Fri.Oct 06, 2023

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Aetna may have received $25.5M in MA overpayments for 2015 and 2016, audit finds

Healthcare Dive

Medical records provided by the insurer didn’t support certain diagnosis codes, resulting in overpayments, according to an audit from the HHS’ Office of the Inspector General.

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Patients benefit from AI-powered care navigator at Columbia Memorial Health

Healthcare It News

Albany Med - Columbia Memorial Health (CMH) in Hudson, New York, is a community hospital and health system serving more than 100,000 residents in Columbia and Greene counties. THE PROBLEM CMH’s digital presence was not able to capture all the business opportunities in its area of influence. Patients would look for their symptoms on Google and seek care at other hospitals and health systems in the region that had a stronger digital presence.

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Physician burnout rate doubled between 2019 and 2021, study finds

Healthcare Dive

Women physicians, less tenured clinicians and those working in primary care were more likely to report higher levels of burnout, according to research published in JAMA Network Open.

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Psychedelics Are Cheap. Psychedelic Treatment Is Not.

Bill of Health

By Vincent Joralemon Psychedelics hold immense potential to address an array of conditions that are otherwise challenging to treat, but accessing these therapies can be costly, which means that potential benefits will be stratified along the lines of socioeconomic status. This is an acute concern, because many with conditions that psychedelics may help to treat — such as post-traumatic stress disorder , postpartum depression , treatment-resistant depression , and alcohol use disorder — lack the

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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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Novant Health cuts 160 jobs, citing a ‘challenging healthcare environment’

Healthcare Dive

The layoffs come after the North Carolina-based nonprofit system reported rising salary and employee benefit expenses in quarterly earnings this year.

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How AI can surface patient self-harm risks

Healthcare It News

"We can identify things earlier compared to when a human would see it," said Gil Margolin, CTP with Talkspace, which uses linguistic regression to analyze de-identified behavioral health messages and alert providers to patients at risk for self-harm.

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More Trending

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What Walmart’s Look at Ozempic Users Tells Us About Health/Care Consumers

Health Populi

“We definitely do see a slight change compared to the total population, we do see a slight pullback in overall basket,” the CEO of Walmart US is quoted in Bloomberg. “Just less units, slightly less calories.” With patients’ use GLP-1 drugs such as Ozempic, Wegovy, and Mounjaro fast-rising in the pharmacy market, so are the concerns of companies that stock the-middle-of-the-grocery-store aisles for processed foods like sweet and salty snacks.

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PayZen adds BNPL card for medical expenses

Healthcare Dive

The debit card allows patients to swipe first, then pick a payment plan later, PayZen CEO Itzik Cohen said.

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DEA extends pandemic rules for telehealth prescribing through 2024 as agency irons out new policies

Fierce Healthcare

The Drug Enforcement Administration (DEA) said Friday it will extend telehealth flexibilities that enable clinicians to virtually prescribe controlled medications to their patients through 2024 as | The DEA announced Friday that it is extending pandemic rules for prescribing controlled substances via telemedicine through the end of next year.

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GE HealthCare imaging CEO Jan Makela talks Mayo Clinic partnership

Healthcare Dive

GE and Mayo Clinic plan to collaborate on imaging, artificial intelligence and cancer treatment.

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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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What are the Cost Implications of Implementing Cloud Technology in Healthcare?

Healthcare IT Today

We have talked about implementing cloud technology in healthcare a lot, but there are still a lot of gray areas, such as the cost implications. Will it increase or reduce healthcare costs? More importantly, if we are looking to switch from the traditional on-premises infrastructure, how do the costs compare? Both in where we are today and in the long run?

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Kaiser Permanente, UPMC among 13 major health systems to sign interoperability pact with VA

Fierce Healthcare

Thirteen major health systems have signed on to a pledge agreeing to work toward sharing patient care data with the Department of Veterans Affairs (VA) in a bid to improve veterans’ cross-organizat | By working toward seamless, secure data exchange, the organizations hope to better coordinate the care veterans seek from community providers and ensure they benefit from cost-saving VA policies.

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HIPAA-Compliant Video Conferencing: Your Guide to Secure Healthcare Communications

Total Medical ComplianceHIPAA

Modern healthcare has evolved dramatically with the integration of technology. While digitization has indeed elevated patient care and broadened its accessibility, it has also brought along challenges, primarily concerning privacy and security. A significant part of this conversation involves the use of communication tools like video conferencing and their compliance with HIPAA.

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Why supporting virtual mental healthcare for youths will likely be 'necessary' for payers

Fierce Healthcare

Commercial health insurers should utilize telehealth to address the dearth of pediatric mental health providers, according to a research letter.

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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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Atropos Health Announces Strategic Financing to Fund International Expansion and Support Key Channel Partnerships

Healthcare IT Today

Leader in Unlocking Real-World Data for Healthcare Moves to Address the Global Evidence Gap in Markets Plagued by Tight Data Restrictions and a Lack of Clinical Trial Diversity Atropos Health , a pioneer in evidence-based healthcare known for its Green Button Clinical Informatics Consult Service, today announced that it has completed a strategic financing from Presidio Ventures , the venture arm of Sumitomo Corporation Venture Group , Samsung Next , a venture arm of Samsung Electronics , Gaingel

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Zebra proves value of barcoding in NHS but mission not yet accomplished

Digital Health News

Wayne Miller of Zebra Technologies speaks exclusively about Zebra’s healthcare solutions and how barcoding can make a significant impact in the NHS.

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UnitedHealthcare Launches No Deductible Health Plan, Surest

HIT Consultant

What Should Know: – UnitedHealthcare has announced the Surest™ health plan leads to more preventive care, improves satisfaction and lowers costs for members and employers. – UnitedHealthcare’s Surest, which eliminates deductibles and offers upfront pricing information to people in advance of treatment, helps members more frequently access preventive care services and lower out-of-pocket costs, according to recent data. – Hundreds of employers with a combined workforce of more t

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Nurturey launches Red Book digital twin across Dorset

Digital Health News

A new digital version of the traditional paper-based Red Book for child health, is now in place across Dorset, thanks to the Nurturey PinkBook.

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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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OIG audit: Aetna may have raked in $25.5M in MA overpayments in 2015, 2016

Fierce Healthcare

A new federal audit estimates that Aetna may have received at least $25.5 million in overpayments from Medicare Advantage in 2015 and 2016. | A new federal audit estimates that Aetna may have received at least $25.5 million in overpayments from Medicare Advantage in 2015 and 2016.

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Adult Social Care Technology Fund awards first £3 million

Digital Health News

The government’s Adult Social Care Technology Fund has awarded over £3m to improve the use of digital technology in the adult social care sector.

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Diana Health secures $34M to grow maternity-focused offerings

Mobi Health News

The company partners with healthcare systems to provide tech-enabled women's health and OB/GYN services. It will use the funds to scale its reach and platform.

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Digital Health Intelligence releases NHS bed management market analysis

Digital Health News

Digital Health Intelligence’s latest snapshot report dissects the £68m opportunity in the NHS electronic bed and capacity management systems market segment.

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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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Mental health platform Headway scores $125M, announces $1B valuation

Mobi Health News

The company's platform connects patients with in-network therapists and mental health providers with insurance companies.

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Comprehensive primary care model drives better health outcomes for women, Tia data shows

Fierce Healthcare

Primary care integrated with gynecological care and mental health and wellness drives better health outcomes for women compared to national standards, a new study from startup Tia found. | Primary care integrated with gynecological care and mental health and wellness drives better health outcomes for women compared to national standards, a new study from startup Tia found.

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Wolters Kluwer adds generative AI capability to CDS platform UpToDate

Mobi Health News

The offering aims to help providers improve decision-making at the point of care while implementing generative AI effectively.

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Industry news in brief

Digital Health News

The latest Digital Health News industry roundup includes investment for Mobilise and more than £1m in contract wins for Kinsetsu.

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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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Healthcare Cyberattacks: Real Money, Real Lives, Real Risks

HealthIT Answers

By David Burda - Part of our Cybersecurity Awareness Month. IBM released its annual Cost of a Data Breach report based from 553 companies or organizations in 16 countries across 17 industries. The average cost of a data breach in healthcare was $10.9 million this year, up 8.2% from $10.1 million in 2022. The post Healthcare Cyberattacks: Real Money, Real Lives, Real Risks appeared first on Health IT Answers.

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'Podnosis': Gaming for better healthcare

Fierce Healthcare

In this week's episode of "Podnosis," we explore how video game training can captivate users' minds while also expediting the adoption of new skills and treatments in medicine. | In this week's episode of "Podnosis," we explore how video game training can captivate users' minds while also expediting the adoption of new skills and treatments in medicine.

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How Will the Current Macroeconomic Environment Impact Digital Health and Healthcare IT Decision-Making?

Healthcare IT Today

As health systems grapple with market uncertainty, how will the current macroeconomic environment impact digital health and healthcare IT decision-making? How are AI and automation addressing healthcare labor shortage challenges? Capital One Healthcare analyst Don Hooker shared his perspective with Healthcare IT Today in the following interview. From your work with stakeholders, are you seeing any concerns regarding digital health point solutions?

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Ohio health system pays $1.75M to settle data breach suit

Becker's Health IT

Marietta (Ohio) Health, which operates as Memorial Health System, has agreed to pay $1.75 million to settle a lawsuit alleging that the health system failed to protect patients' health information during a 2021 data breach, Top Class Actions reported Oct. 5.

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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.