Mon.Jan 30, 2023

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Louisiana sends cease-and-desist order to Express Scripts over delayed insurance claims

Healthcare Dive

State officials began investigating Express Scripts in April after receiving multiple complaints from an independent pharmacy association over the Cigna-owned PBM’s handling of claims.

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Third-party data breach round-up: mscripts, Diligent, Mailchimp

Healthcare It News

This month, more than 114,000 individuals may have experienced personally identifiable information and protected health information exposures from these incidents while an email marketing hack is a new source for phishing attacks. Medication adherence platform mscripts breached On January 17, the cloud-based mobile pharmacy platform that focuses on patient engagement and medication adherence solutions, mscripts, reported to the U.S.

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CMS to crack down on Medicare Advantage audits, poised to claw back billions of dollars from insurers

Healthcare Dive

Federal regulators have raised concerns about alleged payment abuses in the MA program for years, specifically for those tied to risk adjustments.

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3 Tips for Implementing An IT Trend

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Jordan Miller, MD, senior medical director of dermatology, ModMed. When consumer technology companies release smartphones and TVs with new and exciting capabilities, I tend to ask myself, “How valuable is this new feature?” or […] The article 3 Tips for Implementing An IT Trend 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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Healthcare systems make valuable strides in the eye of a pandemic

Healthcare Dive

The pandemic forced us to rethink how to leverage technology and data to augment resources and shift to new adoption models for better patient experiences.

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Australian Health Dep't failed to manage risks in expanding telehealth: state auditor

Healthcare IT News - Telehealth

The Australian National Audit Office has conducted a review of the expansion of telehealth services across the country by the Department of Health and Aged Care in response to the COVID-19 pandemic. FINDINGS Based on the state audit , the department fell short in governance, risk management, and evaluation of the telehealth expansion. While it made "significant" changes to the Medicare Benefits Schedule (MBS), the expanded telehealth services were "only partly supported by sound i

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Remote therapeutic monitoring is reimbursable – here's what you need to know

Healthcare IT News - Telehealth

Ever since CMS released the new CPT codes for remote therapeutic monitoring last year, health systems have been eager to use them, but unsure of the criteria. Providers are acknowledged for the time they spend connecting with patients outside of the office. With the new CPT codes, providers can get reimbursed for: Educating patients on how to use a remote care-management platform.

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Healthcare labor trends in 2023: increased burnout, executive stress

Healthcare Dive

A rise in union activity could also persist as the sector continues recovering from the COVID-19 pandemic.

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Current Tech That Is Alleviating The Physician Shortage

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Responses from Stephen Dean, co-founder, Keona Health. What telehealth should focus on? First, recognize that telehealth is more than telemedicine. The first needed focus is on the rest of the patient journey outside the 15-minute […] The article Current Tech That Is Alleviating The Physician Shortage appeared first on electronichealthreporter.com.

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Minnesota attorney general asks Sanford-Fairview to delay merger

Healthcare Dive

“It’s more important to do this right than to do it fast,” Minnesota’s Chief Deputy Attorney General John Keller said regarding the deal.

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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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Patient Scheduling and Pre-Visit Intake: Let’s Give Patients What They’re Asking For

Healthcare IT Today

Several surveys about the online patient experience were recently released. It won’t surprise anyone who follows healthcare professionally—or who has used a healthcare portal—that patients are frustrated and disappointed. This article interviews a dozen experts to better understand why healthcare lags behind retail, finance, and other industries in serving customers online—and what we can do to improve the patient experience.

Doctors 101
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Industry Voices—5 steps to develop an effective 'always-on' patient communication strategy

Fierce Healthcare

Industry Voices—5 steps to develop an effective 'always-on' patient communication strategy hlandi Mon, 01/30/2023 - 18:17

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Healthcare-Focused Venture Studio Launches in Phoenix

HIT Consultant

What You Should Know: – Former Bayless Integrated Healthcare CEO, Justin Bayless announced the launch of Journey Venture Studio, a 501c3 healthcare-focused venture studio focused on serving diverse and underrepresented founders. – Aspiring entrepreneurs will go through a rigorous interview process, and once accepted and assigned a company will go through a rigorous growth program designed to jump-start the company’s success.

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Medicare Advantage plans lose out in final RADV audit rule that ditches fee-for-service adjuster

Fierce Healthcare

Medicare Advantage plans lose out in final RADV audit rule that ditches fee-for-service adjuster rking Mon, 01/30/2023 - 15:36

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The Big Payoff of Application Analytics

Outdated or absent analytics won’t cut it in today’s data-driven applications – not for your end users, your development team, or your business. That’s what drove the five companies in this e-book to change their approach to analytics. Download this e-book to learn about the unique problems each company faced and how they achieved huge returns beyond expectation by embedding analytics into applications.

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Enhancing Physical Therapy With Artificial Intelligence

HIT Consultant

Alaina Victoria, PT, DPT, Clinical Content Manager, OneStep In 2014, Stephen Hawking cautioned that “the development of full artificial intelligence could spell the end of the human race….It would take off on its own and re-design itself at an ever-increasing rate.” Artificial intelligence (AI) has advanced rapidly in recent years, with its impressive power and capacity to change so many areas of human life.

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MCN Healthcare’s Exemplary Customer Experience

Healthcare Blog

Customer Experience and Success with our Policy Management Software MCN Healthcare is the industry leader in policy management software. Our software is trusted by many healthcare organizations and our Implementation Specialists and Technical Services teams are the best in the industry. We will always go above and beyond to ensure our customers’ success.

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Government plans 500% expansion of virtual wards

Digital Health News

The UK government plans to expand the use of virtual wards, with the goal of treating up to 50,000 patients a month. The expansion is part of a larger plan to reduce pressure on the NHS, reduce waiting times, and improve care for patients.

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Commonwealth Fund: US has lower life expectancy but spends most on health compared to other countries

Fierce Healthcare

Commonwealth Fund: US has lower life expectancy but spends most on health compared to other countries rking Mon, 01/30/2023 - 13:32

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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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Study: Telehealth for opioid use disorder may be comparable to in-person care

Mobi Health News

The research, published in JAMA Network Open, found no difference in visit frequency, initiation of medication use or adverse outcomes between patients who were treated by clinicians with either high or low levels of telehealth use.

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White House plans to end COVID emergency declarations on May 11

Fierce Healthcare

White House plans to end COVID emergency declarations on May 11 hlandi Mon, 01/30/2023 - 22:10

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Katherine Shaw Bethea Hospital Proposes $380K Settlement to Resolve Data Breach Lawsuit

HIPAA Journal

Katherine Shaw Bethea (KSB) Hospital in Dixon, IL, has proposed a $380,000 settlement to resolve claims related to a September 2021 data breach at a business associate of the hospital. KSB Hospital used the Scottsbluff, NE-based healthcare accounts receivables service provider, Magnet Solutions, for billing-related services. Between September 17 and September 20, 2021, Magnet Solutions processed and mailed billing statements to KSB patients; however, a software error caused statements to be mail

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Tech startup Paradigm lands $203M to get more patients into clinical research, accelerate drug trials

Fierce Healthcare

Tech startup Paradigm lands $203M to get more patients into clinical research, accelerate drug trials hlandi Mon, 01/30/2023 - 11:51

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Monetizing Analytics Features

Think your customers will pay more for data visualizations in your application? Five years ago, they may have. But today, dashboards and visualizations have become table stakes. Turning analytics into a source of revenue means integrating advanced features in unique, hard-to-steal ways. Download this white paper to discover which features will differentiate your application and maximize the ROI of your analytics.

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Multiple Vulnerabilities Identified in OpenEMR Health Record and Practice Management Software

HIPAA Journal

Multiple vulnerabilities have been identified in the popular open source electronic health record and medical practice management software, OpenEMR. OpenEMR is used by healthcare organizations around the world for recording and managing sensitive patient data, and patients used the software for scheduling appointments online, communicating with their healthcare providers, and paying medical bills.

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Hospitals faced 'worst financial year since the start of the pandemic' in 2022, Kaufman Hall data show

Fierce Healthcare

Hospitals faced 'worst financial year since the start of the pandemic' in 2022, Kaufman Hall data show dmuoio Mon, 01/30/2023 - 14:44

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Virtual 40th National HIPAA Summit – Early Bird Discount Ends 2/3

HIPAA Journal

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching. The event provides a tremendous opportunity for learning through HIPAA workforce training sessions and keynote speeches from top government officials and leading industry professionals.

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Number of people with long COVID appears to be declining, according to CDC data

Fierce Healthcare

Number of people with long COVID appears to be declining, according to CDC data fdiamond Mon, 01/30/2023 - 16:00

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Ensure Continuous Patient Care: How to Avoid Disruptions Due to Ransomware

The industry has seen an increasing pace of ransomware, zero-day, and remote-code execution attacks. Learn how to defend against these against these attacks in this eBook.

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Arrive Health Creates First-of-Its-Kind Medication Access Solution with Acquisition of Pharmacy Technology from UPMC Enterprises

Healthcare IT Today

Arrive Health , the leading provider of real-time benefit tools and integrated solutions that improve patient affordability, today announced the acquisition of a suite of innovative patient engagement and automation technologies developed by UPMC Enterprises and the UPMC Pharmacy Network. Arrive Health will add AI-driven virtual assistant technology and a robust patient management system to its affordability offerings, expanding support for more than 200 million patients on their journey to fi

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COVID-19 still an emergency but approaching 'inflexion point,' WHO says

Modern Healthcare

WHO chief Tedros Adhanom Ghebreyesus said he hopes 2023 will bring a "new phase in which we reduce hospitalizations and deaths to the lowest possible level.

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Healthcare Compliance Updates to Be Aware of in 2023 | symplr

Symplr

The healthcare industry may have garnered a reputation as a slow adopter in some operational aspects, but that’s not the case when it comes to regulations. Compliance requires fast and full adherence to changes in this highly regulated space. Aside from poor outcomes, regulatory noncompliance can result in financial penalties, lower reimbursements, unwanted oversight, and negative media attention.

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Health insurance startup Angle Health scores $58M

Mobi Health News

The funds will help the company continue to expand into new markets.

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How To Package & Price Embedded Analytics

Just by embedding analytics, app owners can charge 24% more for their product. How much value could you add? This framework from Software Pricing Partners explains how application enhancements can extend your product offerings. You’ll learn: How to take a disciplined approach to pricing The three elements of the Packaging Decision Framework Ways to structure your new embedded analytics offering Download the White Paper to learn about How To Package & Price Embedded Analytics.