Mon.Oct 23, 2023

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Express Scripts sued by independent pharmacies over alleged price fixing

Healthcare Dive

The Cigna-owned pharmacy benefit manager colluded with rival Prime Therapeutics to overcharge pharmacies, according to a lawsuit filed last week.

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Patient preferences for accessing medical data are shifting, says ONC

Healthcare It News

To track the use of web-based patient portals and smartphone applications by patients seeking their health information, the U.S. Office of the National Coordinator for Health IT released an analysis of Health Information National Trends Survey data, which regularly gathers data on many aspects of health communications. WHY IT MATTERS There are a number of highlights in ONC's new publication, Individuals’ Access and Use of Patient Portals and Smartphone Health Apps by Catherine Strawley

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Blue Cross NC to buy 55 FastMed urgent care clinics

Healthcare Dive

The nonprofit insurer said it would focus on bringing the clinics up to pre-pandemic standards after suffering staffing shortages.

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Despite Legal Exceptions, Access to Abortion Denied in Peru

Bill of Health

By Camila Gianella Between August and mid-October 2023, media reports documented a string of tragedies: six Peruvian girls between the ages of 10 and 13 were raped by relatives, resulting in unwanted pregnancies. Initially, health workers denied the girls access to abortion, and ultimately one died during labor. Health workers and other bureaucrats denied these girls access to therapeutic abortion on different grounds: Some withheld access to information or asked for the authorization of the par

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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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How 4 health system executives are tackling supply chain challenges

Healthcare Dive

After the COVID-19 pandemic caused worldwide disruptions, executives at four major health systems shared how they’re innovating supply chain tactics.

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ACOs prepare for eCQM quality reporting

MRO Compliance

A New Frontier: ACOs and the Shift to Electronic Clinical Quality Measures Healthcare quality reporting is evolving, and accountable care organizations (ACOs) are at the forefront of this change. In 2025, ACOs will be required to shift from traditional quality reporting via the CMS Web Interface to electronic clinical quality measures (eCQMs), marking a significant transition in their reporting process.

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ACOs and the Shift to Electronic Clinical Quality Measures

MRO Compliance

Evolving the ROI Process with a Focus on Digitization In August 2023, For the Record Magazine published a guest article co-authored by Anthony Murray, CISSP, and me. The article is entitled Release of Information: The Digitization of ROI , and includes valuable insights into pivotal shifts in the ROI landscape and how these changes affect HIM teams.

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How experts see AI changing healthcare supply chains

Healthcare Dive

Leading analysts have long recommended automating procure-to-pay functions with software to lower spend, identify savings, and increase transparency and accountability in supply chain workflows.

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DHA taps Amwell, Leidos for 'Digital First' initiative

Healthcare IT News - Telehealth

The Defense Health Agency has awarded Amwell and Leidos a new contract to develop a hybrid care technology platform for the Military Health System's "Digital First" efforts. WHY IT MATTERS Through the deal, the Amwell Converge platform will be deployed to help DHA care teams deliver more seamless "in-person, virtual and automated" healthcare services for the MHS, officials say.

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Few therapists measure outcomes. A startup's new framework aims to change that

Fierce Healthcare

Two-thirds of patients receiving three months of outpatient therapy will not reach remission, a new analysis of behavioral health therapy outcomes data reveals. | Practitioners can use the framework, known as the Blueprint Quality Index (BQI), to track quality improvement over time, as well as assess the effect of programmatic or infrastructure changes on patient outcomes.

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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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2023-2024 PCORI Fee Released

Compliance Now

By Megan Diehl, Manager of Compliance Consulting, MZQ Consulting The Patient-Centered Outcomes Research Institute (PCORI) fee established by the Affordable Care Act helps fund research to evaluate and compare health outcomes, clinical effectiveness, risks, and benefits of medical treatment and services. The fee is currently in place through 2029. In Notice 2023-70 , the IRS announced that the PCORI fee for plan years ending between October 1, 2023, and September 30, 2024, is $3.22.

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Henry Ford Health, group practice sued over policy requiring cognition tests for older physicians

Fierce Healthcare

An 84-year-old ophthalmologist has filed a class action lawsuit against Henry Ford Health and its medical group practice over a policy requiring older practitioners to undergo a cognition screen in | Henry Ford Medical Group's policy currently requires those 70 and older to undergo a screening "solely based on age," according to the class action suit filed by an 84-year-old ophthalmologist.

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GNC Health expands virtual health service with three membership plans

Mobi Health News

Individuals and families can purchase a Basic, Plus or Premier plan for a monthly fee, including the option for more than 400 prescription medicines at a $0 copay.

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Medicaid expansion could cover more than 2M additional people

Fierce Healthcare

A new report projects that if states holding out from expanding Medicaid reversed course, 2.3 million people would get access to healthcare.

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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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Automation Drives Optimal Use of Temp Nurses

Healthcare IT Today

Staffing has become alarmingly tight in health care, driven by aging and a less healthy population, an aging workforce, bureaucratic demands from payers that disincentivize staff, and the traumas of the COVID-19 crisis and increasing violence against staff. Temps, often traveling long distances, have been making up the difference between supply and demand in staffing.

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Sibel Health announces new monitoring tool, partnership with Medidata

Mobi Health News

The technology company will integrate Sibel's Discovery platform into its offerings, allowing researchers to gather insights from Sibel's wearable sensor technology.

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Cedars-Sinai Uses AI to Identify People With Abnormal Heart Rhythms

HIT Consultant

What You Should Know: Investigators from the Smidt Heart Institute at Cedars-Sinai found that an artificial intelligence (AI) algorithm can detect an abnormal heart rhythm in people not yet showing symptoms. The algorithm, which identified hidden signals in common medical diagnostic testing, may help doctors better prevent strokes and other cardiovascular complications in people with atrial fibrillation-the most common type of heart rhythm disorder.

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Guy’s and St Thomas’ pilot Accurx digital triage system for surgery

Digital Health News

Guy's and St Thomas' NHS Foundation Trust is piloting a digital triage system from Accurx for its surgical pathway to help speed up time to surgery.

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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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Turning Increased Ambulatory Volumes into Financial Strength: 4 Moves for RCM

Healthcare IT Today

The following is a guest article by Pete Heydt, President at Patient Pay Ninety-five percent of healthcare leaders expect outpatient volumes to increase, with many anticipating increases of 10% or more this year, a recent survey found. However, capitalizing on increased activity demands that leaders streamline their operations—including around patient financial engagement and payment—so they can make the investments needed to set themselves apart from the competition.

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East Suffolk and North Essex pick Epic as preferred EPR supplier

Digital Health News

East Suffolk and North Essex NHS Foundation Trust has chosen Epic as preferred supplier in their procurement for an Electronic Patient Record (EPR).

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Blue Cross NC to scoop up North Carolina FastMed locations

Fierce Healthcare

Blue Cross and Blue Shield of North Carolina is set to acquire 55 FastMed locations in the Old North State. | Blue Cross and Blue Shield of North Carolina is set to acquire 55 FastMed locations in the Old North State.

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NHS England launches £300m tender for new Digital Pathways Framework

Digital Health News

NHS England has launched an open procurement contract worth almost £300m to establish a framework agreement for the provision of Digital Pathways solutions.

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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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Why HIPAA requires health systems to sanction employees

Becker's Health IT

HIPAA requires hospitals and health systems to sanction employees who don't comply with the healthcare privacy law, DataBreaches.net reported Oct. 20.

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Uneven Ground: Differences in Language Access Across State-Based Marketplaces

Center for Health Insurance Reform

The annual Marketplace Open Enrollment Period is just around the corner. Enrolling in health insurance can be a challenge, especially for the millions of Americans with limited English proficiency (LEP). In a new issue brief for the Commonwealth Fund, CHIR experts document how the Affordable Care Act’s Marketplaces are facilitating access to health insurance information for LEP individuals, identify persistent gaps in language services, and recommend federal policies to improve language access i

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Digital Health Coffee Time Briefing ?

Digital Health News

The first coffee briefing of the week features news from Lillian Care, Sonrai Analytics, Ardian, Kalium Health, Newcastle Hospitals and NHS England.

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Technology and the Workforce Crisis: Balancing Innovation, Efficiency, and Burnout

HealthIT Answers

By Karen Conley DNP RN - In recent years, burnout and workforce issues have dominated the headlines. As continuous news cycle about the impact: longer wait times, reduced availability of services, increased healthcare costs, fewer providers, and reduced quality of care, to name a few. The post Technology and the Workforce Crisis: Balancing Innovation, Efficiency, and Burnout appeared first on Health IT Answers.

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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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Hospitals websites 'rarely' mention abortion compared to other 'routine' care services

Fierce Healthcare

Hospitals in states generally permissive of abortion services “rarely” have information about the procedures posted on their patient-facing websites, likely adding to access difficulties for those | Among a sample of 222 hospitals, about 80% didn't include any information about abortion procedures whereas just 11% didn't mention colonoscopies, according to a recent study.

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Maintaining HIPAA-Compliant Communication Amongst Colleagues

HealthIT Answers

By Art Gross- In such an intense and impactful field, it’s completely understandable that healthcare professionals often find themselves wanting to share experiences or seek support from colleagues. However, they must navigate a delicate balance due to the stringent regulations imposed by HIPAA. The post Maintaining HIPAA-Compliant Communication Amongst Colleagues appeared first on Health IT Answers.

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Pangea, FibroFighters Partner to Advance Rare Liver Cancer Treatment

HIT Consultant

What You Should Know: Pangea Biomed , the startup behind the innovative treatment response predictor, ENLIGHT, today announced its partnership with patient-centric advocacy organization FibroFighters to advance treatment for fibrolamellar carcinoma (FLC) patients. Fibrolamellar carcinoma (FLC) is a rare liver cancer that typically presents in young adolescents and young adults at a median age of 22 who have no history of liver disease.

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Attend the ATA EDGE2023 Policy Conference

HealthIT Answers

Starts December 13th in Washington DC - The ATA EDGE2023 Policy Conference is the premier event focused on the latest in state, federal and international telehealth policies, to address the challenges and identify the opportunities for access to digital health. The post Attend the ATA EDGE2023 Policy Conference appeared first on Health IT Answers.

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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.