Mon.Aug 22, 2022

article thumbnail

Federal regulators nix contested language in surprise billing final rule

Healthcare Dive

The final rule removes the earlier requirement that arbiters must first presume that the median in-network rate is the appropriate payment.

324
324
article thumbnail

Prior Authorization Insurance Requirements: A Barrier to Accessing Lifesaving Treatment for Opioid Use Disorder?

Bill of Health

By Juan M. Hincapie-Castillo and Amie J. Goodin. Policies to mitigate the drug overdose crisis continue to fall short, as evidenced by increasing rates of opioid-involved overdoses and deaths in the United States. The COVID-19 pandemic has exacerbated this overdose crisis , and efforts are urgently needed to mitigate harm. Individuals who have problematic opioid use are most frequently involved in opioid-involved overdoses, meaning that the use of a prescription opioid, or much more commonly a n

Medicaid 246
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Why telehealth is more than just a pandemic trend

Healthcare IT News - Telehealth

The COVID-19 pandemic brought telemedicine technology and services to a mainstream audience – like it or not. As it turned out, studies have shown that a great many patients and providers like the flexibility that telemedicine affords. Liz Fobare is vice president of product management at Kareo, a vendor of cloud-based clinical and practice management software for independent healthcare practices and billing companies.

article thumbnail

Relief Granted: Issuers and TPAs Can Satisfy Website Posting Requirement

Compliance Now

By: Jennifer Berman, CEO, MZQ Consulting. On Friday, August 19, 2022, the Departments of Labor, Health and Human Services, and Treasury (the Departments) issued updated FAQs addressing the No Surprises Act and the Transparency in Coverage Rules. These FAQs directly address an issue related to the Transparency in Coverage Rules (the TiC Rules) that has been causing consternation for employers across the country—are they really required to post a link to their machine-readable files on their publ

article thumbnail

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.

article thumbnail

Santa Cruz Health Information Organization to integrate SDOH data

Healthcare It News

WHY IT MATTERS. Along with creating a HIPAA-certified master patient index, the universal identity platform will allow SCHIO to integrate social determinants of health into patient records. SCHIO participates in a community information exchange, Together We Care, a platform designed to compile data on SDOH and bridge the gap on care coordination in Santa Cruz.

article thumbnail

CVS, Amazon, UnitedHealth are among bidders for Signify, Bloomberg reports

Healthcare Dive

UnitedHealth has submitted the highest offer for the Dallas, Texas-based home health firm at $30 per share, and Amazon's offer is close behind, according to the report.

147
147

More Trending

article thumbnail

Fauci plans to step down in December

Healthcare Dive

Fauci will leave his post as the director of the National Institute of Allergy and Infectious Diseases and as the president’s chief medical advisor.

130
130
article thumbnail

Relief Granted: Issuers and TPAs Can Satisfy Website Posting Requirement

Compliance Now

By: Jennifer Berman, CEO, MZQ Consulting. On Friday, August 19, 2022, the Departments of Labor, Health and Human Services, and Treasury (the Departments) issued updated FAQs addressing the No Surprises Act and the Transparency in Coverage Rules. These FAQs directly address an issue related to the Transparency in Coverage Rules (the TiC Rules) that has been causing consternation for employers across the country—are they really required to post a link to their machine-readable files on their publ

article thumbnail

Intermountain names interim CEO

Healthcare Dive

Lydia Jumonville has been tapped to lead the Utah-based health system following the departure of former chief executive Marc Harrison.

130
130
article thumbnail

What You Need to Know about CMS’s 2023 Proposed Medicare Physician Payment Rule

HealthIT Answers

By Chris Emper - The heavily anticipated CMS 2023 Proposed Medicare Physician Payment Rule is a whopping 2,066 pages long and includes numerous provisions that will impact physician groups next year. The post What You Need to Know about CMS’s 2023 Proposed Medicare Physician Payment Rule appeared first on Health IT Answers.

article thumbnail

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.

article thumbnail

Mayo Clinic’s Q2 operating income tumbles as labor costs climb

Healthcare Dive

The system said it is struggling with workforce shortages at a time when its hospitals are operating at near capacity.

Hospitals 130
article thumbnail

ADHD digital therapeutic maker Akili goes public

Mobi Health News

The newly public company, now trading on Nasdaq under the ticker symbol "AKLI," will use the proceeds from the transaction to launch EndeavorRx, its video game-like digital therapeutic for children with ADHD.

98
article thumbnail

July 2022 Healthcare Breach Report

Compliancy Group

Each month, we review healthcare breaches to determine the leading cause and how the incidents could have been prevented. We do so by examining the Office for Civil Rights (OCR) online breach portal. The OCR publicly posts healthcare breaches that affected 500 or more patients to ensure that all affected patients know their information could have been potentially compromised.

article thumbnail

Clarify Health & Datavant Partner to Integrate Real-World Data

HIT Consultant

What You Should Know: – Clarify Health , a cloud analytics and value-based payments platform company, and Datavant , a provider helping organizations securely connect health data expands their relationship to enable life sciences companies to connect their proprietary, first-party data in Clarify’s AI-powered Atlas analytics platform to improve clinical development and commercial operations. – Datavant’s privacy-preserving tokenization and high-accuracy matching technologies will be

98
article thumbnail

The Big Payoff of Application Analytics

Outdated or absent analytics won’t cut it in today’s data-driven applications – not for your end users, your development team, or your business. That’s what drove the five companies in this e-book to change their approach to analytics. Download this e-book to learn about the unique problems each company faced and how they achieved huge returns beyond expectation by embedding analytics into applications.

article thumbnail

Partnering Up in the Health Care Ecosystem to Drive Transformation – for Organizations and Health Consumers Alike

Jane Sarashon

“Partnerships, including JVs and alliances with other healthcare organizations and with new entrants, are just one way to access new capabilities, unlock speed to market, and achieve capital, scale, and operational efficiencies” in health care transformations. “In an environment with continued competition for attractive assets and significant capital in play from institutional investors, these partnerships may also be the most accessible way for organizations to capture value i

article thumbnail

'Digital people' to help improve healthcare in New Zealand

Mobi Health News

One of the projects will develop a digital navigator to support people with chronic conditions.

128
128
article thumbnail

Advanced issues status updates on products affected by cyber-attack

Digital Health News

Advanced have issued a status update on their products affected by the cyber-attack, including its Adastra software which has affected NHS 111 services.

97
article thumbnail

The Future of Primary Care – Healthcare IT Today Podcast Episode 95

Healthcare IT Today

For the 95th episode of the Healthcare IT Podcast , we’re talking about the future of primary care. We discuss the different challenges primary care is currently facing. Then we take a look at retail care and tech players to see how they can impact primary care. Lastly, we dive into what is needed for primary care to move forward. Here’s a preview of the questions and topics we discuss in this episode: Has there been a time more tumultuous for primary care?

77
article thumbnail

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.

article thumbnail

Using Health Insurance Reform to Reduce Disparities in Diabetes Care

Center for Health Insurance Reform

The affordability of diabetes care is a national issue. Even with insurance, diabetic patients can spend thousands of dollars on medication, supplies, and health services. These costs can present a particular burden on Black families. Black and Hispanic patients face disproportionally high hospitalizations and emergency department visits due to diabetes complications, emphasizing that affordable access to diabetes care is an issue of health equity.

article thumbnail

Former Amazon medical officer examines surgeon general's clinician burnout warning

Mobi Health News

A clinician shortage crisis is on the horizon. Here are some ideas from a top expert on what can be done.

98
article thumbnail

Integrating Digital Fax Into Your Health IT Solution

Healthcare IT Today

While many would like to eschew fax in healthcare, the reality is that faxes are still an extremely important part of data sharing that happens in healthcare. At least in the current environment, if you want to solve the healthcare interoperability problem, you’re going to have to include some faxing. This was the reality that Therasa Bell, Cofounder, President & CTO at Kno2 , found as her team and her worked to make communication of health data seamless for their end users.

Doctors 69
article thumbnail

Japanese medical AI startup Ubie snaps up $26M in Series C funding

Mobi Health News

It will be used to accelerate collaborations with pharmaceutical firms.

98
article thumbnail

Monetizing Analytics Features

Think your customers will pay more for data visualizations in your application? Five years ago, they may have. But today, dashboards and visualizations have become table stakes. Turning analytics into a source of revenue means integrating advanced features in unique, hard-to-steal ways. Download this white paper to discover which features will differentiate your application and maximize the ROI of your analytics.

article thumbnail

Caregiver Arrested for Abuse of Disabled Adult

Med-Net Compliance

The Florida Attorney General’s Medicaid Fraud Control Unit (MFCU), with the help of the Leon County Sheriff’s Office (LCSO), announced the arrest of a caregiver for abusing an adult with disabilities. According to the MFCU investigation, the caregiver dragged an adult with disabilities directly by the hair, tearing out several braids in the process.

Fraud 59
article thumbnail

Ransomware attack hits more than 59,000 patients at Vermont health center

Becker's Health IT

A Vermont health center recently experienced a ransomware attack that affected 59,381 patients, it reported Aug. 11 to the HHS Office of Civil Rights.

article thumbnail

AI Provider Anomaly Launches Tech to Predict Claims Denials with 97% Accuracy

HIT Consultant

What You Should Know: – Anomaly , a precision payments company streamlining healthcare billing and payments for providers and payers, today announced its new offering Anomaly Smart Response. – Smart Response uses AI to enable providers and payers to reduce avoidable claim denials and rework and increase payment transparency, top priorities for healthcare stakeholders.

article thumbnail

OIG Approves Gift Cards for Medicare Managed Care Enrollees Who Complete Online Education

Health Law Advisor

On August 19, 2022, the Department of Health and Human Services Office of Inspector General (“OIG”) posted Advisory Opinion 22-16 (“AO 22-16”) to its website, a favorable opinion concluding that the OIG would not impose sanctions in connection with a program that offered $25 gift cards to Medicare Advantage (“MA”) plan enrollees who completed an online educational program about the potential risk, benefits, and expectations related to surgery.

article thumbnail

Ensure Continuous Patient Care: How to Avoid Disruptions Due to Ransomware

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.

article thumbnail

Abridge Secures $12.5M in Funding and Launches Enterprise Solution to Combat Physician Burnout in Healthcare and Help Patients Stay on Top of Their Health

Healthcare IT Today

Following Successful Pilots with Leading Healthcare Organizations, Abridge’s Ambient AI Technology is Positioned to Transform Medical Documentation Workflows and Revolutionize the Care Delivery Experience for Providers and Patients. Abridge, the leader in medical conversation AI, today announced an oversubscribed $12.5M Series A-1. Led by Wittington Ventures, the round also had participation from all existing investors including Union Square Ventures, Bessemer Venture Partners, Pillar Venture Ca

article thumbnail

Staying Compliant as HIPAA Changes: A System for Success

HIPAA Trek

While modifications and updates to regulations are always going to be a part of HIPAA compliance, it doesn’t have to be a huge headache every time something shifts. The post Staying Compliant as HIPAA Changes: A System for Success appeared first on HIPAAtrek.

HIPAA 52
article thumbnail

RiverGlade Closes New Fund With $453 Million

McGuire Wood

RiverGlade Capital has announced it closed its latest fund, RiverGlade Capital Fund II, with $453 million in capital commitments. The fund was over-subscribed and exceeded its target size and initial cap. RiverGlade Capital , based in Chicago, makes control and select minority equity investments in lower middle market healthcare companies. Founded in 2017, the firm prefers to make more substantial investments from a dollars perspective.

52
article thumbnail

The Inflation Reduction Act of 2022

HealthIT Answers

The Inflation Reduction Act, now signed into law, will invest $437B in America's future which will include $64B in healthcare. The White House breaks this down by the numbers. The post The Inflation Reduction Act of 2022 appeared first on Health IT Answers.

52
article thumbnail

How To Package & Price Embedded Analytics

Just by embedding analytics, app owners can charge 24% more for their product. How much value could you add? This framework from Software Pricing Partners explains how application enhancements can extend your product offerings. You’ll learn: How to take a disciplined approach to pricing The three elements of the Packaging Decision Framework Ways to structure your new embedded analytics offering Download the White Paper to learn about How To Package & Price Embedded Analytics.