Sat.Jun 07, 2025 - Fri.Jun 13, 2025

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Five Tactics for Payers to Succeed in Value-Based Care

MRO Compliance

The Centers for Medicare & Medicaid Services (CMS) has set a bold goal : by 2030, all Medicare beneficiaries and the majority of Medicaid beneficiaries must participate in value-based payment models. This shift represents one of the most ambitious overhauls in U.S. healthcare history—moving away from fee-for-service and toward models that reward outcomes, equity, and efficiency.

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The ROI of Online Patient Payments is Significant

Healthcare IT Today

For many healthcare providers, outdated payment systems are causing unnecessary frustration for patients and staff. Plus, these archaic systems and processes are costing providers Fortunately, leading organizations, like First Choice Neurology , are proving there’s a smarter way forward. First Choice Neurology (FCN), is one of the largest neurology private practices in the state of Florida with over one hundred clinicians in 60+ locations.

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VA Chief AI Officer: Technology is secondary to human problem-solving

Healthcare It News

Editor's Note: This is the eighth in our series on Chief AI Officers in Healthcare. Other recent CAIO profiles include Dennis Chornenky at UC Davis Health , Dr. Karandeep Singh at UC San Diego Health , Alda Mizaku at Children's National Hospital , Dr. Zafar Chaudry at Seattle Children's , Mouneer Odeh at Cedars-Sinai , Sameer Sethi at Hackensack Meridian Health , and Rajiv Kolagani at Lurie Children's Hospital.

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Nurse Burnout Capitals: New Report Reveals Top 10 States for Burnout Risk

HIT Consultant

What You Should Know: – A new study from Nursa has identified the U.S. states where nurses are most likely to experience burnout, with Colorado topping the list. The analysis reveals surprising insights into how factors like compensation, job satisfaction, patient load, and cost of living intersect to impact nurses across the country. – With nearly a third (31.5%) of U.S. registered nurses leaving the profession due to burnout, experts at Nursa developed a comprehensive burnout score

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How to Start Virtual Care the Right Way: A Proven Roadmap for 2025 and Beyond

Speaker: Dr. Christine Gall, DrPH, MS, BSN, RN

The promise of virtual care is no longer theoretical and is now a critical solution to many of healthcare’s most urgent challenges. Yet many healthcare leaders remain unsure how to build a business case for investment and launching the right program at the right time can be the difference between value and failure. For organizations seeking a financially sound, clinically effective entry point, Virtual Patient Observation (VPO) offers a compelling case to lead with.

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Understanding Medicare Coordination of Benefits (COB)

Medisys Compliance

When a healthcare provider treats a patient who has Medicare as well as another type of health insurance, understanding the rules for Medicare Coordination of Benefits (COB) becomes essential. Improper COB handling can result in claim denials, delays, and lost revenue. This article provides a practical overview of all major COB scenarios and outlines how Medicare interacts with other insurance payers, helping healthcare providers submit clean and compliant claims.

More Trending

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Clinicians say EHR experiences are improving, but burdens remain

Healthcare It News

The KLAS Arch Collaborative this week released new findings, detailing how some healthcare organizations are delivering "elite" electronic health record experiences for their nurses and doctors. The report shows that EHR speed and user experience can be enhanced by aligning strategic priorities around these issues and "moving from an 'us versus them' mentality to a shared 'we' that includes both leaders and clinicians," said KLAS researchers.

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Mayo Clinic launches new AI-assisted virtual care collaboration

Healthcare IT News - Telehealth

Mayo Clinic in Florida is exploring the potential for ambient clinical intelligence to enable a more proactive approach to care delivery, and potentially reduce hospitalizations and severity of illness and improve patient quality of life. WHY IT MATTERS Clearwater, Florida-based hellocare.ai, which develops ambient documentation, digital whiteboards, patient engagement tools and hospital-at-home services, announced the new Mayo Clinic partnership Tuesday.

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AI is Changing Patient Search and Medical Practices Need To Evolve

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Evan Steele, founder and CEO, rater8. The way patients search for care is undergoing a seismic shift. Traditional search results, those familiar blue links we’re all familiar with, are giving way to answers generated […] The article AI is Changing Patient Search and Medical Practices Need To Evolve appeared first on electronichealthreporter.com.

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Addiction treatment center to pay $1.9M to settle allegations it misled consumers

Healthcare Dive

The civil penalty could almost quadruple if the FTC discovers Evoke Wellness, which allegedly poised as other treatment centers in a bid to nab new business, misrepresented its financial holdings.

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How to Turn “Check-the-Box” Compliance Trainings Into Real Learning

Speaker: Brian Richardson, Brian Richardson, Founder and CEO of Richardson Consulting Group

Let’s face it—most ethics and compliance training programs aren’t winning awards for engagement. But that doesn’t mean they can’t be effective, captivating, and maybe even enjoyable! Join learning design expert Brian Richardson for a dynamic session on how to breathe new life into your ethics and compliance training. We'll explore innovative strategies to bring traditionally dry topics to life, making them resonate with learners and drive tangible change.

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'You've got to play different roles in different circumstances,' says Epic Emeritus CMIO

Healthcare It News

Dr. Robert W. Warren is an Epic Emeritus CMIO and holds a doctorate in cellular immunology. Among other positions, he previously was chief medical information officer at Charleston, South Carolina-based MUSC Health. The key focus of Epic's emeritus program is working with healthcare organizations to use informatics to improve care. While some activities are Epic-specific – like at-the-elbow support for providers and leaders during their Epic go-lives – other activities are more g

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Novant Health nurse discusses the technologies that help shape a career

Healthcare IT News - Telehealth

Panissa Caldwell, RN, sees technology transforming the nursing journey. As both a seasoned clinician and educator, she understands the hard and soft skills today's nurses need to thrive – and sees the potential for the technology to support them at every stage, from virtual simulations in training to tele-mentoring and continuing education.

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MRO Acquires Enterprise Clinical Data Management Platform Q-Centrix

MRO Compliance

Norristown, PA – June 12, 2025 – MRO Corp. ( MRO ), the leading clinical data exchange company in healthcare, announced today the acquisition of Q-Centrix Corp. ( Q-Centrix ), a leading enterprise clinical data management platform, enabling hospitals and health systems to turn fragmented clinical data into actionable information. This strategic combination positions MRO to further accelerate the exchange of clinical data throughout the healthcare ecosystem for providers, payers, life sciences an

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Providence cuts 600 roles amid restructuring

Healthcare Dive

The move comes after the health system downsized its executive team and froze nonclinical hiring earlier this year. Providence blamed external pressures, like possible Medicaid cuts and rising supply costs.

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The Essential Guide to Secure Messaging in Healthcare

Discover everything healthcare providers need to know about secure messaging. Covering essential topics like HIPAA compliance, communication efficiency, and patient privacy protection, this resource is indispensable for professionals, caregivers, and administrative staff alike.📱 💬 Whether managing sensitive patient data, coordinating care teams, or streamlining workflows, discover actionable insights to implement secure messaging solutions effectively.

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Pooling IT resources can help rural hospitals keep doors open, stay secure

Healthcare It News

Small and rural healthcare organizations have to grapple seriously with many challenges that their larger counterparts are often better able to navigate. Not to do so could risk closure. Uncompensated care is a big one, of course. Combined with ever-higher operational costs, declining reimbursements mean many rural health systems and hospitals skate on thin financial ice and fear finding themselves at the brink of closure.

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MetroHealth and MUSC Health make for a patient engagement powerhouse

Healthcare IT News - Telehealth

Like most health systems, Ohio's MetroHealth has over the years made substantial investments in health IT, from telemedicine to healthcare education to, of course, an electronic health record. THE CHALLENGE While all these tools are important for care teams and patients, MetroHealth has not had a good way to connect them in a manner that is coordinated and tailored to the unique needs of each person IT staff serves.

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Dr. Oz Has It Right: America Needs a National Healthcare Directory

Healthcare IT Today

The following is a guest article by Ladd Wiley, Senior Vice President for Global Corporate Affairs, Public Policy, and Advocacy at Epic , Paul Meyer, Co-Founder and CEO of the Smart Health Network , and Christopher Longhurst, Chief Clinical and Innovation Officer at UC San Diego Health. Every day in America, sick patients are sent to medical providers who no longer practice where the patients were told to go.

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Vaccine makers face fresh uncertainty after firing of CDC panel

Healthcare Dive

The abrupt termination of the 17 panelists guiding the CDC’s vaccine recommendations could yield a new committee more aligned with Robert F. Kennedy Jr.’s skeptical views, analysts warned.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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Spotting opportunities to accelerate Malaysia's digital health transformation

Healthcare It News

Emphasising the important regulatory function of governments can help push the agenda to further digitalise health systems. Jeremy Lim, co-founder and CEO of Singapore-based microbiome insights company AMILI , has always advocated this. He is set to share his experience in bridging public-private partnerships for national-scale digital health transformation and exploring opportunities to accelerate this at the upcoming HIMSS25 Asia-Pacific (APAC) Conference next month, July.

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This rural Australian health service enables telecollab to retain workforce

Healthcare IT News - Telehealth

Central Queensland Hospital and Health Service will soon allow medical professionals to virtually scrub in and assist in surgical procedures with the addition of a new telesurgery platform. It was recently announced that three CQHHS hospitals in Rockhampton, Gladstone, and Emerald will introduce the technology provided by Teladoc to "address barriers in surgical access and expertise.

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Stanford Medicine's ChatEHR expedites the chart review process

Mobi Health News

The AI-powered software allows clinicians to ask questions about a patient's medical records.

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PBM lobby sues Arkansas over law requiring drug middlemen to sell pharmacies

Healthcare Dive

The Pharmaceutical Care Management Association is following in the footsteps of two of its largest members — Cigna’s Express Scripts and CVS’ Caremark — that have also sued Arkansas over its controversial law.

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HIPAA Compliance 2025: Navigating Regulatory Changes & Industry Trends

Based on comprehensive survey data from diverse healthcare providers, the 2025 HIPAA Benchmark Report delivers actionable intelligence for modern compliance programs. This report examines how organizations are restructuring HIPAA Privacy Programs to address emerging regulatory requirements. Through analysis of staffing models, program operations, and breach management protocols, it provides a clear picture of current best practices.

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Cancer patients find community support online

Healthcare It News

Rahul Mahadevan founded WiTT Group to create a platform where patients can ask for help with specific needs after he saw other patients delaying or refusing treatment because of non-clinical obstacles.

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One hospital's tips for tertiary-level telehealth innovation

Healthcare IT News - Telehealth

Sheba Beyond, a virtual hospital affiliated with Israel's largest medical center, blends telemedicine with in-person visits to deliver hospital-quality care remotely. Its director general, Dr. Galia Barkai, explains.

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RADV Audit Crisis: RAAPID Hosts Webinar as CMS Targets All 550 MA Plans

Healthcare IT Today

Industry experts warn: Organizations have months, not years, to prepare for unprecedented audit expansion The Medicare Advantage industry faces its most significant regulatory disruption in decades. CMS has announced a historic expansion of Risk Adjustment Data Validation (RADV) audits, moving from approximately 60 plans annually to auditing ALL 550 Medicare Advantage plans.

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Prime Healthcare cuts 100 roles at Illinois hospitals

Healthcare Dive

Most reductions took place on Friday, while the remaining cuts will take place through July, a spokesperson said. The cuts come three months after Prime acquired the facilities from Ascension.

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Can Your Organization Spot a Conflict Before It’s a Crisis?

Speaker: Amie Phillips Pablo, VP, Corporate Compliance & Privacy Officer at Novo Nordisk

In today’s complex healthcare environment, navigating third-party relationships has become even more challenging—whether it’s vendor relationships, employee activities, or patient-facing interactions. Left unmanaged, these conflicts can compromise trust, regulatory compliance, and even organizational reputation. So, how can healthcare teams stay ahead?