Mon.Feb 03, 2025

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HEDIS Preparation Guide: 3 Essential Steps

MRO Compliance

HEDIS (Healthcare Effectiveness Data and Information Set) is a critical quality measurement tool used to assess healthcare performance across various domains. For healthcare organizations, the HEDIS season, which typically spans February to May, requires a proactive approach to ensure data accuracy, compliance, and efficiency. Below are three key steps health systems, hospitals, and physician practices should take to effectively prepare for the upcoming HEDIS season.

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Cigna to tie executive compensation to customer satisfaction

Healthcare Dive

Cigna is one of a handful of national insurers that pledged to ameliorate customer pain points with healthcare, but the first to release a specific plan.

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Breaking down barriers in patient-centered clinical research

Healthcare It News

Made possible through pilot funding and informed by user experience research, Mayo Clinic's Clinical Trials Beyond Walls initiative leverages telehealth, remote assessments and other hospital-at-home innovations to bring all or some trial aspects into patient homes or a local community. While decentralized clinical trials began emerging before the COVID-19 pandemic, the public health crisis accelerated the trend.

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Healthcare supply chain, pharmacy costs to rise in 2025: report

Healthcare Dive

Tariffs and price inflation for specialty medications will increase costs, according to research from Vizient.

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Simplify Screening for Excluded Providers

Every health care provider that accepts federal payments must screen for excluded providers. Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.

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HIMSSCast: Personalized care through AI

Healthcare It News

There's always been personalization for every patient, said Mudit Garg, CEO and cofounder of Qventus. But personalization at scale requires technology. Over the last 10 to 20 years, many technical systems have been built that allow for mass personalization. For instance, every customer has a personalized experience with Amazon.

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Bankrupt Prospect Medical says it has tentative deal to sell Crozer Health

Healthcare Dive

Prospect Medical Holdings said Friday it has a deal to sell Crozer Health to a consortium of nonprofit healthcare operators. However, the system offered few specifics about deal terms.

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More Trending

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Hospitals seek to intervene in J&J lawsuit against HHS to protect valuable drug discounts

Healthcare Dive

340B Health and two safety-net hospitals want to help the government prove that drugmakers are required to give upfront discounts on 340B drugs.

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Harnessing AI to Transform Urgent Care Centers: Improving Efficiency, Morale, and Profitability

Healthcare IT Today

The following is a guest article by Lohith Reddy, Executive Vice President at Exdion Health Artificial Intelligence (AI) is transforming healthcare, and Urgent Care Centers (UCCs) stand to benefit significantly from its capabilities. With AI-powered coding and clinical documentation improvement (CDI) solutions, Urgent Care operators can streamline processes, boost provider morale, enhance care quality, and increase profitability.

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Wirral cyber attack set back cancer waiting times by months

Digital Health News

Waiting times for cancer pathways at Wirral University Teaching Hospital have been significantly impacted by last years cyber incident.

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CoachCare Announces $11 Million Investment from Catalyst Investors, Expanding Growth Potential

Healthcare IT Today

Total 2024 Debt and Equity Funding Surpasses $110 Million, Bolstering Organic and Acquisition-Focused Growth Strategy CoachCare , a leader in remote patient monitoring (RPM) and virtual care management, announced an $11 million investment from growth equity firm Catalyst Investors. This latest round follows a $48 million funding in June led by Integrity Growth Partners and Topmark Partners, bringing CoachCares total equity funding for 2024 to $59 million.

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Healthcare Vendor Risk Management: Strategies for Protected Data

In healthcare, where patient data protection is paramount, effective vendor risk management isn't just good business—it's essential for maintaining compliance and trust. This comprehensive guide helps healthcare compliance professionals navigate the complexities of third-party vendor relationships in an increasingly interconnected healthcare environment.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Moody's Ratings is downgrading the insurance industry's credit outlook to negative as elevated medical costs continue to batter payers. | Moody's Ratings is downgrading the insurance industry's credit outlook to negative as elevated medical costs continue to batter payers.

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Healthcare data breaches down in '24

Becker's Health IT

Discover the latest trends in healthcare data breaches for 2024, including a decrease in total number but a significant increase in individuals affected.

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Zest Health secures $13M for alternative treatment for inflammatory skin disease

Mobi Health News

The funds will be used to scale Zests current partnerships with health plans and employers.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

In an era of increasing pressure on emergency departments, the role of interoperability has never been more crucial. | CMO Dr. Hamad Husainy discusses how interoperability and pushed data delivery are transforming emergency departments and improving patient care.

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Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

Speaker: Jennifer Hill

Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.

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Affineon Health secures $5M to address provider burnout

Mobi Health News

The company, which provides AI-enabled services to simply provider workflows, will use the funds to accelerate product development and increase market presence.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Zoom Ventures. the investment arm of Zoom Communications, invested in Suki, while Allara Health picked up $26 million in series B funding and Bicycle Health, a provider of virtual opioid use disorder treatment, collected $16.5 million.

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New York Blood Center Enterprises hit by ransomware attack

Digital Health News

A cyber attack has forced New York Blood Center Enterprises to postpone appointments despite blood shortages.

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CSI Companies Acquires MedSys Group, Expanding Healthcare IT Services

Healthcare IT Today

CSI Companies , a leading provider of staffing, consulting, and workforce management services across the Healthcare IT industry, acquired MedSys Group , a premier Healthcare IT consulting firm based in Plano, Texas. This strategic acquisition will significantly enhance CSIs capabilities in the Healthcare IT market, providing comprehensive solutions to a wider range of clients.

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The Evolution of Communication in Healthcare Settings

Healthcare communication has evolved from handwritten notes and paper charts to digital tools like EHRs, telemedicine, and AI-powered platforms. This blog explores how these advancements improve patient outcomes, streamline care delivery, and enhance provider collaboration. Learn about the role of mobile health (mHealth) apps, secure messaging, and social media in bridging communication gaps.

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NHS Supply Chain selects Leidos as cyber security provider

Digital Health News

US-based IT and defence company Leidos has been appointed cyber security provider for NHS Supply Chain under a three-year contract.

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Resiliency and Business Continuity – Healthcare IT Today Podcast Episode 159

Healthcare IT Today

The 159th episode of the Healthcare IT Today Podcast is sponsored by Pure Storage , the data storage platform that grows with you forever. This time we are talking about resiliency and business continuity! We start this episode off by discussing what types of disasters we should be planning for in healthcare. Then we debate whether people or technology has a bigger impact on resiliency in healthcare.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Secretary of State Marco Rubio announced Monday that he has been named acting administrator of the U.S. Agency for International Development, multiple media outlets reported, which signals the de-facto takeover of the humanitarian agency by the State Department.

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Connecticut health center data breach affects 1 million patients

Becker's Health IT

"1 million patients' information potentially exposed in data breach at Community Health Center in Middletown, Conn.

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3 Reasons to Retire Pagers from Healthcare Settings

Let's discuss the trusty pager—an old favorite that’s losing its shine in hospitals and clinics. While once a staple in hospitals and clinics, pagers now present significant limitations that hinder rather than facilitate communication among healthcare professionals. Healthcare professionals are constantly on the move, and they need communication tools that can keep up with their fast-paced lives.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

A state grand jury indicted the physician, Margaret Carpenter, M.D., as well as her practice last week. New York Gov. Kathy Hochul said she will never, under any circumstances, turn this doctor over to Louisiana.

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2025 AHA Rural Health Care Leadership Conference

HealthIT Answers

Starts February 23rd in San Antonio - The 2025 AHA Rural Health Care Leadership Conference will gather more than 1,000 rural health leaders committed to advancing rural health and providing quality care for patients and communities. Join them to explore the most significant challenges facing rural health care providers and gain practical solutions to transform care delivery and business practices.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Cigna is officially kicking off a multiyear effort designed to "meaningfully" change the experience of its members. | Cigna is officially kicking off a multiyear effort designed to "meaningfully" change the experience of its members.

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UNC Health to Adopt Abridge AI Technology to Improve Clinical Conversations

HIT Consultant

What You Should Know: – NC Health, one of the largest and most comprehensive healthcare systems in the southeast, is expanding the use of the Abridge AI technology across its network of thousands of clinicians to improve the patient and clinician experience. – Following a rigorous year-long pilot evaluation involving 100 clinicians across multiple specialties and care settings, UNC Health selected Abridge as the enterprise-wide solution for ambient AI-powered documentation.

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The Role of Technology in Remote Patient Monitoring

Remote patient monitoring (RPM) is transforming healthcare by enabling providers to track patient health outside traditional clinical settings. This blog explores the role of technology in RPM, including wearable devices, mobile apps, and connected medical tools that collect and share real-time data. Discover how RPM expands care access, improves outcomes, enhances patient engagement, and reduces costs by shifting from reactive to proactive care.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

The for-profit, which filed for Chapter 11 in January, shared an amended asset purchase agreement for its CharterCARE Health Partners system and a proposed sale of Crozer Health.

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2024 HITAC Highlights + Previewing 2025

HealthIT Answers

By Seth Pazinski & Whitney Weber - The HITAC provides valuable insights to the assistant secretary for technology policy that can inform ASTPs policies and programs. HITAC members represent a broad swath of the healthcare industry and as such, offer a range of health IT perspectives and expertise. The post 2024 HITAC Highlights + Previewing 2025 appeared first on Health IT Answers.

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Freshpaint Launches Ad Performance for Healthcare Marketers

HIT Consultant

What You Should Know: – Freshpaint , the creator of the Healthcare Privacy Platform, today announced the launch of Ad Performance, connecting ad platform data with real appointment outcomes to provide full visibility into the patient’s journey all while protecting patient privacy. Healthcare marketers can now execute data-driven strategies in a privacy-first way. –Healthcare data is notoriously fragmented, with patient information spread across disconnected systems designed for

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The Importance of Security Incident and Event Management Tools

Compliancy Group

More than 37% of U.S. healthcare organizations dont have a security incident response plan in place. Because of this, many adverse security events go unreported. Utilizing security incident and event management tools can eliminate many hurdles surrounding proper reporting. These hurdles range from a lack of knowledge of reporting procedures to a lack of support in addressing incidents.

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15 Modern Use Cases for Enterprise Business Intelligence

Large enterprises face unique challenges in optimizing their Business Intelligence (BI) output due to the sheer scale and complexity of their operations. Unlike smaller organizations, where basic BI features and simple dashboards might suffice, enterprises must manage vast amounts of data from diverse sources. What are the top modern BI use cases for enterprise businesses to help you get a leg up on the competition?