2024

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What did the HIPAA Omnibus Rule Mandate?

HIPAA Journal

The HIPAA Omnibus Rule mandated modifications to the Privacy, Security, and Enforcement Rules in order to adopt measures passed in the HITECH Act, finalized the Breach Notification Rule, and added standards to account for the passage of the GINA Act. The key provisions of the HIPAA Omnibus Rule were: Make business associates of covered entities directly liable for HIPAA compliance.

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Regulatory Change Management: 5 Essential Tips for Staying Ahead

Healthcare Blog

Healthcare regulations are constantly changing. Staying ahead of those shifts is key to keeping your organization running smoothly and safely. But how do you keep up with regulatory change management efficiently without feeling overwhelmed? It starts with a few simple strategies — like staying on top of updates or using the right tools to make the process easier.

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Introductory Editorial — Critical Psychedelic Studies: Correcting the Hype

Bill of Health

By Neşe Devenot Since the 2022 publication of “ Preparing for the Bursting of the Psychedelic Hype Bubble ,” a JAMA Psychiatry Viewpoint by David Yaden and colleagues, a wave of scholarship and commentaries has emphasized the ethical importance of nuanced science communication about the still-nascent field of psychedelic medicine. As the journalist Katie MacBride recently described in The Daily Beast , there is now a “growing minority” of scholars and activists in the psychedelics field who are

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Vendor AI Roundup: Enhanced EHR offerings designed to give practices a leg up

Healthcare It News

Each week, more healthcare technology vendors add artificial intelligence enhancements to their products to optimize healthcare practice and provider efficiencies and personalize patient care. To that end, eClinicalWorks announced a series of artificial intelligence enhancements to its electronic health record products, including healow Genie – a fully integrated 24/7/365 contact center system while athenahealth launched Ambient Notes into the athenaOne platform.

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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 Cybersecurity Breaches Affect Patient Care and Recovery

HIT Consultant

Anand Naik- CEO & Co-Founder at Sequretek The healthcare industry has long been built on the promise of providing uninterrupted care across a vast and interconnected ecosystem. However, in recent years, the sector has faced an escalating threatcyberattacks. Data breaches, ransomware attacks, and system vulnerabilities have emerged as major disruptors, threatening sensitive patient information and the very foundation of patient care.

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UnitedHealth, Cigna, CVS sue FTC over insulin litigation process

Healthcare Dive

The three companies are claiming the FTC’s suit is unconstitutional because it was lodged in the agency’s administrative court, instead of a federal one.

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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.

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Stopgap funding bill includes sweeping PBM reform, preserves telehealth flexibilities

Healthcare Dive

Lawmakers Tuesday night released the full text of a bipartisan agreement to fund the government through March. It could also reshape the pharmacy supply chain by reforming how controversial drug middlemen do business.

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PBM executives decline to revise controversial testimony to House committee

Healthcare Dive

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.

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Microsoft unveils new healthcare AI tools

Healthcare Dive

The products include a service that helps healthcare organizations build their own AI agents that could be used for appointment scheduling, clinical trial matching and patient triage.

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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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Hackensack Meridian Health files lawsuit in wake of Chevron decision

Healthcare Dive

Experts predict a wave of litigation will follow the Chevron ruling, which raised the bar for healthcare agencies when implementing laws with unclear intent.

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HHS facing challenges as lead agency for healthcare cybersecurity: GAO

Healthcare Dive

The department hasn’t implemented some policies recommended by the watchdog, which could pose a risk to cybersecurity in the sector as attacks increase, according to the Government Accountability Office.

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Senate report slams Medicare Advantage insurers for using predictive technology to deny claims

Healthcare Dive

UnitedHealth, CVS and Humana used technology to increase MA prior authorization denials for post-acute services, boosting profits, according to a report from a Senate subcommittee.

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Mind the gaps: The healthcare industry is embracing AI, but needs to keep patient care at the center

Healthcare It News

Healthcare organizations are embracing modern digital tools and emerging technologies like AI to reimagine how they interact with patients, connect with communities and advance lifesaving missions. However, as many of these organizations are registered as 501(c)(3) nonprofits, they share the common ailments that afflict the nonprofit sector at large: growing demand and shrinking budgets.

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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?

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No appointments available: America’s escalating primary care shortage

Healthcare Dive

Chronic disinvestment and inadequate training have created a shortage of primary care workers. Leaders at the Milbank Memorial Fund, National Association of Community Health Centers and the American Academy of Family Physicians argue for solutions.

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More than three-fourths of doctors are employed by corporations, report finds

Healthcare Dive

Rampant consolidation continues to threaten the existence of independent physicians, according to a new report from Avalere and the Physicians Advocacy Institute.

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PBM model is a ‘dead man walking.’ What comes next?

Healthcare Dive

Executives from Amazon, Walgreens, Blue Shield of California and PhRMA weighed in on how to fix the much-scrutinized pharmacy benefit manager model during HLTH 2024.

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UnitedHealth, CVS push to remove FTC Chair Lina Khan from PBM case

Healthcare Dive

Attorneys argue Khan and two other commissioners are biased against pharmacy benefit managers and should recuse themselves from an ongoing lawsuit against the middlemen.

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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

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Blue Cross Blue Shield to pay $2.8 billion to settle class action provider antitrust case

Healthcare Dive

It's the largest antitrust settlement to date in the healthcare industry, according to law firm Whatley Kallas, which represented the plaintiffs.

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Where healthcare AI startups are raising venture capital funding

Healthcare Dive

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.

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ACOs led by independent physicians save Medicare ‘substantially’ more money, CBO says

Healthcare Dive

Independent practices have clearer financial incentives to lower medical spending than hospitals participating in accountable care organizations, according to the Congressional Budget Office.

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Offering health insurance is becoming less lucrative

Healthcare Dive

In the third quarter, the seven major publicly traded insurers’ medical loss ratios increased an average of 3.3 percentage points year over year — a major jump in medical costs.

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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.

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House committee takes aim at healthcare consolidation, eyes site-neutral payments

Healthcare Dive

Equalizing Medicare payment between sites of service to cut down on provider consolidation is a “no brainer,” one witness testified during the hearing.

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PBM executives threatened with fines and jail time for alleged perjury in House hearing

Healthcare Dive

Testimony from the heads of Express Scripts, Optum Rx and Caremark in July defending pharmacy benefit managers’ business practices could be coming back to bite them.

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Steward bankruptcy likely as massive debt remains, with few options left

Healthcare Dive

Steward Health Care’s forbearance period ends in less than 15 days. Analysts say this time, creditors are unlikely to extend the embattled company another lifeline.

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7 of the biggest healthcare cyberattack and breach stories of 2024

Healthcare Dive

Cyberattacks targeting the healthcare industry continued to rise this year. Here are some of the largest incidents, from Change Healthcare to Ascension.

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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.

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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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Federal Trade Commission to sue three largest PBMs: WSJ

Healthcare Dive

Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.

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America’s healthcare networks are under attack

Healthcare Dive

The stakes, impact and cost of cybercrime is rising and we must employ the right tech to fight back.

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UnitedHealthcare CEO Brian Thompson fatally shot in NYC

Healthcare Dive

The NYPD confirmed the shooting, which cut UnitedHealth’s investor conference short on Wednesday morning, though not Thompson’s identity. Thompson, 50, had been with UnitedHealth since 2004.

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Advanced Compliance: OSHA & HIPAA in Healthcare Facilities

Dive into the Compliance Officer's Handbook for advanced OSHA and HIPAA strategies. This guide provides detailed steps for maintaining compliance in healthcare facilities, covering key regulations like the Bloodborne Pathogens Standard and HIPAA Privacy Rule. Learn to create a culture of compliance with management commitment, employee training, and regular risk assessments.