2023

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ChristianaCare pays $47M to resolve former compliance officer's kickback allegations

Fierce Healthcare

Wilmington, Delaware-based ChristianaCare has agreed to a $47.1 million settlement resolving illegal kickback allegations flagged by its former chief compliance officer, Ronald Sherman. | The agreement is the largest False Claims Act settlement in Delaware's history and paves the way for future cases against hospitals that provide private physician groups with free services from their employees, legal counsel said.

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A Categorical No to Categorical Accommodation Denials Related to COVID-19?

Bill of Health

By Katherine Macfarlane and Irina Manta Since fall 2021, when most colleges and universities reopened their campuses to in-person activities, it has become increasingly difficult for faculty and students with disabilities to obtain reasonable accommodations to teach or attend class remotely. Remote accommodations were granted freely during the first year of the COVID-19 pandemic, but in 2021, the in-person aspect of teaching and learning was suddenly deemed essential, and at many institutions, r

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GPT-4 outperformed 99.98% of simulated human readers in diagnosing complex clinical cases

Mobi Health News

A study published in the New England Journal of Medicine says GPT-4 correctly diagnosed 52.7% of complex cases compared to only 36% of medical journal readers.

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UnitedHealth sued over use of algorithm to deny care for MA members

Healthcare Dive

The lawsuit alleges UnitedHealth used nH Predict to deny claims for Medicare Advantage seniors, despite the algorithm’s determinations being overturned in more than 90% of appeals.

Medicare 363
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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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Orlando Health to launch AI-driven hospital-at-home services

Healthcare It News

Data from the new hospital-at-home platform will be accessible through Orlando Health's Epic electronic health records through a multi-year agreement with the connected health and digital therapeutics company. WHY IT MATTERS Orlando Health – a non-profit health system with 18 hospitals and emergency rooms with five in development serving the southeastern United States – is expected to launch the new advanced remote patient monitoring capabilities in early 2023.

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HIMSS23: DHA is developing a virtual-first health ecosystem

Healthcare IT News - Telehealth

CHICAGO – In a vast, integrated health ecosystem, the future is high-tech and high-touch, "right in line with this year's HIMSS23 theme, "Health that connects, tech that cares," said. Dr. Telita Crosland, Lieutenant General, director of the Defense Health Agency. Crosland described the agency's virtual-first, data-driven focus for the next three years as a "fundamental shift" on Wednesday.

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In-Ear Wearable Measures Blood Flow to the Head for Long COVID POTS

HIT Consultant

What You Should Know: STAT Health emerges from stealth to introduce a 24/7 in-ear wearable that measures blood flow to the head to better understand symptoms such as dizziness, brain fog, headaches, fainting, and fatigue that occur upon standing. These are common symptoms for illnesses like long COVID, postural orthostatic tachycardia syndrome (POTS), myalgic encephalomyelitis / chronic fatigue syndrome (ME/CFS), and other orthostatic (caused by standing) syndromes that affect more than 13 milli

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Palantir to be named as winner of Federated Data Platform

Digital Health News

Palantir and Accenture have been chosen as the winner of the £480m Federated Data Platform procurement, with an announcement expected imminently.

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Will 2024 See True Value-Based Care Transformation?

HealthIT Answers

Our annual predictions for 2024 continues with Value-Based Care in 2024. Throughout the next few weeks we will be asking the industry experts what they think we will see in 2024. Check back as we cover AI, digital health, interoperability, privacy, security, access, and equality. The post Will 2024 See True Value-Based Care Transformation? appeared first on Health IT Answers.

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Digital Health Company Suffers Breach, 103K Impacted

Health IT Security

Kannact disclosed a breach to HHS that stemmed from unauthorized access to its network and impacted 103,547 individuals.

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The Big Payoff of Application Analytics

Outdated or absent analytics won’t cut it in today’s data-driven applications – not for your end users, your development team, or your business. That’s what drove the five companies in this e-book to change their approach to analytics. Download this e-book to learn about the unique problems each company faced and how they achieved huge returns beyond expectation by embedding analytics into applications.

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Bipartisan reps introduce bill canceling 2024's 3.4% Medicare pay cut to physicians

Fierce Healthcare

A bipartisan group of representatives has introduced a bill into the House that would undo a 2024 physician pay cut finalized last month by the Biden administration. | Provider groups have argued that the scheduled 3.4% cut would come as medical practice costs are set to rise 4.6%, potentially threatening Medicare patients' access to care. The bipartisan bill was quickly applauded by the AMA.

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‘We Want Them Infected’: An Excerpt from Jonathan Howard’s New Book on the COVID-19 Pandemic

Bill of Health

This excerpt from the new book titled “ We Want Them Infected ” is printed with permission from Jonathan Howard, MD and Redhawk Publications. By Jonathan Howard On June 29, 2021, Dr. Harriet Hall penned an essay on the website Science Based Medicine titled “A New COVID-19 Myth?” in which she wrote: A correspondent suggested I should have known that the pandemic was over months ago.

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Q&A: Google's chief clinical officer on AI regulation in healthcare

Mobi Health News

Dr. Michael Howell, chief clinical officer at Google, discusses Med-PaLM's evolution in 2023 and recommendations for regulators developing rules for AI use in healthcare.

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Biden administration urges 9 states to curb high child Medicaid, CHIP disenrollments

Healthcare Dive

Nine states account for about 60% of the decline in children’s Medicaid and Children’s Health Insurance Program enrollment from March through September, according to data from the CMS.

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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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FTC Chief Gears Up for a Showdown With Private Equity

Kaiser Health News

A recent Federal Trade Commission civil lawsuit accusing one of the nation’s largest anesthesiology groups of monopolistic practices that sharply drove up prices is a warning to private equity investors that could temper their big push to snap up physician groups. Over the past three years, FTC and Department of Justice officials have signaled they would apply more scrutiny to private equity acquisitions in health care, including roll-up deals in which larger provider groups buy smaller gr

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Meta Slapped with 390 Million Euro Fine for GDPR Violations

HIPAA Journal

A long-running investigation into the practices of obtaining consent from Facebook and Instagram users to use their personal data for advertising purposes has resulted in a €390 million ($414 million) financial penalty for Meta for violations of the European Union’s General Data Protection Regulation (GDPR). The Irish Data Protection Commission (DPC) launched an investigation into Meta and its subsidiaries following two May 25, 2018 complaints from the privacy and data rights campaigner, Max Sch

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Lawmakers to reintroduce federal nurse staffing ratio bill

Healthcare Dive

The bill mirrors California’s nurse staffing law which took effect in 2004 and outlines exactly how many patients a nurse in specific hospital units can care for at one time.

Nurses 363
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UnitedHealth, OptumRx sued by independent pharmacy over ‘unconscionable’ fees

Healthcare Dive

Osterhaus Pharmacy in Iowa — which is also suing CVS Caremark — is taking issue with pharmacy benefit managers’ use of performance-based fees that it says are contributing to independent pharmacy closures.

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Ensure Continuous Patient Care: How to Avoid Disruptions Due to Ransomware

The industry has seen an increasing pace of ransomware, zero-day, and remote-code execution attacks. Learn how to defend against these against these attacks in this eBook.

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Amazon’s PillPack reports data breach affecting more than 19,000

Healthcare Dive

The online pharmacy said the attack exposed customers’ email addresses, prescription information and contact details for their prescribing provider. Around 3,600 affected accounts included prescription information.

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Hospital lobby opposes noncompete ban, says ‘now is not the time to upend’ labor markets

Healthcare Dive

The American Hospital Association is pushing the FTC to abandon its proposal to eliminate restrictive covenants. At the very least, the lobby wants physicians and senior executives exempt.

Hospitals 363
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Hospitals That Ditch Masks Risk Exposure

Bill of Health

By Nina Kohn and Irina D. Manta This month, New York became the latest to join the growing list of states that have ended their requirements for routine masking in hospitals and other healthcare settings. In response, at least one of the state’s largest hospital systems is throwing off the mask despite the continued high level of virus transmission in New York City and most of the rest of the state.

Hospitals 364
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UPMC, top surgeon pay $8.5M to settle whistleblower lawsuit over simultaneous surgeries

Healthcare Dive

A whistleblower and the DOJ allege that UPMC’s longtime head of cardiothoracic surgery, James Luketich, regularly performed as many as three complex surgeries at the same time and didn’t participate in critical portions of his procedures.

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Generative AI for Contracts Is Here: New Tools to Accelerate Drafting and Editing

The emergence of generative AI is reshaping the landscape of contract management, enabling businesses to generate and negotiate legal agreements with greater ease and speed. In this on-demand webinar, Hal Marcus, VP of Product Marketing at Evisort discusses how Evisort's generative AI transforms contract creation and negotiation, empowering legal teams to streamline processes while reducing risk.

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Inside Kaiser Permanente’s labor relations breakdown

Healthcare Dive

Kaiser Permanente’s novel labor approach allowed for decades of stability, but over a dozen sources familiar with the situation said fractured relationships are straining current negotiations.

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Artificial intelligence could save healthcare industry $360B a year

Healthcare Dive

Broader adoption of AI in healthcare is likely in the near future, and could come with a slew of benefits beyond financial gains, according to McKinsey and Harvard researchers.

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AI, machine learning top health CIO priorities in 2023, survey finds

Healthcare Dive

Artificial intelligence and virtual care technologies are increasingly being adopted by hospitals to ease resource strain, but managing new tools adds “a heavy operational burden” for IT teams.

Hospitals 337
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Oracle to launch generative AI tools integrated with EHR

Healthcare Dive

The clinical digital assistant, which will be available in the next year, will automate notetaking and suggest next steps, like scheduling labs or follow-up appointments.

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Best Practices for Sharing Protected Health Information (PHI)

In this ebook, you will learn about the 18 PHI indicators, the legal requirements and penalties surrounding PHI, and how your healthcare teams should securely exchange this data. Key takeaways from this ebook: Gain confidence in identifying PHI. Acquire practical implementation strategies for exchanging PHI within your organization. Emphasize the importance of using compliant communication tools within healthcare teams.

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UnitedHealthcare cuts back prior authorization requirements

Healthcare Dive

Provider groups applauded the move, but said they’d need to see how the requirements are rolled back before passing judgment on whether the step would ease documentation burdens on physicians.

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Microsoft unveils new generative AI products for health systems

Healthcare Dive

The launches tie in with Microsoft’s ethos of developing high-impact but low-risk use cases for AI in healthcare, according to Microsoft’s VP of healthcare.

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Non-State Actors and Public Health Emergencies

Bill of Health

By Rossella De Falco Strong, well-coordinated and resilient public health care services play a vital role in preventing and responding to public health crises. Under international human rights law, States have a positive, primary obligation to ensure that such health care services are of the highest possible quality and accessible to everyone, everywhere, and without discrimination.

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HHS’ new cyber framework for hospitals includes stricter requirements, potential penalties

Healthcare Dive

The agency’s plans include working with Congress to receive funding to support hospitals’ security infrastructures as the sector faces the growing threat of cyberattacks.

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HIPAA: Why It Matters to Your Practice

85% of practices are not complying with the government’s HIPAA standards. The large majority of practices are likely trying to protect patients’ information, but they may not be doing all that they need to meet government requirements. Not complying with HIPAA has definite drawbacks, with one major one being massive fines. The government can fine up to 1.5 million dollars for a single HIPAA breach incident - an amount that would put most small practices out of business.