Wed.Oct 18, 2023

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California’s Reproductive Freedom Efforts Should Meaningfully Include People With Disabilities

Bill of Health

By Joelle Boxer Last month, California Governor Gavin Newsom signed a package of nine reproductive health care bills , following the passage of fifteen such bills in 2022. While the state should be lauded for its efforts, it has come up short. Recent legislation largely excludes up to 25% of the adult population: Californians with disabilities. People with disabilities in the U.S. experience wide disparities in accessing reproductive health care, rooted in a long history of oppressive reproducti

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Elevance could see $500M quality bonus revenue hit in 2025 from MA star ratings drop

Healthcare Dive

The insurer is actively seeking ways to mitigate the financial impact of its star ratings drop, Elevance CEO Gail Boudreaux said during the insurer’s third-quarter earnings call.

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Innovation trends require education for users to keep up

Healthcare It News

According to dHealth Foundation director and cofounder Quy Vo-Reinhard, for regulators and users to keep up with emerging technologies like blockchain and smart contracts there needs to be an emphasis on education.

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Walgreens, Alignment partner on co-branded MA plans

Healthcare Dive

The zero-dollar premium plans will be available in 10 counties in Arizona, California, Florida and Texas starting next year.

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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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Digitizing the Release of Information Process: Valuable Takeaways for HIM

MRO Compliance

Evolving the ROI Process with a Focus on Digitization In August 2023, For the Record Magazine published a guest article co-authored by Anthony Murray, CISSP, and me. The article is entitled Release of Information: The Digitization of ROI , and includes valuable insights into pivotal shifts in the ROI landscape and how these changes affect HIM teams.

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Medicare Advantage marketing practices draw ire from senators

Fierce Healthcare

Seniors are forced to navigate a convoluted Medicare Advantage (MA) landscape for healthcare coverage, often only to be denied care, experts told legislators during a Senate Finance Committee heari | Senators and experts agreed Wednesday that marketing practices from Medicare Advantage plans are often overwhelming for seniors.

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Henry Ford Health, Ascension Michigan unveil plans to form $10.5B joint venture

Fierce Healthcare

Henry Ford Health is coming together with several of Ascension Michigan’s hospitals and other facilities to form a joint venture with over $10.5 billion in annual operating revenue, the organizatio | Should the deal close, the resulting organization would span 13 acute care hospitals and over 550 sites of care. The nonprofits stressed that the arrangement is not a merger and that "no cash transaction" would take place.

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Aspects of Social Determinants of Health: Collecting Data

Healthcare IT Today

Previous articles in this series showed why social determinants of health (SDoH) are the hottest recent addition to data used by the medical industry. We’ve explored how SDoH data is defined and shared. This article shows how organizations are collecting it. Andrew Eye, CEO of the healthcare data science company ClosedLoop , estimates that about 15% of physicians collect SDoH-related data from patients and use it to assess their needs.

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CalOptima awards $52.3M to local nonprofits to spur creation of more affordable housing in Southern California

Fierce Healthcare

CalOptima Health, the Medi-Cal managed care plan for Orange County, is awarding $52.3 million in grants to accelerate the creation of affordable and permanent housing. | The grants will go to 15 grantees to acquire, construct and upgrade a total of 706 housing units to support people experiencing homelessness.

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AI Elevates the Audit Process and Improves Revenue Outcomes

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Ritesh Ramesh, CEO, MDaudit. Healthcare organizations are in a precarious financial position. With operating margins still hovering near zero, revenues are at heightened risk because of a surge in third-party audits following the expiration […] The article AI Elevates the Audit Process and Improves Revenue Outcomes appeared first on electronichealthreporter.com.

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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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Washington hospitals sue to block policy extending charity care to out-of-state patients

Fierce Healthcare

Washington hospitals are looking to take their state’s Department of Health to court over a September notice requiring certain providers to offer charity care to poor patients regardless of where i | The Washington State Hospital Association wrote in a filing that the update is inconsistent with decades of charity care policy implementations and would make their facilities a hotspot for costly medical tourism.

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Why Avoiding Costly Coding Mistakes Is More Critical Than Ever

HIT Consultant

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. His crime: performing unnecessary vein ablation procedures on patients, and using incorrect billing codes to receive larger reimbursements. He received $4.5 million in reimbursements from Medicare over a three-year period.

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Elevance Health boosts guidance as it posts $1.3B in Q3 profit

Fierce Healthcare

Elevance Health reported $1.3 billion in profit for the third quarter, beating the Street but falling short of the prior-year quarter's haul. | Elevance Health reported $1.3 billion in profit for the third quarter, beating the Street but falling short of the prior-year quarter's haul.

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Evernorth Acquires Bright.md Technology Platform, Enhances MDLIVE’s Virtual Care Experience for Patients and Clinicians

Healthcare IT Today

Acquisition will add Asynchronous Care, Triage, and Navigation Capabilities to Evernorth’s MDLIVE Virtual Care Platform for a More Convenient, On-Demand Experience for Patients and Clinicians Beginning in 2024 MDLIVE Virtual Primary Care Expands Chronic Condition Care M anagement to Include Health Coaching Beginning Immediately Evernorth Health Services , the pharmacy, care, and benefits solution division of The Cigna Group , announced it will enhance MDLIVE ‘s virtual care by acquir

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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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Healthcare payments tech company Waystar plans to go public. Is the IPO freeze thawing out?

Fierce Healthcare

Healthcare payment software maker Waystar filed for an initial public offering, signaling a potential end to the dry spell in the health tech IPO market. | Healthcare payment software maker Waystar filed for an initial public offering, signaling a potential end to the dry spell in the health tech IPO market.

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HHS Aims to Strengthen Anti-Discrimination Rules for Disabled Patients in New Proposed Rule

C&M Health Law

On September 14, 2023, the U.S. Department of Health and Human Services (“HHS”) published a proposed rule updating Section 504 of the Rehabilitation Act of 1973 (“Section 504”). The new rule entitled Discrimination on the Basis of Disability in Health and Human Service Programs or Activities (the “Proposed Rule”) is the first major regulatory update to Section 504 in nearly 50 years.

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Conquering 5 Common Healthcare Marketing Challenges

Fierce Healthcare

Conquering 5 Common Healthcare Marketing Challenges | Healthcare marketing is tough. Learn about 5 common healthcare marketing challenges and how health education content helps you face them head-on.

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How To Fight Candida Auris/Fungal Infections In Hospitals

HIT Consultant

Jason Kang, Co-founder & Chief Innovation Officer at Kinnos Concerns about deadly fungal infections are growing nearly as fast as the outbreaks themselves. From popular television shows to recent articles in the Wall Street Journal and Fast Company , the attention has been swift and breathless. Unfortunately, lost in the scramble to highlight their potency and develop a cure has been any agreement on an effective strategy for cutting into their spread.

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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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Who is Responsible for Employee Health Information?

Total HIPAA

Organizations are responsible for protecting their employees’ personal information. This is regulated under different laws, and by different state and federal agencies. Depending on the kinds of health benefits provided to employees, there are some different regulatory items HR needs to be aware of. HIPAA applies to employers when the organization has a self-funded or level-funded health plan.

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Innovation Key to Tackling Medicaid Redetermination Challenge

HIT Consultant

Chris Oskuie, VP, State & Local Government &Education Sales at Software AG Government Solutions As a result of the Families First Coronavirus Response Act (FFCRA), Medicaid programs were required to keep citizens continuously enrolled through the COVID-19 public health emergency (PHE). These continuous enrollments ended on March 31, 2023, resulting in what many call the unwinding of Medicaid.

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How Do You See Health Data Utilities Evolving? Where are We Today and Where is it Heading?

Healthcare IT Today

Health data utility is still a fairly new concept in the world of healthcare. But as we talk about it, more and more HIE organizations have started to use it and the concept has been embraced by many. This naturally made it a hot topic at the recent Civitas Conference. We gathered up some of our brilliant members of the Healthcare IT Today Community to get their perspective.

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InfoBionic Secures Funding to Expand Virtual Telemetry Solution

HIT Consultant

What You Should Know: – InfoBionic , a digital health company focused on virtual telemetry and cardiac remote patient monitoring closes its Series D financing round. The series D funding round includes participation by Security International Investments (SII), Mayo Clinic and Excel Venture Management while distinguished existing investors like Blue Cross Blue Shield of MA (Zaffre Investments), Blue Cross Blue Shield of Kansas and Safeguard Scientifics remain actively involved. – The

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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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Bicycle Health, Override Health team up on chronic pain, OUD care referrals

Fierce Healthcare

Bicycle Health, a virtual provider of opioid use disorder (OUD) care, is teaming up with Override Health, a virtual chronic pain management clinic, for a bidirectional patient referral relationship | Bicycle will refer patients to Override for chronic pain care, while Override will refer patients in need of OUD treatment to Bicycle. The partners’ goal is to increase access to chronic pain care and OUD treatment, two areas they say have a lot of patients in common.

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Cybersecurity Awareness Month Week 3: AI Enabled Threats and Responsible AI

HealthIT Answers

October is Cybersecurity Awareness Month. Throughout the month we will be asking our experts to help us navigate cybersecurity in healthcare. It's week 3 and we are talking about the biggest buzz in healthcare - AI. The post Cybersecurity Awareness Month Week 3: AI Enabled Threats and Responsible AI appeared first on Health IT Answers.

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Propel@YH welcomes 11 new innovators to accelerator programme

Digital Health News

The newest recruits to the Yorkshire & Humber Propel@YH digital accelerator have been unveiled with the programme starting on 19th October.

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Memorial Hermann, Midi Health team up to expand access to menopause care in Houston

Fierce Healthcare

On Wednesday, World Menopause Day, two healthcare partners unveiled their collaboration to help patients going through midlife hormonal transitions. | Patients will be able to access Midi’s telehealth services directly through Midi or by getting a referral from their Memorial Hermann-affiliated physician. All services are covered by insurance in Texas under major PPO plans.

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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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Digital Health Coffee Time Briefing ? 

Digital Health News

This news briefing reports on a partnership between Thriva and Stella, Strolll securing new funding and four industries most likely to consolidate.

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Waymark scores $42M in fresh funding, including investment from CVS

Fierce Healthcare

Waymark, a Medicare-focused provider enablement company, has secured $42 million in fresh funding that it plans to use to continue scaling its offering. | Waymark, a Medicare-focused provider enablement company, has secured $42 million in fresh funding that it plans to use to continue scaling its offering.

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Cera to save the NHS £100m by committing to five million care home visits

Digital Health News

Cera has committed to delivering five million care visits this winter, which is predicted to save the NHS £100m and reduce hospital waiting times.

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Data-Driven Innovation: A Path to Optimizing Healthcare’s Indirect

HealthIT Answers

In a recent interview with FINN Voices, Mark Van Sumeren, Health Practice General Manager for LogicSource, sheds light on the untapped potential in healthcare’s indirect nonclinical purchases and why 2024 is the year to innovate. The post Data-Driven Innovation: A Path to Optimizing Healthcare’s Indirect appeared first on Health IT Answers.

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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.