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The leaders of Caremark, Optum Rx and Express Scripts had until Wednesday to walk back statements they made in July — or face potential legal action. However, the executives are sticking to their guns.
Management of cancer patients' symptoms always has been a challenge for providers, especially among racial/ethnic minoritized (REM) populations that often face health disparities that might negatively impact their health outcomes. THE PROBLEM Hence, over the years many researchers have evaluated whether electronic tools can help facilitate early recognition of symptoms.
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.
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.
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!
Just over 5% of companies selling AI to health systems have matured beyond seed and early-stage funding rounds, according to an analysis by Flare Capital Partners.
Matt Mastenbrook, DPT, clinic manager and treating physical therapist at Baylor Scott & White Institute for Rehabilitation, says one of his first goals as a manager was to set his clinic apart from the many others in the area. And leading-edge technology would be a key change agent. THE PROBLEM Mastenbrook decided to advance and optimize Baylor's use of the CogPT platform, developed by vendor Academy Medtech Ventures.
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
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Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
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
The Department of Health and Aged Care is launching a telehealth service for aged care residents as part of reform actions in the aged care sector. It recently issued a tender request for a supplier or a group of suppliers of a telehealth solution for delivering virtual nursing services to 30 unnamed residential aged care homes. "The successful supplier/s will be responsible for delivering person-centred care through telehealth (video conferencing) consultations," it said in the reques
More than 300 telehealth and provider groups say time is running out for regulators to propose a rule before pandemic-era flexibilities expire at the end of the year.
The U.S. healthcare system may not be fully meeting the needs of women, if a new report is any indication. In a survey of consumers conducted by the Deloitte Center for Health Solutions, women are 35% more likely than men to say they've skipped or delayed medical care over a 12-month period. The reasons for this come down to access, affordability and past negative experiences.
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.
The Chinese University of Hong Kong and the Swiss Federal Institute of Technology, Zurich have recently conducted what could be the world's first remote tele-endoscopy. In a pioneering research, they conducted a biopsy on the stomach wall of a live porcine model in an operating room in Hong Kong from a control room in Zurich, Switzerland over 9,300 kilometres (5,700 miles) away.
Hospitals are primed for natural disasters like earthquakes and hurricanes, but many haven’t thought about the domino effect cyberattacks can have locally, said Scott Gee, who joined AHA last month.
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.
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.
Queensland to pilot telestroke service at Hervey Bay Hospital The Queensland government has designated Hervey Bay Hospital as the pilot site for the upcoming statewide telestroke service. Based on a media release, doctors and nurses at Hervey Bay Hospital are being prepared for the Queensland Telestroke Service pilot happening in the coming weeks. Queensland is the remaining Australian state to launch a telestroke service.
Though CVS Caremark holds a dominant share of the commercial, Medicare Part D and Medicaid managed care markets, each large pharmacy benefit manager seems to be focusing on one particular arena.
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.
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.
The National Committee for Quality Assurance this week announced new accreditation standards to help healthcare organizations meet virtual care program quality and regulatory requirements and to help facilitate alignment with value-based care contracting agreements. WHY IT MATTERS During last year's Virtual Care Accreditation Pilot Program, healthcare organizations provided valuable and strategic input in developing the new accreditation program NCQA said in its announcement this week.
Hospital patients’ risk of death has fallen substantially since the COVID-19 pandemic and the months preceding it, even as hospitals are treating more and sicker patients, according to a new report | An analysis of 715 hospitals' patient safety metrics showed that patients hospitalized in Q1 2024 were about 22% more likely to survive as compared to Q4 2019, after adjusting for illness severity.
Despite our focus on security and privacy, cyber threats are continuously increasing in both number and severity. In a much less fun way, cyber threats are on their own Eras Tour. Instead of choreography and songs, we get ransomware and phishing scams, and instead of saving up to try to buy tickets to attend the tour, we need to be spending our time and money to keep the tour away from our organization.
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.
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.
The Biden administration is strengthening private health coverage for individuals seeking mental health and substance use disorder (SUD) care in a final rule unveiled Monday. | The feds are attempting to better regulate mental health coverage by bolstering protections around prior authorization, step therapy and provider networks.
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.
Pittsburgh-based Highmark has signed on as AppliedVR's first commercial payer partner, making its flagship VR device for chronic lower back pain a covered treatment for more than 4 million plan mem | Pittsburgh-based Highmark has signed on as AppliedVR's first commercial payer partner, making its flagship VR device for chronic lower back pain a covered treatment for more than 4 million plan members.
Today PayZen , a technology company tackling healthcare affordability with AI-powered solutions, announced an oversubscribed Series B, led by NEA , with full participation from existing investors including 7wireVentures , SignalFire , Viola Ventures , and others. The round includes $32M Equity and a new $200M credit warehouse from Viola Credit and a syndicate of insurance companies.
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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