Humana used algorithm to deny care to Medicare Advantage patients, lawsuit claims
Healthcare Dive
DECEMBER 13, 2023
It's the latest insurer to face a suit over its use of algorithms when appraising claims.
Wed.Dec 13, 2023
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Class action lawsuit accuses Humana of using AI algorithms to restrict access to care
Fierce Healthcare
DECEMBER 13, 2023
A newly filed lawsuit alleges that Humana used artificial intelligence algorithms to deny key rehabilitation care for seniors. | A newly filed lawsuit alleges that Humana used artificial intelligence algorithms to deny key rehabilitation care for seniors.
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Google reveals new generative AI models for healthcare
Healthcare Dive
DECEMBER 13, 2023
MedLM, which currently includes two models, has been tested by HCA and Accenture.
'It can be life or death': Microsoft's Peter Lee on the power, dangers of GPT-4 in medicine
Fierce Healthcare
DECEMBER 13, 2023
Addressing a room of healthcare professionals at the IHI Forum on Wednesday, Peter Lee, corporate vice president of research and incubations at Microsoft, opened by saying the audience was possibly | It is wrong to think of large language models like GPT-4 as traditional computers—they are reasoning engines and can make mistakes like humans do, the tech giant's corporate vice president of research and incubations warned IHI Forum attendees.
Navigating the Future: Generative AI, Application Analytics, and Data
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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?
KKR in talks to buy stake in healthcare data analytics firm Cotiviti: WSJ
Healthcare Dive
DECEMBER 13, 2023
The deal would value Cotiviti at around $11 billion.
Payers' increasing claims denials, delays 'wreaking havoc' on provider revenue cycles
Fierce Healthcare
DECEMBER 13, 2023
A jump in claim delays and denials is “wreaking havoc on providers’ revenue cycle performance” and contributing to health systems’ “volatile” accounts receivable and diminishing cash reserves, acco | More frequent pushback from commercial and Medicare Advantage payers is complicating patient self-pay collections and, ultimately, undermining the revenues and cash reserves of hospitals, health systems and physician groups, according to a pair of recent reports.
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Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
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HHS finalizes rule to move the needle on interoperability, algorithm transparency
Fierce Healthcare
DECEMBER 13, 2023
The federal government's healthcare tech arm finalized a sweeping regulation that requires new technology upgrades while also advancing interoperability and transparency in predictive decision supp | The federal government's healthcare tech arm finalized a sweeping regulation that requires new technology upgrades while also advancing interoperability and transparency in predictive decision support tools.
Best Buy Health, Biobeat partner on RPM wearables
Healthcare IT News - Telehealth
DECEMBER 13, 2023
The company's portable, battery-operated and Bluetooth-connected device with RPM capabilities enables patients to complete respiratory treatments from anywhere.
Virtual doula care improves outcomes on par with in-person care, Maven study finds
Fierce Healthcare
DECEMBER 13, 2023
Virtual doula care improves birth experiences and reduces the odds of a cesarean section at rates comparable to in-person doula care, a new study finds. | The odds of a C-section decreased notably with several doula visits on the Maven platform, and more so for Black members.
Positive Feedback for NextGen’s Ambient Assist
Healthcare IT Today
DECEMBER 13, 2023
At the 2023 NextGen Healthcare User Group Meeting (#NextGenUGM23), Healthcare IT Today had the opportunity to speak with Sri Velamoor, Chief Growth & Strategy Officer. We wanted to learn more about the company’s AI plans and what the initial reaction has been to their AI-powered ambient clinical voice solution called Ambient Assist. According to Velamoor, the early response to Ambient Assist has been very positive and exceeded the company’s expectations.
Optimizing Medical Waste Management: A Guide to Best Practices
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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.
Back to normal? Health care spending growth rates down from pandemic era
Fierce Healthcare
DECEMBER 13, 2023
Healthcare spending has increased 4.1% to $4.5 trillion, or $13,493 per person, according to a new report from the Centers for Medicare & Medicaid Services published in Health Affairs. | Health care spending increased to $4.5 trillion in 2022, or $13,493. Here's how that breaks down.
Augmedix Integrates Google Cloud AI to Boost Medical Documentation
HIT Consultant
DECEMBER 13, 2023
What You Should Know: – Augmedix , a leader in ambient medical documentation, is partnering with Google Cloud to integrate MedLM , a new healthcare-focused generative AI model, into its technology stack. – This strategic integration partnership aims to improve the quality and efficiency of medical note generation, ultimately benefiting healthcare providers and patients alike.
Featured Health IT Jobs – Epic Business Intelligence Analyst (Product Owner)
Healthcare IT Today
DECEMBER 13, 2023
We like to regularly feature a healthcare IT job that might be of interest to readers. Today, we’re featuring the Epic Business Intelligence Analyst (Product Owner) position that was recently posted on Healthcare IT Central. This position was posted by Yakima Valley Farm Workers Clinic and is remote. Here’s a description of the position: Join our team as an Epic Business Intelligence Analyst (Product Owner) and help transform healthcare delivery.
The Crucial Role of Dual Incident Response Playbooks in Healthcare Cybersecurity
HIT Consultant
DECEMBER 13, 2023
As the Chief Information Officer (CIO) of a large hospital system, it is my responsibility to lead the charge in cybersecurity preparedness, and I have done this through a nuanced approach to incident response planning. In an era where healthcare organizations heavily rely on digital systems and sensitive patient data, the threat of cybersecurity incidents looms large; the importance of incident response procedures cannot be overstated.
How Embedded Analytics Gets You to Market Faster with a SAAS Offering
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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.
Recent HHS Settlement Underscores the Importance Compliance Plays in Cybersecurity
Healthcare IT Today
DECEMBER 13, 2023
The following is a guest article by Dotty Bollinger, JD, Healthcare Compliance Consultant, Compliancy Group The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) reached a settlement with Doctors’ Management Services after the healthcare vendor succumbed to a ransomware attack. The settlement, announced in a press release on the HHS site, resulted in a $100,000 fine, two years of OCR monitoring, and the requirement to adopt a corrective action plan.
What Patients Want: Zocdoc’s Report Reveals Patient Preferences
HIT Consultant
DECEMBER 13, 2023
What You Should Know: – Zocdoc , the healthcare marketplace, has released its inaugural What Patients Want Report , offering valuable insights into what patients seek from their healthcare experience and providers. – Based on millions of bookings and patient interactions, the report paints a picture of how patients are navigating the healthcare landscape today, and what they expect from their providers and the industry at large.
Birmingham and Women’s and Children’s picks Epic for EPR
Digital Health News
DECEMBER 13, 2023
Digital Health News can exclusively reveal that Birmingham and Women’s and Children’s NHS FT has picked Epic as preferred supplier for its next EPR.
1 in 3 Primary Care Physicians Have Already Tried AI Scribe Tools
HIT Consultant
DECEMBER 13, 2023
What You Should Know: Elation Health , the clinical-first technology company powering innovation in primary care, today announced the results of a survey of 229 primary care physicians focused on the benefits, desired features, and hurdles to adoption of artificial intelligence–powered (AI) medical scribe tools in the EHR. AI scribe tools use speech recognition and natural language processing to capture and transcribe conversations between a physician and a patient during clinical encounters.
HIPAA Compliance: Can Your Organization Avoid Costly Government Penalties and Fines?
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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.
Supreme Court to hear case challenging abortion pill access, FDA authority
Fierce Healthcare
DECEMBER 13, 2023
The Supreme Court announced Wednesday morning that it will weigh in on a months-long legal dispute determining the availability of mifepristone, which is used in more than half of all abortions in | The highly anticipated decision will mark the top court's first return to the issue of abortion since last year's landmark Dobbs v. Jackson ruling.
Twin Health Secures $52M to Expand Whole Body Digital Twin Tech
HIT Consultant
DECEMBER 13, 2023
What You Should Know: Twin Health, creators of the Whole Body Digital Twin™ service for reversing, improving, and preventing chronic metabolic diseases, announced securing $50 million in funding to continue expanding its groundbreaking technology and clinical service solutions for more members across the United States. Twin Health introduced the Whole Body Digital Twin, a dynamic model of each individual’s unique metabolism, powered by artificial intelligence, that is built from thousands of dat
NHS to expand NHS App to allow patients to view records and book jabs
Digital Health News
DECEMBER 13, 2023
The NHS said Wednesday that it will expand the NHS app to allow more people to view their vaccination record and book in for vaccines.
Amino Health Appoints John Asalone as CEO, David Vivero Transitions to Chairman
HIT Consultant
DECEMBER 13, 2023
What You Should Know: – Amino Health , a digital healthcare navigation company, today announced the appointment of John Asalone as Chief Executive Officer, effective immediately. Asalone succeeds David Vivero, the company’s founder and CEO, who will transition to the role of Chairman. – Asalone joined Amino in August 2023 as COO and brings 20 years of experience scaling software and marketplace companies.
Embedding BI: Architectural Considerations and Technical Requirements
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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.
New York hospital discloses data breach
Becker's Health IT
DECEMBER 13, 2023
Kingston, N.Y.-based HealthAlliance is notifying patients that an unauthorized party accessed some of its IT systems, potentially compromising patient information.
Google Cloud Launches Healthcare Focused Generative AI Models
HIT Consultant
DECEMBER 13, 2023
What You Should Know: – Google Cloud unveils MedLM , a family of generative AI models specifically designed for medical applications. – Building on the success of Med-PaLM, Google’s latest offering promises to revolutionize medical documentation, drug research, and patient care experiences. MedLM Background Built on the foundation of Med-PaLM 2, MedLM offers two model sizes: a larger one for complex tasks and a smaller one for scaling across various applications.
Best Buy Health, Biobeat partner on RPM wearables
Mobi Health News
DECEMBER 13, 2023
The company's portable, battery-operated and Bluetooth-connected device with RPM capabilities enables patients to complete respiratory treatments from anywhere.
Americans Wary of Generative AI in Healthcare: Trust and Transparency Key to Adoption
HIT Consultant
DECEMBER 13, 2023
What You Should Know: – A new survey, Generative AI in Healthcare: Gaining Consumer Trust, from Wolters Kluwer Health reveals significant concerns among Americans regarding the use of generative AI (GenAI) in healthcare. – While many see its potential to improve care, the lack of transparency and validation around data sources raises major trust issues.
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.
Digital Health Coffee Time Briefing ?
Digital Health News
DECEMBER 13, 2023
This briefing features medical students proposing a standardised AI-centric medical curriculum and AdvaMed naming Peter Arduiini as chair of its board.
HHS Finalizes Rule for AI Transparency and Data Interoperability
HIT Consultant
DECEMBER 13, 2023
What You Should Know: – The U.S. Department of Health and Human Services (HHS) took a major step forward in healthcare data sharing and artificial intelligence (AI) transparency with the finalization of the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) rule. – This rule was finalized after months of public feedback, promises to revolutionize how healthcare data is used and accessed in the United S
Digital twin company Twin Health secures $50M
Mobi Health News
DECEMBER 13, 2023
The California-based company will use the funds to expand its Whole Body Twin Technology aimed at preventing and reversing metabolic disease.
Sectra awarded NHS Scotland diagnostic imaging technology contract
Digital Health News
DECEMBER 13, 2023
Medical imaging IT company Sectra has been awarded a contract to deliver its cloud-based enterprise imaging service across 15 NHS boards in Scotland.
How to Leverage AI for Actionable Insights in BI, Data, and Analytics
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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.
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