Fri.Jan 17, 2025

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False claims settlements in healthcare total $1.7B in 2024

Health Care Dive

Healthcare fraud investigations accounted for more than half of the Department of Justice’s settlements and judgments in 2024, which totaled north of $2.9 billion.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Healthcare recoveries were once again the lion's share of fiscal year 2024's $2.9 billion total. Law enforcement highlighted big-ticket settlements with Rite Aid, Community Health Network and Oak Street Health, among others.

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HIMSSCast: How digital health can lower costs and enhance care delivery

Healthcare It News

The pressures on healthcare are significant. But many experts believe digital health can help hospitals and health systems cope with these pressures. There are various challenges in healthcare driving up costs, impacting both providers and patients. But there are advancements in care delivery helping alleviate inflationary pressures. Digital health has a role to play in lowering costs and bridging these divides for providers as well as patients.

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Welsh Carson agrees to pare back anesthesia market power to avoid new FTC suit

Health Care Dive

Antitrust regulators have reached a deal with Welsh, Carson, Anderson and Stowe that doesn’t penalize the private equity firm for rolling up the market for anesthesia services in Texas, but tries to prevent it from happening again.

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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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Fierce Healthcare - Untitled Article

Fierce Healthcare

Only 61% of hospitals using AI or a predictive model report evaluating for accuracy using local data, and just 44% do so for bias, according to a recent study. Analyses suggest that hospitals with fewer resources are less likely to evaluate, leaving their patients at greater risk for harm.

Hospitals 136
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Divestitures and distressed deals defined hospital M&A in 2024: report

Health Care Dive

Last year was a record year for health system divestitures, and Kaufman Hall expects to see more in 2025.

Hospitals 115

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Mayo Clinic, SandboxAQ Expand Collaboration to Advance AI Cardiac Diagnostics in Amyloidosis

HIT Consultant

Image by freepik What You Should Know: – Mayo Clinic is expanding its collaboration with SandboxAQ , a provider of artificial intelligence (AI) medical apps to explore the use of electrocardiography (ECG) and magnetocardiography (MCG) technologies for characterizing disease progression and treatment response in patients with amyloidosis. – The expanded partnership highlights the potential of combining AI and advanced sensing technology to revolutionize cardiac diagnostics.

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[ANSWERED] How to Get Insurance to Cover Out-of-Network

Etactics

American healthcare accessibility and insurance policies remain a hot topic in the US. Although about 90% of adults in America have some sort of health insurance, many still struggle with medical debt. Especially when dealing with out-of-network costs. Receiving care from a professional within your insurance plan costs less, but is not always attainable.

Doctors 52
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Selfii Launches TripleBlind Exchange: Access PHI Without De-identification

HIT Consultant

What You Should Know: – Selfii , the leader in privacy-preserving health data solutions for individuals and healthcare organizations, today announced the launch of TripleBlind Exchange. – This is a first-of-its-kind data marketplace enabling secure, HIPAA/GDPR-compliant access to protected health information (PHI) without the need for traditional de-identification methods, marking the solution as a novel alternative to current market offerings.

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Fewer Medicare Advantage Plans Are Offering Home-Based Care Services For 2025

Home Health Care

Last year, many major Medicare Advantage (MA) organizations released previews of what benefits they planned to offer seniors this year. Many of these organizations have moved away from offering plans that include home-based care services. In fact, ATI Advisory found that fewer MA plans were offering benefits, such as in-home services and support, as well as support for caregivers compared to the previous year.

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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

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Cybersecurity and Business: Everything You Need to Know

Etactics

Did you know that from 2021 to 2023 there was a 72% increase in data breaches? With an increase in data breaches, your businesses know how they can stay safe from them. Before we dive into everything, let's first discuss what hackers want when hacking businesses. In most cases, theyre trying to get sensitive data, including banking information. They also try to lock the business out of their servers and hold them at a set ransom.

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Re-Entry Updates: CMS Releases SPA Templates for Mandatory Reentry Services for Youth and New Funding Opportunity

Health Policy News

Health Policy News Special Edition Re-Entry Updates: CMS Releases SPA Templates for Mandatory Reentry Services for Youth and New Funding Opportunity This month the Centers for Medicare and Medicaid Services.

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Recent Digital Health Executive Hires and Promotions: Medidata Expands Team, CareRev, Philips, Eko Health, Others

HIT Consultant

AVIZVA , a health-tech organization that offers a variety of solutions for healthcare enterprises, that it has appoints James Vertino as its new CEO. Model N appoints Bret Connor as Chief Executive Officer. The Board of Directors of Blue Shield ofCalifornia appoints Lois Quamas chief executive officer to lead Blue Shield ofCalifornia, the first woman to serve as CEO in the health plan’s 86-year history.

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Partnership For Quality Home Healthcare To Merge With National Alliance For Care At Home

Home Health Care

The Partnership for Quality Home Healthcare (PQHH) will shut down effective March 1. The PQHH board of directors will join efforts with the National Alliance for Care at Home (the Alliance) to create a stronger and unified voice for the industry. By collaborating with the Alliance, the PQHH board aims to enhance advocacy on public policy and regulatory issues impacting the home health community.

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How to Make The Best Benefits Decisions for 2025's Workforce: An HR and Total Rewards Guide

Speaker: Kaitlin Ruby Carroll

Retaining top talent in 2025 means rethinking benefits. In a competitive job market, fertility benefits are more than just offerings - they are a commitment to your team’s well-being. Gain critical insights into the latest fertility benefits strategies that can help position your organization as an industry leader. Our expert will explore the unique advantages and challenges of each model, share success stories from top organizations, and offer practical strategies to make benefits decisions tha

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Likely to be the last defining health policy act as President, Joe Biden's administration unveiled its list of 15 drugs for the second annual round of drug price negotiations, made possible through the Inflation Reduction Act.

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Choice Health At Home Acquires Family Tree Private Care

Home Health Care

Choice Health at Home has acquired Family Tree Private Care, solidifying its comprehensive continuum of care for patients in Texas, Colorado and the southwestern U.S. Since 2017, Family Tree has completed more than 20 acquisitions and built a reputation as a provider of private caregiving, nursing and care management services. With this merger, Family Trees operations in key markets across Texas and Colorado will integrate into Choices expanding network, reinforcing its infrastructure and paving

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CMS comes out with List of Drugs for 2027 Price Negotiation

Healthcare ECONOMIST

From the CMS document “ Medicare Drug Price Negotiation Program: Selected Drugs for Initial Price Applicability Year 2027 “: On January 17, 2025, CMS announced the selection of the below list of 15 drugs covered under Medicare Part D for the second cycle of negotiations (initial price applicability year 2027), based on total gross covered prescription drug costs under Medicare Part D and other criteria as required by the law.