Fri.Jul 14, 2023

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CMS floats 1.25% physician fee cut, 2.8% outpatient bump in new proposed rules

Healthcare Dive

Regulators also proposed stricter price transparency requirements on hospitals and expanded behavioral health payments in Medicare.

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AI’s Ability to Manipulate Decision Making Requires a Moratorium on Its Use in Obtaining Consent for Biomedical Research

Bill of Health

By Jennifer S. Bard Until more is known about how to mitigate the threat of AI-fueled persuasion in human subject research, a ban on its use is the only reasonable way to keep the promise that we, as a country, made to those harmed while participating in research. The federal government’s commitment to assuring that participants in human subject research provide fully informed consent dates back to the U.S Public Health Service’s (USPHS) Syphilis Study at Tuskegee , whose revelation to the publi

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M&A transactions heat up to pre-pandemic levels, Kaufman Hall finds

Healthcare Dive

Transactions in Q2 were the most in a single quarter since the COVID-19 pandemic began — a sign the M&A market is “regaining momentum.

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New Guidance Issued on Surprise Billing, Out-of-Pocket Limits, and Facility Fees

Compliance Now

By Jessica Waltman Late last week, the Departments of Health and Human Services, Labor, and Treasury (the Departments) published a set of FAQs that clarify how certain surprise billing protections interact with the Affordable Care Act’s (ACA) maximum out-of-pocket limit (OOP) requirements. The FAQs also clarify whether facility fees are subject to specific transparency in coverage requirements.

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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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UnitedHealth beats Q2 expectations, despite medical cost growth fears

Healthcare Dive

Rising outpatient utilization among seniors that spooked investors earlier in the quarter left the payer’s bottom line largely unscathed.

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For value-based care, virtual options aren't always beneficial, study shows

Healthcare IT News - Telehealth

A new telehealth study by the University of Texas McCombs School of Business found that virtual care did not significantly lower costs, or reduce the number of future visits to emergency rooms or specialists for circulatory, respiratory and infectious diseases. WHY IT MATTERS Indranil Bardhan, a professor of information, risk and operations management at UTexas, and his co-authors, Sezgin Ayabakan of Temple University and Zhiqiang 'Eric' Zheng of UTexas at Dallas, examined telehealth thr

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NextGen to Pay $31M Settlement for False Claims Act Allegations

HIT Consultant

What You Should Know: EHR vendor NextGen Healthcare has agreed to pay $31M to settle allegations that NextGen violated the False Claims Act (FCA) by misrepresenting the capabilities of certain versions of its EHR software and providing unlawful remuneration to its users to induce them to recommend NextGen’s software. The civil settlement includes the resolution of claims brought under the qui tam or whistleblower provisions of the False Claims Act by Toby Markowitz and Elizabeth Ringold, health

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Coalition of 12 Kaiser Permanente unions to picket 50 facilities amid contract negotiations

Fierce Healthcare

An 85,000-strong body of unionized healthcare workers is turning up the pressure on Kaiser Permanente as both sides hash out the terms of a new labor contract. | The demonstrations will involve "tens of thousands" of union participants seeking increased staffing commitments in their next labor contract.

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HCA faces lawsuit over massive data breach

Becker's Health IT

Nashville, Tenn.-based HCA Healthcare is facing a lawsuit for a recent data theft incident that affected 171 hospitals and health systems across the U.S. and may have breached information of about 11 million patients.

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UnitedHealth kicks off Q2 earnings with $5.5B in profit, double-digit revenue growth

Fierce Healthcare

Healthcare giant UnitedHealth Group kicked off insurer earnings for the second quarter Friday morning, when it reported $5.5 billion in profit alongside double-digit revenue growth. | Healthcare giant UnitedHealth Group kicked off insurer earnings for the second quarter Friday morning, when it reported $5.5 billion in profit alongside double-digit revenue growth.

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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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Skin Analytics awarded funding to scale AI tech that detects skin cancer

Digital Health News

Skin Analytics has been awarded Small Business Research Initiative Cancer Programme funding to scale its AI technology that detects skin cancer in the NHS.

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As value-based health moves from philosophy to reality, providers, payers focus on equity and interoperability

Fierce Healthcare

Equity was at the forefront of Reuters’ value-based health conference in Philadelphia last month. | Over two days, executives from accountable care organizations, health systems and payers spoke about interoperability, population health, social determinants, the cost of care and taking on risk.

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Driving Innovation in Healthcare: How an Ecosystem Approach to IoMT has the Potential to Transform Patient Care and Cost Management

Healthcare IT Today

The following is a guest article by Zack Tisch, Senior Vice President of Innovation and Life Sciences at Pivot Point Consulting Medical devices have long existed and added value at points in the healthcare experience. From consumer wearables and smart home devices to point-of-care testing and other technologies used within hospitals and physician practices – these have traditionally existed in silos, capturing and transmitting data with minimal collaboration between providers, specialties, or or

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Medicare Advantage overpayments continue to balloon. Here are ways policymakers could address the problem

Fierce Healthcare

When Paul Ginsburg, Ph.D., Steve Lieberman and other experts co-authored | While insurers would likely fight massive changes to the program, experts say less drastic updates could still go a long way toward lowering overpayments.

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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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Return to Big Game Hunting Sees Ransomware Revenues Soar

HIPAA Journal

There has been a sizeable fall in revenues from cryptocurrency-related crimes in the first half of 2023, with scammers seeing a 77% reduction in revenues from the same period in 2022, amassing a little over $1 billion in the first half of the year compared to $3.3 billion in the first half of 2022. While this is certainly good news, ransomware-related cryptocurrency payments increased significantly in H1 2023, and if the trend continues in the second half of the year, ransomware revenues could e

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CMMI seeks feedback for a new bundled payment model

Fierce Healthcare

The Center for Medicare and Medicaid Innovation (CMMI) has released a request for information to design a future episode-based payment model. | It is expected that a new episode-based payment model would be implemented no earlier than 2026, CMMI said.

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First Lawsuit Filed Against HCA Healthcare Over 11 Million-Record Data Breach

HIPAA Journal

Lawsuits against HCA Healthcare were an inevitability following a data breach that affected approximately 11 million individuals and saw the stolen data listed for sale on a dark web forum. The breach was announced by HCA Healthcare on July 10, 2023, and while the total number of affected individuals affected has yet to be confirmed, 27 million lines of data were compromised, which equates to around 11 million individuals.

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Q&A: Best Buy Health on forming partnerships and its place in healthcare

Mobi Health News

Diana Gelston, chief commercial officer at Best Buy Health, tells MobiHealthNews how acquisitions and collaborations shape the company's healthcare offerings.

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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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White House Publishes National Cybersecurity Strategy Implementation Plan

HIPAA Journal

The White House has published a roadmap for implementing President Biden’s March 2023 National Cybersecurity Strategy to ensure transparency and a continued path for coordination. The National Cybersecurity Strategy Implementation Plan ( NCSIP ) includes more than 65 federal initiatives that aim to improve resilience against cyber threats and disrupt cyber threat operations, and changes how the United States allocates roles, responsibilities, and resources in cyberspace.

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A Plan to Cut Montana’s Medicaid Waiting List Was Met With Bipartisan Cheers. Then a Veto.

Kaiser Health News

Montana state Sen. Becky Beard thought she’d found a fix for a shortage of assisted living care options for Montanans who can’t afford to pay for it themselves — a shortage she became aware of while searching for a suitable place for her mother to live. Beard, a Republican from the rural town of Elliston, ushered a bill through the GOP-controlled legislature this spring.

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June Research Roundup: What We’re Reading

Center for Health Insurance Reform

As we splashed into summer, CHIR soaked up the latest health policy research along with some rays. In June, we read about trends in coverage and access for LGBT adults, the rise of facility fees, and the out-of-pocket cost burden of mental health care.

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Veterans Affairs OIG Finds Cybersecurity Deficiencies at AZ Health System

Health IT Security

The VA Office of Inspector General discovered several security issues at the Northern Arizona VA Healthcare System, including vulnerability management deficiencies.

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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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Industry news in brief

Digital Health News

This Digital Health News industry roundup covers a new CPD offering from Agilio Software and a national win for an AI-powered heart diagnostic tool.

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There’s a New “O” in Medicine-Town – Welcome OPill to the Front of the Counter

Health Populi

You may not be able to get that ear-worm jingle that goes “O O O Ozempic” out of your musical mind, but I’m happy to tell you there’s a new “O” in town: the Opill. Welcome to the first OTC contraceptive for sale in the USA. I wrote about Perrigo’s Opill here in Health Populi in May 2023 as a “signpost on the road to retail health.” It’s official: “The U.S.

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CMS’ 340B proposal a 'hard pill to swallow' for some hospitals

Modern Healthcare

The Centers for Medicare and Medicaid Services has consistently maintained that remedies for 340B drug payment cuts must be budget-neutral, lawyers said.

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UWorld launches online learning tools for the UKMLA exam

Digital Health News

New online learning resources and tools for the UK Medical Licensing Assessment (UKLMA) have been launched for medical students by UWorld.

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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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Transforming Healthcare Through Task Redefinition: Rethinking roles needs to be on the agenda.

Dossier

Authored By: Geir Arnhoff CEO Linkedin Last week the Dossier team in Norway hosted a webinar spotlighting task distribution in healthcare as key to resolving soaring capacity and staff shortage challenges. Rethinking of roles and responsibilities of healthcare team members is as critical as compliance, policy, and regulations. Rethinking roles and responsibilities must be approached from multiple angles.

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The New DEA Opioid Requirement Combatting the Opioid Crisis

American Medical Compliance

The opioid crisis has been a significant public health concern, and as frontline healthcare providers, dentists play a crucial role in addressing this issue. Recognizing the need for enhanced knowledge and awareness, the Drug Enforcement Administration (DEA) has implemented a new requirement for dentists to complete an 8-hour continuing education (CE) course on opioids.

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Eli Lilly Acquires Obesity Drug Maker Versanis for $1.9B

HIT Consultant

Versanis logo What You Should Know: Eli Lilly announced an agreement to acquire Versanis , a private clinical-stage biopharmaceutical company focused on the development of new medicines for the treatment of cardiometabolic diseases for $1.925B in cash. Versanis’ lead asset is bimagrumab, a monoclonal antibody that binds activin type II A and B receptors to block activin and myostatin signaling.

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Studies, Surveys and Reports: What Can We Learn?

HealthIT Answers

Some recent studies and reports that caught our eye from JMIR, Trilliant Health, Cigna, Kaiser Family Foundation, ONC, Sage Growth Partners, Wolters Kluwer, Pure Storage, NEHII, FII Institute, Vizient, HealthCare.com, and Turquoise Health. The post Studies, Surveys and Reports: What Can We Learn? appeared first on Health IT Answers.

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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.