Trending Articles

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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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Sunway Medical to test surgical robots and more robotics briefs

Healthcare It News

Sunway partners with Medtronic to test surgical robotics Sunway Healthcare Group in Malaysia recently announced its partnership with Medtronic. According to a social media announcement, they signed a memorandum of understanding to work together to improve the centres of excellence at its flagship hospital, Sunway Medical Centre, which specialises in spine, neuroscience, and cardiovascular medicine.

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The MRO Exchange: Data Quality with Frank Jackson, SVP of Clinical Quality and Payer Solutions

MRO Compliance

Healthcare NOW Radio Podcast Network · MRO Exchange: Data Quality with Frank Jackson, SVP of Clinical Quality and Payer Solutions S1E9: Host Mo Weitnauer, Chief Product Officer, interviews Frank Jackson, SVP of Clinical Quality and Payer Solutions, for a thoughtful discussion around data quality. They discuss the importance of data quality as it relates to accuracy, reliability, and completeness, when care delivery for patients is of the utmost importance in today’s healthcare landscape.

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Health Care, AI, and the Law: An Emerging Regulatory Landscape in California

Bill of Health

by Rebekah Ninan This past month, California Governor Gavin Newsom signed a wave of artificial intelligence-related legislation into law. Much public debate has been focused on SB 1047, a proposal ultimately vetoed by Governor Newsom, which would have held AI companies liable for “ catastrophic harms ” from AI models. Comparatively little attention has been paid to three new laws aimed at health care-related AI and data privacy.

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Fertility Benefits Playbook: How HR Leaders Are Delivering Value in 2025

Speaker: Kaitlin Ruby Carroll

Fertility benefits have become a crucial component of employee well-being and retention strategies. In today’s competitive landscape, creating a fertility benefits program that aligns with both employee needs and organizational goals can be more complex than it seems. From cycle-based to flat-dollar and telehealth models, each solution offers unique advantages and challenges that directly affect employee satisfaction and financial well-being.

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As year-end deadline looms, Congress again calls on DEA to extend telehealth flexibilities

Healthcare IT News - Telehealth

With less than three months before the clock runs out on telemedicine electronic prescribing flexibilities, Reps. Doris Matsui, D-California, and Earl "Buddy" Carter, R-Georgia, are leading a bipartisan charge to urge the U.S. Drug Enforcement Administration to strengthen and deliver a better proposal for a controlled substance registry for telehealth providers.

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Eyewear that senses emotions grabs facial data

Healthcare It News

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Modern Efficiencies for a Modern Audit Team: MRO Experts Share How to Reduce Risk

MRO Compliance

Internal audits and monitoring are essential practices to ensure coding and billing compliance, protect revenue, and defend against payer audits and clinical denials. However, with limited time and resources, it becomes impossible to internally review every physician, patient type or risk area.  In the October edition of HCCA Compliance Today , MRO senior director of revenue cycle, Dawn Crump and program manager of revenue integrity, Garnette McLaughlin, discuss new strategies for internal aud

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Rethinking Mental Health Reform: A case for reviving community-based care

Bill of Health

by Zain Khalid October 10th marked the first anniversary of California’s Senate Bill 43 (SB 43), a major revision of the landmark Lanterman-Petris-Short Act of 1967, a de-institutionalization era law designed to “end the inappropriate, indefinite, and involuntary commitment of persons with mental health disorders.” The law loosened eligibility standards for civil commitment by expanding the existing “grave disability” criterion, making it easier to detain and hospitalize persons with mental illn

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HLTH24: Here’s a first look at a draft 'nutrition label' for health AI

Fierce Healthcare

LAS VEGAS—The Coalition for Health AI unveiled the first applied model card, completed by AI imaging company Aidoc. | The Coalition for Health AI released a draft of their AI model card, or “nutrition label” for AI, filled out with information from AI imaging company Aidoc. CHAI's work is part of ongoing efforts to ensure the responsible use of AI in healthcare.

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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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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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Give clinicians a comprehensive view of patient health

Healthcare It News

Sponsor: Hyland Primary topic: Patient Engagement Topic: Patient Engagement Resource Central: White Papers External url: [link] Thumbnail: Body: Sponsor: Hyland Enterprise Taxonomy: Quality Care Care Short Headline: Give clinicians a comprehensive view of patient health Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed

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Advancing Digital Quality: Addressing Data Challenges to Improve Performance

MRO Compliance

As health care continues its digital transformation, interoperability and data quality are critical to measuring and improving patient outcomes. Whether focused on HEDIS®, value-based care or broader quality measurement activities, reliable data—facilitated through Fast Healthcare Interoperability Resources (FHIR®) APIs and other interoperable systems—are essential for effective reporting, decision making and delivery of care.

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Digital transformation of world's 'largest geographical health service'

Healthcare IT News - Telehealth

Western Australia Country Health Service board chair Dr Neale Fong shares how they are enabling telemedicine and remote patient monitoring.

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Real-Life Examples of HIPAA Violations and How to Avoid 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.

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CVS ousts Karen Lynch, taps Caremark head as new CEO

Fierce Healthcare

It's a tumultuous time at industry giant CVS Health, and on Friday the company revealed a shake-up at the top that now has David Joyner stepping in as CEO. | It's a tumultuous time at industry giant CVS Health, and on Friday the company revealed a shake-up at the top that now has David Joyner stepping in as CEO.

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New legislation aims to tame ‘Wild West’ in healthcare cybersecurity

Healthcare Dive

The bill, announced last month by Sens. Ron Wyden and Mark Warner, is a good step forward, but hospitals may need more funds to boost their cybersecurity practices, experts say.

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Delivering interoperability for connected care

Healthcare It News

Sponsor: Hyland Primary topic: Interoperability Topic: Interoperability Patient Engagement Resource Central: White Papers External url: [link] Thumbnail: Body: Sponsor: Hyland Enterprise Taxonomy: Interoperability Quality Care Data and Information Care Short Headline: Delivering interoperability for connected care Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed

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Doctors as Advocates for Self-Managed Abortion and Reproductive Justice

Bill of Health

Photo credit: Martina Šalov by Jessica Morris The International Federation of Gynecology and Obstetrics (FIGO) is the world’s largest alliance of national professional societies of obstetricians and gynecologists. FIGO supports comprehensive, equitable, and accessible sexual and reproductive health (SRH) for everyone, recognizing that these are fundamental human rights and essential components needed to achieve global health goals.

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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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Princ Hospital Suvarnabhumi eyes AI, telemedicine adoption

Healthcare IT News - Telehealth

Enterprise Taxonomy: Telehealth Operations Patient Access Analytics AI Business Care Data and Information Node settings: Exclude from Accelerate RSS feed

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UnitedHealth, CVS, Humana, increasingly deploy AI and deny post-acute care claims, Senate report finds

Fierce Healthcare

The country’s three largest Medicare Advantage (MA) insurers obstruct seniors’ ability to receive post-acute care, a scathing report from the U.S. | A report from Sen. Richard Blumenthal, D-Connecticut, found that the country's biggest Medicare Advantage insurers use artificial intelligence to control costs and deny prior auth claims.

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CVS replaces CEO Karen Lynch with Caremark head

Healthcare Dive

The financially struggling healthcare and pharmacy giant also pulled its earnings guidance, citing increased medical cost pressures in its health benefits unit.

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HLTH 2024: 21 Executives Share Their Predictions and Insights

HIT Consultant

As HLTH 2024 prepares to convene in Las Vegas, the anticipation for groundbreaking insights and transformative discussions is palpable. To get a glimpse into the key themes and predictions shaping this year’s event, we reached out to 21 digital health executives for their expert perspectives. From the rise of generative AI and the evolving role of virtual care to the increasing focus on health equity and value-based care, these industry leaders offer a diverse range of perspectives on the

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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.

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Beyond Directories: The Real Impact of Accurate Provider Data in Healthcare

Healthcare IT Today

The following is a guest article b y Erin Weber , Chief Policy and Research Officer at CAQH Accurate provider data is foundational to the healthcare ecosystem. It guides decision-making, helps patients access the care they need, and keeps operations running smoothly behind the scenes. And while we’ve all acknowledged the challenge of keeping provider data up-to-date and error-free—especially with frequent changes in practice locations, credentials, and network participation—what we don’t talk ab

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Developing a multi-awarded hospital app

Healthcare IT News - Telehealth

Collaboration and a shared vision in improving patient care are key factors for success, shares Bumrungrad International Hospital Chief Administrative Officer Dr Korpong Rookkapan.

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Microsoft rolls out new healthcare AI tools in partnership with Epic, Paige.ai, major health systems

Fierce Healthcare

Microsoft recently unveiled several new artificial intelligence capabilities for healthcare organizations designed to help analyze diverse medical data, streamline nursing documentation and enable | Microsoft recently unveiled several new AI capabilities for healthcare organizations designed to help analyze diverse medical data, streamline nursing documentation and enable companies to build their own healthcare AI agents.

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CVS Health slashes infusion services offerings, blaming industry headwinds

Healthcare Dive

CVS Health will stop providing many infusion services and close or sell 29 pharmacies in the coming months, a spokesperson said.

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.