2024

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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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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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Are genAI-produced visit summaries the future?

Healthcare It News

A project at Beth Israel Deaconess Medical Center's new OpenNotes Lab aims to explore the opportunities and challenges of using artificial intelligence to generate patient visit summaries. WHY IT MATTERS The initiative, which will see OpenNotes collaborate with clinical genAI developer Abridge, will study how AI can enable collaboration between patients and clinicians, while advancing transparency and promoting health equity, they say.

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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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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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CMS recalculates Medicare Advantage stars for UnitedHealth, Centene

Healthcare Dive

After both insurers challenged the agency in court, the CMS improved scores for 12 UnitedHealth contracts and seven Centene contracts.

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More Trending

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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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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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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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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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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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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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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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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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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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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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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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DEA, HHS issue another extension for telehealth controlled substance prescribing

Healthcare Dive

The third temporary extension, which prolongs the pandemic-era flexibilities through the end of 2025, is a relief for telehealth groups who had raised concerns about access to medications.

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Hospital price transparency continues to drop: report

Healthcare Dive

Just 21.1% of hospitals are in full compliance with federal price transparency rules, according to Patient Rights Advocate. Compliance has been backsliding since July 2023.

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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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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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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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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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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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AI could be a game changer, but healthcare needs to be ‘exceedingly careful’

Healthcare Dive

Artificial intelligence tools could help solve workforce challenges. Implementation, however, can be difficult, pushing organizations to consider less risky administrative and back-office tasks first.

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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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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.