2023

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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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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

COVID-19 364
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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.

Hospitals 352
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“My Doctor’s Office” Should Accept Wearable Tech Health Data, Most Patients Say

Health Populi

“Do personal health trackers belong in the doctor’s office?” Software Advice wondered. “Yes,” the company’s latest consumer survey found, details of which are discussed in a report published on their website. Unique to this study is the patient sample polled: Software Advice surveyed 876 patients in September 2023 to gauge their perspectives on wearable tech and health.

Doctors 162
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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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Primary care player Forward unveils AI-based, self-serve CarePods backed by $100M investment

Fierce Healthcare

Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.< | Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.

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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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Why hackers attacked a health system on Thanksgiving

Becker's Health IT

Cybercriminals attacked a major U.S. health system the week of Thanksgiving, disrupting hospitals and surgeries across multiple states. IT security chiefs share their takeaways from the incident.

Hospitals 123
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Disquiet grows over perceived Palantir takeover of FCI

Digital Health News

The FCI has been wracked by more resignations of trustees, triggered by deep disquiet among some members about growing ties to Accenture and Palantir.

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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

Hospitals 119
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Oracle Health Goes Beyond Visit Summaries with Its Use of AI in Their EHR

Healthcare IT Today

Many companies are jumping on the AI bandwagon to offer services ranging from risk stratification to auto-generation of patient notes after a visit. Oracle Health wants to move further. In this video at the Oracle Health conference, Senior Vice President of Product Management, Suhas Uliyar describes how Oracle Health is creating tools that accompany and augment the workflow of physicians, nurses, and patients.

Nurses 127
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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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Healthcare bankruptcies are rising. Here are five major filings so far in 2023.

Healthcare Dive

Bankruptcies have spiked this year as federal COVID-19 funding lapsed and heightened interest rates, regulatory changes and labor shortages squeezed the sector.

COVID-19 346
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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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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

HIPAA 140
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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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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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Hospitals: UHC's 2024 MA coverage policy 'blatantly violates' new CMS coverage requirements

Fierce Healthcare

Hospitals are petitioning the Biden administration to crack down on Medicare Advantage (MA) plans they say are flaunting coverage requirements recently codified by the Centers for Medicare & Me | The nation's largest MA operator is skirting new CMS regulations prohibiting MA plans from limiting or denying coverage for hospital services that would be covered under traditional Medicare, the hospital industry told federal officials this week.

Hospitals 139
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23andMe Launches Health Action Plan Based on Genetic/Health Data

HIT Consultant

What You Should Know: – 23andMe , a genetic health and biopharmaceutical company launched Health Action Plan, a new digital tool for 23andMe+ members that draws on results from genetic reports, health history survey data, as well as blood and biomarker data to provide a uniquely tailored set of health recommendations out of hundreds of options. – Health Action Plan is a helpful first step when it comes to prevention and early risk detection.

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Google debuts new Vertex AI Search capabilities for health providers

Mobi Health News

When combined with Med-PaLM 2, providers and life sciences companies can obtain answers to questions about patient medical records and general medical knowledge.

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Where are all the nurses? Hospitals, advocates disagree on crisis

Healthcare Dive

Hospitals and nursing unions clash on what’s driving sluggish application rates for open registered nurse positions at hospitals — a lack of qualified candidates or a lack of interest.

Nurses 324
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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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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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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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Cristina Britez and the Many Faces of Obstetric Violence

Bill of Health

By Alma Beltrán y Puga This past weekend marked the 25 th of November, a day to remember that all manifestations of gender-based violence should be prevented and eliminated in health procedures. Unfortunately, one of the most prevalent forms of gender-based violence — obstetric violence — has not been sufficiently addressed by health practitioners.

Doctors 312
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Healthcare worker exodus continued through 2022, new data shows

Healthcare Dive

Physicians accounted for nearly half of departures from 2021 through 2022, with staffing shortages putting care quality at risk, according to a new report from Definitive Healthcare.

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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.

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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.

COVID-19 364
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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 329
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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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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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The 2023 Behavioral Health Industry Report

This report explores current issues in the behavioral health industry in 2023. Topics covered include quantitative statistics describing the overall increase in behavioral health issues, the impact of psychologist and staff burnout, how HIPAA compliance is once again at the top of our minds & much more!

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Unmasking Public Health

Bill of Health

By Jane Moriarty One of the U.S. Centers for Disease Control and Prevention’s stated “essential public health services” is to “create, champion, and implement policies, plans, and laws that impact health.” Yet, as the U.S. slogs through its third COVID winter, one thing is clear: personal responsibility and autonomy are at the heart of public health messaging.

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Hospitals share differing medical prices online versus over the phone, secret shopper survey finds

Healthcare Dive

The study raises new questions about the dependability of hospital pricing, and builds on a mountain of research finding wide variance in pricing between different hospitals — and within the same facility.

Hospitals 338
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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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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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Streamlined Compliance Facilitates Growth for Multi-Specialty ASC

Discover how MedTrainer solved an unmet need for SurgCenter of Western Maryland, reducing the time and effort it took to monitor and remind staff about crucial annual training. Learn how this intuitive platform helped increase training completion and save staff time, leading to increased efficiency, fewer human errors, and greater overall satisfaction.