Thu.Aug 29, 2024

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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.

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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.

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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.

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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.

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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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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.

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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.

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More Trending

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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

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Mounting insurance expenses, restructuring drag UPMC to $313M H1 operating loss

Fierce Healthcare

Pittsburgh-based UPMC’s operations are $313 million in the red (-2.2% operating margin) halfway through 2024, the integrated nonprofit system reported in a Thursday filing. | Higher volumes, rates and pharmaceutical expenses have so far spelled a tough 2024 for UPMC's insurance division.

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Risant Health plans to invest over $1B into Cone Health post-acquisition

Health Care Dive

The Kaiser Permanente-backed nonprofit health system will invest in facility upgrades and health equity initiatives after it cinches its second acquisition.

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Highmark Health posts $223M Q2 net income as Allegheny Health notches higher patient volumes

Fierce Healthcare

Pennsylvania-based insurer and care delivery network Highmark Health recorded $7.4 billion in revenue and $223 million in net income during the second quarter. | Highmark Health has brought in $7.4 billion of revenue this year, while Allegheny Health Network is experiencing an uptick in ER visits.

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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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The Role of Virtual Care in Reducing Physician Burnout: Strategies for Success

HIT Consultant

Amy Miller, the Regional Director of Growth at AMD Global Telemedicine The burnout rate among physicians and medical teams is soaring, but it’s possible to deflate many healthcare stressors by embracing telehealth solutions. Beating back burnout has become one of the hottest topics in medicine. Just how bad is burnout in healthcare settings? A recently released survey from the American Medical Association (AMA) revealed that nearly two-thirds (62%) of emergency medicine doctors said they w

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Social Media Manipulation in the Era of AI

The Rand Blog

AI has opened a potential propaganda gold mine. Large language models like ChatGPT can learn to mimic human speech. They can respond to jokes and cultural references and engage users in debates. Social media platforms should redouble their efforts to identify, attribute, and remove fake accounts.

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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.

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Exploring Transcranial Magnetic Stimulation (TMS) Therapy for Treatment-Resistant Disorders

Icanotes

Exploring Transcranial Magnetic Stimulation (TMS) Therapy for Treatment-Resistant Disorders If you're a clinician or mental health professional, you understand the challenges of treatment-resistant depression, anxiety and other mental health conditions. While some patients find success with a combination of medications and talk therapy, others have trouble managing symptoms and improving their well-being.

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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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Curative Expands Health Plan to Georgia with $0 Copay, $0 Deductible

HIT Consultant

What You Should Know: – Curative Insurance Company , a healthcare services innovator, is pleased to announce the expansion of its revolutionary health plan to Georgia. – This marks a significant step forward as Curative brings its $0 copay, $0 deductible solution to businesses headquartered in the Peach State. Prioritizing Affordability and Well-being Curative’s health plan is designed to remove barriers to care and prioritize member well-being.

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In-Home Pediatric Care Provider KidsSpot Rebrands, Eyes Expansion 

Home Health Care

KidsSpot has combined its 14 brands to create a single care hub and clinical provider, now called MySpot, offering pediatric therapy both in-center and in-home. Headquartered in Miramar, Florida, MySpot supports over 6,000 families in Florida, Texas, Virginia and North Carolina, with more than 1,350 caregivers in 42 locations. “I’m big on culture, especially within the health care organization,” MySpot CEO Ramon Falero told Home Health Care News.

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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.

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‘Opportunity Is Still Out There’: AI, Regional Payers And The Other Factors Exciting Home Health Leaders

Home Health Care

This article is a part of your HHCN+ Membership Top home health leaders maintain that they’re operating in a space filled with “tons of opportunity.” Payment uncertainty and other contemporary operating dynamics can muddy the waters, but there’s a way through those challenges, those leaders believe. “I’m going to sound delusional,” Pinnacle Home Care CEO Shane Donaldson told me on stage last week at Home Health Care News’ FUTURE conference.

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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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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.

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SDoH-Related Unhealthy Days Lead To Higher Health Care Costs For Medicare Advantage Plans

Home Health Care

When examining a Medicare Advantage (MA) population, one unhealthy day was enough to increase 30-day medical costs, a new study found. The study sought to examine the connection between self-reported physically and mentally unhealthy days and health care costs among an MA population. One of the driving forces behind the study was Papa, a company that has a number of wide-ranging partnerships with MA plans.

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Gen Z Falling Behind on Cancer Screenings: Phone Anxiety and Lack of Awareness Cited

HIT Consultant

What You Should Know: – A recent survey by the Prevent Cancer Foundation reveals a concerning trend among Gen Z (ages 21-27) – they are significantly lagging behind older generations in getting routine cancer screenings. – This lag can potentially have serious health consequences, as early detection is crucial for successful cancer treatment.

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Dark Web Monitoring for Business: Everything You Need to Know

Etactics

Recently, news of a security breach resulting in the leak of potentially millions of United States social security numbers hit the media. A group of hackers stole billions of records from National Public Data. Which is a background check company. That leaked data then found itself on a free hacking forum on the dark web. This obviously resulted in the compromised sensitive data of millions of Americans.

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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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CommonWell Health Alliance Launches New TEFCA-Enabled Platform

HIT Consultant

What You Should Know: – CommonWell Health Alliance, a healthcare interoperability organization, has announced significant advancements in its platform and membership. – The new platform, developed in collaboration with ELLKAY , a healthcare data interoperability expert, is designed to facilitate smoother and more reliable data exchange among healthcare providers.

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Interview with PatientPay CEO Tom Furr on the ClearGage merger

Health Business Group

PatientPay and ClearGage are merging. I interviewed CEO Tom Furr to get his take. The combined offering is intended to deliver a comprehensive billing and payment platform that includes estimation and eligibility along with streamlined patient payments. Doctors offices are generally set up to bill insurance, but patients are now responsible for a lot more of the bill.

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AI’s Advantages to Overcoming Revenue Cycle Management Challenges for Providers

HIT Consultant

Jeff Carmichael SVP of Engineering and Analytics XiFin, Inc. Healthcare providers face staffing shortages, increasing regulatory requirements, and pressure to reduce costs while delivering effective care. Compounding provider problems are payor policy, behavior changes and ongoing fee schedule cuts that compress revenue, as well as mounting denials and additional documentation requests from payors.

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Stuck in the Middle with You: Licensing Reforms for Cross-State Telehealth

Bill Of Health

This post launches a Digital Symposium on The Future of Telehealth Regulation, edited by Carmel Shachar, Assistant Clinical Professor of Law and Faculty Director of the Health Law and Policy Clinic at the Center for Health Law and Policy Innovation. The symposium continues the conversation from a working group held in June 2023 titled “Achieving Telehealth’s Potential”, out of which a Consensus Statement for two feasible policy paths forward emerged.

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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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The Future of RCM: Leveraging AI to Combat Healthcare Providers

HIT Consultant

Jeff Carmichael SVP of Engineering and Analytics XiFin, Inc. Healthcare providers face staffing shortages, increasing regulatory requirements, and pressure to reduce costs while delivering effective care. Compounding provider problems are payor policy, behavior changes and ongoing fee schedule cuts that compress revenue, as well as mounting denials and additional documentation requests from payors.

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EPtalk by Dr. Jayne 8/29/24

HIStalk

I’ve written previously about telehealth and the math that is.

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5 Ways AI Streamlines Prior Authorization Process for Providers & Patients

HIT Consultant

Florence Luna, Co-Founder and CEO of Fig Medical The prior authorization process, integral for confirming the necessity and insurance coverage of medical treatments, has historically been an obstacle in healthcare. In its current state, it has the potential to cause considerable delays and financial burdens for patients and healthcare providers – and the inefficiencies of this process are evident, as approximately 90% of providers report care delays due to this process (AMA), with a signif

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News 8/30/24

HIStalk

Top News PatientPay completes its acquisition of billing, statement, and.

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Creating a Company Culture of Care: Integrating Mental Health, Wellbeing, and DEI in Benefits

Speaker: Sean Raible

Picture a workplace where physiological safety is not just an aim but a reality, driven by thoughtful employee benefits that prioritize mental health, wellbeing, and DEI. 🤔 ✨ Achieving this vision requires more than just occasional training sessions and employee assistance programs. Moving beyond the basics, this vision calls for a holistic approach that integrates these elements into your company culture as well as your HR and benefits strategy.