Thu.Oct 17, 2024

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UnitedHealth, CVS, Humana, increasingly deploy AI and deny post-acute care claims, Senate report finds

Fierce Healthcare

The country’s three largest Medicare Advantage (MA) insurers obstruct seniors’ ability to receive post-acute care, a scathing report from the U.S. | A report from Sen. Richard Blumenthal, D-Connecticut, found that the country's biggest Medicare Advantage insurers use artificial intelligence to control costs and deny prior auth claims.

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New legislation aims to tame ‘Wild West’ in healthcare cybersecurity

Health Care Dive

The bill, announced last month by Sens. Ron Wyden and Mark Warner, is a good step forward, but hospitals may need more funds to boost their cybersecurity practices, experts say.

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CHAI floats draft framework to certify AI assurance labs as oversight efforts move forward

Fierce Healthcare

The Coalition for Health AI (CHAI) announced the completion of two draft documents on Friday that may have a big effect on the future of AI in healthcare. | After Deputy Secretary Andrea Palm announced that HHS will work with industry to develop a national network of quality assurance labs for AI, CHAI is releasing two draft documents that spell out how to certify those assurance labs and an AI "nutrition label" for healthcare decision-makers.

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Elevance lowers guidance on ‘unprecedented’ Medicaid challenges

Health Care Dive

Executives said the increased costs pressuring its Medicaid business would improve after states updated payment rates to better match member acuity.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva 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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Think in Threes to Maximize Health Plan ROI on Electronic Prior Authorization

Fierce Healthcare

Think in Threes to Maximize Health Plan ROI on Electronic Prior Authorization | Prior Auth typically involves integration of information from at least three systems – start connecting your team today.

More Trending

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Wisp launches weight care vertical with GLP-1s, OTC supplement

Fierce Healthcare

Wisp, a virtual provider of sexual and reproductive health services, is launching a new weight care vertical to help women struggling with hormonal imbalances. | Weight management issues are common in women dealing with conditions like menopause, PCOS or endometriosis, company executives say. The goal is to offer weight care personalized to women.

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Delivering interoperability for connected care

Healthcare It News

Sponsor: Hyland Primary topic: Interoperability Topic: Interoperability Patient Engagement Resource Central: White Papers External url: [link] Thumbnail: Body: Sponsor: Hyland Enterprise Taxonomy: Interoperability Quality Care Data and Information Care Short Headline: Delivering interoperability for connected care Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed

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Direct to Patient Healthcare

Healthcare Success

Struggling with burnout while maintaining high-quality healthcare services that patients love? Tune in to our latest podcast as Lee Aase, founder of HELPCare, LLC, shares how he transitioned from his pioneering social media work at Mayo Clinic to lead an innovative membership-based direct-to-patient healthcare business. This podcast is a must-listen for healthcare leaders and primary care practitioners seeking innovative ways to enhance patient access, optimize care delivery, and address challen

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Evernorth, Transcarent team up for cancer care program

Fierce Healthcare

Evernorth has tapped Transcarent to power its Oncology Benefit Services offering, which aims to offer end-to-end support for cancer patients for the course of their care journey. | Evernorth has tapped Transcarent to power its Oncology Benefit Services offering, which aims to offer end-to-end support for cancer patients for the course of their care journey.

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Fertility Benefits Playbook: How HR Leaders Are Delivering Value in 2025

Speaker: Kaitlin Ruby Carroll

Fertility benefits have become a crucial component of employee well-being and retention strategies. In today’s competitive landscape, creating a fertility benefits program that aligns with both employee needs and organizational goals can be more complex than it seems. From cycle-based to flat-dollar and telehealth models, each solution offers unique advantages and challenges that directly affect employee satisfaction and financial well-being.

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Why Home Health Providers Want Employees Working At Top Of License 

Home Health Care

As home health organizations fight for a margin in tough labor and payment environments, they are increasingly seeking ways to help employees practice at the top of their licenses. By applying top-of-license assignments in organizations, less complex work is handed off to the level below. This allows organizations to see more patients, bill for more services, reduce burnout and provide better care.

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Medicaid drags Elevance Health as it misses on profit in Q3

Fierce Healthcare

Elevance Health fell short of Wall Street analysts' predictions, posting $1 billion in profit amid rising medical costs. | Elevance Health fell short of Wall Street analysts' predictions, posting $1 billion in profit amid rising medical costs.

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OPTAC-X, Mayo Clinic Pioneer Satellite-Enabled Telehealth for Emergency Cardiac Care

HIT Consultant

What You Should Know: – OPTAC-X , a leader in telehealth solutions, and Mayo Clinic have achieved a milestone in emergency medicine by utilizing satellite-enabled telehealth to guide a successful cardiac arrest resuscitation outside of a hospital setting. – This innovative approach, detailed in a recent publication in “ Mayo Clinic Proceedings: Digital Health ,” highlights the potential of remote patient monitoring to extend critical medical expertise to even the most rem

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Color Health builds out virtual cancer clinic, taking aim at employer, health plan market

Fierce Healthcare

Cancer continues to be employers' biggest treatment cost, driving up healthcare spending. | Health tech company Color Health is doubling down on its play for employer-sponsored cancer care, building on its work with the American Cancer Society to support employees and health plan members from early detection and diagnosis through treatment and survivorship.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

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Ontada Transforms Unstructured Oncology Data with Microsoft Azure AI

HIT Consultant

What You Should Know: – Ontada , a McKesson business specializing in oncology real-world data and evidence, has formed a strategic partnership with Microsoft to leverage the power of Azure AI in transforming cancer care. – The partnership will harness the capabilities of Azure OpenAI Service to efficiently process vast amounts of unstructured oncology data, unlocking valuable insights and ultimately improving patient outcomes.

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MD Home Health Expands Service Offerings To Become ‘One-Stop Shop’ For Patients

Home Health Care

MD Home Health is expanding its offerings with the addition of new services. The company’s offerings will include in-clinic care, virtual care, remote patient monitoring (RPM), house calls and hospice. The move positions MD Home Health as a one-stop shop for care delivery. “Our new and comprehensive services are designed to ensure that patients have convenient and flexible options to access quality healthcare how, when and where they need it,” David P.

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Health Note Launches AI Scribe to Transform Medical Documentation

HIT Consultant

What You Should Know: – Health Note , a leading AI-driven intake company, is announcing the launch of the Health Note AI Scribe, further freeing clinicians from hours of manual documentation. – With this new product, Health Note becomes the first company to coordinate medical documentation before, during, and after each visit. Streamlining Clinical Workflows with Health Note’s Intelligent Patient Intake Platform Health Note is the first clinically intelligent platform designed to

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How Much Would Adults Age 50+ Trust AI-Generated Health Information? Not Much.

Health Populi

Health literacy and, indeed, literacy across the many layers relevant for health (digital, medical, financial), is a challenge for people of all ages. The Institute for Healthcare Policy Innovation’s National Poll on Healthy Aging at the University of Michigan focused on people 50 and over in their latest study published this month: Health Literacy – How Well Can Older Adults Find, Understand, and Use Health Information.

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

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Komodo Health Launches National Drug Projections for Real-Time Prescription Trends

HIT Consultant

What You Should Know: – Healthcare technology company Komodo Health today launches a new product, National Drug Projection s, bringing its customers a clear, complete, and detailed view of how many prescriptions are filled across the country for any group of medications. -The new solution unlocks real-time market landscape intelligence, such as prescription volume, units dispensed, and new patient starts, to deliver an in-depth understanding of treatment dynamics that can better inform re

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Future Leader: Laurel Arias, Senior Director of Client Experience, Axxess

Home Health Care

The Future Leaders Awards program is brought to you in partnership with Homecare Homebase. The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. To see this year’s Future Leaders, visit [link]. Laurel Arias, senior director of client experience at Axxess, has been named a 2024 Future Leader by Home Health Care News.

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Google Research Expands AI-Powered Diabetic Retinopathy Screening to India and Thailand

HIT Consultant

What You Should Know: – Google Research is taking a significant step towards reducing preventable blindness by expanding access to its AI-powered diabetic retinopathy screening model in India and Thailand. – This initiative aims to address the growing need for accessible and efficient screening in regions with limited access to eye care specialists.

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Bond Ambition in Leadership's Battle for Belief

The Rand Blog

In an age of information overload, leaders must build “bond ambition” by creating authentic connections and trust, beyond mere tactical communication. This involves meaningful narratives and consistent actions to forge lasting bonds and shared visions.

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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Q/A: Trace3 Director Talks Leveraging AI-Driven Anomaly Detection for Enhanced Patient Data Privacy

HIT Consultant

Sarah Danielson, MS, MBA, CPDHTS, CDH-L, FACHDM, Sr Director, Strategy & Advisory, Health Solutions Group at Trace3 With healthcare data breaches on the rise and concerns about patient privacy escalating, the role of AI in anomaly detection is becoming increasingly critical. To address these challenges and improve patient data security, AI-driven anomaly detection is emerging as a critical solution.

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Health Care, AI, and the Law: An Emerging Regulatory Landscape in California

Bill Of Health

by Rebekah Ninan This past month, California Governor Gavin Newsom signed a wave of artificial intelligence-related legislation into law. Much public debate has been focused on SB 1047, a proposal ultimately vetoed by Governor Newsom, which would have held AI companies liable for “ catastrophic harms ” from AI models. Comparatively little attention has been paid to three new laws aimed at health care-related AI and data privacy.

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65% of Consumers Do Not Seek Healthcare Until It’s Urgent, PwC Survey Reveals

HIT Consultant

What You Should Know: – A new survey from PwC highlights significant disparities in how consumers experience the U.S. healthcare system with 65% of consumers revealing they do not seek healthcare until it’s urgent. – The 2024 Healthcare Consumer Insights Survey reveals concerning trends in affordability, preventive care, and technology adoption, underscoring the need for personalized and accessible solutions.

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Delivery Point Validation: An Ultimate Guide

Etactics

Did you know that over 5% of mail is undeliverable ? That might not seem like a high percentage. But, the USPS sends 152.3 million pieces of mail per day alone. 5% of 152. million equates to 7.6 million pieces of undeliverable mail per day. That’s an expensive mistake. So, how does the USPS try to fix this issue? Delivery Point Validation. You might be wondering, what does a fancy term like Delivery Point Validation have to do with ensuring that mail is deliverable?

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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.

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Pip Care Raises $5M for AI-Powered Surgical Journey Platform

HIT Consultant

What You Should Know: – Pip Care , a company revolutionizing the surgical experience for patients and care teams, has successfully raised $5 million in Series A funding led by A1 Health Ventures with participation from UPMC Enterprises. – Pip Care is the first company to emerge from a collaboration between Redesign Health , a global healthcare venture builder, and UPMC Enterprises, the innovation arm of UPMC.

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New From Clearwave Innovation Lab: Remaining Deductible & Clinical Intake Enhancements

Clearwave Inc

Reading Time: 3 minutes By Blakely Roth | October 17, 2024 It’s that time again — see all the new and exiting product enhancements straight from the Clearwave Innovation Lab. Here’s the latest… In our ongoing effort to enhance our solutions, based on your feedback, we are thrilled to introduce three new and enhanced features: Remaining Deductible now in the Dashboard and Clinical Intake integration enhancements for ModMed and TouchWorks EHR systems.

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Color Health Expands Virtual Cancer Clinic for Employees and Members

HIT Consultant

What You Should Know: – Color Health announces the expansion of the nation’s first fully integrated virtual cancer clinic. – With this expansion, Color integrates new clinical and support capabilities into the leading cancer program for employers, unions, and health plans to support individuals at every stage of their cancer journey—spanning early detection, diagnosis, treatment, and survivorship.