Trending Articles

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Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings

Healthcare Dive

Only 25% of Humana members will be in plans with four stars or above next year, down from 94% this year, the insurer disclosed Wednesday. The downgrade could wipe out Humana’s profits in 2026.

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As healthcare AI proliferates, patients are 'confused,' research shows

Healthcare It News

They recognize the promises of faster diagnosis and easier access to treatment and cost info, says Mark Polyak, president of analytics at Ipsos. While they're comfortable with AI for administrative tasks, they're wary of clinical applications.

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5G will power the next evolutionary stage of healthcare in APAC

Healthcare It News

Remote surgeries, holographic medical imaging, mixed reality, and patient tracking are some of the emerging 5G-powered healthcare innovations in the Asia-Pacific region. Dr Gao Yujia, Assistant Group CTO, National University Health System; William Chan, CIO, CUHK Medical Centre; Chien-Chang (Paul) Lee, Chief Medical Information Officer, Ministry of Health and Welfare (MOHW), Taiwan; and Terence Wong, Head of APAC 5G Industry, GSM Association, Hong Kong sat together to discuss these innovations d

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The MRO Exchange: Interoperability with Anthony Murray, Cyrus Bahrassa, and Lydia Wardi

MRO Compliance

Healthcare NOW Radio Podcast Network · MRO Exchange: Interoperability with Cyrus Bahrassa Lydia Wardi S1E8: Host Anthony Murray, Chief Interoperability Officer, is joined by healthcare interoperability consulting leader, Cyrus Bahrassa, and MRO senior counsel, Lydia Wardi, for a conversation surrounding all things interoperability. They walk through the evolution of healthcare interoperability and unpack advancements in technologies and regulations that impact the current state of information ex

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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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CMS faces another star ratings lawsuit, this time from UnitedHealthcare

Fierce Healthcare

Another significant legal headache related to star ratings is on the table of the federal government just days before open enrollment begins. | One call center interaction is at the crux of a lawsuit UnitedHealthcare is bringing forward against the federal government because of a reduced star rating score.

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CVS to lay off 2,900 employees amid reports of strategic review

Healthcare Dive

CVS is cutting 1% of its workforce as the healthcare behemoth pursues a massive cost-cutting plan — and considers a potential breakup of its businesses, according to reports.

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HHS finalizes 2024-2030 Federal Health IT Strategy 

Healthcare It News

The Assistant Secretary for Technology Policy within the Office of the National Coordinator for Health Information Technology has published its final 2024-2030 Federal Health IT Strategy, which seeks to enhance care delivery and experiences for patients, caregivers, healthcare providers, public health professionals and others in the healthcare continuum.

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Heritage Group Joins GTCR as Investor in Equiti

Healthcare IT Today

Dean M. Harrison Joins Equiti’s Board of Directors Heritage Group , a healthcare-focused private equity firm, today announced a significant investment in Equiti Health (Equiti or the Company), a leading provider of tech-enabled, healthcare-focused language interpretation services. Heritage is partnering with GTCR and the Equiti management team to support the Company’s next phase of growth.

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Wyden, Brown urge FTC to investigate PBM 'co-manufacturing' arrangements

Fierce Healthcare

Two key senators are urging the Federal Trade Commission to investigate "co-manufacturing" arrangements that they fear pharmacy benefit managers may be using to stymie competition. | Two key senators are urging the Federal Trade Commission to investigate "co-manufacturing" arrangements that they fear pharmacy benefit managers may be using to stymie competition.

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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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Navigating 2024 Healthcare Challenges: Policy, AI, and the Road Ahead

HIT Consultant

Bill Charnetski, EVP of Health System solutions and Government Affairs at PointClickCare Now that we’re halfway through 2024, we’ve gained significant insights into the most pressing healthcare issues facing our industry and how they might shape the future. From regulatory hurdles to technological advancements, our sector is at a pivotal juncture, and understanding these dynamics will be crucial for all stakeholders involved.

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Teladoc COO to depart at year end

Healthcare Dive

Mike Waters’ resignation comes after other leadership changes at the telehealth vendor, including the departure of Teladoc’s former CEO this spring.

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Netsmart Announces Acquisition of HealthPivots to Support Value-Based Care Transition for Healthcare Providers

Healthcare IT Today

Netsmart announced it has acquired HealthPivots , an Oregon-based market intelligence company for the post-acute care continuum. The combination of the Netsmart CareFabric with the HealthPivots DataLab will lead to consolidated, robust data and advanced analytics, providing an industry-leading platform that will help enhance post-acute care providers transition to value-based care.

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Rippl announces $23M series A to expand virtual dementia care

Fierce Healthcare

Rippl, a virtual dementia care company, secured $23 million in series A funding to expand its services to patients in more states. | Rippl, a virtual dementia care startup, plans to use its series A funding to expand into new states, build out its value-based contracts and participate in CMS' GUIDE program.

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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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Providence Medical Institute faces $240K penalty over breach

Becker's Health IT

HHS' Office for Civil Rights has imposed a $240,000 civil monetary penalty on Providence Medical Institute, located in Southern California, due to possible violations of the HIPAA security rule.

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UHS forced to pay more damages related to child sexual abuse allegations at behavioral care facilities

Healthcare Dive

The health system has been hit with a combined $895 million in damages this year related to alleged child abuse at some of its behavioral health subsidiaries.

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HIMSSCast: Out-of-pocket expenses are a challenge to keeping people well

Healthcare It News

Prioritizing wellness means taking into account the out-of-pocket cost for patients, according to Alberto "Beto" Casellas, Casayess EVP & CEO of Health and Wellness Platform at Synchrony. Synchrony is a financial services company that offers a health and wellness platform in CareCredit.

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FOMO Drives AI Investment in Healthcare, Despite Trust Concerns

HIT Consultant

What You Should Know: – A new study by intelligent automation company ABBYY reveals that fear of missing out (FOMO) is a major factor driving AI investment in healthcare. – The study reveals that 57% of global healthcare providers expressed concern that their organizations will fall behind if they don’t embrace AI. Efficiency and Patient Service as Key Drivers While FOMO plays a role, over half (52%) of healthcare leaders also cite increased efficiency and improved patient serv

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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.

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New analysis points to troubling trends as U.S. healthcare costs rise, but health outcomes worsen

Fierce Healthcare

A new analysis points to troubling trends in the U.S. healthcare market as costs continue to rise but health outcomes are declining. | "The inputs of the U.S. healthcare system, as measured by cost, exceed the outputs, as measured by the actual value or benefits received by Americans," Sanjula Jain, Ph.D., Trilliant Health's chief research officer, said.

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OSHA Compliance in Dentistry: Creating a Safe Work Environment 

American Medical Compliance

Occupational Safety and Health Administration (OSHA) regulations are vital for maintaining a safe and healthy work environment in all industries. This includes dentistry. According to NSC Injury Facts, workplace injuries cost businesses $167 billion in 2021. As dental professionals, it’s crucial to understand and adhere to OSHA dental compliance standards to ensure the well-being of both staff and patients.

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Two-thirds of healthcare organizations hit by ransomware in past year: survey

Healthcare Dive

Nearly 40% of healthcare organizations reported it took more than a month to recover after an attack, according to the survey by cybersecurity firm Sophos.

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AI is transforming patient engagement and experience

Healthcare It News

Large language models are "enabling a new level of patient empowerment" by helping people understand clinical notes, navigate insurance claims and much more, says Dr. Chethan Sarabu, AI and informatics strategist at OpenNotes.

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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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Revelstoke Capital Partners Announces Significant Growth Investment in MediQuant

Healthcare IT Today

Revelstoke Capital Partners , a healthcare-focused private equity firm, today announced a significant growth investment in MediQuant, LLC , a leader in cloud-based data archiving and interoperability solutions for hospitals and health systems. MediQuant is the seventh investment from Revelstoke Capital Partners Fund III. Terms of the transaction were not disclosed.

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At-home hospital care popular with patients and clinicians, but data backing quality, costs are limited, CMS finds

Fierce Healthcare

Hospital programs providing at-home acute care are widely appreciated by patients and clinicians but still don’t have a bulletproof argument in respect to quality and costs as compared to a brick-a | A new 79-page government report on the soon-to-expire Acute Hospital Care at Home initiative outlines both clear-cut and muted wins for advocates.

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GE HealthCare Receives FDA Clearance for Innovative Alzheimer’s Imaging Tool

HIT Consultant

What You Should Know: – GE HealthCare a nnounced today that its MIM Software has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for a groundbreaking tool in the fight against Alzheimer’s disease. – The advancement allows MIMneuro, a vendor-neutral software solution, to perform “Centiloid scaling” for analyzing and quantifying amyloid plaque density in the brain using positron emission tomography (PET) imaging.

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UnitedHealth sues CMS over Medicare Advantage star ratings

Healthcare Dive

A handful of plans owned by the nation's largest MA payer are the latest to ask the court to help raise their valuable quality scores.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.