharing provisions, according to a report from consultancy Mercer.

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Full coverage: HIMSS24 APAC Health Conference & Exhibition

Healthcare It News

HIMSS24 APAC Healthcare industry movers and shakers in Asia-Pacific will gather in one of the world's biggest technology hubs – Seoul. From 1 to 4 October 2024, our reporters will be onsite to keep you updated on pressing discussions around artificial intelligence and innovations in smart hospital development. Stay posted on our coverage on this page.

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Leeds Teaching Hospitals trials AI prostate cancer diagnosis tool

Digital Health News

Leeds Teaching Hospitals NHS Trust (LTHT) is piloting an AI tool to assess whether it can improve prostate cancer diagnosis.

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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.