Cigna hit with second suit over claims automation software
Healthcare Dive
SEPTEMBER 20, 2023
The lawsuit was filed in Connecticut and seeks class action status to represent all consumers nationwide who had claims reviewed by PxDx.
Healthcare Dive
SEPTEMBER 20, 2023
The lawsuit was filed in Connecticut and seeks class action status to represent all consumers nationwide who had claims reviewed by PxDx.
Bill of Health
SEPTEMBER 20, 2023
By Ana Santos Rutschman What can the New York City Marathon experience teach those reflecting on ways to increase equity in the transnational allocation of scarce vaccine doses? Quite a lot, it turns out. I explore this analogy in a recently published article in the Journal of Law, Medicine and Ethics ( JLME ), Increasing Equity in the Transnational Allocation of Vaccines Against Emerging Pathogens: A Multi-Modal Approach.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Healthcare Dive
SEPTEMBER 20, 2023
A new payment model and reimbursement cuts are straining home health agencies, but more data may be needed to fully evaluate the model, advocates and researchers said during a Senate finance committee hearing.
Bill of Health
SEPTEMBER 20, 2023
By Marie-Amélie George A tweet turned Luna Younger’s personal struggle into a national controversy. Using 148 characters, Texas Governor Greg Abbott announced that the Texas Attorney General’s Office and the Texas Department of Family and Protective Services would be investigating the seven-year-old’s family. Prompting his declaration was a jury’s award of custody to Luna’s mother, Anne Georgulas, a pediatrician who supported Luna’s gender transition.
Advertisement
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?
Healthcare Dive
SEPTEMBER 20, 2023
Union and Kaiser Permanente representatives have one final negotiation left to work out contract terms. Otherwise, 80,000 workers will strike in what would be the largest work stoppage in the industry's history.
MRO Compliance
SEPTEMBER 20, 2023
Norristown, Pa. – September 20 , 2023 – MRO Corp., the leading clinical data exchange company in healthcare, announced today that it has been awarded the prestigious 2023 Top Workplaces for Healthcare honor. The list is based solely on employee feedback gathered through a third-party survey administered by employee engagement technology partner Energage , LLC.
Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
Fierce Healthcare
SEPTEMBER 20, 2023
Traditional Medicare not only doesn’t measure up to Medicare Advantage (MA) when it comes to cutting back on utilization, it also falls short in many ways compared to commercial insurance for those | Researchers say Medicare Advantage enrollees have more than 50% fewer inpatient hospital stays than FFS Medicare enrollees and 22% fewer visits to emergency departments.
HIT Consultant
SEPTEMBER 20, 2023
What You Should Know: Health Gorilla , a privacy-focused health information network and interoperability solution provider, has announced the launch of its Patient Access solution , which allows healthcare organizations to access comprehensive health data by enabling consumers to submit queries to national health information networks under the Individual Access Services (IAS) purpose of use.
Fierce Healthcare
SEPTEMBER 20, 2023
Amid a flurry of partisan roadblocks rolling out across Capitol Hill, representatives on both sides of the aisle came together Tuesday to critique federal agencies’ rollout of the No Surprises Act | Members of the House's Ways and Means Committee were unified in their critiques of HHS' "flawed implementation" of their bipartisan consumer protection legislation.
HIT Consultant
SEPTEMBER 20, 2023
Kate Behan, MD, FACP, Chief Medical Officer, Arcadia A so-called “tripledemic” — the convergence of flu, RSV and COVID-19 — led to significant morbidity and mortality, and it also forced the cancellation or delay of numerous medical procedures at overwhelmed health systems. This year, there’s an RSV vaccine joining flu and COVID-19 vaccines, and it could help Americans avoid repeating history — but only if patients get recommended vaccines.
Advertisement
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.
Fierce Healthcare
SEPTEMBER 20, 2023
As pharmacy benefit managers and drug manufacturers once again sparred on the Hill, a group of transparent PBMs revealed that they had come together to form a coalition that drives industry reform. | As pharmacy benefit managers and drug manufacturers once again sparred on the Hill, a group of transparent PBMs revealed they had come together to form a coalition that drives industry reform.
Healthcare IT Today
SEPTEMBER 20, 2023
The following is a guest article by Holly Miller , President at Collette Health (formerly MedSitter) Amid the many challenges in healthcare, an emerging central theme is how to balance technological innovation with a compassionate human touch. Luckily, the advent of AI-enabled virtual care and machine learning has introduced a whole new world of virtual clinical observation.
Fierce Healthcare
SEPTEMBER 20, 2023
American Physician Partners, a Brentwood, Tennessee-based hospital staffing firm, announced Tuesday that it and its affiliates have filed for Chapter 11 bankruptcy protections “to complete the orde | The company said it has wound down over 150 contracts in July and attributed its financial difficulties to the pandemic and the No Surprises Act.
Electronic Health Reporter
SEPTEMBER 20, 2023
This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Bjoern Sjut, co-founder and CEO, Finc3. It is challenging to ignore mobile smartphones’ influence on our day-to-day lives. Sometimes it’s the first thing you see in the morning and the last at night. The […] The article How Mobile-First Websites Can Influence More Patients to Reach You appeared first on electronichealthreporter.com.
Advertisement
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.
Fierce Healthcare
SEPTEMBER 20, 2023
Cardiologists running independent practices face an increasingly complex operating environment with new payment models, fragmented technology, resource shortages and administrative burnout. | CardioOne is a care delivery enablement platform that works with independent cardiology practices to help them shift to value-based care. The startup inked new partnerships and nabbed $8 million in seed funding to fuel its growth.
Healthcare IT Today
SEPTEMBER 20, 2023
We like to regularly feature a healthcare IT job that might be of interest to readers. Today, we’re featuring the Staff Nurse III – Information Technology at Natividad position that was recently posted on Healthcare IT Central. This position was posted by Natividad and is in Salinas, California. Here’s a description of the position: Inspiring Healthy Lives Through Community At Natividad, our dedication to the people of Monterey County is at the heart of everything we do—from th
HIT Consultant
SEPTEMBER 20, 2023
What You Should Know: – Healthcare data analytics company Arcadia launches a generative artificial intelligence (AI) assistant powered by Open AI, that will help boost productivity and improve care team efficiency. – Care managers play a critical role in the healthcare delivery system, but they are stretched thin, having to quickly review and interpret massive amounts of information from complex medical records.
MedTrainer
SEPTEMBER 20, 2023
Healthcare is a continuously evolving industry, especially when it comes to compliance. Compliance standards are consistently under scrutiny from regulatory organizations, which means healthcare professionals frequently need to refresh, re-train, and learn new concepts and best practices. When that time comes, microlearning is one of the best options for compliance training.
Advertisement
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.
HIT Consultant
SEPTEMBER 20, 2023
What You Should Know : A team of leading clinicians, engineers, and neuroscientists has made a groundbreaking discovery in the field of treatment-resistant depression. By analyzing the brain activity of patients undergoing deep brain stimulation (DBS), a promising therapy involving implanted electrodes that stimulate the brain, the researchers identified a unique pattern in brain activity that reflects the recovery process in patients with treatment-resistant depression.
MedTrainer
SEPTEMBER 20, 2023
A healthcare CMS inspection, or survey, evaluates providers’ adherence to state/federal regulations and guidelines at both the individual and organizational levels. These expectations help to ensure patient safety and quality of care within CMS’s state- and federally-funded programs. To help you navigate inspection preparations, let’s begin with some resources on the scope of a CMS inspection and why passing is so important — a follow-up post will dive deeper into checklists and reporting
Healthcare IT Today
SEPTEMBER 20, 2023
One of the nice things about living in Las Vegas is that almost all the health IT conferences come to Las Vegas. Sadly, that wasn’t actually true for the Cerner user conference which was held in Kansas City. However, now that Oracle bought Cerner , the Oracle Health conference is now co-located with Oracle World and is being held in Las Vegas.
Health Populi
SEPTEMBER 20, 2023
One in two consumers in the U.S. feel their well-being or healing was negatively impacted by difficulty paying for their medical care. Welcome to the convergence of patients’ health care life with financial and retail lives, we learn from the 2024 Healthcare Financial Experience Study from Cedar. And that patient’s positive clinical experience can absolutely reverse the consumer’s perception of the provider, noted by this quote from OSU’s Chief Financial Officer Vincent T
Advertisement
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.
Digital Health News
SEPTEMBER 20, 2023
A new snapshot survey of ICS digital leaders has identified Shared Health and Care Records as their highest digital priority.
HealthIT Answers
SEPTEMBER 20, 2023
HLTH in Las Vegas starts Oct 8th. This year will once again push boundaries and drive ROI opportunities for you and your organization. If you are attending, keep your eye out for these folks to network. The post HLTH 2023: Who’s Going and Why? appeared first on Health IT Answers.
Digital Health News
SEPTEMBER 20, 2023
KPMG has been announced as the sponsor of a session on data literacy at Digital Health’s AI and Data 2023 event on 30-31 October.
Fierce Healthcare
SEPTEMBER 20, 2023
Making sense of mountains of data continues to be an often elusive goal for most of the healthcare system, but Cambia Health Solutions said it hopes its latest effort will allow it to better corral | Cambia Health Solutions, Abacus Insights launched a new data aggregating system that processes information for about 3.4 million members across four Blues plans.
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.
Mobi Health News
SEPTEMBER 20, 2023
The company offers personalized care plans and connects patients with a coordinated care team, including dietitians, internists and gastroenterologists.
Fierce Healthcare
SEPTEMBER 20, 2023
Veda, a data automation startup serving payers, has partnered with OutCare Health to help patients and payers identify queer-affirming providers. | OutCare Health is known for its OutList, an extensive directory of LBGTQ+ affirming providers. Data automation company Veda will ingest that information and offer it to payer clients.
Mobi Health News
SEPTEMBER 20, 2023
Data exchange platform Briya and clinical trial-participant management platform Mural Health also secured investments.
Becker's Health IT
SEPTEMBER 20, 2023
Patients at Manchester-based Eastern Connecticut Health Network have run into numerous patient care and billing issues since an August cyberattack on the health system's parent company, the Journal Inquirer in Manchester reported Sept. 19.
Advertisement
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.
Let's personalize your content