Sat.Jan 25, 2025 - Fri.Jan 31, 2025

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Navigating QPP Reporting in 2025: Finding the Best Path for Your ACO

MRO Compliance

Mandatory Alternative Payment Model Performance Pathway (APP) reporting begins this year, bringing significant changes for Accountable Care Organizations (ACOs). As we move into this new reporting era, the question isnt whether to act but how to act effectively. Choosing the right reporting method is critical to ensure compliance and maximize your ACOs return.

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Empowering independent practices with eClinicalWorks AI-powered innovations

Healthcare It News

The American Medical Association estimates that the number of physicians in private practice has dropped 13% in the last decade, largely due to financial pressures and administrative burdens. 1 In the face of these economic headwinds, many doctors have decided to sell their practices. The decrease in the number of physicians in private practice is a rising concern because these systems are critical to the well-being of local communities, offering patients a greater choice in care and a setting f

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Site-neutrality: A solution in search of a problem

Healthcare Dive

Site-neutral payment policy is a distraction from the underlying causes of high healthcare costs and places providers at risk, argues Ascension’s chief health outcomes officer.

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Telepsychiatry practice uses AI to reduce time to complete session notes by 23%

Healthcare IT News - Telehealth

Clinical documentation requirements can be copious and time-consuming. While concurrent documentation is taught and encouraged, it is a skill that takes time to master – and even when done well can cause a clinician to feel or appear distracted during a patient visit. THE CHALLENGE Trying to actively listen and provide quality care while having to focus on recording accurate and complete details of a conversation in a note can be challenging even for an experienced therapist.

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Simplify Screening for Excluded Providers

Every health care provider that accepts federal payments must screen for excluded providers. Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.

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From Stigma to Standard Care: How Medical Cannabis in the UK is Gaining Acceptance in Population Health Management

HIT Consultant

The journey of medical cannabis in the UK has been one of transformation. Once stigmatized as a recreational drug, cannabis is now being embraced as a valuable tool in healthcare, particularly for managing chronic conditions. Its potential to improve patient outcomes and reduce reliance on opioids has positioned it as a promising addition to population health management.

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How MetroHealth broke free of its imaging data silos

Healthcare It News

In a complex, multimodal imaging environment, with radiology and other images and reports scattered across any number of PACS systems and electronic health records, clinical and technology leaders at Cleveland-based MetroHealth had one "guiding North Star," says Dr. David Kaelber, the health system's chief health informatics officer and VP of patient engagement technologies.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Chief among the questions raised by Monday's ambiguous memo are whether programs like Medicaid and SNAP as well as funding for clinical research, community health centers, suicide prevention and state infectious disease surveillance will see interruptions due to the pause.

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Connected health tools help seniors, but a digital divide persists

Healthcare IT News - Telehealth

Most adults aged 50 to 80 in the United States are now using digital health technologies (DHTs), with patient portals leading adoption rates, according to a study published in JAMA Network Open. The analysis, based on data from over 2,100 participants and conducted by University of Michigan and Veteran Affairs Ann Arbor Healthcare System, also revealed significant disparities in usage driven by race, income, education, and geography.

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What AI can do for patients – a neurosurgeon's perspective

Healthcare It News

Dr. Samuel Browd of UW and Seattle Children's hospital, and the CMO at Proprio, discusses the questions he's hearing from patients about artificial intelligence in healthcare, and describes how AI is changing how he practices and performs surgery.

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UnitedHealth hikes number of Change cyberattack breach victims to 190 million

Healthcare Dive

The new estimate nearly doubles the company’s previous report of 100 million affected individuals, already the largest healthcare data breach ever reported to federal regulators.

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Healthcare Vendor Risk Management: Strategies for Protected Data

In healthcare, where patient data protection is paramount, effective vendor risk management isn't just good business—it's essential for maintaining compliance and trust. This comprehensive guide helps healthcare compliance professionals navigate the complexities of third-party vendor relationships in an increasingly interconnected healthcare environment.

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De-escalation Strategies in Healthcare: A Comprehensive Approach to Ensuring Safety and Support

HIT Consultant

Andrea Greco, SVP of Healthcare Safety, CENTEGIX Jennifer Schmitz, MSN, EMT-P, CEN, CPEN, FNP-C, NE-BC, VP of Client Engagement, Engage, powered by the ENA De-escalation is a critical skill in healthcare, particularly in environments where emotions run high, and patients and their families may be under significant stress. Effective de-escalation requires not only the ability to manage conflict but also an understanding of human emotions, empathy, and a well-practiced response to high-tension sit

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Pharmacy benefit management giant Express Scripts unveiled several steps it's taking to boost transparency and mitigate high costs members may face. | Pharmacy benefit management giant Express Scripts unveiled several steps it's taking to boost transparency and mitigate high costs members may face.

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HIMSS25: Digital increases patient involvement and self-management

Healthcare It News

Digital programs enhance patient engagement by increasing involvement and self-management, according to Yanyan Hu, CIO of the Ministry of Health Singapore, who is speaking at HIMSS25. Health tech improves communication, and encourages self-management and behavioral change, Hu said.

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Large blood center chain hit by ransomware attack

Healthcare Dive

A spokesperson for the Greater New York Hospital Association told Healthcare Dive its member hospitals have been in close contact with New York Blood Center, and the organization isn’t aware of any blood supply delays.

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Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

Speaker: Jennifer Hill

Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.

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Precision Medicine 2.0: How AI-Driven Insights Are Changing Healthcare for the Better

HIT Consultant

Ganesh Nathella, SVP and General Manager – Healthcare and Life Sciences (HCLS) at Persistent Systems A patient arrives at a clinic with constant chest pain. In a conventional approach, a doctor would likely conduct a range of standard tests, prescribe medication, and suggest lifestyle modifications, striving for an optimal result. Now, envision a scenario where an AI system seamlessly analyzes the patients genetic profile, medical records, and wearable device data in real time to identify

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Fierce Healthcare - Untitled Article

Fierce Healthcare

The National Community Pharmacists Association is warning the feds that independent pharmacists are likely to face significant financial hardship due to Medicare drug price negotiations.

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ECRI Acquires The Just Culture Company to Transform Healthcare Patient and Workforce Safety

Healthcare IT Today

ECRI , a global nonprofit organization improving the quality and safety of healthcare, announced today it acquired The Just Culture Company , which specializes in transforming workforce culture in high-risk industries. The Just Culture Company assists organizations in deploying a balanced system of accountability between the organization and employee that fosters a fair, learning culture referred to as a just culture by implementing its proprietary algorithm through advisory services, educatio

Hospitals 100
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ACA plans denied one-fifth of in-network claims in 2023, KFF finds

Healthcare Dive

Insurers poked holes in the KFF’s methodology — a spokesperson for UnitedHealth called the study “grossly misleading” — to argue that they approve most of the claims they receive.

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The Evolution of Communication in Healthcare Settings

Healthcare communication has evolved from handwritten notes and paper charts to digital tools like EHRs, telemedicine, and AI-powered platforms. This blog explores how these advancements improve patient outcomes, streamline care delivery, and enhance provider collaboration. Learn about the role of mobile health (mHealth) apps, secure messaging, and social media in bridging communication gaps.

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Zoom takes Suki partnership to next level

Healthcare IT News - Telehealth

With the new investments, Suki said it will scale access to more of its artificial intelligence-enabled assistant tools in Zoom's Workplace for Clinicians platform. WHY IT MATTERS The developer of the ambient artificial intelligence technology, Suki Assistant, has raised $168 million to date, according to an announcement Thursday. Zoom's funding will help the seven-year-old company better tackle documentation burnout, improve patient experiences, and expand its team.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Aligned Marketplace launched in 2023 to offer an advanced primary care marketplace for self-insured employers. The company offers employers access to a national network with more than 3,000 locations and coverage in all 50 states.

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FHIR, Quality Measurement and Value-Based Care: What NCQA’s Ed Yurcisin Wants CIOs to Know

Healthcare IT Today

In a recent interview, Ed Yurcisin, Chief Technology Officer of the National Committee for Quality Assurance ( NCQA ), shed light on key advancements that aim to streamline quality measurement, improve interoperability, and accelerate the shift toward value-based care (VBC). Healthcare IT Today caught up with Yurcisin at the 2024 NCQA Health Innovation Summit in Nashville, TN.

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RFK Jr. fumbles Medicare basics during second confirmation hearing

Healthcare Dive

Robert F. Kennedy Jr., nominee for HHS secretary, seemed unfamiliar with the massive insurance program during Thursday’s hearing, mistakenly saying Medicare Part A mainly paid for primary care or physicians.

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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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Telehealth Partnerships: A Value-Added Service for Providers

HIT Consultant

Lindsay Dymowski Constantino, President Centennial Pharmacy Services Todays healthcare consumers have high expectations regarding their patient experience. They want care to be more convenient , accessible , and affordable. For providers looking to meet those expectations, telehealth partnerships are the answer. These partnerships provide value-added solutions that empower patients to overcome their chief healthcare challenges.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

The Centers for Disease Control and Prevention scrubbed critical data and webpages related to LGBTQIA+ issues as part of an executive order seeking to "end federal funding of gender ideology.

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Bicycle Health reaches profitability, secures $16.5M

Mobi Health News

The virtual opioid use disorder company reached profitability in Q4 2024, and expanded its team with the appointments of a chief operating officer and chief financial officer.

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Healthcare bankruptcies declined in 2024: report

Healthcare Dive

Still, bankruptcy filings remained elevated, with the sector reaching the second-highest amount in the past six years, according to healthcare restructuring advisory firm Gibbins Advisors.

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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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Digital health leaders react to NHSE’s ‘back to basics’ priorities

Digital Health News

Digital health leaders have given a mixed reaction to streamlined priorities announced by NHSE, which focus on reducing waiting times.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

The increase, meant to offset and exceed a 2.8% pay cut that began in January, would likely need to find its way into a funding bill Congress must pass in March.

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Eleos secures $60M for behavioral health with AI agents

Mobi Health News

The funds will be used to increase product offerings, expand the commercial team and move into the substance use disorder space.

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Cigna pledges changes to pharmacy, medical benefits following ‘messy’ close to 2024

Healthcare Dive

Fresh off underperforming Wall Street’s expectations in the fourth quarter, Cigna said it would work to lower costs for its customers amid widespread discontent with the healthcare system.

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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