Wed.Nov 15, 2023

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UnitedHealth sued over use of algorithm to deny care for MA members

Healthcare Dive

The lawsuit alleges UnitedHealth used nH Predict to deny claims for Medicare Advantage seniors, despite the algorithm’s determinations being overturned in more than 90% of appeals.

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Where social work, tech and health equity intersect

Healthcare It News

Felisha Norrington, director of academic assistance at GSU's College of Nursing and Health Professions, says while there is movement on health equity, social work and technology investments help ensure care resources are accessible to all people.

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Senate subcommittee signals support for permanent telehealth flexibilities

Healthcare Dive

But witnesses noted Congress shouldn’t wait to enshrine pandemic-era accommodations for virtual care, arguing regulatory uncertainty is a danger to telehealth’s longevity.

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Using Automation to Improve Payer Collaboration: On Air Insights

MRO Compliance

Managing laborious payer processes is one of the most cumbersome operational challenges for hospitals and health systems. From initial claim submission to filling additional documentation requests, and responding to payer audits or denials, healthcare provider organizations dedicate significant time and resources to collaboration with payers. I recently had the pleasure of sitting down with Beth Friedman, Senior Partner of FINN Partners, on FINN Voices , part of Healthcare NOW Radio.

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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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‘Finger-pointing and blame-shifting’: House subcommittee voices frustration over VA Oracle EHR rollout

Healthcare Dive

Witnesses at the hearing said system performance has improved, but lawmakers called the persistent outages “unacceptable.

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Primary care player Forward unveils AI-based, self-serve CarePods backed by $100M investment

Fierce Healthcare

Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.< | Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.

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UnitedHealthcare hit with class action over alleged use of AI to deny Medicare Advantage claims

Fierce Healthcare

UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage. | UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage.

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Centene names new COO following leadership turnover

Healthcare Dive

Current SVP Susan Smith will take the reins as the health insurer’s chief operating executive starting next year.

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Digital pharmacy startup Truepill confirms hackers accessed health data for 2.3M users

Fierce Healthcare

Postmeds, doing business as Truepill, confirmed that hackers accessed the personal data of more than 2.3 million patients. | Postmeds, doing business as Truepill, confirmed that hackers accessed the personal data of more than 2.3 million patients.

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Amazon’s One Medical partners with employer group for primary care

Healthcare Dive

The primary care chain will serve as a virtual and in-person primary care provider for companies like Coca-Cola, Boeing and JPMorgan.

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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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Pediatric telehealth startup Summer Health expands text-based service into primary care for kids

Fierce Healthcare

Summer Health launched a year ago as a text-based service for parents to get answers to urgent needs from pediatricians. | There is a growing shortage of pediatric clinicians. To meet the demand for primary care services, Summer Health rolled out a new on-demand text message service for parents to connect with pediatricians, sleep coaches and lactation experts.

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Frontline digitisation funds at risk to cover industrial action costs

Digital Health News

A new guidance letter from NHSE to trusts on industrial action suggests investment for frontline digitisation may be pulled from more mature trusts

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Mental health platform UpLift acquires women-focused company Minded

Healthcare IT News - Telehealth

The acquisition brings UpLift's offerings to Illinois, New York, Pennsylvania, Texas and California, helping to speed up its ability to expand nationally.

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7 Effective Ways To Market Your Medical Practice

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Any doctor’s dream is to open a medical practice and to have patients line up the next day. Unfortunately, it’s a lot more difficult than this. A quick online search for marketing tips gives you […] The article 7 Effective Ways To Market Your Medical Practice appeared first on electronichealthreporter.com.

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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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Amazon's One Medical announces three new partnerships

Mobi Health News

Hackensack Meridian Health, CommonSpirit Health's Virginia Mason Franciscan Health, and the Health Transformation Alliance will utilize One Medical's primary care services.

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CIO Perspective: The Crucial Role of a Trustworthy Consultant in Building a Sustainable Program

HIT Consultant

Anis Trabelsi, CIO at Palomar Health As a CIO with experience working with various consultants, I understand the importance of finding the right partner, especially in the realm of cybersecurity. Many consultants prioritize financial gains over personalized solutions, making it crucial to seek out ethical, committed and knowledgeable experts. In this article, I will highlight the key factors that make a good consultant, emphasizing the need for trust, a personal touch and a focus on tailored sol

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Zealous for Wellness: Deciding What Kind of Change You Want

Healthcare IT Today

The previous article in this series explained some of the ways payers, providers, and digital health companies demonstrate that they have made a positive difference in their patients’ lives. Jim Wallace, CEO of DecisionRx , writes to me that, “Payer incentives for wellness are largely stuck at the water’s edge, so to speak: few payers have gotten a lot of people to go in for a swim.” Their incentives (health club memberships, subsidies for over-the-counter healthcare products)

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Six Compelling Reasons to Begin Your HIPAA Compliance Journey Before the Year Ends

Total HIPAA

As 2023 unfolds, the urgency for entities in the healthcare sector to initiate or reinforce their HIPAA compliance cannot be overstated. This isn’t just about ticking off a checklist; it’s about safeguarding the future of your organization, whether you’re a medical practice, a health insurance agent, a self-funded employer, or a business associate in the healthcare realm. 1.

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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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NHS Confederation CEO: Innovation can help streamline NHS

Digital Health News

Ahead of the Digital Health Rewired conference in March 2024, Matthew Taylor explains why innovation and greater use of technology hold significant potential to improve the efficiency and effectiveness of the NHS.

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Surescripts Acquires ActiveRADAR to Offer Therapeutic Alternatives for Prescriptions

Healthcare IT Today

Surescripts , the nation’s leading health information network, acquired ActiveRADAR , a clinical intelligence company that identifies therapeutic alternatives for prescriptions. “We are always looking for ways to broaden our impact on patients and the people who care for them,” explained Frank Harvey, Chief Executive Officer at Surescripts. “Our acquisition of ActiveRADAR underscores our commitment to optimizing our network solutions with even more comprehensive clinical and cost data avai

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Lee Health System Leverages KeyCare’s Epic Platform to Provide 24/7 Virtual Care Access

HIT Consultant

What You Should Know: – KeyCare , the nation’s first Epic-based virtual care company, has partnered with Lee Health , a leading provider of healthcare in Florida, to deliver high-quality virtual urgent care with licensed providers (known as Virtualists). – Lee Health patients can now get 24×7 care across all 50 states via a virtual visit through Lee Health’s MyChart patient portal.

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Ohio hospital reports 3rd party data breach

Becker's Health IT

Salem (Ohio) Regional Medical Center is the latest hospital to confirm being affected by a data breach that occurred at Perry Johnson & Associates, a medical transcription service, local news outlet, WFMJ reported Nov. 15.

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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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Meet The Circular Smart Ring Slim, The Slimmest and Lightest Smart Ring in the World

HIT Consultant

What You Should Know: Following the success of the groundbreaking Circular Ring Pro, Circular, pioneers of smart ring technology, is excited to unveil the Circular Ring Slim , the thinnest, and lightest, most intuitive smart ring in the world and the first to incorporate haptic navigation and alerts. Paired with Kira+, Circular’s powerful AI wellness assistant, the sleek Circular Ring Slim assesses 7 biometrics and 142 derived markers 24/7 to help people sleep better and live healthier liv

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Digital Health Coffee Time Briefing ?

Digital Health News

This coffee briefing features a drug discovery partnership between Almirall and Absci, and a new rehabilitation hub for stroke survivors in Lanarkshire.

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Mental health platform UpLift acquires women-focused company Minded

Mobi Health News

The acquisition brings UpLift's offerings to Illinois, New York, Pennsylvania, Texas and California, helping to speed up its ability to expand nationally.

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Koa Health external ethics audit shows 24% improvement

Digital Health News

Koa Health has announced that the results of its 2022-2023 external ethics audit show a 24% improvement in comparison to the year before.

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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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AI in Healthcare News and Updates

HealthIT Answers

This month's AI report includes news and updates from Mednition, Radiology Partners, AccurKardia, Lucem Health, Tempus, Press Ganey, Aiberry, John Muir Health, Ambience Healthcare, MedCerts, Cyera, eClinicalWorks, Exo, Mayo Clinic, Intelligent Medical Objects & more! The post AI in Healthcare News and Updates appeared first on Health IT Answers.

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Digital Health Unplugged: AI and Data news team debrief

Digital Health News

The Digital Health News team return as news editor Andrea Chipman makes her debut alongside CEO Jon Hoeksma and news reporter and host Jordan Sollof.

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Children’s National Hospital to Deploy Kyndryl’s AIOps & Automation Tools

HIT Consultant

What You Should Know: Kyndryl, the world’s largest IT infrastructure services provider, today announced an agreement with Children’s National Hospital (Children’s National), one of the top five ranked children’s hospitals in the nation by U.S. News & World Report, to help support the technology experience for staff by reducing friction across all technical touch points.

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CommonSpirit opens its fiscal 2024 with $441M operating loss, $738M net loss

Fierce Healthcare

CommonSpirit Health marked the first quarter of its 2024 fiscal year with a $441 million operating loss (-5.1% operating margin) and $738 million net loss due to inflation-boosted expenses and stru | Noting the lessened year-over-year losses when normalizing for a yet-to-be-approved provider fee program, the Catholic giant acknowledged "significant industry and economic headwinds" but said it's made progress on financial stability.

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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.