Thu.Aug 17, 2023

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Blue Shield of California drops CVS Caremark in pharmacy benefit overhaul

Healthcare Dive

BSCA has kicked CVS Caremark, the largest pharmacy benefit manager in the country, to the curb and is electing to carve out various pharmacy functions with companies like Amazon instead.

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Revolutionizing Healthcare Workforce Management with CloudApper AI TimeClock for UKG Time and Attendance

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. To maintain smooth operations, high-quality patient care, and regulatory compliance in the healthcare business, effective staff management is crucial. Time and attendance tracking is essential for any healthcare management team. This article delves into how […] The article Revolutionizing Healthcare Workforce Management with CloudApper AI TimeClock for UKG Time and Attendance appeared first

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Ground ambulance billing committee skeptical of IDR process

Healthcare Dive

A key congressional advisory group met on Wednesday to deliberate preventing unexpected bills after medical transport, but said the status quo dispute resolution process isn’t the solution.

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How Ransomware Has Caused Patient Deaths and Taken a Toll on Emergency Rooms

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Portia Cole, emergent threat researcher, Avertium. Labeling ransomware attacks as a matter of life and death may seem exaggerated, but in the realm of healthcare, it has proven to be a harsh truth. In […] The article How Ransomware Has Caused Patient Deaths and Taken a Toll on Emergency Rooms appeared first on electronichealthreporter.com.

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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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The Joint Commission and National Quality Forum announce affiliation

Healthcare Dive

The groups claim their venture will tie the accreditation process more closely to data and outcomes, and won't lead to more quality measures for hospitals.

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Stanford Health CEO David Entwistle joins Redesign Health's board. Here's why he's bullish on digital health

Fierce Healthcare

David Entwistle has a storied career as a healthcare executive leading new innovations and steering strategic growth at academic medical centers. | Stanford Health Care CEO David Entwistle joined the board of directors at New York City-based Redesign Health. Here are the areas of healthcare he thinks are ripe for innovation.

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Blue Shield of California ditches CVS Caremark as PBM, unveils new pharmacy care model

Fierce Healthcare

Blue Shield of California today unveiled a new model for pharmacy care that it hopes will overhaul the “broken prescr | Blue Shield of California hopes to cut prescription drugs costs between 10% and 15%, or about $500 million a year, with an ambitious program that sidesteps the pharmacy benefit manager.

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Generative AI in healthcare: Google Cloud’s Amy Waldron on the tech giant’s health ambitions

Healthcare Dive

Healthcare Dive caught up with Google Cloud’s Amy Waldron to discuss the technology giant’s plans — and the potential risks — for generative AI in healthcare.

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Seniors believe Medicare needs overhaul but still feel entitled to current benefits

Fierce Healthcare

A recent survey from eHealth, an independent Medicare insurance adviser, released new data that shows 84% of respondents believe Medicare needs reform, but just 12% think changes should impact thei | A new survey shows that while seniors acknowledge Medicare reform is critical to the program's future, they expect to receive benefits at the cost they were promised.

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Building A Telemedicine Company – Challenges and Best Practices

HIT Consultant

Benjamin Katz. CEO and co-founder of Happy Head In the last few years, the healthcare industry has witnessed an explosion in both popularity and profits in a new sector of business. Thanks to the conditions brought about by the pandemic, telemedicine is now an increasingly popular format for diagnosing and treating a variety of conditions. Just a few years ago, the telemedicine market had a size of about $42 billion.

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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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HOPCo Network Solutions partners with Florida value-based care network

Fierce Healthcare

Healthcare Outcomes Performance Company, a national leader in musculoskeletal practice and clinical outcomes management solutions, has partnered with Provider Network Solutions to establish a joint | Under a new joint venture with Provider Network Solutions (PNS) in Florida, HOPCo Network Solutions will add 1,100 new orthopedic, pain management and podiatry partners.

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Detecting Behavioral Health Fraud: How Health Plans Can Strengthen Their Approach

HIT Consultant

Erin Rutzler, VP of Fraud, Waste, and Abuse at Cotiviti As behavioral health claim volumes continue to increase, there’s a growing need for health plans to be vigilant in spotting fraud, waste and abuse. Today, the complexity and cost of these schemes necessitate a proactive, preventative approach. Nearly four out of five psychologists say they are seeing increased volumes of patients experiencing anxiety, while two out of three reported an increase in symptom severity in 2022, an American Psych

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Mayo Clinic up nearly $1B as of 2023's midyear mark thanks to 'overperformance' of core operations

Fierce Healthcare

Mayo Clinic built on its solid first quarter with an even stronger $300 million fro | The nonprofit's six-month revenues are up 9.8% year over year, outpacing an 8.2% rise in expenses. For the second quarter, management attributed its nearly $4.5 billion total revenue to “overperformance in core operations as well as positive investment returns.

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Why Maternity Care Deserts Aren’t Going Away. Here’s What Can Be Done

HIT Consultant

Anish Sebastian, CEO and Co-founder, Babyscripts For a long time, healthcare providers in the U.S. have been putting band-aids on the problem of maternity care deserts , propping up existing services for pregnant women and new mothers with temporary fixes. The problem shows no sign of resolving, and it won’t until we recognize that the issues at its heart are not temporary.

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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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EDs are drowning under a rising number of pediatric behavioral health patients, providers warn

Fierce Healthcare

Amid warnings that emergency departments are not fully equipped to meet rising mental and behavioral health (MBH) needs of minors, a trio of healthcare professional organizations is calling for mor | Recent years have cemented emergency departments as critical access points and safety net care providers for kids with mental and behavioral health conditions.

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VBC: Improving Healthcare Outcomes With A Strong Payer-Provider Relationship

HIT Consultant

Jonathan Malek, SVP and General Manager, Provider Business, Veradigm The last few years have emphasized the need for high-quality healthcare for patients that is accessible and affordable for all. There is tension between stakeholders in the healthcare industry surrounding efforts to keep costs low and increase revenue, while not sacrificing patient experience.

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PocketHealth launches in-app tool to surface follow-up instructions, boost compliance among patients

Fierce Healthcare

Pocket Health, a medical image-sharing platform, has launched a tool to help patients stay on top of their follow-up recommendations. | Whether the instructions are to schedule another appointment, tissue sampling or lab work, Follow-Up Navigator will surface them to the patient and prompt them to take action.

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Why Healthcare AI Must Maintain Multiple Layers of Specificity

HIT Consultant

Dr. Tamir Wolf, co-founder and CEO of Theator The recent explosion of generative AI has pushed public discourse to a palpable tipping point. Nearly overnight, it seems, we’ve cycled from “must develop and/or adopt new AI applications ASAP” to existential fear, avoidance, and even acrimony. For those of us who have been working directly in the artificial intelligence space for years, specifically in healthcare, these are both trying and exciting times.

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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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Select Health, Kroger team on co-branded Medicare Advantage plans

Fierce Healthcare

Select Health is teaming up with grocer Kroger to launch new co-branded Medicare Advantage (MA) plans that aim to improve access to healthy food and affordable medications. | The new plans will first be offered in select counties across four states Select Health, a subsidiary of Intermountain Healthcare, serves: Colorado, Idaho, Utah and Nevada.

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All-in-One Medical Graphic Stations and Tablets from DT Research

Healthcare IT Today

At the HIMSS conference, one of the most interesting technologies we saw was the wide variety of high end, computers, tablets, and monitors that were made available. In many surgeries, they need a solution that provides them the high end graphics and computing that’s needed to ensure they can precisely see what’s happening with the surgery.

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Industry Voices—What time on the front lines of COVID taught me about how we should address the mental health crisis

Fierce Healthcare

As one of a small group of people working to develop and deploy COVID-19 testing at the very start of the pandemic, I witnessed both major blunders and genius breakthroughs, but what sticks with me | There are lessons we learned during the COVID-19 response that can and should inform our response to today’s record levels of depression, anxiety and other mental health conditions.

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Transforming Patient-Centric Healthcare with Digital Humans

Healthcare IT Today

The following is a guest article by Steve Lazer, Global Healthcare and Life Sciences CTO at Dell Technologies The purpose of this paper is to explore the role of digital entities in healthcare. Specifically, we will examine their applications in patient care, medical education, and mental health support. Furthermore, we will discuss the potential benefits and challenges associated with the integration of digital entities whether humanoid or not into the healthcare system.

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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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Advocate Aurora Health Settles Pixel Lawsuit for $12.25 Million

HIPAA Journal

Advocate Aurora Health has proposed a $12.25 million settlement to resolve a consolidated class action lawsuit filed over the impermissible disclosure of patient data to third parties via tracking technologies. Advocate Aurora Health was one of the first HIPAA-regulated entities to report a Pixel-related data breach to the HHS’ Office for Civil Rights and notify patients that their protected health information had been impermissibly disclosed to unauthorized third parties via these tracking tech

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Clinicians are the best innovators in digital health

Digital Health News

In the first of a new series of columns from our Advisory Panels, Dr Penny Kechagioglou calls for more clinicians to take on digital leadership roles.

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Hackers Backdoor 1,900 Citrix NetScaler Devices

HIPAA Journal

Hackers have been conducting a mass exploitation campaign targeting Citrix NetScalers to exploit a critical vulnerability tracked as CVE-2023-3519. The automated exploitation campaign compromises NetScalers and installs web shells to provide a persistent backdoor into systems. The web shell allows the threat actor to execute arbitrary commands on compromised systems, even when the patch is applied to fix the vulnerability.

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Royal Cornwall Hospital improving outpatient experience with Netcall

Digital Health News

Royal Cornwall Hospital NHS Trust (RCHT) is changing its outpatient experience with the help of patient engagement portal Patient Hub.

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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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Peloton launches new approach to B2B service

Mobi Health News

Peloton for Business includes access to the company's commercial bike, an employee benefit program, exclusive programming and offers for partner organizations.

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NHS Wales to roll out HealthPathways across Wales

Digital Health News

Following a successful implementation at Cardiff and Vale University Health Board, NHS Wales is to deploy HealthPathways nationwide.

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Oregon joins other states in setting ratios for nurse staffing

Modern Healthcare

Under the Oregon law, which was opposed by health systems, hospitals will face financial penalties if they deviate from the staffing requirements.

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Healthcare robotics platform Mendaera secures $24M

Mobi Health News

The company announced its expansion into a Silicon Valley-based production facility to develop its collaborative robotic system.

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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.