Sat.Nov 09, 2024 - Fri.Nov 15, 2024

article thumbnail

Aetna launched a copay-only health plan. What could it mean for benefits teams?

Healthcare Dive

The plan requires only copays for medical services and prescription drugs up to the plan member’s out-of-pocket maximum, with no deductibles or coinsurance costs.

248
248
article thumbnail

VA seeks to end telehealth copays and fund virtual care access in rural areas

Healthcare It News

The U.S. Department of Veterans Affairs announced a proposal to eliminate telehealth copayments for veterans and establish a grant program to fund designated VA telehealth access points in non-VA facilities. WHY IT MATTERS This week the VA announced that it is proposing to amend a regulation – the Commander John Scott Hannon Veterans Mental Healthcare Improvement Act of 2019 – to exempt all telehealth services from the law's copayment requirements.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

AI and cybersecurity: How safe are your systems?

Becker's Health IT

The artificial intelligence (AI) boom is here, and it’s not showing signs of slowing down any time soon. With a current market size of about $28 billion, healthcare AI is projected to exceed $180 billion in 2030.

107
107
article thumbnail

Pharmacy costs, high utilization drive Kaiser to $608M operating loss in Q3

Healthcare Dive

Kaiser said it would institute cost-cutting measures in response to the lackluster financial results, but didn’t detail specifics.

288
288
article thumbnail

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.

article thumbnail

The MRO Exchange: AHIMA24 recap with Lauren Wall from Steward Health Care

MRO Compliance

Healthcare NOW Radio Podcast Network · MRO Exchange: AHIMA24 recap with Lauren Wall from Steward Health Care S1E11: Host Don Hardwick, Senior VP of Client Relations interviews Lauren Wall, National Director of HIM Operations and Shared Services at Steward Health Care. They discuss the recent AHIMA National Conference which was held at the end of October in Salt Lake City, UT.

147
147

More Trending

article thumbnail

Deep dive: Exploring one of the most advanced telemedicine programs in the U.S.

Healthcare IT News - Telehealth

Morgan L. Waller, RN, says she and her team were well invested in telemedicine way before COVID-19 – and have not yet paused their journey to improve access to highly sought-after medical professionals via virtual care technology. Waller is director of telemedicine and regional multispecialty clinics at Children's Mercy Kansas City, where the telehealth program is mature and advanced, staffed with clinicians who have deep and hard-won expertise.

article thumbnail

CMS to lower importance of ‘call center’ metric in Medicare Advantage star ratings

Healthcare Dive

Regulators’ assessment of customer support centers has spurred recent lawsuits from UnitedHealthcare, Centene and Humana. But the metric “is going to have a smaller weighting on star ratings moving forward,” the director of Medicare said.

Medicare 260
article thumbnail

Primary care player Forward shutters after raising $400M, rolling out CarePods

Fierce Healthcare

Primary care player Forward is abruptly shutting down its operations, closing its locations and canceling scheduled visits, the company publicly announced Wednesday. | Primary care player Forward is abruptly shutting down its operations, closing its locations and canceling scheduled visits, the company publicly announced Wednesday.

144
144
article thumbnail

Report: Gen Z Leaving Healthcare in Droves Due to Toxic Culture

HIT Consultant

What You Should Know: – A new report from Soliant Health reveals a concerning trend: healthcare professionals across all age groups are leaving the industry due to job stress, poor work-life balance, and unhealthy workplace cultures. – Surprisingly, Gen Z (ages 18-27) is leading the exodus, with over 22% planning to leave their healthcare jobs within the next 1-3 years.

article thumbnail

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?

article thumbnail

How virtual-first can improve outcomes and make care more affordable

Healthcare IT News - Telehealth

The virtual-first approach to healthcare that some hospitals and health systems are taking is helping to reshape how patients receive care. And virtual care providers – online companies that specialize in telemedicine, sometimes known as "payviders" – are offering a virtual-first approach to healthcare directly to consumers. (Payvider in this context not to be confused with payvider meaning large health systems that handle both care delivery and claims processing, such as U

article thumbnail

Health systems band together to test and publicly rank top AI models

Healthcare Dive

Mass General Brigham, Emory and other providers will assess different AI models from companies like Google, Microsoft and Amazon.

283
283
article thumbnail

Amazon One Medical rolls out telehealth treatment services in competition with Ro, Hims & Hers

Fierce Healthcare

Amazon One Medical is rolling out a new service to provide Prime members access to clinical treatments for common health and lifestyle conditions like men's hair loss and anti-aging skin care. | Amazon One Medical is rolling out a new service to provide Prime members access to clinical treatments for common health and lifestyle conditions like men's hair loss and anti-aging skin care.

126
126
article thumbnail

MDaudit’s 2024 Benchmark Report Reveals a Fivefold Increase in Dollars At-Risk from Payer Audits While Coding-Related Denials Surged by Over 125%

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. External audit volume more than doubled in 2024 over 2023-including higher rates of pre-payment audits-and total at-risk dollars increased fivefold to $11.2 million per MDaudit customer, impacting healthcare provider organizations’ cash flow and exposing them […] The article MDaudit’s 2024 Benchmark Report Reveals a Fivefold Increase in Dollars At-Risk from Payer Audits While Coding-Re

103
103
article thumbnail

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

article thumbnail

Discover the potential ROI of bedside telehealth

Healthcare IT News - Telehealth

As telehealth becomes a more popular and accepted option for patients and clinicians, health systems can deploy it to realize cost savings across care settings. In particular, bedside telehealth can reinforce the efforts of on-site care teams, increase patient engagement and drive efficiencies for hospitals. Mike Brandofino, Caregility’s President and COO, talks about the benefits of bedside telehealth technology and how health systems can scale telehealth at the point of care.

Nurses 134
article thumbnail

Cigna confirms it is not pursuing Humana acquisition

Healthcare Dive

The flat-out denial comes after Cigna CEO David Cordani tried to throw cold water on persistent speculation of a Humana merger earlier this fall.

291
291
article thumbnail

Digital unicorn Lyra Health lays off 2% of workforce amid restructuring, impacting non-clinicians

Fierce Healthcare

Lyra Health, a provider of mental health benefits for employees, laid off 2% of its total workforce last Monday, Fierce Healthcare has learned. | The layoffs affected 77 people, according to a former employee who was part of the cuts and spoke on the condition of anonymity. At least some of the employees received severance for 12 weeks with health benefits.

126
126
article thumbnail

eClinicalWorks Cloud and healow Providing Value to HealthNet

Healthcare IT Today

Having attended multiple eClinicalWorks user conferences, one of their big efforts was to move all of their users to the eClinicalWorks cloud. eClinicalWorks had made a big investment in cloud and they wanted all of their users to benefit from the reliability, scalability, and benefits of being on the cloud. With this in mind, I sat down with V Cantrell, MD, CMO at HealthNet and Abigayle Gomez, EMR Director at HealthNet , at the eClinicalWorks annual conference to learn more about their recent

115
115
article thumbnail

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.

article thumbnail

China to pilot standards for virtual primary care

Healthcare IT News - Telehealth

China is set to run a pilot programme to implement and promote new standards for internet-based family doctor contract services. Announced in a meeting with general practitioners led by the Chinese Medical Association, the said programme will be developed in partnership with major hospitals and the National Foundation for Australia-China Relations. WHY IT MATTERS While there are no specifics provided about the said standards, these will be reportedly modelled after the standards developed by Chi

Doctors 121
article thumbnail

Baxter to restart second IV fluid production line at hurricane-damaged site

Healthcare Dive

However, CEO Joe Almeida stressed that the earliest that new products could start to ship from the plant is late November.

290
290
article thumbnail

J&J sues HRSA for blocking controversial 340B rebate plan

Fierce Healthcare

Johnson & Johnson is escalating its fight with the federal government over its controversial plan to change how it doles out drug discounts to hospitals. | Johnson & Johnson is escalating its fight with the federal government over its controversial plan to change how it doles out drug discounts to hospitals. J&J is suing the Health Resources and Services Administration for blocking the implementation of its new 340B rebate model.

article thumbnail

HTI-2’s Sweeping Scope Means Unrealistic Timelines, Costly Compliance Requirements, and Concerning Changes

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Stephanie Jamison (Greenway Health) and Leigh Burchell (Altera Digital Health), Chair and Vice Chair, EHR Association Executive Committee, and Greg Thole (Oracle), Chair, EHR Association Certification Workgroup In the lead-up to publication by the […] The article HTI-2’s Sweeping Scope Means Unrealistic Timelines, Costly Compliance Requirements, and Concerning Changes appeared first on el

article thumbnail

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.

article thumbnail

This Week’s Health IT Jobs – November 13, 2024

Healthcare IT Today

It can be very overwhelming scrolling though job board after job board in search of a position that fits your wants and needs. Let us take that stress away by finding a mix of great health IT jobs for you! We hope you enjoy this look at some of the health IT jobs we saw healthcare organizations trying to fill this week. Here’s a quick look at some of the health IT jobs we found: Chief Medical Officer – Vernon Memorial Healthcare Chronic Care Strategist – IEHP IT Technical Solut

article thumbnail

General Catalyst’s HATCo to acquire Summa Health for $485 million

Healthcare Dive

The deal, along with the Ohio-based health system’s current cash, would eliminate nearly all of Summa’s debt.

268
268
article thumbnail

Major payers saw mixed results in Q3. Here's a look at how each fared

Fierce Healthcare

The third quarter of 2023 was another mixed bag for major insurers as they continue to grapple with significant headwinds. | The third quarter of 2023 was another mixed bag for major insurers as they continue to grapple with significant headwinds.

127
127
article thumbnail

Medical Practice Credit Card Processing: Uncovering Hidden Fees and Optimizing Revenue Structures

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Over the past decade, credit card spending has more than tripled, leading to billions of dollars in processing fees for merchants. Despite the size of this industry, many find its complexities challenging to navigate. Credit […] The article Medical Practice Credit Card Processing: Uncovering Hidden Fees and Optimizing Revenue Structures appeared first on electronichealthreporter.com.

91
article thumbnail

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.