Wed.Nov 02, 2022

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CMS to ease Medicare ACOs into risk models in bid to boost participation

Healthcare Dive

Beginning in January 2024, ACOs that don’t have experience with performance-based risk will be able to stay in a one-sided risk arrangement for up to seven years before transitioning to two-sided risk.

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How to promote equity when connecting providers and patients

Healthcare It News

Enterprise Taxonomy: Node settings: Exclude from Accelerate RSS feed

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CVS agrees to pay $5B to resolve opioid-related lawsuits

Healthcare Dive

Walgreens and Walmart also have reportedly reached deals. If they become final, it could end much of the yearslong litigation over the pharmacy companies’ role in the opioid epidemic.

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Clinical audits and denials impact 3% or more of NPR being held in reserve

MRO Compliance

Clinical audits and denials impact 3% or more of NPR being held in reserve. November 2, 2022. HFMA. Clinically avoidable denials continue to impact revenue, slow cashflow and increase bad debt, yet CFOs have limited insight into why these denials occur and how to avoid them. Half of healthcare organizations hold more than 3% of total net patient revenue (NPR) in reserves each fiscal year in anticipation of denials claims, with over a third holding back greater than 5%.

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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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CMS finalizes requirements for rural emergency hospital designation

Healthcare Dive

The conditions of participation include maintaining an average length of stay of no more than 24 hours and having emergency care available 24 hours a day, seven days a week.

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President Biden Declares November as Critical Infrastructure Security and Resilience Month

HIPAA Journal

The White House has issued a proclamation from President Biden declaring November as Critical Infrastructure Security and Resilience Month – A month dedicated to raising awareness of the need to improve critical infrastructure and strengthening the resilience of critical infrastructure against physical and cyber threats. President Biden has recommitted to improving and fortifying critical infrastructure, “by building better roads, bridges, and ports; fortifying our information technology and cyb

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JPMorgan Establishes Life Sciences Private Equity Division

HIT Consultant

What You Should Know: – J.P. Morgan Asset Management announced the establishment of a new life sciences private equity team, Life Sciences Private Capital. – The new team will focus on investing in both early and growth-stage healthcare companies across multiple strategies aligned to specific market opportunities, with a focus on novel therapeutics and technologies in several target areas including Genetic Medicine, Oncology, Neurodegenerative Disease, Rare Diseases, Autoimmunity, AI

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Humana expects Medicare Advantage enrollment to grow almost 9% in 2023

Healthcare Dive

Executives said better benefits are attracting more members. For certain plans, Humana members have an allowance for healthy foods, over the counter items, transportation, health supplies, rent and utilities.

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Healthcare IT’s Key Role in Patient Experience

HealthIT Answers

By Bill Grana - Patient experience is increasingly top of mind for healthcare provider executives. AHRQ defines patient experience as the full range of interactions patients have with the healthcare system, including interactions with health plans and care from doctors, nurses, and supporting staff. The post Healthcare IT’s Key Role in Patient Experience appeared first on Health IT Answers.

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As travel time to abortion clinics skyrockets post-Dobbs, patients turn to telemedicine for abortion pills

Healthcare Dive

Orders for abortion pills to telemedicine nonprofit Aid Access have increased in states that have restricted the procedure, according to a research letter, with states with total or near-total bans on abortion seeing the biggest surges.

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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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Carta Healthcare Secures $20M for AI-Enabled Clinical Data Solutions

HIT Consultant

What You Should Know: – Carta Healthcare , a pioneer in harnessing the power of clinical data, today announced it closed a $20 million series B round led by South Korean firm Paramark Ventures. Other contributors to the round include Memorial Care Innovation Fund (MCIF) and Frist Cressey Ventures , led by heart surgeon, incoming chair of The Nature Conservancy’s Board of Directors and former U.S.

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CommonSpirit taps new CIO with military background after cyberattack

Healthcare Dive

NewYork-Presbyterian’s Daniel Barchi will take the new position starting Monday.

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Research: Proscia AI Predicts Diagnostic Agreement for Melanoma

HIT Consultant

What You Should Know: – Proscia® a provider of digital and computational pathology solutions, has released study results on new artificial intelligence (AI) that predicts diagnostic agreement for melanoma, the deadliest form of skin cancer. – The findings, which were presented at the European Conference on Computer Vision (ECCV) 2022, highlight the potential of the technology to improve diagnostic accuracy for melanoma and other diseases with low pathologist concordance.

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CISA Urges Organizations to Implement Phishing-Resistant Multifactor Authentication

HIPAA Journal

MFA is one of the most important measures to take to prevent unauthorized account access; however, it does not provide complete protection and some forms of MFA can be circumvented. Any form of MFA is better than none at all, but for maximum protection, organizations should implement phishing-resistant MFA, especially in industries such as healthcare that are extensively targeted by malicious cyber actors.

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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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Hint Health acquires direct primary care software company AeroDPC

Mobi Health News

AeroDPC will operate as a subsidiary of Hint Health immediately following the deal. In 2023, the company plans to release a new product combining AeroDPC and HintOS capabilities.

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A View Into the World of LTPAC at the PointClickCare Summit

Healthcare IT Today

As we continue our ongoing coverage of Fall Health IT conferences , I’m happy this week to finally being able to attend the PointClickCare Summit. I’ve been invited for a long time, but the timing never worked out. If you’re not familiar with PointClickCare, then you probably don’t work in the LTPAC space. They’re kind of like the Epic of LTPAC.

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NHS report calls for artificial intelligence training for all staff 

Digital Health News

A report from NHS AI Lab and HEE is recommending that all healthcare staff working in the NHS receive training in artificial intelligence.

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A Diamond of the (Conference) Season: Anticipations of Topics, Trends, and Innovations at Fall/Winter Conferences – #HITsm Chat Topic

Healthcare IT Today

We’re excited to share the topic and questions for this month’s #HITsm chat happening Friday, 11/4 at Noon ET (9 AM PT). This month’s chat will be hosted by Erica Olenski Johansen ( @thegr8chalupa ) on the topic “ A Diamond of the (Conference) Season: Anticipations of Topics, Trends, and Innovations at Fall/Winter Conferences “ “Winds in the east mist coming in.

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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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Neurotrack raises $10M, launches cognitive decline assessment tool

Mobi Health News

The company said it will use the funding to accelerate its go-to-market push.

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Massachusetts AG’s Medicaid Fraud Division Recovers More Than $71M in Federal FY2022

Med-Net Compliance

Massachusetts Attorney General Maura Healey announced that her office’s Medicaid Fraud Division recovered more than $71 million during the most recent federal fiscal year, which ended on September 30. The AG’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state’s Medicaid program, MassHealth. The Division is also responsible for reviewing complaints of abuse, neglect, mistreatment, and financial exploitation of patients in long-term care facilities and MassHealth

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Carta Healthcare Secures $20 Million Series B Funding to Help Additional Health Systems Improve Patient Care, Amid Challenging Global Economy, Pandemic Turbulence, and Downturn in VC Funding

Healthcare IT Today

With proven results including cost savings and improved patient outcomes in more than 20 leading health systems, Carta Healthcare will use the funds to scale its business. Carta Healthcare ®, a pioneer in harnessing the power of clinical data, today announced it closed a $20 million series B round, with investors including Paramark Ventures, Frist Cressey Ventures, American College of Cardiology, Asset Management Ventures, CU Healthcare Innovation Fund, Mass General Brigham, Maverick Ventures In

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Collaboration on UNC Health Mobile Front Door

HealthIT Answers

The Tate Chronicles episode now on demand. Host Jim Tate talks to Dan Dodson, System Director for Digital Health and Innovation at University of North Carolina (UNC) Health about their update to their mobile digital front door. The post Collaboration on UNC Health Mobile Front Door appeared first on Health IT Answers.

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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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Diagnosis: EHR Avoidance Syndrome

HIT Consultant

David Lareau, CEO of Medicomp Systems. If you’ve read the healthcare IT trade press recently, you’ve no doubt seen stories about the clinical usability of EHRs and how it can be improved. When you look at the issue closely there are, ultimately, two approaches to “breaking the usability barrier” of these systems: 1. Provide EHR users with instant access to relevant clinical information for any condition a patient presents.

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Steps to Consider When Dealing With 483 FDA and Warning Letters

Dot Compliance

The FDA sends an FDA Form 483 Observation, also known as a “inspectional observation” or “Form 483” to draw attention to any potential legal infractions discovered during a routine inspection. These are issued after a 483 FDA inspection. An FDA Form 483 Observation may concern the company’s building, tools, controls, procedures, goods, personnel conduct, or records.

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Managing Technology: Medical Device Security

Compliancy Group

Managing your organization’s cybersecurity is complex. Many fail to account for medical device security, forgetting that these devices connect to the internet, making them vulnerable. Medical device security standards are essential to consider as part of your overall security strategy. Medical Device Security Standards. Medical device security is imperative to safeguard protected health information (PHI) adequately.

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Build psychological safety to encourage a culture of compliance 

YouCompli

The power to question encourages compliance in a healthcare setting. Jay P. Anstine is a compliance professional and consultant in Colorado. He is writing a series of articles on compliance culture for the YouCompli blog. This post looks at how to foster a sense of psychological safety to support a culture of compliance. Back in May, I defined a culture of compliance as a commitment throughout all levels of an organization to do the right thing and do things right.

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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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AI in Healthcare News and Updates

HealthIT Answers

This month's AI report includes news and updates from IEEE, Fairtility, Qventus, Reveleer, Redpoint Summit, Genoox, Thermo Fisher Scientific, Montecito Medical, GE Healthcare, Suki, & more. The post AI in Healthcare News and Updates appeared first on Health IT Answers.

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HealthTap Launches Eval360 for Health Plans to Expand PCP Care for Members

HIT Consultant

What You Should Know: – HealthTap , the leading virtual primary care provider, announced today the official launch of Eval360, an innovative product for health plans that enables HealthTap’s primary care doctors to conduct comprehensive virtual medical evaluations and easily share useful health data back with those partner plans, by providing a 360-degree view of a member’s health status. – HealthTap completed a successful beta period for Eval360 for over 15,000 seniors through its p

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The Nomadic Pediatrician

HealthIT Answers

New On Demand Dr. Nick: The Incrementalist: With guest Trevor Cabrera, MD, The Nomadic Pediatrician who chose to pursue locum tenens with CHG Healthcare, straight out of residency. The post The Nomadic Pediatrician appeared first on Health IT Answers.

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Valera Health Secures $45M to Increase Mental Health Access for High Acuity Patients

HIT Consultant

What You Should Know: Valera Health , a virtual mental health provider serving high acuity patients raises $44.5M in growth equity raise led by Heritage Group. The round also included participation from Cigna Ventures , Horizon Healthcare Services and existing investors, which include Windham Ventures , AXA Venture Partners , Aquiline Technology Partners , Trinnovate Ventures (BCBS AZ), Figure Eight Investments , Watershed VC , and Alsora Capital.

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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.