Mon.Feb 26, 2024

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False claims settlements in healthcare reached $1.8B in fiscal year 2023

Healthcare Dive

According to the Department of Justice, enforcement in Medicare Advantage is of “critical importance” as the number of beneficiaries in the privatized insurance program swells.

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Generative AI to bring 'transformative change,' says Froedtert/Inception Health CTO

Healthcare It News

Froedtert & Medical College of Wisconsin Health Network is an academic health system based in eastern Wisconsin. It embarked on a journey to foster disruptive innovations by establishing Inception Health as an independent vehicle to drive innovation and digital transformation, focusing on digital health technology. Artificial intelligence is at the heart of some of its most disruptive innovations.

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How SDoH data impact telehealth access and how payers can use it to improve outcomes

Healthcare Dive

Removing barriers to care and improving care access through analyzing social determinants of health (SDoH) data is a key strategy.

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Denied care: Trans men often struggle for inclusive gynecologic healthcare

Fierce Healthcare

When Joseph Schneier, a transgender man then in his early 40s, started experiencing unusual spotting and elevated progesterone levels in 2021, his partner urged him to get checked out. | When Joseph Schneier, a transgender man in his early 40s, started experiencing unusual spotting and elevated progesterone levels in 2021, his partner urged him to get checked out.

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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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4 steps for successful implementation of AI-powered technology in healthcare

Healthcare Dive

Learn about four things to consider for successful implementation of ACI within a health system.

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R&D Mini-Me? New Legal Questions for Organoids

Bill of Health

By Adithi Iyer I have written previously about the not-so-distant possibility and promise of regenerative medicine , an area concerned with therapies that encourage the body to repair or heal itself. Cell-mediated and tissue-based technologies hold promise in inducing self-repair from within the body, and they’re making their way to market in traditional medicine.

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Fast Focus: Provider-Payer Data Exchange

MRO Compliance

The relationship between healthcare providers and payers is filled with decades of finger pointing and administrative burdens. From payer denials to telephone tag, both sides of the healthcare reimbursement process experience unnecessary operational abrasion and laborious manual procedures. MRO has witnessed the rocky relationship between providers and payers for decades.

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Trinity Health cuts operating losses by 85% in first half of 2024

Healthcare Dive

Revenue from acquisitions and outpatient services helped the Catholic health system trim losses.

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Industry Spotlight: Paul Tambeau, CEO Induction Healthcare

Digital Health News

As NHS appointment no-shows continue to cost the NHS millions each year, Induction Healthcare's Paul Tambeau bets on digital empowerment for a turnaround.

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Stellar Sleep Raises $6M to Help End Sleeplessness With the First Digital Sleep Therapy Platform for Chronic Insomnia

Healthcare IT Today

Stellar Sleep , which provides the first digital solution for chronic insomnia management, announced today a $6 million seed round, led by Initialized Capital with participation from Y Combinator, Lombardstreet Ventures, Switch Ventures, Moonfire Ventures, Scrum Ventures, 8vdx, and Goodwater. More than 25 million Americans suffer from chronic insomnia – meaning sleep problems 3+ nights a week for 3+ months.

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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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Are There Dangers To AI Taking Such a Prominent Role In Healthcare?

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Over the last few years, artificial intelligence has become hugely prominent in society, and when it comes to healthcare that’s no different. All parts of healthcare are now using it, and there are plenty of […] The article Are There Dangers To AI Taking Such a Prominent Role In Healthcare?

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Developing a Robust Data Strategy for Healthcare Organizations

HIT Consultant

Anthony Loss, Director of Solutions Strategy at ClearScale Having a comprehensive data strategy is paramount in the healthcare sector. Data can be both a blessing and a curse for healthcare organizations, depending on how well they manage their data. On one hand, data is the key to unlocking personalized medicine, research breakthroughs, and effective population health management.

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'An attack on the entire sector': Fallout from Change Healthcare hack continues

Becker's Health IT

Change Healthcare said Feb. 26 that it expects the cybersecurity incident that has disrupted its payment and pharmacy processing operations to last at least through the day.

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Hexarad radiology software cuts diagnostic wait times at North West Anglia

Digital Health News

Radiology tech company Hexarad is reducing diagnostic waiting times for acute and emergency care patients at NWAFT with its unique radiology tech platform.

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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.

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Alamar Biosciences Raises $128M to Accelerate Proteomics Platform

HIT Consultant

What You Should Know: – Alamar Biosciences , a leader in precision proteomics for early disease detection raises $100M in Series C round, with an additional $28M expected within the next 30 days. This brings their total funding to nearly $250M. – The Series C funding round was led by led by Sands Capital , with participation from new and existing investors, including both financial and strategic partners.

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Ransomware gang behind Change Healthcare attack: Report

Becker's Health IT

"BlackCat ransomware gang claims responsibility for cyberattack on Change Healthcare, according to reports. Details still emerging as investigation continues.

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Hello Heart Appoints Assaf Ohana as its First Chief Product Officer

HIT Consultant

Assaf Ohana, Chief Product Officer at Hello Heart What You Should Know: – Hello Heart, a provider of innovative digital health solutions appoints Assaf Ohana as its inaugural Chief Product Officer. – Prior to joining Hello Heart, Ohana served as Chief Product Officer at ActiveFence and Alto Pharmacy, where he played instrumental roles in developing cutting-edge products aimed at improving healthcare accessibility and efficiency.

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CarelonRx to launch weight management program with digital coaching

Fierce Healthcare

Elevance Health's CarelonRx will begin offering a weight management program, providing its members access to digital-first coaching and wellness tools. | Elevance Health's CarelonRx will begin offering a weight management program for members, including those that take GLP-1 medications.

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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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GE HealthCare, Biofourmis Partner to Enhance Patient Care with At-Home Solutions

HIT Consultant

What You Should Know: – GE HealthCare (Nasdaq: GEHC) and Biofourmis announced a strategic collaboration today, aiming to revolutionize patient care by enabling safe and effective care at home. – The strategic partnership leverages the expertise of both companies to deliver innovative care-at-home solutions, improving patient experiences and addressing healthcare system challenges. – GE HealthCare will begin distributing Biofourmis solutions to customers in the United States sta

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Children's hospital asks patients to bring printed documents amid cyberattack

Becker's Health IT

Lurie Children's Hospital of Chicago advised patients to bring in printed copies of insurance cards and medication lists as it continues to deal with a cyberattack.

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b.well Connected Health Secures $40M to Revolutionize Fragmented Healthcare Landscape

HIT Consultant

What You Should Know: – b.well Connected Health , a leading platform provider for connected healthcare ecosystems raises $40M in Series C funding led by Leavitt Equity Partners. – b.well’s FHIR-based platform empowers healthcare organizations to create a unified experience for consumers, allowing them to manage their health information, receive valuable insights, and access care services conveniently.

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AI will revolutionise our ‘disorganised’ healthcare system, but only if it has reliable data

Digital Health News

Building AI tools into existing models is futile. It is time to go back to the drawing board, argues Orion Health's Brad Porter.

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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.

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DeepScribe and AWS Partner to Advance AI-Powered Medical Documentation

HIT Consultant

What You Should Know: – DeepScribe , a pioneer in AI-powered medical documentation, today announced a collaboration with Amazon Web Services (AWS) aimed at accelerating the secure scaling of large language models (LLMs) within the healthcare sector. – The strategic partnership will integrate AWS HealthScribe into DeepScribe’s platform, fueling the development of even more advanced AI-assisted clinical documentation solutions.

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Stakeholder Perspectives on CMS’s 2025 Notice of Benefits and Payment Parameters: Consumer Advocates

Center for Health Insurance Reform

The Biden administration will soon finalize its annual rulemaking for the Affordable Care Act Marketplaces. To better understand the impact of the proposed changes, CHIR reviewed the public comments submitted by key stakeholder groups. In the second post in a 3-part blog series, CHIR's Karen Davenport and Emma Walsh-Alker review the feedback provided by consumer advocates.

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Generative AI in Your Desk Drawer: Back Office Applications in Health Care

Healthcare IT Today

The Healthcare IT Today site has been promoting the use of powerful new capabilities in generative AI for clinical applications , notably the automatic generation of doctors’ notes after a patient visit. But there may be even more valuable uses of generative AI in administrative tasks such as billing, resource management, and contract writing.

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December–January Research Roundup: What We’re Reading

Center for Health Insurance Reform

This winter, CHIR curled up with some good reads: the latest in health policy research. In December and January, we read studies on trends in employer-sponsored insurance, expanding insurance options for non-citizens, and state efforts to improve provider directory accuracy.

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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.

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Reveleer scores $65M to scale AI-enabled data and analytics platform

Mobi Health News

The investment comes two years after the California-based company secured $65 million in funding.

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Revenue cycle management vendor R1 RCM receives $5.8B buyout offer from shareholder New Mountain Capital

Fierce Healthcare

Revenue cycle management technology giant R1 RCM has received an offer from private equity firm New Mountain Capital to buy out the roughly two-thirds of shares it doesn’t already own and take the | The private equity firm and its affiliates currently control almost a third of R1 RCM's shares. The all-cash offer's disclosure on Monday drove stock prices up by about 32% compared to Friday’s close.

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Will AI’s Use in Healthcare be Regulated?

Healthcare IT Today

The potential benefits of Artificial Intelligence (AI) in healthcare are substantial. AI-powered chatbots can help direct patients to the most appropriate care provider. Ambient clinical voice can virtually eliminate the tedious task of charting for physicians. AI algorithms are can flag radiology images that appear abnormal so that radiologists can prioritize their workload.

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ViVE 2024: Humana taps data automation startup Veda to polish up provider directories

Fierce Healthcare

LOS ANGELES—Inaccurate and out-of-date health plan provider directories continue to be a vexing problem in healthcare and can make it difficult for patients to find a clinician when they need care. | Humana tapped data automation company Veda to improve the accuracy of its provider information and ensure that seniors have real-time details about in-network providers.

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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.