Tue.Sep 05, 2023

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Humana sues HHS over Medicare Advantage audits

Healthcare Dive

The payer, which brings in the bulk of its revenue from Medicare, is fighting back against a rule finalized earlier this year to claw back overpayments in the increasingly popular MA program.

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5 sessions to look out for at HIMSS23 APAC

Healthcare It News

HIMSS23 APAC is happening in two weeks. For the second year in a row, the event is taking place in Indonesia – and if you haven't heard, there’s a little bit of a digital revolution happening in the country's healthcare sector. And with healthcare organisations mandated to have an EMR implemented by the end of the year, it's an exciting time to be in health IT in Indonesia.

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Behavioral health patients lack choice on telehealth vs. in-person care, study finds

Healthcare Dive

The study from nonprofit Rand found that 45% of behavioral health patients did not believe their clinicians considered their preferences for virtual or in-person care. The findings come after telehealth use skyrocketed during the COVID-19 pandemic.

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Texas Children's Hospital's innovation includes tech platforms embedded at bedsides

Healthcare It News

HIMSS Davies Award winner Texas Children's Hospital’s assistant VPs Tarra Kerr and Ashok Kurian discuss their patient-centered coordinated care, enabled by a partnership between quality and safety departments, clinical operations and IT systems.

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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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Patients ‘steered’ toward health systems, more costly treatment after vertical consolidation, study finds

Healthcare Dive

Consolidation between primary care physicians and large health systems led to increased costs per patient, according to a new study published in JAMA.

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'Revolving door' of HHS appointees leaving for industry raises concerns of objectivity

Fierce Healthcare

Individuals appointed to positions in the Department of Health and Human Services (HHS) across the past three administrations often came from or departed for positions in the private sector, a tren | Offices like the CDC and CMS see many more appointees of different career backgrounds leaving for the private sector, a trend that researchers say deserves greater scrutiny to ensure agency decision-making is not being compromised.

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Blue Cross NC removes HIV drugs from costly price tiers

Fierce Healthcare

Following a discrimination lawsuit in December against Blue Cross and Blue Shield of North Carolina, the state’s largest insurer has removed 48 drugs from its costliest drug tiers. | A lawsuit against Blue Cross and Blue Shield of North Carolina appears to have prompted the insurer to backtrack and remove 48 HIV drugs from its costliest drug tiers.

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Diabetes Management in 2023 and Beyond: A Tech-Enabled Partnership Between Patient and Doctor

HIT Consultant

Lucienne Marie Ide, M.D., PH.D., is the Founder & CEO of Rimidi While the pandemic has slowed, there appears to be no end in sight to the diabetes epidemic. The number of individuals diagnosed is projected to keep growing over the next decade. What’s more concerning is that 75% of patients don’t meet guideline-based goals for A1C, blood pressure, and cholesterol control.

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Self-insured employers pay more for medical procedures than fully insured employers: study

Fierce Healthcare

Self-insured employers pay more for a host of medical procedures than fully insured employers, and just why should be investigated by policymakers, according to a

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Addressing Point-of-Care Ultrasound’s Shadow IT Problem

HIT Consultant

Point-of-care ultrasound (POCUS) is taking hold across healthcare, and for good reason. By administering ultrasound technology at the point of care, whether that be the patient’s bedside or an ambulance, POCUS prevents patients from being sent to another facility for imaging or waiting for a radiologist. That, in turn, enables more efficient workflows and faster diagnoses and 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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CMS unveils new model aimed at chronic disease

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) is partnering with states to revamp regional healthcare delivery through the AHEA | Based on care models out of Maryland, Vermont and Pennsylvania, CMS is implementing the AHEAD Model to help states address chronic disease.

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HIMSS Conference and Hot News – Healthcare IT Today Podcast Episode 122

Healthcare IT Today

For the 122nd episode of the Healthcare IT Podcast , we are taking a look at the recent changes from the HIMSS Conference and other hot news topics. To kick the episode off we share our take on the HIMSS conference being sold to Informa. Then we talk about our predictions for HIMSS24 and how this transfer in ownership will change the conference and what will stay the same.

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Newly integrated PCPs 'steer' patients toward systems, driving higher utilization, spending: study

Fierce Healthcare

Primary care physicians who become associated with health systems more often steer their patients toward the organization’s services, increasing both utilization and care spending, according to a s | Recent study data outline physicians' tendency to point patients toward their associated health system's specialists, EDs and hospitals after joining up.

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FIGS & Eko Health Launches New Digital Stethoscope

HIT Consultant

What You Should Know: FIGS, Inc. (NYSE: FIGS), the direct-to-consumer healthcare apparel and lifestyle brand, and Eko Health , Inc. (“Eko”), a leading innovator in digital health technology for heart and lung disease detection, today announced the launch of the FIGS | Eko CORE 500TM Digital Stethoscope. The collaboration unites two companies that have reinvented two healthcare professionals’ mainstays — scrubs and stethoscopes — through new technology, modern design, and authentic connections wi

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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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Unleashed Chaos: Dallas Ransomware Breach Unveils 30,253 Victims, HHS Puts Magnifying Glass on the Culprits!

Compliancy Group

To many people’s surprise, the vibrant city of Dallas has recently descended into chaos as it grapples with the aftermath of a treacherous ransomware attack. This assault has left no less than 30,253 innocent individuals vulnerable and exposed, their personal information compromised. Astonishingly, this number is an alarming surge of over 4,000 unsuspecting victims since the city’s initial disclosure earlier last month.

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The Evolution of Document Management Systems

Dot Compliance

Embracing the digital age, modern Document Management systems have evolved into powerful tools that streamline and enhance how organizations handle their crucial information. In this era where efficiency, collaboration, and compliance are paramount, these systems have become indispensable for businesses across the life science industry. In this post we dive into the intricate components that constitute these systems, shedding light on the four key elements that have revolutionized document manag

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Orbita Acquires Wellbe Assets

Healthcare IT Today

Combined Offering Creates a Seamless Digital Pathway for Patient Care Orbita , the leading provider of smart virtual assistants and workflow automation for healthcare, has acquired the assets of Wellbe , a digital health company providing patient navigation for specialty care. The acquisition, which includes Wellbe’s software, customers and select staff, was finalized on August 16th, 2023.

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A Deeper Look at Data about Hackers and Medical Records

HIPAA Journal

HIPAAJournal.com provides a great deal of data about hackers and medical records, but sometimes it is only possible to scratch the surface of healthcare data breach statistics. This article takes a deeper look at the available information to identify common causes of hacking/IT incidents. Like most sources, HIPAAJournal.com compiles healthcare data breach statistics from the information available on HHS Office for Civil Rights’ Breach Report.

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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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National immunisation system switched off just ahead of winter campaign

Digital Health News

NHSE has cancelled the contract with the supplier of the current national flu and Covid-19 vaccination system in favour of an alternative system.

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Bicycle Health, Albertsons partner to boost access to opioid use disorder injections

Mobi Health News

The telehealth company's providers can prescribe buprenorphine injections that patients can receive at Albertsons pharmacies, including Safeway and Acme.

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BT launches new AI and digital diagnostics services to support NHS 

Digital Health News

BT has launched new AI and digital services in diagnostics to support the NHS in tackling wait times and speeding up diagnosis for patients.

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Babylon Health sells majority of UK assets to eMed

Mobi Health News

The deal comes less than a month after the company's plan to combine with digital neurotherapy company MindMaze fell through.

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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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New iPLATO NHS App integrations could save NHS £18m a year

Digital Health News

iPLATO has announced the launch of expanded NHS App integrations available to GP practices which could help to save the NHS £18 million a year.

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TeleVox Acquires Odeza Patient Engagement Business from Ensemble Health Partners

HIT Consultant

What You Should Know: – TeleVox announced it has acquired the Odeza patient engagement business from Ensemble Health Partners (Ensemble) , a revenue cycle management company for hospitals, health systems and physician practices. Financial terms of the acquisition were not disclosed. – The acquisition will make TeleVox’s technology available to Ensemble’s customers, offering healthcare providers a comprehensive solution from patient acquisition to discharge and beyond.

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Programme published for Digital Health’s new AI and Data show  

Digital Health News

The programme has been published for AI and Data, the two-day conference exploring the latest developments in health AI, data science and analytics.

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Halting Revenue Leakage with Integrated Financial Clearance

HealthIT Answers

By Matt Bridge - Financial clearance activities are critical to constructing a strong foundation for a high-performing revenue cycle. However, a provider organization’s ability to financially secure appointments in advance of a patient’s visit is often limited by a lack of staffing, technology, and operational processes. The post Halting Revenue Leakage with Integrated Financial Clearance 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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Michigan system IT outage affects billing, EHR

Becker's Health IT

Grand Blanc, Mich.-based McLaren Health Care's billing system and EHR was affected by a computer network shutdown after its IT security team found suspicious activity during routine monitoring, Detroit Free Press reported Sept. 5.

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Talent Tuesday: How to Support a Changing Nursing Workforce

HealthIT Answers

By Allison Morin - Nurses are the backbone of the healthcare industry, providing critical patient care in every care setting. As a nurse and an informaticist, I witness the burnout every day and hospitals struggling with workforce shortages, and the repercussions pervasive to healthcare in 2023. The post Talent Tuesday: How to Support a Changing Nursing Workforce appeared first on Health IT Answers.

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Introduction to Telebehavioral Health

AIHC

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. Both Federal and State rules are constantly evolving along with the use of Artificial Intelligence, creating a complex environment for compliance considerations.

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What the US Healthcare IT Industry Can Learn from the EU Digital Services Act

HIPAA Journal

The EU Digital Services Act is due to come into force for most “intermediary” service providers that offer a service to EU citizens from February 17, 2024. The Act will impact a number of US-based healthcare IT companies and may influence future federal and state legislation in the United States. The Digital Services Act is a new EU law that updates the existing EU Electronic Commerce Directive.

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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.