Healthcare Dive
OCTOBER 21, 2024
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.
Bill of Health
JANUARY 29, 2024
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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Healthcare IT News - Telehealth
NOVEMBER 11, 2024
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.
Fierce Healthcare
NOVEMBER 18, 2024
Oura is partnering with medical device maker Dexcom to integrate data from glucose biosensors with the Oura Ring, which tracks sleep, heart rate and activity. | Oura is partnering with medical device maker Dexcom to integrate data from glucose biosensors with the Oura Ring.
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.
HIT Consultant
NOVEMBER 15, 2024
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.
Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
Center for Health Insurance Reform
SEPTEMBER 19, 2024
J.D. Vance, candidate for Vice President of the United States, has called for replacing the ACA's insurance reforms with "high risk pools" for people with pre-existing conditions. CHIR's Sabrina Corlette revisits how high risk pools worked (or more often, didn't work) for people, prior to the ACA.
Mobi Health News
NOVEMBER 4, 2024
The CRISPR therapy, HG202, was conceived using AI and machine learning and aims to treat individuals with neovascular age-related macular degeneration.
Kaiser Health News
APRIL 16, 2024
A wide-ranging lawsuit filed Friday outlines a moneymaking scheme by which large insurance sales agency call centers enrolled people into Affordable Care Act plans or switched their coverage, all without their permission. According to the lawsuit, filed in U.S. District Court for the Southern District of Florida, two such call centers paid tens of thousands of dollars a day to buy names of people who responded to misleading advertisements touting free government “subsidies” and other
Becker's Health IT
OCTOBER 10, 2024
In 2024, the percentage of healthcare organizations paying ransomware demands decreased to 36%, down from 40% in 2023. However, those that did comply faced steeper costs, an Oct. 8 survey from Proofpoint and Ponemon Institute found.
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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?
Digital Health News
MARCH 12, 2024
Racist remarks said to have been made by the CEO of TPP, inciting violence against UK MP Dianne Abbott have resulted in widespread condemnation.
Healthcare Dive
SEPTEMBER 12, 2024
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.
Healthcare Dive
OCTOBER 28, 2024
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.
Healthcare Dive
OCTOBER 10, 2024
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.
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
OCTOBER 23, 2024
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.
Healthcare Dive
NOVEMBER 4, 2024
Physicians will see their Medicare reimbursement fall 2.9% next year if Congress doesn’t stop the cuts. Meanwhile, reimbursement for hospital outpatient departments is rising 2.9%.
Healthcare Dive
NOVEMBER 8, 2024
During a meeting Thursday, commissioners debated different solutions to lackluster physician pay with one theme in common: linking doctors’ annual payment update to the Medicare Economic Index.
Healthcare Dive
APRIL 15, 2024
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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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.
Healthcare Dive
OCTOBER 25, 2024
MultiPlan, which denies the allegations, has been sued dozens of times over concerns the company is conspiring with health insurers to underpay doctors for out-of-network care.
Healthcare Dive
SEPTEMBER 18, 2024
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.
Healthcare Dive
NOVEMBER 5, 2024
Dramatic growth in an opaque Medicaid funding mechanism is exacerbating concerns about the program’s fiscal integrity — while spurring financial gains for the hospital industry.
Healthcare Dive
AUGUST 29, 2024
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.
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.
Healthcare Dive
JULY 10, 2024
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.
Healthcare Dive
AUGUST 7, 2024
One challenge hospitals face is reimbursement from private payers, which doesn’t cover the higher costs of care in rural areas, according to a report by the Center for Healthcare Quality and Payment Reform.
Healthcare Dive
OCTOBER 18, 2024
Vertex AI Search for Healthcare is designed to quickly query a patient’s medical record. Google says the tool will reduce the administrative burden for payers and providers.
Healthcare Dive
JULY 31, 2024
The insurer shrank its plan footprint for 2025 in a bid to improve margins. Now, Humana is giving market watchers loose guidance into how that reduction could affect its enrollment along with second quarter results.
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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