Sat.Dec 16, 2023 - Fri.Dec 22, 2023

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Digital Do’s and Don’ts: Navigating Healthcare Compliance Successfully

American Medical Compliance

Providing healthcare is undeniably one of the most promising and rewarding ventures in today’s business landscape. This is because of the rapidly growing global population and aging demographic. As featured in Companies Market Cap, the top 10 publicly traded healthcare companies have revenue of $39 billion to $359 billion as of 2023. This shows that there’s a continual focus on health and wellness.

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Healthcare Privacy Risk Assessment: Protecting Confidentiality in the Digital Age

Compliancy Group

Data is constantly being shared and stored electronically, contributing to healthcare organizations’ significant challenges regarding safeguarding patient information. With increasing cyber threats and privacy breaches, ensuring the confidentiality and security of protected health information has become paramount. This is where a healthcare privacy risk assessment plays a crucial role.

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HIPAA Enforcement is Changing. Providers Must Too.

HIT Consultant

Cam Roberson, VP at Beachhead Solutions Healthcare delivery organizations and those working with them that are still in business are either well aware of their duties under HIPAA, work with managed service providers that understand the law well, or…are lucky to have made it this far. Even for organizations that have steered clear of both cyberattacks and regulatory fines, vigilance is essential to maintaining a clean bill of (cybersecurity) health.

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Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG) 

YouCompli

Last month, the Office of Inspector General (OIG) published a new, user-friendly, 91-page General Compliance Program Guidance (GCPG). It is meant to be a helpful reference for everyone in the health care industry about how to develop a compliance program, safeguard their organizations and ensure they operate according to all laws and regulations. Users are encouraged to use the electronic version, to allow access to hyperlinked definitions and resource documents.

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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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Hospital HIPAA Compliance: Ensuring Patient Privacy and Avoiding Penalties

Compliancy Group

In today’s technologically advanced world, the protection of sensitive patient information is of utmost importance. Hospitals play a crucial role in maintaining the privacy and security of this data, as they are entrusted with valuable medical records. Hospitals must adhere to the Health Insurance Portability and Accountability Act (HIPAA) regulations to ensure patient confidentiality.

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UnitedHealth, OptumRx sued by independent pharmacy over ‘unconscionable’ fees

Healthcare Dive

Osterhaus Pharmacy in Iowa — which is also suing CVS Caremark — is taking issue with pharmacy benefit managers’ use of performance-based fees that it says are contributing to independent pharmacy closures.

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More Trending

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Telemedicine M&A trends moving into 2024

Healthcare IT News - Telehealth

Drake Star is a tech-focused investment bank that works with top tech companies. Christophe Morvan is managing partner at Drake Star, and Lawrence Giesen is a partner. Both specialize in telemedicine. As 2023 turns to 2024, the two experts have a lot of thoughts on the state of the market for virtual care. Healthcare IT News sat down with the men to discuss main players in the U.S. telemedicine sector, merger and acquisition trends for telemedicine, main financial backers and investment dynamics

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2024 Outlook: Despite hurdles, stakeholders bullish on VR in behavioral health

Fierce Healthcare

Though often associated with gaming, virtual reality (VR) is a technology rapidly evolving in healthcare. | VR therapy is not a new concept, though it wasn’t until the last few years that the field became prominent. And as technology has improved and gotten more intuitive to use, it has also become less expensive.

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Over 19M could enroll in ACA plans for 2024, CMS says

Healthcare Dive

Enrollment in the Affordable Care Act exchanges could be boosted by extended subsidies and the effects of Medicaid redeterminations.

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Climate Change and Neglected Tropical Diseases: Key Takeaways from the WHO-WIPO-WTO Trilateral Symposium

Bill of Health

By Aparajita Lath* The World Health Organization (WHO), in collaboration with the World Intellectual Property Organization (WIPO) and the World Trade Organization (WTO), hosted the 10 th Trilateral Symposium on Human Health and Climate Change in Geneva this November. This article reflects the significant effort made to put climate-sensitive diseases, many of which are neglected tropical diseases (NTDs), at the forefront of these talks.

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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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Telehealth sees a dip as patients pull back on virtual care

Healthcare IT News - Telehealth

Steven Ullman, director at the Center for Health Management and Policy at the University of Miami, says utilization has dropped to 5.4% of medical claims since telehealth use skyrocketed during the pandemic.

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Few health plans have dedicated Alzheimer’s and dementia care management strategy: survey

Fierce Healthcare

Health plans and value-based care organizations are ill-prepared to help patients with Alzheimer’s Disease or related dementia. | Only a small fraction of health plans and value-based care organizations have a fully developed care management model for its enrollees with dementia or Alzheimer's, a new survey shows.

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No Surprises Act dispute portal reopens again amid ‘challenging’ policy rollout

Healthcare Dive

The CMS has repeatedly stopped and restarted arbitration this year as court cases snarl regulatory efforts to resolve surprise billing disputes.

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The SCOTUS Antibody Ruling Has an Uncertain Impact for Drug Makers and Patients

Bill of Health

How Amgen v. Sanofi will affect innovation and the pharmaceutical industry. By Timothy Bonis Millions of patients rely on monoclonal antibodies. The global market in 2022 was $210B with a compound annual growth rate of 11 percent. Monoclonal antibody patents are now some of the world’s most valuable intellectual property. Monoclonal antibody patent law has been in turmoil for the past two decades.

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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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Sensitive Data Requires Great Responsibility: The Importance of ‘Privacy and Security by Design’ in Healthcare

HIT Consultant

Chris Bowen, founder and CISO at ClearDATA In healthcare, sensitive data comes with great responsibility. For companies entrusted with managing and protecting patients’ personal information, ensuring the privacy of that data must be the highest priority. These companies are called to act as vigilant guardians, especially when you consider that secure and accurate data can literally save lives.

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BCBS of Massachusetts faces backlash from docs over anesthesia coverage policy change

Fierce Healthcare

A new policy from Blue Cross Blue Shield Massachusetts, starting Jan. | Some patients needing a colonoscopy in Massachusetts won't be covered for monitored anesthesia care, or MAC, starting Jan. 1. Blue Cross Blue Shield Massachusetts is standing by the policy, which will save the insurer money but require the patient to remain awake for the operation.

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Ohio hospital, vendor hit with class action suit after data breach

Healthcare Dive

The suit alleges Salem Community Hospital and Perry Johnson & Associates waited months before informing affected individuals. The breach may have exposed the data of nearly nine million people across the country.

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New HIPAA Security Rule and Enforcement Coming in 2024

Healthcare IT Today

The U.S. Department of Health and Human Services (HHS) said it will update the HIPAA Security Rule in 2024 and will ask Congress for new laws and resources to increase civil money penalties for HIPAA violations, increase HIPAA enforcement, and conduct proactive audits. HHS released a new Healthcare Sector Cybersecurity strategy paper which cited a 93% increase in large breaches from 2018 – 2022 and a 278% increase in large breaches caused by ransomware.

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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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Joe’s View: Santa, this is unsustainable

Digital Health News

Santa was buckling under the strain - until Mrs Claus came up with a plan. Could this festive tale hold a lesson for the NHS? By Joe McDonald.

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Most doctors have not yet tried AI but are 'cautiously optimistic' about the benefits

Fierce Healthcare

The hype around healthcare artificial intelligence has reached a fever pitch but most doctors are holding back from trying it out in their medical practice, for now. | Among those who are holding off, doctors report lack of confidence in accuracy and a lack of integration or access through existing tools — as key obstacles to adoption.

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Lawsuit alleges New Jersey’s telehealth licensure rules hamper access to care

Healthcare Dive

The suit comes as relaxed pandemic-era licensure rules for virtual care expire. Standard regulations are onerous for patients who may not be able to access specialty care for rare conditions, the lawsuit said.

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The Advantages of Human Scribes for Clinical Notes

Healthcare IT Today

Speke is a premium service that provides scribal services to clinicians. While many companies boast of creating clinical notes purely through natural language processing and AI, Speke leverages ambient clinical voice together with human scribes to create a higher quality note for the clinician. Executive Vice President Vadim Khazan justifies the choices made by Speke, which is part of the company ScribeAmerica , by posing a trade-off.

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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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Will 2024 See True Value-Based Care Transformation?

HealthIT Answers

Our annual predictions for 2024 continues with Value-Based Care in 2024. Throughout the next few weeks we will be asking the industry experts what they think we will see in 2024. Check back as we cover AI, digital health, interoperability, privacy, security, access, and equality. The post Will 2024 See True Value-Based Care Transformation? appeared first on Health IT Answers.

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ChristianaCare pays $47M to resolve former compliance officer's kickback allegations

Fierce Healthcare

Wilmington, Delaware-based ChristianaCare has agreed to a $47.1 million settlement resolving illegal kickback allegations flagged by its former chief compliance officer, Ronald Sherman. | The agreement is the largest False Claims Act settlement in Delaware's history and paves the way for future cases against hospitals that provide private physician groups with free services from their employees, legal counsel said.

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Antitrust enforcements hit a high in 2022, with health deals impacted

Healthcare Dive

The 2022 report comes after regulators finalized merger guidelines this week that could have a chilling effect on healthcare M&A.

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Mitigating Risk and Reducing Costs with Smart Healthcare Records Management

Healthcare IT Today

The following is a guest article by Mitchell Perry, VP Compliance & Security at Access In the ever-evolving landscape of healthcare IT in US healthcare frameworks, integrating electronic health records (EHRs) has become a cornerstone for providers. However, the transition from traditional paper records to digital formats presents a challenge that extends beyond a simple “scan all” approach.

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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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Digital Health 2023 Year in Review

Digital Health News

Digital Health's editor-in-chief Jon Hoeksma looks back at the key trends and big stories over the past 12 months.

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2024 Outlook: How tech, incentives could push measurement-based care in behavioral health

Fierce Healthcare

Imagine if a patient came to see a doctor for high blood pressure. | Imagine if a doctor measured a patient's blood pressure once on intake, and then never again, while continuing their treatment. While the idea of not having quantifiable data to measure outcomes in medical care seems absurd, that is most often the case in behavioral health. Could that soon change?

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Elevance, BCBSLA resurrect $2.5B merger

Healthcare Dive

Two months after the insurers shelved their plan to merge after public outcry in Louisiana, Elevance and BCBSLA are bringing a new plan to the table they think will assuage regulatory concerns.

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Experian Health Acquires Wave HDC, Immediately Enabling Real-Time, Single Inquiry Insurance Discovery/Verification at the Point of Patient Registration

Healthcare IT Today

The Companies’ Combined Capabilities will Deliver Previously Unattainable Efficiencies, Contributing to Increased Staff Productivity and much Faster Collection of Millions in Payer Reimbursements Experian , the global information services company, announces it has acquired Wave HDC , a healthcare technology leader that offers AI-enhanced data curation solutions to identify unknown insurance benefits coverage and critical patient demographics at the start of a patient’s healthcare journey.

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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.