Tue.Feb 13, 2024

article thumbnail

Humana sued over alleged 340B underpayments in Medicare Advantage

Healthcare Dive

Alabama-based Baptist Health argued the insurer had received a “windfall” due to illegal payment cuts in the 340B drug discount program.

Medicare 315
article thumbnail

Rebel Health: The Personal and Professional Passion of Susannah Fox

Jane Sarashon

A “rebel” is both a noun and a verb. As a noun, Merriam-Webster tells us that a rebel is a person who opposes or takes up arms against a government or a ruler. As a verb, “to rebel” is to oppose or disobey one in authority or control, or otherwise renounce and resist by force the authority of one’s government.” An additional definition of the verb is, “ to feel or exhibit anger or revulsion.” If you’ve been a patient facing a diagnosis of an

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Washington state bill seeks to regulate hospital mergers, care access

Healthcare Dive

The Washington state Senate advanced legislation Thursday that grants the state attorney authority to deny mergers that may limit healthcare access.

Hospitals 229
article thumbnail

Hospital violence isn't confined to EDs, often rising during COVID-19 surges, full moons, data show

Fierce Healthcare

Most alarms triggered by hospital staff’s wearable safety alert systems occurred outside of the emergency department and more often during weekdays, non-holidays, surges of COVID-19 and even during | Aggregate data from 200,000 workers' wearable duress systems suggest emerging or active violent incidents occur "throughout every part of the hospital," and are more frequent during weekdays, COVID-19 surges and full moons.

COVID-19 127
article thumbnail

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?

article thumbnail

Elevance lays off more employees

Healthcare Dive

The health insurer has quietly laid off thousands of employees since September, according to sources.

article thumbnail

Redesign Health reduces workforce as it slows down pace of new company launches in 2024

Fierce Healthcare

Redesign Health, a healthcare startup creator, is reducing its workforce, cutting 77 staff positions, as it slows the pace of new company launches this year, Fierce Healthcare has learned. | Redesign Health, a healthcare startup creator, is reducing its workforce, cutting 77 staff positions, as it slows the pace of new company launches this year, Fierce Healthcare has learned.

126
126

More Trending

article thumbnail

Omada GLP-1 program to prioritize muscle mass restoration through expanded care track

Fierce Healthcare

Chronic care provider Omada Health is expanding its GLP-1 program to better care for patients interested in maintaining weight loss progress while discontinuing usage of the drugs. | Omada executives shared they are expanding upon its GLP-1 Care Track, pushed by the belief that helping patients regain muscle mass is a critical to weight maintenance after tapering off utilization.

122
122
article thumbnail

Health2047 Portfolio Company HEAL Security Launches from Stealth with $4.6 Million Raised

Healthcare IT Today

The Platform Offers Comprehensive, Tailored Threat Intelligence and Risk Assessment, Empowering Hospitals and Health Systems to Protect Patient Data with Precision Health2047 , a Silicon Valley-based venture studio founded by the American Medical Association (AMA) , today announced its investment in and launch from stealth of portfolio company HEAL Security , a cognitive cybersecurity intelligence platform custom-designed for the healthcare sector.

Hospitals 105
article thumbnail

Private equity deals in MA are declining, but experts say regulators should keep an eye on this space

Fierce Healthcare

Private equity firms have seen plenty of potential in the rapidly growing Medicare Advantage space, but deal volumes are slowing, according to a new report. | Private equity firms have seen plenty of potential in the rapidly growing Medicare Advantage space, but deal volumes are slowing, according to a new report.

Medicare 103
article thumbnail

Context Makes Innovaccer More than a Note Generator

Healthcare IT Today

This video presents the current and upcoming features of the ambient clinical voice solutions from Innovaccer , notably its InScribe analytics tool. It is currently offered in ambulatory settings and integrates with major EHRs. According to Abhinav Shashank, CEO and co-founder, the chief differentiating factor of InScribe comes from its integration with other systems: clinical, claims, and labs data.

Hospitals 100
article thumbnail

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.

article thumbnail

Healthcare executives are investing in digital health tech without seeing an ROI

Mobi Health News

A study commissioned by EY revealed that 71% of healthcare executives said hospital expenses have not decreased, although their systems have integrated digital health.

Hospitals 102
article thumbnail

How Open-Source Technologies Will Transform Digital Clinical Trials

HIT Consultant

Brian Williams, Life Sciences Strategy & Innovation at EPAM Systems, Inc. Although the traditional nearly decade-long clinical trial timelines completely collapsed during COVID, this truncating was not necessarily novel. Precedent exists for accelerating approval timelines during health emergencies such as the AIDs/HIV epidemic, where Compound S, a re-make of AZT, or azidothymidine, originally developed to fight cancer, became controversially fast-tracked after the discovery that it could bl

article thumbnail

Curam and Doctify advance patient-centric feedback platform

Digital Health News

A new partnership between Curam and Doctify is helping patients to select carers based on previous users' feedback of the service they received.

85
article thumbnail

New Incentive Program for Exchanging Public Health Data Launches

HIT Consultant

What You Should Know: – eHealth Exchange , a health information exchange network, is offering an incentive program to encourage early adoption of public health data sharing. – The initiative aims to increase the flow of critical information to public health agencies, ultimately leading to a healthier population across the United States. HIE and Public Health Incentive Program Details Free Annual Fees for Three Years: The first five health information exchanges (HIEs) or state and loc

article thumbnail

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.

article thumbnail

Cityblock extends reach to New York Medicaid members with Fidelis Care partnership

Fierce Healthcare

Cityblock is expanding its services to Medicaid patients in the New York City area through a partnership with Centene-owned Fidelis Care. | Cityblock will collaborate with the health plan to provide primary care, mental health and social services to thousands of members in the New York City area and Long Island.

article thumbnail

Butterfly Launches iQ3: A Next-Generation Point-of-Care Ultrasound System

HIT Consultant

What You Should Know: – Butterfly Network has unveiled its next-generation handheld ultrasound system, the Butterfly iQ3 , marking a significant advancement in point-of-care ultrasound (POCUS) technology. – Butterfly iQ3 is built on the next-generation P4.3 Ultrasound-on-Chip™ technology with the world’s fastest digital data transfer, enhancing frame rates, frequency and new 3D imaging capabilities – all on a smaller, lighter and more ergonomically designed probe. – Effective t

94
article thumbnail

ZocDoc launches new search capability and more digital health news

Mobi Health News

Quest Diagnostics announces an algorithm-assisted test for oncology care teams, and KeyCare partners with WellSpan Health to expand virtual care access.

79
article thumbnail

Zocdoc unveils guided search with questionnaire to improve patient-provider matching

Fierce Healthcare

Zocdoc has launched a new guided search to help patients choose and book the right provider with greater confidence. | The guided search offers a more tailored set of results based on patients’ unique care needs. It aims to take the guesswork out of what provider is the best fit by using symptoms and the type of treatment being sought, instead of the type of provider.

70
article thumbnail

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.

article thumbnail

Top 5 CPT Codes in Mental Health Billing

Medisys Compliance

Introduction Understanding the intricate world of mental health billing is crucial for therapists and providers to ensure accurate reimbursement and smooth claims processing. Here, we explore the top 5 CPT codes in mental health billing, providing a detailed breakdown of each code, its essential billing tips, and key considerations for compliant and efficient billing.

article thumbnail

Alabama health system sues Humana to recoup MA payments after 340B rate revision

Fierce Healthcare

Baptist Health has filed a lawsuit against Humana arguing the payer’s Medicare Advantage Plans had underpaid for outpatient drugs purchased through the 340B Drug Pricing Program in light of a 2022 | After HHS was ordered to revise and repay a five-year 340B pay cut, Baptist Health argues in a recent lawsuit that Humana's failure to do the same breaches the terms of the pair's Medicare Advantage agreement.

article thumbnail

Royal Orthopaedic Hospital NHS FT digitisation shows no sign of slowing

Digital Health News

Head of digital transformation at The Royal Orthopaedic Hospital NHS Foundation Trust, Gavin Newman, chats digital initiatives, challenges and future goals.

article thumbnail

Cigna, HelloFresh team up on meal kit benefit in employer plans

Fierce Healthcare

Cigna is teaming up with HelloFresh, which delivers meal kits to customers' homes, to make discounts for its services available in its employer plans. | Cigna is teaming up with HelloFresh, which delivers meal kits to customers' homes, to make discounts for its services available in its employer plans.

67
article thumbnail

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.

article thumbnail

HHS Expands TEFCA by Adding Two Additional QHINs

HealthIT Answers

The ONC announced that two additional organizations—CommonWell Health Alliance and Kno2—have been designated as Qualified Health Information Networks™ (QHINs) capable of nationwide health data exchange governed by the Trusted Exchange Framework and Common Agreement. The post HHS Expands TEFCA by Adding Two Additional QHINs appeared first on Health IT Answers.

article thumbnail

The 'ripple effects' of a children's hospital cyberattack

Becker's Health IT

The cyberattack on Lurie Children's Hospital, the largest pediatric medical center in the Chicago area, is having "ripple effects" for patients and physicians across the region, WBEZ reported.

article thumbnail

Health IT Hires and Appointments

HealthIT Answers

Latest announcements made from companies and organizations on hiring include Availity, RxBenefits, Hallmark Health Care Solutions, Intelerad, Humana, Pelago, ImagineCare, Kyruus Health, Verseon, Savista, athenahealth, Oracle, BCBS, Shearwater Health, AArete, IBX, & Clarify Health. The post Health IT Hires and Appointments appeared first on Health IT Answers.

59
article thumbnail

eConsult and Google Cloud collaborate for AI-powered digital triage

Digital Health News

A collaboration between eConsult and Google Cloud is using generative artificial intelligence to power digital triage solutions for healthcare.

64
article thumbnail

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.

article thumbnail

Is Clinical Trial Diversity the New Patient Centricity?

HealthIT Answers

By Hiren Thakkar - Inadequate ethnic diversity in clinical trials, tight eligibility criteria, delayed or missing prescription recommendations for certain communities, and access gaps affecting global health are all hot topics in academia, business, and government. The post Is Clinical Trial Diversity the New Patient Centricity? appeared first on Health IT Answers.

article thumbnail

Digital Health Coffee Time Briefing ?

Digital Health News

Today's briefing includes Helios acquiring Cogentia and an AI tool that could help to predice which anti-depressant medications are effective.

article thumbnail

Catalyst Solutions Appoints Aneesh Kumar as Chief Digital Innovation Officer

HIT Consultant

Aneesh Kumar. Chief Digital Innovation Officer at Catalyst Solutions What You Should Know: – Catalyst Solutions , a leader in healthcare business process outsourcing (BPO), technology, and consulting services, announces the appointment of Aneesh Kumar as Chief Digital Innovation Officer. Kumar Bio Kumar joins Catalyst with a 25-year record of driving transformative changes in healthcare for companies like Apple, Elevance Health, Gainwell Technologies, Cigna and Accenture.

52
article thumbnail

The ABC’s of Integrating AI Into Your Compliance Strategy 

YouCompli

I recently attended the 2024 Health Care Compliance Association (HCCA) Managed Care Conference, and it was great to attend sessions and network with professionals and exhibitors from across the country. If I received $1 for every time artificial intelligence (“AI”) was referenced, I might have the financial means to invest in one of the many AI products being pitched to the health care industry.

article thumbnail

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.