October, 2024

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Senate report slams Medicare Advantage insurers for using predictive technology to deny claims

Healthcare Dive

UnitedHealth, CVS and Humana used technology to increase MA prior authorization denials for post-acute services, boosting profits, according to a report from a Senate subcommittee.

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Roundup: Health systems embracing AI imaging tools

Healthcare It News

Health systems that embrace artificial intelligence tools can not only improve radiology operations and quality but patient follow-up as well, which can result in greater staff efficiencies, higher patient completion rates and better access and outcomes for patients. A collaboration between East Alabama Medical Center, Inflo Health and the American College of Radiology Learning Network began using machine language models and advanced natural language processions to extract data from radiology re

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Zoom plans new genAI capabilities for healthcare providers

Healthcare IT News - Telehealth

Suki this week announced new plans to partner with Zoom Video Communications for artificial intelligence-enabled telehealth. WHY IT MATTERS The companies say Zoom will use Suki’s AI engine, Suki Platform, to generate clinical notes and will integrate other automation tools to boost provider experience and patient care. Suki's technology will help power ambient clinical documentation during Zoom telehealth visits and in-person visits.

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HLTH 2024 recap: 5 notable trends spotted by reporters and key takeaways from executives

Fierce Healthcare

Fierce Healthcare reporters returned from Las Vegas on Wednesday after four days packed with meetings, interviews and on-stage conversations all focused on healthcare innovation. | From AI (of course) to PBMs to women's health, here are some topics that got our attention at HLTH 2024.

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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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Code Red: Healthcare Cybersecurity in a Post-Chevron World

HIT Consultant

Ty Greenhalgh, Principal of Healthcare at Claroty In light of the recent Supreme Court decision overturning the Chevron deference, the regulatory landscape, especially concerning cybersecurity in healthcare, faces significant changes. The ruling in Loper Bright Enterprises v. Raimondo, which reversed the 1984 Chevron v. Natural Resources Defense Council precedent, alters how federal agencies can interpret and implement laws.

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PBM model is a ‘dead man walking.’ What comes next?

Healthcare Dive

Executives from Amazon, Walgreens, Blue Shield of California and PhRMA weighed in on how to fix the much-scrutinized pharmacy benefit manager model during HLTH 2024.

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Vendor AI Roundup: Enhanced EHR offerings designed to give practices a leg up

Healthcare It News

Each week, more healthcare technology vendors add artificial intelligence enhancements to their products to optimize healthcare practice and provider efficiencies and personalize patient care. To that end, eClinicalWorks announced a series of artificial intelligence enhancements to its electronic health record products, including healow Genie – a fully integrated 24/7/365 contact center system while athenahealth launched Ambient Notes into the athenaOne platform.

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Why Your Final MIPS Score Might Be Different from What You Expected – and What You Can Do About It 

MRO Compliance

If you’re participating in the Merit-based Incentive Payment System ( MIPS ) or MIPS Value Pathways ( MVPs ), you’ve likely encountered a familiar scenario: you review your estimated MIPS score in your dashboard, only to find that months later, when CMS releases the final score, the numbers don’t quite add up. For many providers, this discrepancy can lead to confusion, frustration, and even financial uncertainty.

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RPM, enabled with AI, can improve congestive heart failure care

Healthcare IT News - Telehealth

Approximately 6.7 million Americans over the age of 20 currently live with heart failure, with this number projected to rise to 8.5 million by 2030. The lifetime risk of developing heart failure has increased to 24%​. Despite advances in treatment, heart failure remains a significant cause of morbidity and mortality. Heart failure-related hospitalizations and deaths have been on the rise, reversing earlier improvements​.

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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?

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Widespread IV fluid shortages have providers starting to cancel procedures, survey finds

Fierce Healthcare

Intravenous fluid shortages appear to be affecting the majority of the nation’s healthcare providers, who as a result are already beginning to cancel procedures, survey data published Thursday show | Premier said 86% of its provider members are reporting shortages, and more than half have less than 10 days supply on hand. Respondents also said they were beginning or considering procedure cancellations, and have begun receiving solicitations from "unapproved, gray market suppliers.

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Third Places: A Framework for Communities AND Crisis Care

Bill of Health

by Spencer Andrews What makes a city livable? The answer, some say, is more “ third places ,” spaces distinct from one’s home (the first place) and one’s workplace (the second place). A third place, like a café, park, or library, fosters the sense of community and connection that makes a neighborhood great to live in. This imprecise yet uncomplicated framing effectively refocuses a complex set of social, economic, and urban design issues on a simple solution to the “livability” problem.

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Blue Cross Blue Shield to pay $2.8 billion to settle class action provider antitrust case

Healthcare Dive

It's the largest antitrust settlement to date in the healthcare industry, according to law firm Whatley Kallas, which represented the plaintiffs.

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Healthcare must become as digital and consumer friendly as retail and banking

Healthcare It News

In a world where consumers can order dog food, schedule a haircut or buy a plane ticket with just a few keystrokes, patients often are left wondering why healthcare has to be so complicated – and why so many processes seem stuck in the past. Today, as consumers grow more dependent on convenient and efficient online tools across retail, banking and grocers, patients are becoming increasingly aware of – and dissatisfied with – healthcare's digital deficiencies, which often cr

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

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The MRO Exchange: Interoperability with Anthony Murray, Cyrus Bahrassa, and Lydia Wardi

MRO Compliance

Healthcare NOW Radio Podcast Network · MRO Exchange: Interoperability with Cyrus Bahrassa Lydia Wardi S1E8: Host Anthony Murray, Chief Interoperability Officer, is joined by healthcare interoperability consulting leader, Cyrus Bahrassa, and MRO senior counsel, Lydia Wardi, for a conversation surrounding all things interoperability. They walk through the evolution of healthcare interoperability and unpack advancements in technologies and regulations that impact the current state of information ex

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The Rise of AI in Telemedicine: Enhancing Efficiency and Accessibility

HIT Consultant

Chu Canh Chieu, Director of Global Healthcare Center, FPT Software One of the silver linings of the COVID-19 pandemic was the rise of telemedicine. The constraints imposed by the pandemic sparked a lasting trend of patients willing and able to seek healthcare solutions virtually. Since the pandemic, the rise of AI and its integration with telemedicine and digital health has seen significant investment growth, leading to enhanced patient care and reduced operation costs for healthcare providers a

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Microsoft rolls out new healthcare AI tools in partnership with Epic, Paige.ai, major health systems

Fierce Healthcare

Microsoft recently unveiled several new artificial intelligence capabilities for healthcare organizations designed to help analyze diverse medical data, streamline nursing documentation and enable | Microsoft recently unveiled several new AI capabilities for healthcare organizations designed to help analyze diverse medical data, streamline nursing documentation and enable companies to build their own healthcare AI agents.

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Health Care, AI, and the Law: An Emerging Regulatory Landscape in California

Bill of Health

by Rebekah Ninan This past month, California Governor Gavin Newsom signed a wave of artificial intelligence-related legislation into law. Much public debate has been focused on SB 1047, a proposal ultimately vetoed by Governor Newsom, which would have held AI companies liable for “ catastrophic harms ” from AI models. Comparatively little attention has been paid to three new laws aimed at health care-related AI and data privacy.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

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Microsoft unveils new healthcare AI tools

Healthcare Dive

The products include a service that helps healthcare organizations build their own AI agents that could be used for appointment scheduling, clinical trial matching and patient triage.

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Sunway Medical to test surgical robots and more robotics briefs

Healthcare It News

Sunway partners with Medtronic to test surgical robotics Sunway Healthcare Group in Malaysia recently announced its partnership with Medtronic. According to a social media announcement, they signed a memorandum of understanding to work together to improve the centres of excellence at its flagship hospital, Sunway Medical Centre, which specialises in spine, neuroscience, and cardiovascular medicine.

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Modern Efficiencies for a Modern Audit Team: MRO Experts Share How to Reduce Risk

MRO Compliance

Internal audits and monitoring are essential practices to ensure coding and billing compliance, protect revenue, and defend against payer audits and clinical denials. However, with limited time and resources, it becomes impossible to internally review every physician, patient type or risk area.  In the October edition of HCCA Compliance Today , MRO senior director of revenue cycle, Dawn Crump and program manager of revenue integrity, Garnette McLaughlin, discuss new strategies for internal aud

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Mitigating Cyberattacks can be a Life-or-Death Situation

Healthcare IT Today

The following is a guest article by Mike Crouse, Director of Insider Risk at Everfox Ransomware attacks on the healthcare sector continue to grow, with incidents nearly doubling from 2022 to 2023—a concerning figure considering their potential to leave patients in life-or-death situations. The recent ransomware attack on OneBlood , a blood center that serves hundreds of hospitals in the south, is just the latest example of a cyberattack having a real-world impact.

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Real-Life Examples of HIPAA Violations and How to Avoid Them

Speaker: Jack Clough, Chief Growth Officer

Download our 30-minute webinar where we delve into real-life examples of HIPAA violations and preventative measures every organization should know! You will learn: The critical factors that lead to HIPAA violations and how to identify them. Three compelling real-life cases of organizations that faced severe HIPAA penalties. Proven strategies to safeguard YOUR organization against HIPAA violations.

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New Zealand Telehealth Services transfers to new cloud

Healthcare IT News - Telehealth

Whakarongorau Aotearoa (New Zealand Telehealth Services) is transferring to a new cloud host by the end of the year. It was announced that the government service will be an anchor tenant of IT giant Microsoft's upcoming hyper-scale cloud in New Zealand. Whakarongorau has been delivering free, government-funded, and round-the-clock national telehealth services across seven digital channels since 2015.

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AMA panel changes reporting requirement for remote monitoring, removing barriers for the industry

Fierce Healthcare

The American Medical Association’s (AMA's) CPT Editorial Panel has removed the requirement for a patient to transmit 16 days’ worth of data for providers to bill remote physiologic monito | The American Medical Association's coding panel decided at its September meeting to eliminate the requirement for a provider to collect 16 days' worth of data from a connected device to bill the supply code.

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CVS Health slashes infusion services offerings, blaming industry headwinds

Healthcare Dive

CVS Health will stop providing many infusion services and close or sell 29 pharmacies in the coming months, a spokesperson said.

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5G will power the next evolutionary stage of healthcare in APAC

Healthcare It News

Remote surgeries, holographic medical imaging, mixed reality, and patient tracking are some of the emerging 5G-powered healthcare innovations in the Asia-Pacific region. Dr Gao Yujia, Assistant Group CTO, National University Health System; William Chan, CIO, CUHK Medical Centre; Chien-Chang (Paul) Lee, Chief Medical Information Officer, Ministry of Health and Welfare (MOHW), Taiwan; and Terence Wong, Head of APAC 5G Industry, GSM Association, Hong Kong sat together to discuss these innovations d

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.