Mon.May 13, 2024

article thumbnail

Medicare Advantage unrest, Change Healthcare fallout and more big takeaways from insurers’ Q1

Healthcare Dive

All major payers saw elevated utilization but only an unprepared few struggled with the trend, the Change Healthcare cyberattack caused minimal financial fallout and a new D-SNP rule opens the door to a Medicare growth opportunity.

Medicare 319
article thumbnail

AHA, H-ISAC warn hospitals about Black Basta following Ascension cyberattack

Healthcare It News

The Health Information Sharing and Analysis Center issued a threat alert Friday about the Russia-backed ransomware group Black Basta, warning of its accelerated attempted attacks against the healthcare sector. Prompted by H-ISAC, the American Hospital Association also sent a cybersecurity advisory with technical mitigation recommendations to its members.

Hospitals 293
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

America’s healthcare networks are under attack

Healthcare Dive

The stakes, impact and cost of cybercrime is rising and we must employ the right tech to fight back.

342
342
article thumbnail

RAND: Hospitals charged insurers 254% more than Medicare rates in 2022

Fierce Healthcare

The gap between insurance plans and Medicare's payments to hospitals for inpatient and outpatient services widened over the course of just a couple of years, a new study from RAND Corporation | A new report from RAND Corporation highlighted just how much more employers and private insurers are paying hospitals for inpatient and outpatient services.

Medicare 133
article thumbnail

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?

article thumbnail

Trends in telehealth: Integrating physicians into virtual care

Healthcare Dive

Many physicians are interested in working in telehealth, whether it’s part-time, full-time or gig work. Here are the factors to consider when integrating physicians into a virtual care program.

130
130
article thumbnail

Rural chronic disease patients: Improving care access

Healthcare IT News - Telehealth

How Azalea Health's telehealth and EHR tools integrate with partners' remote patient monitoring and chronic care management products to treat patients living in rural care deserts, shows Khue Tran, chief strategy officer.

116
116

More Trending

article thumbnail

Talkspace expands online mental health therapy to millions of Medicare members

Fierce Healthcare

Online therapy provider Talkspace is making a big push into the Medicare market, rolling out to approximately 13 million members in 11 states. | Talkspace plans to expand to all 33 million traditional Medicare members, coupled with several Medicare Advantage plans, across all 50 states by the end of the year.

Medicare 116
article thumbnail

Black Basta ransomware is toying with critical infrastructure providers, authorities say

Healthcare Dive

The threat group has impacted more than 500 targets worldwide, including those in healthcare.

article thumbnail

Ascension confirms ransomware attack

Becker's Health IT

"St. Louis-based Ascension confirms ransomware attack, affecting EHR, patient portal, and phone systems. Investigation and recovery efforts underway.

article thumbnail

Revenue Integrity in 2024: Reducing Leakage Points in a Complicated Cycle

HIT Consultant

Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, CHFP, Sr. Director of Revenue Integrity, Xsolis The concept of “revenue integrity” hasn’t really changed over the years, but the roles, responsibilities, and oversight have become far more complex and difficult to gain industry consensus around. What began as several defined systems of controls by which hospitals guarded against revenue loss, revenue integrity has seemingly turned into more narrowly focused controls in many organizations, leaving critica

article thumbnail

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.

article thumbnail

How the ransomware group linked to Ascension hack operates

Becker's Health IT

The hacking group that reportedly attacked St. Louis-based Ascension typically gives victims between 10 to 12 days to pay ransom before leaking their data.

article thumbnail

10 Essential Qualities of a Good Nurse | symplr

Symplr

Nurses epitomize compassion, expertise, and unparalleled bravery, especially highlighted during the COVID-19 pandemic. Their dedication and integrity have rightfully earned the nursing profession the top spot in the Gallup Poll as the most trusted, honest, and ethical. Recognizing their profound impact, Nurses Month in May serves as a celebration of the remarkable characteristics that make nurses indispensable.

Nurses 96
article thumbnail

Will the Change Healthcare Ransomware Attack Wake Up Healthcare? – Healthcare IT Today Podcast Episode 140

Healthcare IT Today

For the 140th episode of the Healthcare IT Today Podcast we are talking about the Change Healthcare ransomware attack. To kick this episode off, we share our insights on what has happened in the two months since the attack. Then we discuss whether or not we think this will be the inciting incident for healthcare organizations to wake up about their security.

article thumbnail

Oura smart ring company extends heart health capabilities

Mobi Health News

The company's new offerings will allow users to determine their cardiovascular age and overall cardiovascular health.

112
112
article thumbnail

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.

article thumbnail

Imperial College Healthcare expands patient research database

Digital Health News

The research resource knowledge bank at Imperial College Healthcare NHS trust has been expanded to all patients, allowing them to be involved with research.

96
article thumbnail

Exclusive: Flatiron Health, Association of Cancer Care Centers partner for clinical trial data

Mobi Health News

The companies will utilize Flatiron Clinical Pipe to connect electronic health records to electronic data capture for clinical trial data gathering.

92
article thumbnail

Bishoy Dimitri: A CCIO on a mission to empower patients

Digital Health News

Bishoy Dimitri, CCIO at Oxford University Hospitals, chats to Digital Health about his career to date, digital priorities and ambitions for the next year.

article thumbnail

RFX Solutions Closes on $9 Million in Series A Funding to Revolutionize Healthcare Compliance through SaaS Technology

Healthcare IT Today

In a move towards transforming healthcare compliance, RFX Solutions , a trailblazer in SaaS compliance software for healthcare facilities, is proud to announce a $9 million Series A funding round led by Arthur Ventures. This investment underscores the confidence in RFX Solutions’ mission to streamline and enhance compliance processes in healthcare settings.

article thumbnail

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.

article thumbnail

Kaiser Permanente posts 3.4% operating margin, billions in net income for Q1 2024

Fierce Healthcare

Kaiser Permanente kicked off 2024 with $935 million of operating income (3.4% operating margin) and more than $2.7 billion of net income when excluding a one-time, $4.6 billion net asset gain from | The integrated nonprofit's operations more than quadrupled the return of last year's first quarter, though the organization said its performance still lags pre-pandemic numbers.

84
article thumbnail

Jersey General Hospital implements electronic prescribing for outpatients

Digital Health News

The Government of Jersey’s Health and Community Services (HCS) has implemented a new electronic prescription system at Jersey General Hospital.

article thumbnail

Consumer Protections Meet Political Pushback: Lessons from States Studying Facility Fees

Center for Health Insurance Reform

A growing number of states are taking action to reform facility fee billing practices, but opposition from hospital associations can stall these efforts. Several states have enacted legislation mandating facility fee studies instead of reforms. CHIR’s Rachel Swindle explores some lessons learned from these states and how studies can be leveraged to lead to meaningful consumer protections.

article thumbnail

ICBs allocated £48m for digital pathways, demand and capacity tools

Digital Health News

NHS England have announced funding of £48m for integrated care boards to fund capabilities relating to digital pathways and demand and capacity tools.

81
article thumbnail

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.

article thumbnail

HHS Announces Funding Opportunity to Improve AI-Powered Healthcare & Behavioral Health IT

HIT Consultant

What You Should Know: – The U.S. Department of Health and Human Services (HHS) , through the Office of the National Coordinator for Health Information Technology (ONC), is seeking innovative solutions to advance healthcare through artificial intelligence (AI) and improve health IT adoption in behavioral health settings. – This initiative is driven by the Leading Edge Acceleration Projects (LEAP) in Health Information Technology (Health IT) funding opportunity for fiscal year 2024.

article thumbnail

And the Swaay Health Awards Go To…

HealthIT Answers

Congratulations to Justin Barnes and Bevey Miner, 2024 Swaay.Health Live award winners. Tune in to hear Justin's This Just In Radio Show and check out Bevey's article. The post And the Swaay Health Awards Go To… appeared first on Health IT Answers.

64
article thumbnail

Investors 'cautiously optimistic' about the state of the digital health market

Fierce Healthcare

At the American Telemedicine Association’s Nexus conference in Phoenix, three investors talked digital health investing trends they’ve observed so far this year. | While 2023 was a tough year for digital health investment, three investors discussed the investment trends they're seeing this year and the state of artificial intelligence.

article thumbnail

2024 National Skilled Nursing Care Week

HealthIT Answers

National Skilled Nursing Care Week takes place from May 12 to May 18, 2024. The annual, national observance celebrates the essential role that skilled nursing care centers play in providing safe and effective 24-hour nursing care to millions of individuals each year. The post 2024 National Skilled Nursing Care Week appeared first on Health IT Answers.

Nurses 59
article thumbnail

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.

article thumbnail

Evernorth: How employers can take the lead on addressing youth mental health

Fierce Healthcare

Mental health concerns among youth continue to rise, and employers can play a significant role in mitigating these challenges, according to a new study from Cigna's Evernorth division. | Mental health concerns among youth continue to rise, and employers can play a significant role in mitigating these challenges, according to a new study from Cigna's Evernorth division.

62
article thumbnail

15 Million Patients Affected by April 2024 Healthcare Breaches

Compliancy Group

In another banner month for healthcare breaches, the OCR Breach Portal listed 54 incidents affecting 15,349,203 patients. The most affected group was health plans, reporting 6 incidents affecting 13.9 million patients. This was followed by healthcare providers who reported 34 incidents, affecting 1 million patients. Business associates also reported 12 incidents, affecting 274,475 patients, and one healthcare clearinghouse reported an incident affecting 77,434 patients.

HIPAA 59
article thumbnail

UPMC pays $38M to settle 12-year-old whistleblower case

Fierce Healthcare

UPMC is putting a 12-year-old False Claims Act suit to bed with a $38 million settlement payment. | Plaintiffs had alleged that the nonprofit system was overcompensating neurosurgeons to refer patients to its facilities for procedures. A spokesperson for UPC said the organization was "pleased" to resolve the case believed to be one of the highest payouts for a False Claims case not taken up by the government.

article thumbnail

Deadline to Request a 2025 QCDR Measure Preview Meeting is May 17

HealthIT Answers

CMS reminder that the deadline to request a 2025 Qualified Clinical Data Registry measure preview meeting with CMS and the Merit-based Incentive Payment System QCDR/Registry Support Team is May 17, 2024. The post Deadline to Request a 2025 QCDR Measure Preview Meeting is May 17 appeared first on Health IT Answers.

article thumbnail

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.