Thu.Aug 24, 2023

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3 Takeaways from 2023 Medical Staff Services Survey

Symplr

Significant shifts in healthcare delivery are putting higher demands on medical staff office teams who credential, privilege, enroll, and re-credential physicians and advanced practice providers.

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CMS threatens to cut hospices from Medicare if they can’t prove legitimacy

Healthcare Dive

The crackdown comes after media reports found fraudulent activity in hospice facilities, including those that certified patients for care who were not terminally ill and those that ran “churn and burn” Medicare billing schemes.

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Vendor Notebook: Epic and Microsoft showcase "copiloted" AI capabilities, Cerner adds Suki AI

Healthcare It News

The summer is coming to a close with a feverish launch of artificial intelligence tools some of the biggest names in health tech have designed to ignite electronic health record capabilities – from clinician documentation to claims office efficiencies. Microsoft and Epic expand cloud-boosted AI integrations Out of the combination of Microsoft’s cloud and AI technologies and Epic’s clinical workflows and insights, the companies announced several conversational, ambient and gener

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HHS agency launches project to boost healthcare cybersecurity

Healthcare Dive

The Advanced Research Projects Agency for Health is soliciting proposals for a project that would repurpose national security tech to protect the healthcare industry from cyberattacks.

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Navigating the Future: Generative AI, Application Analytics, and Data

Generative AI is upending the way product developers & end-users alike are interacting with data. Despite the potential of AI, many are left with questions about the future of product development: How will AI impact my business and contribute to its success? What can product managers and developers expect in the future with the widespread adoption of AI?

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Helping LGBTQ+ patients navigate their healthcare journeys

Healthcare It News

OutCare Health provides resources, support, education and research studies to support and improve the LGBTQ+ community's care experience. Dr. Dustin Nowaskie, the company's founder and president, explains.

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CVS launches new venture in biosimilar drug experiment

Healthcare Dive

The subsidiary, called Cordavis, will work directly with manufacturers to market or co-produce low-cost biologic drugs, starting with Novartis’ Humira copy.

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Cigna removes prior authorizations for 25% of services

Healthcare Dive

The insurer also plans to nix another 500 codes for its Medicare Advantage plans before the end of this year.

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Follow the (Medical) Record: Patient Experience with Jami Woebkenberg

MRO Compliance

Healthcare NOW Radio Podcast Network · Follow the Medical Record: Jami Woebkenberg at Banner Health Host Don Hardwick interviews Jami Woebkenberg, senior director of HIMS operations for Banner Health. Jami and Don discuss how organizations are aiming to improve the patient experience and the strategies that Banner Health is implementing to tackle this industry-wide initiative.

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Humana cuts 13-state kidney disease management deal with Interwell Health

Fierce Healthcare

A new value-based care agreement has been announced between Humana and Interwell Health, a kidney care management company, in 13 states. | Humana and Interwell Health, a kidney care management company, have partnered to begin a new value-based care agreement to certain Medicare Advantage members in 13 states.

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Navigating Correlation and Causation with Life Sciences in the Age of AI

Healthcare IT Today

The following is a guest article by Alex Long, Head of Life Sciences Sales Strategy at Dell Technologies In science, avoiding correlation without causation is a cornerstone of research methodology. This fundamental principle ensures that scientific conclusions are grounded in evidence rather than coincidental associations. However, as we venture into the Artificial Intelligence (AI) age, a new challenge emerges – that of “Correlation, not Creation.” A classic example highlighti

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Optimizing Medical Waste Management: A Guide to Best Practices

Feeling overwhelmed by medical waste regulations? This comprehensive guide unravels the complexities of medical waste disposal, ensuring you stay compliant and prioritize safety. Inside you'll find: Clear categorization: Learn to precisely classify medical waste for proper handling and disposal. Labeling & Storage: Discover best practices for clear labeling and secure storage of medical waste.

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Pandemic ushered 'unprecedented' declines in hospital patient experience scores, study finds

Fierce Healthcare

Though hospitals’ patient experience scores broadly suffered during the COVID-19 pandemic, the “unprecedented” declines were greatest among facilities that were already facing staffing issues prior | Patient experience score declines were steepest among facilities already understaffed or poorly rated, though no hospital exited 2021 with their HCAHPS scores unscathed, according to a new CMS-backed analysis.

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Provider-Led Value-Based Care at Vanderbilt University Medical Center

Healthcare IT Today

In this video, two experts at Vanderbilt University Medical Center (VUMC) in Tennessee describe how they implemented value-based care from the provider’s point of view. They distinguish provider-led from payer-led bundles, reveal how VUMC had to evolve, and describe which medical conditions are most appropriate for value-based care. Value-based care is not new.

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Oxford GPs to trial new N-Tidal AI technology for COPD

Digital Health News

Healthcare professionals in Oxford are to trial the N-Tidal, a new AI-powered device that can identify patients with chronic obstructive pulmonary disease.

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Real-world data platform Atropos Health moves into life sciences

Mobi Health News

Companies will have access to real-world patient data for clinical decision-making and research support, including hypothesis testing and cohort analysis.

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How Embedded Analytics Gets You to Market Faster with a SAAS Offering

Start-ups & SMBs launching products quickly must bundle dashboards, reports, & self-service analytics into apps. Customers expect rapid value from your product (time-to-value), data security, and access to advanced capabilities. Traditional Business Intelligence (BI) tools can provide valuable data analysis capabilities, but they have a barrier to entry that can stop small and midsize businesses from capitalizing on them.

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National Data Guardian weighs in on FDP as NHSE prepares tender award

Digital Health News

National Data Guardian Nicola Byrne has warned NHSE that it must be fully transparent about the aims and due diligence involved in the tender for the FDP

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Know Your Adversary: HC3 Shares Details of Chinese APT Groups Targeting the Healthcare Sector

HIPAA Journal

The healthcare industry is actively targeted by financially motivated cybercriminal gangs; however, state-sponsored hacking groups also seek access to healthcare networks and are actively targeting healthcare providers and other entities in the healthcare and public health sector. In a recently published security advisory, the Health Sector Cybersecurity Coordination Center (HC3) provides a threat profile of some of the most capable Chinese hacking groups that are known to target U.S. healthcare

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All allied health professionals need a foundation in digital competence

Digital Health News

Digital is ‘part of the answer to every question’ being asked of our health services. Which is why, allied health professionals must not be left behind, writes physiotherapist and Digital Health Advisory Panel member Euan McComiskie.

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Cigna eliminates prior auth requirements for 25% of codes

Fierce Healthcare

Cigna is eliminating prior authorization requirements from 600 diagnostic codes in a bid to streamline the experience for both members and providers. | Cigna is eliminating prior authorization requirements from 600 diagnostic codes in a bid to streamline the experience for both members and providers.

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HIPAA Compliance: Can Your Organization Avoid Costly Government Penalties and Fines?

Colington Consulting was established in 2013 and helps organizations achieve HIPAA compliance and ensures clients stay current with the latest enforcement trends. We provide a full range of HIPAA compliance services and consulting. What separates us from our competitors is our knowledge of HIPAA compliance regulations and their application to each of our client’s particular scenarios and requirements.

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Venture firm Questa Capital scores $397M to invest in health technology

Mobi Health News

The raise brings the healthcare-focused firm's total committed capital to more than $1 billion.

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HSCC Releases Updated Guidance On Information Sharing Best Practices

Health IT Security

The document aims to help healthcare organizations establish and manage comprehensive cybersecurity threat information sharing programs.

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Online Tracking Technologies: Warning Issued for Healthcare

HealthIT Answers

By Art Gross - In response to the growing use of online tracking technologies in healthcare, the HHS Office for Civil Rights and the Federal Trade Commission have issued a joint warning to hospital systems and telehealth providers about the potential threats these tracking technologies pose to patient data security. The post Online Tracking Technologies: Warning Issued for Healthcare appeared first on Health IT Answers.

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Unlocking the Vault: UnitedHealthcare’s $80,000 HIPAA Resolution Unveils Secrets of Patient Medical Records

Compliancy Group

The Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) just made a big announcement. They’ve reached a settlement with UnitedHealthcare Insurance Company (“UHIC”), one of the largest health insurers in the country, regarding a potential violation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule’s right of access provision.

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Embedding BI: Architectural Considerations and Technical Requirements

While data platforms, artificial intelligence (AI), machine learning (ML), and programming platforms have evolved to leverage big data and streaming data, the front-end user experience has not kept up. Holding onto old BI technology while everything else moves forward is holding back organizations. Traditional Business Intelligence (BI) aren’t built for modern data platforms and don’t work on modern architectures.

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Florida Attorney Says AHCA Must Put Medicaid Final Orders Online

The Health Law Firm Blog

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.

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New York Cannabis Lawsuit Overview and Possible Effects on the Much-Anticipated Adult-Use Cannabis License Application Period

Health Law Advisor

New York State cannabis agencies and related individuals were served with a lawsuit from four New York veterans (Carmine Fiore, William Norgard, Steve Mejia, and Dominic Spaccio, collectively, the “Plaintiffs”) related to the cannabis market and licensing structure on August 2, 2023. The Plaintiffs are alleging that under the Conditional Adult-Use Retail Dispensary (“CAURD”) licenses, state officials have been favoring “Justice Involved” individuals over disabled veterans in the application proc

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ACOs delivered bigger 2022 savings than in 2021: CMS

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) announced that the Medicare Shared Savings Program (MSSP) has saved a net $1.8 billion in 2022 for accountable care organizations, which is th | Accountable care organizations saved a net $1.8 billion in 2022 from the Medicare Shared Savings Program, CMS said Thursday.

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Health IT Business News – August 24, 2023

HealthIT Answers

Health IT business news from CareQuest Innovation Partners, Inovalon, Consensus Cloud Solutions, Viz.ai, PeriGen, Heartbeat Health, MedArrive, Particle Health, Azalea Health, MediQuant, MRO Corp, KeyCare, ixlayer, ZeOmega, and more. The post Health IT Business News – August 24, 2023 appeared first on Health IT Answers.

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Everything You Wanted to Know About FACIS, but Didn’t Know to Ask

Speaker: Amy Anderson

FACIS® helps organizations mitigate patient and organizational risk. Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. Most healthcare organizations screen and monitor providers against the OIG but that’s only ONE of FACIS®’ primary sources. FACIS® pulls data for every taxonomy from the lowest level employee to the highest level licensed professional.

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Appeals court rejects data privacy lawsuit against UChicago Medicine, Google

Becker's Health IT

A federal appeals court has rejected a class-action lawsuit against University of Chicago Medicine and Google that claimed their predictive analytics partnership violated patient privacy.

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Will reporting Medical Loss Ratio Constrain payments to Medicare Advantage plans? 

Innovaare Compliance

Medicare Advantage plans (MAO) have been increasingly popular with Medicare eligible beneficiaries enrolling 51% of the eligible population in 2023 taking in $454 billion (or 54%) in Medicare spending. Notwithstanding popularity of the MA program, payments to private health plans are continuously debated and scrutinized by the likes of the Medicare Payment Advisory Committee (MedPac) and health economists.

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Compliance Management System: Streamlining Your Compliance Efforts

Compliancy Group

In today’s rapidly evolving business environment, adhering to regulations and maintaining compliance has become more critical than ever. A compliance management system is key to ensuring that your organization meets all the relevant legal and industry requirements. A robust compliance management system helps businesses stay on top of their compliance obligations, from data protection and privacy laws to financial reporting standards.

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Designing Compliance Excellence: Perspectives on People Strategy

Healthicity

Assembling the ideal compliance team is no small task – and that’s why it can be such a puzzle. We invited Sarah Couture , a former nurse turned compliance executive, to share her insights on structuring effective compliance teams.

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How to Leverage AI for Actionable Insights in BI, Data, and Analytics

In the rapidly-evolving world of embedded analytics and business intelligence, one important question has emerged at the forefront: How can you leverage artificial intelligence (AI) to enhance your application’s analytics capabilities? Imagine having an AI tool that answers your user’s questions with a deep understanding of the context in their business and applications, nuances of their industry, and unique challenges they face.