CMS recalculates Medicare Advantage stars for UnitedHealth, Centene
Healthcare Dive
DECEMBER 4, 2024
After both insurers challenged the agency in court, the CMS improved scores for 12 UnitedHealth contracts and seven Centene contracts.
Healthcare Dive
DECEMBER 4, 2024
After both insurers challenged the agency in court, the CMS improved scores for 12 UnitedHealth contracts and seven Centene contracts.
Healthcare It News
DECEMBER 3, 2024
Kasih Ibu Hospital Group's flagship hospital in Denpasar, capital of Bali, Indonesia, has been validated for Stage 6 of the HIMSS Electronic Medical Record Adoption Model. The eight-stage model measures an organisation's maturity in their EMR capabilities. WHY IT MATTERS Kasih Ibu Hospital Group started as a maternity hospital in Denpasar before becoming a general hospital four years after its founding in 1987.
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Healthcare IT News - Telehealth
DECEMBER 2, 2024
Over the past decade, the University of Oklahoma College of Medicine has seen an increase in the number of highly complex infections. That's related to a few different factors. THE PROBLEM First, the population of the Sooner State has been trending less healthy in general. Second, surgeons at the Oklahoma City-based medical school are performing more complex surgeries.
MRO Compliance
DECEMBER 20, 2024
Health system leaders face challenges in exchanging patient data due to CMS regulations requiring broader data sharing, while privacy concerns mount from recent security breaches. Additionally, third-party payer requests for clinical data are increasing. Although payers are authorized to access data for treatment, payment, or operations (TPO) under HIPAA, the minimal necessary rule still applies.
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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.
Bill of Health
DECEMBER 2, 2024
Photo credit: @wambuigichobi | SMA A Masai woman raises her fist as other women leaders look on at COP 27 in Sharm El Sheikh, Egypt during one of the debriefs by the Women and Gender Constituency. by Faith Lumonya , Esther Wambui , and Eunice Musiime As global temperatures rise and the frequency of extreme weather events — such as floods, droughts, and heat waves — increases, climate change poses a growing threat to the progress of women’s sexual and reproductive health and rights (SRHR).
Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
Healthcare Dive
DECEMBER 4, 2024
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.
Healthcare It News
DECEMBER 4, 2024
Enterprise Taxonomy: AI Population and Public Health Analytics Clinical and business intelligence Digital Health Care Data and Information Technology Node settings: Exclude from Accelerate RSS feed
Fierce Healthcare
DECEMBER 4, 2024
With only 27 days to go before COVID-era telehealth flexibilities expire, a major health IT group along with 62 healthcare organizations are urgently calling on Congress, again, to take immediate a | With only 27 days to go before COVID-era telehealth flexibilities expire, a major health IT group along with 62 healthcare organizations are urgently calling on Congress, again, to take immediate action and grant a two-year extension.
HIT Consultant
DECEMBER 18, 2024
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.
Advertiser: Celo
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.
Health Populi
DECEMBER 5, 2024
As a long-time fan and customer of IKEA, I receive daily Google Alerts about the company, from business finances to design trends. When I read this piece on IKEA’s work on a home designed for people who were homeless , I paid special attention to learn about the concept of trauma-informed design. Thanks to the publication Retail TouchPoints and the author of the story, Adan Blair, for covering this project.
Healthcare IT Today
DECEMBER 2, 2024
The resourceful and caring team at Reno Sparks Tribal Health Center (RSTHC) has been leveraging technology from NextGen Healthcare (NextGen) to deliver quality care to the American Indians in their community. Now, with the recent CMS announcement, they will be able to add traditional medicine. Healthcare IT Today had the opportunity to sit down with Angie Wilson, Tribal Health Director at RSTHC while she was attending the 2024 NextGen User Group Meeting (#NextGenUGM24).
Healthcare Dive
DECEMBER 4, 2024
Independent pharmacies were more likely to shut down, possibly because they’re more often excluded from pharmacy benefit managers’ networks, according to the research published in Health Affairs.
Healthcare It News
DECEMBER 2, 2024
Enterprise Taxonomy: Patient Access Health and Wellness Behavioral health Population and Public Health Quality Care Care Node settings: Exclude from Accelerate RSS feed
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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?
Fierce Healthcare
DECEMBER 5, 2024
Pregnant women in Washington, D.C., without reliable access to transportation have been cashing in on a private, complimentary car ride to their many perinatal and postnatal appointments | With free Lyft rides, Babyscripts helped transportation-insecure women attend more perinatal and postnatal appointments. Clinical evidence shows when women attend more visits during their pregnancies, outcomes drastically improve.
Digital Health News
DECEMBER 9, 2024
Exclusive: Digital Health reveals the membership of the key group leading strategy on data and technology for the NHS 10 year health plan.
HIT Consultant
DECEMBER 5, 2024
Ali Morin, Chief Nursing Informatics Officer at symplr As technological innovations, AI and challenges in healthcare continue to grow, it’s imperative for healthcare leaders – especially clinical ones – to be digitally competent and step into the forefront of change with skills and expertise to support a better future. Not only do they need to be efficient in use of existing technology to streamline operations and support frontline workers, but they also need to be open to new technologies in th
Healthcare IT Today
DECEMBER 2, 2024
The following is a guest article by Emmanuelle Hose, Global Vice President of Industry Solutions at Rimini Street The use of AI in the healthcare market is booming , having reached $22,449.3 million in 2023 and is expected to grow 37.5% annually through 2030. From enhancing patient care and streamlining administrative processes to aiding in medical research and diagnostics, AI is revolutionizing healthcare.
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
Healthcare Dive
DECEMBER 5, 2024
Brian Thompson’s death on Wednesday set off a flood of darkly celebratory social media posts offset by solemn remembrances from his peers and other healthcare leaders.
Healthcare It News
DECEMBER 3, 2024
Enterprise Taxonomy: Operations Finance Financial management Revenue cycle management Strategic Planning Business Organizational Governance Node settings: Exclude from Accelerate RSS feed
Fierce Healthcare
DECEMBER 2, 2024
A group of legislators is calling on the Department of Justice to dig into whether pharmacy benefit managers played a role in the opioid epidemic. | A group of legislators is calling on the Department of Justice to dig into whether pharmacy benefit managers played a role in the opioid epidemic.
Healthcare IT News - Telehealth
DECEMBER 19, 2024
An Australian biotechnology company is building what could be the first AI-driven hospital in Vietnam. WHAT IT'S ABOUT The MedArmor AI Hospital will pursue a preventive healthcare model, emphasising early disease detection and timely interventions. It will be underpinned by AI and virtual care technologies. The hospital will primarily run on virtual technologies, such as video conferencing, to deliver care.
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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.
HIT Consultant
DECEMBER 4, 2024
What You Should Know: – ECRI , a non-profit organization focused on healthcare safety, has released its annual Top 10 Health Technology Hazards report for 2025. – This year, the report highlights the potential risks associated with artificial intelligence (AI) in healthcare, emphasizing the need for careful assessment and management of AI-enabled technologies to ensure patient safety.
Healthcare IT Today
DECEMBER 17, 2024
The following is a guest article by Meredith Kirchner, COO and Client Success Leader at Curae The medical debt crisis in the U.S. is worsening, with healthcare costs now deterring millions of patients from seeking essential care. Soaring medical costs are forcing millions of Americans to make impossible choices: pay for essential care or risk financial ruin.
Healthcare Dive
DECEMBER 2, 2024
As the demand for healthcare services surges, new solutions are necessary to meet worker demand.
Healthcare It News
DECEMBER 11, 2024
As hospitals and health systems embrace digital transformation in earnest, they're apt to find improvements on any number of fronts, from staffing challenges (especially in acute care nursing), length of stay, 30-day readmissions, value-based care and chronic care management. Dr. Nick Patel is physician executive partner at Pivot Point Consulting. ( It was ranked no. 1 Best in KLAS for Managed Services and Technical Services in 2024 ).
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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