Wed.Jan 24, 2024

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Elevance controls medical costs to $6B profit in 2023

Healthcare Dive

The payer curbed the worst of medical cost growth last year, and expects to do the same in 2024 — an assumption one analyst called “aggressive” given persistent higher utilization among seniors.

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MRO Is Among Latest to Earn Validated Data Stream Designations in NCQA Data Aggregator Validation Program, For Third Time

MRO Compliance

Norristown, Pa. – January 24, 2024 – MRO Corp., the leading clinical data exchange company in healthcare, announced today that it has earned the Validated Data Stream designation in the National Committee for Quality Assurance (NCQA) Data Aggregator Validation program. It is part of the latest NCQA cohort to earn the NCQA validation. “MRO is excited to earn data stream validations for a third time and to continue providing clinical data directly sourced from multiple EHRs, with proven accuracy,

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Senator probes MA exchanges’ marketing tactics

Healthcare Dive

The head of the Senate Finance Committee sent letters to several health insurance exchanges on Tuesday, as part of an inquiry into allegedly predatory Medicare Advantage marketing to seniors.

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AI, Copyright, and Open Science: Health Implications of the New York Times/OpenAI Lawsuit

Bill of Health

By Adithi Iyer The legal world is atwitter with the developing artificial intelligence (“AI”) copyright cage match between The New York Times and OpenAI. The Times filed its complaint in Manhattan Federal District Court on December 27 accusing OpenAI of unlawfully using its (copyrighted and paywalled) articles to train ChatGPT. OpenAI, in turn, published a sharply-worded response on January 8, claiming that its incorporation of the material for training purposes squarely constitutes fair use.

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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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Humana posts big loss, dour outlook on Medicare Advantage cost spike

Healthcare Dive

The health insurer’s stock plunged Thursday morning following its 2023 results, which fell startlingly short of Wall Street’s expectations.

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HHS releases voluntary cybersecurity performance goals to beef up healthcare's digital defenses

Fierce Healthcare

The Department for Health and Human Services (HHS) has published voluntary cybersecurity performance goals tailored for healthcare organizations, the first move in the administration’s

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More Trending

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Instacart taps DispatchHealth to expand its reach to home care providers

Fierce Healthcare

Grocery delivery company Instacart notched another partnership with a care provider as it extends its reach into healthcare. | The company will work with in-home care provider DispatchHealth to enable providers to prescribe food interventions, much like traditional medications, right to patients' homes.

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Walgreens exploring sale of Shields Health Solutions: Bloomberg

Healthcare Dive

The specialty pharmacy could be valued at more than $4 billion in a sale, but a deal might slow the healthcare segment’s drive toward profitability.

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Digital Health at CES 2024

Healthcare IT Today

CES is always a fun show for a tech guy like myself. With 130,000 people, there’s a lot of noise that doesn’t relate to healthcare IT, but over the years the digital health portion of CES has really grown. This year that growth was particularly true thanks to the great efforts of Catherine Pugh who put together an entire Digital Health track, a long list of digital health vendors, and a packed house digital health networking event.

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Marshfield Clinic to close Wisconsin hospice center due to ‘limited resources’

Healthcare Dive

The announcement comes weeks after the financially troubled health system called off merger discussions with Duluth, Minnesota-based Essentia Health.

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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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Walgreens exploring sale of specialty pharmacy company Shields Health: media report

Fierce Healthcare

Walgreens is exploring a potential sale of its specialty pharmacy business Shields Health Solutions, just two-and-half years after it bought a majority stake in the business. | Walgreens is exploring a potential sale of its specialty pharmacy business Shields Health Solutions, just two-and-half years after it bought a majority stake in the business, according to a Bloomberg report.

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The Big Consult: Major Criteria for Adopting a Digital App or Service

Healthcare IT Today

The previous article in this series described how digital IT companies differ from clinical settings , and focused on the importance of clinicians deciding what their particular IT needs are. This article, and the next, lay out criteria for choosing a solution. Even once you know what you need in your clinical setting, demonstrating the value of a new technology is hard.

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Why this Fortune 100 company swapped from Caremark to a startup PBM

Fierce Healthcare

Amid an ongoing conversation about pharmacy benefit managers and the role they play in rising drug costs, a Fortune 100 company is making the jump from one of the industry's biggest players to a st | Amid an ongoing conversation about pharmacy benefit managers and the role they play in rising drug costs, a Fortune 100 company is making the jump from one of the industry's biggest players to a startup.

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Smart Hospital Solutions from Artisight

Healthcare IT Today

Stephanie Lahr, MD, CHCIO and president of Artisight , envisions a future where every hospital room hosts a camera and speaker in order to support two-way video. Hospitals are using Artisight’s capabilities for remote support of nurses, but they are expanding to other disciplines as well. When you leverage nurses at the bedside and others watching over video, each can focus on different aspects of care.

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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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Federal officials trumpet record high ACA enrollment

Fierce Healthcare

More than 21.3 million people will be enrolled in an Affordable Care Act during this year's open enrollment period, Centers for Medicare & Medicaid Services (CMS) announced today. | Affordable Care Act enrollment has hit an all-time high, prompting federal officials to recognize its importance to the insurance marketplace today.

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Emory Healthcare Appoints Dr. Nitu Kashyap as Chief Health Informatics Officer

HIT Consultant

Dr. Nitu Kashyap, MD, FAMIA, Chief Health Informatics Officer at Emory Healthcare What You Should Know: Emory Healthcare has announced the appointment of Dr. Nitu Kashyap, MD, FAMIA, as its Chief Health Informatics Officer (CHIO), effective from February 5, 2024. In her new role, Dr. Kashyap will be responsible for overseeing technology projects spanning clinical disciplines to ensure alignment with Emory’s strategic goals in patient experience, care, teaching, and research.

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Cleveland Clinic has 'ethical imperative' to build on 2023's 14M patient encounters, CEO says

Fierce Healthcare

Cleveland Clinic CEO and President Tom Mihaljevic, M.D., is promising his team a year of workforce development, physical security initiatives and sustainable growth amid an industry rife with risin | Despite 2023's tight 0.4% operating margin, CEO Tom Mihaljevic, M.D., told employees that the nonprofit system is prioritizing continued workforce investments and worldwide expansion.

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Featured Health IT Job: Service Desk CSM Lead

Healthcare IT Today

We like to regularly feature a healthcare IT job that might be of interest to readers. Today, we’re featuring the Service Desk CSM Lead position that was recently posted on Healthcare IT Central. This position was posted by Stoltenberg Consulting Inc. and is a hybrid position based in New York City, New York. Here’s a description of the position: Now seeking a CSM to lead daily operations and oversight of the Epic and technical support service desk for a health system client in New

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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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Nordic EPR lead: UK EPR market will never be dominated by one system

Digital Health News

Alison MacDonald, senior VP and global lead, EHR implementation at Nordic Consulting, says the UK EPR market will never be dominated by one system.

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Blue Cross Blue Shield of Massachusetts delays controversial anesthesia policy

Fierce Healthcare

A Blue Cross Blue Shield of Massachusetts policy that was set to begin Jan. | The health plan said its delaying implementation of its new monitored anesthesia care policy, just one month after we reported on patient advocacy groups' concerns over the policy.

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C2-Ai named as winner of Health Inequalities Targeted Call

Digital Health News

C2-AI has been named as one of the winners of the Health Inequalities Targeted Call, for its AI solutions for patient risk assessments.

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AI identified as a top risk for healthcare

Mobi Health News

AI and new technologies are among the top five management risks providers face in 2024, according to an annual report by Kodiak Solutions. The other risks are based around financial performance, competition, workforce and cybersecurity, with AI and new technologies affecting most of those categories, according to the report.

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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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Cylera and Integra e-Quip partner to improve cyber defence in health

Digital Health News

Cylera has partnered with Integra e-Quip to streamline cybersecurity protection and asset management solutions for IoMT and IoT environments.

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Bon Secours Mercy Health hit with data breach lawsuit

Becker's Health IT

Cincinnati-based Bon Secours Mercy Health is the latest big health system to face a lawsuit over a data breach involving a medical transcription vendor.

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Digital Health Coffee Time Briefing ? 

Digital Health News

Today's briefing covers Sheffield Teaching Hospitals receiving an award from Muscular Dystrophy UK and BioLizard opening new offices in Lausanne.

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Maven Clinic employees now have access to WellTheory's autoimmune disease care platform

Fierce Healthcare

WellTheory, a virtual care platform focused on autoimmune diseases, announced its first employer partnership with Maven Clinic. | WellTheory’s enterprise offering aims to help employers and payers address disease that keeps employees sick and costs high. Maven employees now have free access to WellTheory’s platform that offers evidence-based nutrition and lifestyle coaching to reduce autoimmune symptoms.

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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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Ethics for AI in Health – A View From The World Health Organization

Jane Sarashon

For health care, AI can benefit diagnosis and clinical care, address paperwork and bureaucratic duplication and waste, accelerate scientific research, and personalize health care direct-to-patients and -caregivers. On the downside, risks of AI in health care can involve incomplete or false diagnoses, inaccuracies and errors in cleaning up paperwork, exacerbate differential access to scientific knowledge, and exacerbate health disparities, explained in the World Health Organization’s (WHO)

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Mississippi Health System Suffers Ransomware Attack, 253K Individuals Impacted

Health IT Security

Ransomware attacks, theft, and unauthorized access were the causes of several recent data breaches reported to HHS recently.

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Elevance Health posts $856M in profit in Q4 earnings beat

Fierce Healthcare

Elevance Health beat the Street on both earnings and revenue for the fourth quarter of 2023, reporting $856 million in profit. | Elevance Health beat the Street on both earnings and revenue for the fourth quarter of 2023, reporting $856 million in profit.

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Live tumor imaging company Elephas garners $55M

Mobi Health News

The company's diagnostics platform helps predict how patients will respond to immunotherapy.

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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.