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.
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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.
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.
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.
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.
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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.
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.
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.
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.
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
Advertiser: Evisort
The emergence of generative AI is reshaping the landscape of contract management, enabling businesses to generate and negotiate legal agreements with greater ease and speed. In this on-demand webinar, Hal Marcus, VP of Product Marketing at Evisort discusses how Evisort's generative AI transforms contract creation and negotiation, empowering legal teams to streamline processes while reducing risk.
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.
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.
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.
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.
Advertiser: Celo
In this ebook, you will learn about the 18 PHI indicators, the legal requirements and penalties surrounding PHI, and how your healthcare teams should securely exchange this data. Key takeaways from this ebook: Gain confidence in identifying PHI. Acquire practical implementation strategies for exchanging PHI within your organization. Emphasize the importance of using compliant communication tools within healthcare teams.
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.
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
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.
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.
Advertiser: Evisort
Evaluating and selecting the right contract lifecycle management (CLM) platform can be complicated. However, by getting the right people involved, prioritizing your business needs, and testing your technology options, you can make it easier.
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
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
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.
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.
Advertiser: Abyde
85% of practices are not complying with the government’s HIPAA standards. The large majority of practices are likely trying to protect patients’ information, but they may not be doing all that they need to meet government requirements. Not complying with HIPAA has definite drawbacks, with one major one being massive fines. The government can fine up to 1.5 million dollars for a single HIPAA breach incident - an amount that would put most small practices out of business.
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.
Advertiser: Evisort
In The Forrester Wave™ Contract Lifecycle Management, Q3 2023, Evisort has debuted as a Strong Performer.
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