Sat.Feb 01, 2025 - Fri.Feb 07, 2025

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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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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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The Role of Advanced Duress Systems in Healthcare Facilities

Healthcare IT Today

The following is a guest article by Yasmine Mustafa, Co-Founder and CEO at ROAR Dealing with workplace violence has become a tough pill to swallow for nurses and healthcare workers. Believe it or not, more than 80 percent of nurses say theyve been on the receiving end of some kind of violence in the past year. Whats worse, almost half of them say things are only getting worse.

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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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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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Access, Efficiency, and Economics: How Precision Medicine Fuels 2025’s Waves of Change

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Joe Spinelli, chief strategy officer, Aranscia. 2024 left us with raw emotions, sentiments, and uncertainty around how the US healthcare system will support both the commercial and political promises of excellence and value in […] The article Access, Efficiency, and Economics: How Precision Medicine Fuels 2025s Waves of Change appeared first on electronichealthreporter.com.

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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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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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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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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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Assisted Dying is as Much an Economic as an Ethical Issue

HIT Consultant

Ivor Campbell, CEO of Snedden Campbell After many years of delay and prevarication, the UK is finally grappling with an issue that has long been a source of polarised debate and ethical handwringing around the world. The House of Commons has voted in favor of a bill to legalize assisted dying in England and Wales, marking a significant advancement of the issue globally.

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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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Health system heavy hitters team on new network for nutrition-based interventions

Healthcare It News

The Food is Medicine Institute at Tufts University is collaborating with Kaiser Permanente to create the new Food is Medicine National Network of Excellence. Joining the effort are several other major healthcare organizations including Geisinger, Highmark Health, CVS Health, Elevance Health, Devoted Health and Blue Cross Blue Shield of North Carolina.

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Healthcare supply chain, pharmacy costs to rise in 2025: report

Healthcare Dive

Tariffs and price inflation for specialty medications will increase costs, according to research from Vizient.

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CoachCare Announces $11 Million Investment from Catalyst Investors, Expanding Growth Potential

Healthcare IT Today

Total 2024 Debt and Equity Funding Surpasses $110 Million, Bolstering Organic and Acquisition-Focused Growth Strategy CoachCare , a leader in remote patient monitoring (RPM) and virtual care management, announced an $11 million investment from growth equity firm Catalyst Investors. This latest round follows a $48 million funding in June led by Integrity Growth Partners and Topmark Partners, bringing CoachCares total equity funding for 2024 to $59 million.

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2025: AI Transforms Healthcare Operating Models

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Venkatgiri Vandali, president of healthcare and life sciences, Firstsource. AI is a natural fit in multiple functions across the health plan value chain. In 2025, more plans will deploy generative AI in claims operations, […] The article 2025: AI Transforms Healthcare Operating Models appeared first on electronichealthreporter.com.

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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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HIMSSCast: Personalized care through AI

Healthcare It News

There's always been personalization for every patient, said Mudit Garg, CEO and cofounder of Qventus. But personalization at scale requires technology. Over the last 10 to 20 years, many technical systems have been built that allow for mass personalization. For instance, every customer has a personalized experience with Amazon.

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RFK Jr. clears key hurdle on path to HHS secretary

Healthcare Dive

A key Senate committee voted to advance Robert F. Kennedy’s nomination even after some legislators raised concerns about his previous vaccine stances and confusion surrounding programs like Medicare and Medicaid.

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New Mountain Capital to Acquire Machinify and Combine with Leading Healthcare Intelligence and Payment Platform

Healthcare IT Today

Combined Entity to be Named Machinify, with Revenue of More than $500 Million Accelerates Transformation of Healthcare Administration Through Addition of AI-Native Technology Platform New Mountain Capital, LLC , a leading growth-oriented investment firm with more than $55 billion in assets under management, today announced a definitive agreement to acquire Machinify, Inc. , a leading provider of artificial intelligence (AI)-powered software transforming healthcare payments.

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A Physician-directed AI-driven Mobile Approach to Preventive Care Management

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Shaji Nair, CEO, Friska.AI. When it comes to providing comprehensive preventive care, more than annual checkups are required. A patient-facing approach is needed to support the establishment of a health-forward routine comprised of proper […] The article A Physician-directed AI-driven Mobile Approach to Preventive Care Management appeared first on electronichealthreporter.com.

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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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How 3D Technologies are Revolutionizing the Medical Industry

HIT Consultant

Ion Hatzithomas, CEO atRenderHub The Medical Revolution Powered by 3D Technology In recent years, the healthcare industry has witnessed a groundbreaking transformation driven by 3D visual technologies. Once confined to the realm of science fiction, recent innovations in 3D printing, bioprinting, mobile 3D imaging, VR/AR for surgeries, and 3D medical animations are now solving critical challenges in diagnostics, treatment, and patient care.

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Why health systems should be ‘clear-eyed’ about business goals for AI tools

Healthcare Dive

Caroline Pearson, executive director of the Peterson Health Technology Institute, discusses the institute’s new task force that aims to study the financial, efficiency and workforce effects of AI products.

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1m Raises $10 Million in Series A Funding to Bring Modern Risk Management Capabilities to Healthcare Organizations

Healthcare IT Today

Financing Includes Substantial Participation from Prominent Health OrganizationsBanner Health and Cleveland Clinic 1m Sets the Standard in Risk Management for Healthcare Systems with First Industry-Specific Offering 1m , a data and analytics technology company serving the risk management needs of large healthcare organizations, announced today that it has raised $10 million in Series A financing.

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Government launches AI breast cancer trial

Digital Health News

The government has announced the launch of a trial that will test how AI tools can be used to detect cases of breast cancer earlier.

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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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Little Otter Secures $9.5M for Digital Whole-Family Mental Health

HIT Consultant

What You Should Know: – Little Otter , a trailblazer in digital whole-family mental health care, has raised $9.5 million in a strategic funding round led by top-tier impact investors, including Pivotal Ventures, Torch Capital, Springbank, CRV, Next Legacy, G9, Gratitude Railroad, and Carrie Walton Penner’s Fiore Ventures. – This investment brings total funding to-date to $36.35 million, and cements Little Otters position as a defining leader in the rapidly growing billion-dolla

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Crozer Health placed into receivership after proposed deal collapses

Healthcare Dive

Bankrupt Prospect Medical Holdings scuttled a deal to sell Crozer Health but secured $20 million in funding from regulators to keep Crozer’s operations afloat for one more month.

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Partnering with Community Organizations and Ensuring Equitable Access to Healthcare Services for Marginalized and Vulnerable Populations

Healthcare IT Today

We talk a lot about improving health equity and healthcare access – but what can we actually do to achieve it? What strategies can be implemented to ensure equitable access to healthcare services for marginalized and vulnerable populations? This is an area of healthcare that needs a lot of work due to the fact that the more we look into health inequity, the more barriers we can identify in our patients’ way.

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Everything You Need to Know about Batch Manufacturing Record (BMR) Reviews

Dot Compliance

Batch Manufacturing Records (BMRs) document every step of the production process for each batch of a product. These records are essential for ensuring consistency, safety, and compliance in the pharmaceutical industry. The process of reviewing BMRs is crucial for identifying any discrepancies, addressing issues early, and ensuring that products meet quality standards before reaching the market.

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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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Securing Healthcare Data in an Ever-Evolving Digital Landscape

HealthIT Answers

By Usman Choudhary - Healthcare data security is among the most pressing challenges in today's interconnected world, primarily because digital transformation exposes sensitive patient information to the risk of breaches and cyberattacks. The post Securing Healthcare Data in an Ever-Evolving Digital Landscape appeared first on Health IT Answers.

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Express Scripts, Kroger reach new pharmacy network agreement

Healthcare Dive

The two have mended fences after a nasty contract dispute in 2022 caused Kroger pharmacies to go out of network with Express Scripts’ members.

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Policy Changes: Their Role in Advancing Health Equity, How to Advocate for Them, and What Other Policies Need to be Implemented

Healthcare IT Today

As the Greek philosopher, Heraclitus, once stated “The only constant in life is change.” Every day we wake up and begin our work in our respective careers, hobbies, and passions and the world begins to change. For the world of healthcare, our push towards a more inclusive and hopeful future comes alongside policy changes. As we change and improve, we need our policies to reflect that growth and change as well as to keep everyone at the same level.

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Reversing Healthcare’s Financial Crisis: A Look into Patient Access Solutions

HIT Consultant

Meredith Kirchner, COO and Client Success Leader, Curae The healthcare industry is caught in the crosshairs of historical inflation, driving up the costs of medical equipment, essential medications and treatments, and out-of-pocket costs. The combination of these factors and continuous labor shortages among nurses and physicians due to burnout directly impacts the end user: patients.

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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?