Trending Articles

article thumbnail

PBM executives threatened with fines and jail time for alleged perjury in House hearing

Health Care Dive

Testimony from the heads of Express Scripts, Optum Rx and Caremark in July defending pharmacy benefit managers’ business practices could be coming back to bite them.

336
336
article thumbnail

Elation Health rolls out AI scribing tool embedded in its EHR for primary care docs

Fierce Healthcare

As artificial intelligence tools make their way into hospitals and doctor's offices, Elation Health saw a big opportunity to leverage its expertise in building clinical-first tech to roll out AI pu | As artificial intelligence tools make their way into hospitals and doctor's offices, Elation Health saw a big opportunity to leverage its expertise in building clinical-first tech to roll out AI purpose-built for primary care doctors.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Feds killed plan to curb Medicare Advantage overbilling after industry opposition

Fierce Healthcare

A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars—only to abruptly back off amid an “uproar” fr | Filings and testimonies in a multibillion-dollar Justice Department civil fraud case against UnitedHealth Group outline industry pressure that led the government to bury a proposed rule on Medicare Advantage chart reviews.

Medicare 329
article thumbnail

New cancer patients check EHRs twice as often

Healthcare It News

Once a cancer diagnosis is confirmed, a patient's life is not only altered but there is a lot to learn as they make care decisions. "For cancer survivors and those managing a recent diagnosis, having access to online medical records via patient portals or smartphone-based health apps is critical," said researchers from the U.S. Health and Human Services in a new report that examines the use of electronic health information.

article thumbnail

Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

article thumbnail

Mergers & Acquisitions: The Value of Early Preparation With Andre Ulloa

Healthcare Success

As you might expect, our agency networks with lots of people in the financial world, including investment bankers and private equity firms. To capture today’s M&A trends and insights , I interviewed Andre Ulloa, a Partner and Executive Advisor at M&A Healthcare Advisors (MAHA), a boutique advisory firm and investment bank. Our podcast interview covered a lot of ground, including the basics—like the differences between finders, business brokers, advisors, and investment banks.

article thumbnail

Penalizing Hospitals Won’t Stop Ransomware: Why Collaboration, Not Fines, is Key to Healthcare Cybersecurity

HIT Consultant

Chris Bowen, Founder and CISO, ClearDATA The recent $50 million initiative announced by the Advanced Research Projects Agency for Health (ARPA-H) can’t hurt in the ongoing battle against ransomware in the healthcare sector. This investment is aimed at strengthening the cybersecurity defenses of hospitals nationwide, protecting sensitive patient data, and enhancing the resilience of healthcare systems against cyber threats.

Hospitals 108

More Trending

article thumbnail

TennCare violated healthcare rights of Tennessee Medicaid beneficiaries, judge rules

Fierce Healthcare

TennCare, the state of Tennessee’s Medicaid program, intentionally prevented families from receiving healthcare coverage and benefits, a federal district judge determined Aug. 26. | TennCare, the Tennessee state Medicaid program, was found to have intentionally prevented families from receiving healthcare coverage and benefits, a federal court found.

Medicaid 307
article thumbnail

Customer Service Revolution with Knowledge-Backed Gen AI: Trends and Healthcare Success Story

Healthcare It News

Sponsor: eGain Primary topic: Artificial Intelligence Topic: Artificial Intelligence Patient Engagement Resource Central: Upcoming Webinars External url: [link] Thumbnail: Body: Enterprise Taxonomy: AI Analytics Data and Information Short Headline: Customer Service Revolution with Knowledge-Backed Gen AI: Trends and Healthcare Success Story Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed

article thumbnail

How to Produce Content More Efficiently (Our Best Tips)

Healthcare Success

The healthcare industry is under immense pressure to produce content quickly. Generative AI might seem like a quick fix, but the industry’s specific challenges often get in the way. Learn how to streamline your content creation process without sacrificing quality or compliance. Here are our best tips: Prioritize Performance Analytics Determining the effectiveness of content quickly and accurately is challenging, so it’s important to build the right team or partner with the right agency.

article thumbnail

Physician Burnout: Over 25% of Physicians Do Not Utilize Their Annual Vacation Days

HIT Consultant

What You Should Know: – A recent report by G-Med , a global online physician community, sheds light on the alarming issue of physician burnout and its impact on vacation time. The report , based on extensive analysis of peer-to-peer discussions among verified physicians, reveals that a significant number of doctors are not taking all their allotted vacation days, either due to workload pressures or discomfort in requesting time off.

Doctors 108
article thumbnail

How to Battle Layoffs: The Career Star Accelerator Bootcamp

Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.

article thumbnail

Semaglutide coverage for weight loss could cost Medicare billions: study

Health Care Dive

If all newly eligible patients received semaglutide, Medicare Part D spending could increase by $34 billion to $145 billion each year, according to new research.

Medicare 280
article thumbnail

Vendor Notebook: Specialty pharma, primary care AI to speed care

Healthcare It News

This week more vendors announce integrations with artificial intelligence-driven tools and platforms that better connect patients and doctors during visits, find and lower specialty medication costs and access care resources at home or on the go. Pfizer pledged to simplify access to routine healthcare with partners like Instacart and Zocdoc on a user-friendly web-based platform aimed directly at consumers.

article thumbnail

Cardinal Health Expands At-Home Solutions Business Amid ‘Significant Growth’

Home Health Care

Cardinal Health Inc. (NYSE: CAH) just set up shop in Greenville, South Carolina. The company recently opened its largest distribution center supporting the Cardinal Health at-Home Solutions business to date. The Greenville, South Carolina location fills a critical gap in the company’s distribution, Jamie Deist, vice president of warehouse operations for Cardinal Health at-Home, told Home Health Care News.

article thumbnail

Upgrade Hospital Cybersecurity with Passwordless, Phishing-Resistant MFA

HIT Consultant

Mike Harris, Sr. Manager of Business Development for ELATEC Inc. In February 2024, the Change Healthcare ransomware attack shut down healthcare billing and authorization systems for providers across the nation, substantially impacting business systems, finances and patient care. United HealthGroup, the parent company of Change Healthcare, estimates that losses so far have topped $872 million , including a $22 million ransom payment and other direct and indirect costs related to the event.

Hospitals 109
article thumbnail

5 Essentials for Healthcare CIOs: A Provider Data Management Checklist

Complete and accurate provider data is essential for health organizations to operate effectively. A better understanding of your provider network helps to understand patients and consumers, identify gaps in care, and make the best possible decisions for your businesses. A modern provider data management solution should power a complete and accurate view of each of your providers, make this data easily accessible across functional groups, and be flexible and agile enough to scale. with your needs

article thumbnail

OIG estimates 1 in 4 for-profit nursing homes not complying with infection control staffing rules

Health Care Dive

Facilities reported challenges hiring and retaining qualified infection prevention personnel, according to the analysis by the HHS’ Office of Inspector General.

Nursing 256
article thumbnail

Recent moves by Epic, Carequality mark a major shift in interoperability, health IT experts say

Fierce Healthcare

Electronic health records giant Epic recently announced plans to transition its customers to a new government-backed data exchange by the end of next year. | Carequality and Epic both revealed plans to align with TEFCA, signaling potentially a "tectonic shift" in the interoperability landscape and the rising influence of the federal government's nascent network, health IT experts say.

306
306
article thumbnail

Exec appointments at HL7 Australia, ADHA and more briefs

Healthcare It News

New chair at HL7 Australia HL7 Australia has appointed David Rowlands as its new chair, replacing Dr Isobel Frean after three years. It has also named Dr Andy Bond to its board. Rowlands served the board of the Australasian Institute of Digital Health, to which he is also a fellow and honorary life member. He is also certified in health informatics by the Certified Health Informatician Australasia program.

Nursing 173
article thumbnail

FTC Targets Care.com For ‘Unlawful Practices,’ Orders $8.5M Refund For Users 

Home Health Care

The Federal Trade Commission (FTC) has taken action against Care.com, alleging that the company’s platform systematically deceived caregivers seeking jobs and failed to provide a simple way for families to cancel their paid memberships. Care.com is an online platform that connects people seeking to hire workers for various jobs – such as child and older adult care, care for individuals with special needs and pet sitting – with those looking for work.

article thumbnail

A Guide to Improved Sepsis Detection & Compliance: 6 Areas You Should Address

This guide highlights key areas that your sepsis detection platform should address to minimize the impact of this leading, entirely preventable cause of in-hospital deaths, as well as how to increase compliance by 20% in 30 days. Download to learn more!

article thumbnail

PathAI’s AISight Dx Receives CE Mark for Primary Diagnosis

HIT Consultant

What You Should Know: – PathAI , a pioneer in AI-powered digital pathology, has achieved a significant milestone with the CE mark certification of its AISight Dx Image Management System (IMS) for primary diagnosis. – The certification paves the way for PathAI’s expansion into the European diagnostic pathology market, offering pathologists a powerful tool to enhance their interpretations and improve laboratory efficiency.

article thumbnail

Walgreens sued by shareholder amid plummeting stock price

Health Care Dive

The company’s top directors — including CEO Tim Wentworth and CFO Manmohan Mahajan — allegedly breached their fiduciary duty by inflating Walgreens’ performance projections.

194
194
article thumbnail

Rep. Comer threatens PBM execs with fines, jail time over 'fraudulent' hearing testimony

Fierce Healthcare

A key legislator is accusing the leaders of the three largest pharmacy benefit managers of making fraudulent statements during a hearing last month on the industry. | A key legislator is accusing the leaders of the three largest pharmacy benefit managers of making fraudulent statements during a hearing last month on the industry.

256
256
article thumbnail

Better cancer outcomes from driving behavioral change

Healthcare It News

Enterprise Taxonomy: Quality Care Operations Health and Wellness Population and Public Health Patient safety Strategic Planning Digital Health Care Business Organizational Governance Technology Node settings: Exclude from Accelerate RSS feed

article thumbnail

The New Tech Experience: Innovation, Optimization, and Collaboration

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

article thumbnail

NAHC-NHPCO Alliance Names Dr. Steve Landers As Inaugural CEO

Home Health Care

The National Association for Home Care & Hospice (NAHC)-National Hospice and Palliative Care Organization (NHPCO) Alliance has named its new leader. Dr. Steve Landers – a longtime home health veteran – will serve as the inaugural CEO. Landers is the former CEO of the Visiting Nurse Association (VNA) Health Group, a nonprofit home health, hospice and palliative care operator that serves patients in Ohio and New Jersey.

Home Care 111
article thumbnail

Aging in Place: The Silent Epidemic Crippling Seniors’ Well-Being

HIT Consultant

What You Should Know: – A new survey conducted by Alignment Health reveals the significant social and environmental factors that are impacting the health and well-being of seniors in the United States. These factors, known as social determinants of health , are preventing seniors from living healthier lives. – The 2024 Social Threats to Aging Well In America was conducted via an online poll of 2,051 Americans aged 65 and older between April 30 and May 21, 2024.

Home Care 105
article thumbnail

Hospitals boost operating margins in July: report

Health Care Dive

Increased demand for services helped offset high expenses for hospitals during July, according to analytic solutions firm Strata.

Hospitals 240
article thumbnail

Aetna to roll out expanded fertility benefits nationwide

Fierce Healthcare

Aetna will now cover intrauterine insemination (IUI) as a benefit in eligible plans nationwide, becoming the first major insurer to expand coverage nationally. | Aetna will now cover intrauterine insemination as a benefit in eligible plans nationwide, becoming the first major insurer to expand coverage nationally.

261
261
article thumbnail

Strategies to Deal with Collaborative Healthcare Communication

Speaker: Dr. Ugo Uwaoma, MD, MBA

Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.

article thumbnail

Personalized, preventative care drives the UAE's digital health strategy

Healthcare It News

Enterprise Taxonomy: Population and Public Health Operations Data Science Data management Strategic Planning Care Business Data and Information Organizational Governance Node settings: Exclude from Accelerate RSS feed

article thumbnail

Home Care Leaders Are Embarking On New, Future-Facing Paths To Find Success

Home Health Care

Leaders at companies like Help at Home, HCR Home Care and Home Helpers are making major changes at their organizations with an eye towards the future. At Home Helpers, the biggest change that has taken place over the past year has to do with data and informatics. The company is using the information gleaned from this data to make decisions at a macro and micro level.

Home Care 111
article thumbnail

AI Holds Promise for Improving Patient Experience, Survey Finds

HIT Consultant

What You Should Know: – A new survey conducted by Talkdesk has revealed the growing optimism among consumers about the potential of artificial intelligence (AI) to improve the healthcare experience. – While AI is still in its early stages of adoption in healthcare, patients are hopeful that it can streamline processes, reduce administrative burdens, and improve access to care.

article thumbnail

AI still the most exciting emerging technology for healthcare: survey

Health Care Dive

AI was the most compelling new technology for the fourth year in a row, with leaders also saying the technology had shown the most improvement, according to the Center for Connected Medicine.

article thumbnail

Level up Culture & EQ | Sign up for the #CultureDrop

Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.