Thu.Sep 19, 2024

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Indiana insurers, hospitals accused of Medicaid fraud in giant whistleblower lawsuit

Fierce Healthcare

Major Indiana managed care organizations and health systems are blamed for defrauding the state Medicaid system by tens, if not hundreds, of millions of dollars, says a newly unsealed whistleblower | A newly unsealed lawsuit alleges major health insurers and health systems defrauded Indiana Medicaid by hundreds of millions of dollars, with the government office likely influenced by corporate lobbying.

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Supply chain cyberattacks threaten healthcare. How the industry can work together to limit disruption.

Health Care Dive

At a Google Cloud panel this week, information security officers from major health systems said the sector needs to assess their vendor risks to prevent disruptive cyberattacks.

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Nvidia's venture arm backs $17M investment in Hippocratic AI to build out generative AI healthcare agents

Fierce Healthcare

Three months ago, startup Hippocratic AI released its first commercial product, a generative AI-based, task-specific healthcare agent. | Nvidia's venture capital arm, NVentures, along with Greycroft and Lee Shapiro of 7Wire Ventures, backed a $17 million investment in Hippocratic AI to fuel its product development of generative AI "agents.

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Epic and Oracle Health sign on to Veteran Interoperability Pledge

Healthcare It News

A little less than a year ago, the U.S. Department of Veteran Affairs announced its Veteran Interoperability Pledge – an effort to boost information exchange between its own facilities and participating health systems, with the aim of improving care coordination for veterans receiving care at both the VA and in their communities. More than a dozen major health systems – Emory Healthcare, Inova, Jefferson Health, Sanford Health, UC Davis, Intermountain, Mass General Brigham, Rush Heal

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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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Dandelion Health launches AI marketplace for model validation, use in clinical trials

Fierce Healthcare

Health tech startup Dandelion Health launched a clinical artificial intelligence marketplace that merges third-party algorithms and Dandelion's data platform and model validation capabilities | Through a new solution, Dandelion Health can bring together AI developers and life sciences companies to answer questions in a fraction of the time as a randomized controlled trial.

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Ascension posts $1.1 billion net loss for 2024 after May cyberattack

Health Care Dive

The cyberattack had far reaching effects, forcing the health system to shut down pharmacies, divert ambulances, switch to manual record keeping and close critical systems.

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Senate committee unanimously votes to hold Steward CEO in contempt

Health Care Dive

“If you defy a congressional subpoena, you will be held accountable — no matter who you are or how well connected you may be,” said Sen. Bernie Sanders during Thursday’s hearing.

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Cigna launching E-Treatment virtual care through MDLIVE

Healthcare It News

Cigna Healthcare, the health benefits division of The Cigna Group, has launched an E-Treatment option through MDLIVE by Evernorth Beginning this month, Cigna members can connect for urgent care from board-certified doctors without any direct interaction via phone or video.

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Oak Street Health pays $60M to settle allegations of kickback scheme

Health Care Dive

Before the primary care chain was purchased by CVS Health, Oak Street illegally paid marketing agents for referring Medicare-eligible seniors to its clinics, according to the Department of Justice.

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Texas AG, Pieces Technologies settle allegations of inaccurate generative AI advertising

Fierce Healthcare

A health systems-backed tech company has reached a deal with Texas’ attorney general to settle allegations that a generative AI product used by “at least four major Texas hospitals” was less accura | Pieces Technologies agreed to more clearly disclose how it is describing its tools’ performance, and to provide more explicit disclosures to its hospital customers covering how the products are to be used and could potentially lead to patient harm.

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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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Suki’s AI Assistant Expands to Over a Dozen Health Systems on MEDITECH Expanse

HIT Consultant

What You Should Know: – Suki , a frontrunner in artificial intelligence (AI) technology for healthcare announced the deployment of its voice AI assistant in more than a dozen health systems utilizing MEDITECH Expanse, including St. Mary’s Healthcare and Decatur County Memorial Hospital. – Suki’s expansion into more than a dozen health systems on MEDITECH Expanse demonstrates the increasing adoption of AI technology in healthcare.

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In wake of Change Healthcare, CrowdStrike outages, health systems look to diversify, strengthen supply chain

Fierce Healthcare

2024 has been a year that has tested healthcare organizations' cyber resilience, and shone a spotlight on critical vulnerabilities. | Cybersecurity leaders at major health systems and leading health insurers say they are now keenly focused on building more a resilient healthcare ecosystem rather than just reacting to threats.

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‘Signs Of Life’: With Interest Rates Ticking Downward, Home-Based Care M&A Is Looking Up

Home Health Care

This article is a part of your HHCN+ Membership It’s the interest rate, stupid. Home health, home care and hospice industry voices – including myself – have regularly pointed toward internal factors affecting M&A over the last two and a half years. In the end, the overarching, main headwind was always the extremely high interest rates that were put forth by the Federal Reserve to combat inflation.

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Former Walmart exec Carmouche joins value-based care company Lumeris

Fierce Healthcare

One of the top leaders at Walmart's shuttered healthcare unit is making the jump to value-based care company Lumeris. | One of the top leaders at Walmart's shuttered healthcare unit is making the jump to value-based care company Lumeris.

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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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Novel Settlement Reached in Generative AI Deceptive Trade Practices Healthcare Investigation

HKLaw

Texas reached a settlement agreement with Pieces Technologies following an investigation into alleged violations of the Texas Deceptive Trade Practices Act.

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Walmart workers sue over higher premiums from 'unfair' tobacco surcharge

Fierce Healthcare

Walmart's tobacco surcharge unfairly raised health insurance costs, affected employees claim in a new class-action lawsuit. | Two Walmart workers have filed a class-action lawsuit against the company's health plan, claiming a tobacco surcharge violates ERISA and has unfairly resulted in higher health insurance premiums.

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Morehouse School of Medicine Tackles Cancer Disparities with AI-Driven Research

HIT Consultant

What You Should Know: – Manifold, an AI-powered clinical data platform, announced that Morehouse School of Medicine (MSM) will leverage their platform to modernize cancer genomics data analysis and improve collaboration among multidisciplinary stakeholders. – With Manifold, the Institute of Translational Genomic Medicine (ITGM) at MSM is building a modern data foundation to accelerate cancer research—integrating multimodal sources like clinical outcomes, genomics, survey, and geosp

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US health system ranks lowest on health equity, access and outcomes, Commonwealth Fund study finds

Fierce Healthcare

The U.S. | The U.S. health system ranked last in an analysis of 10 wealthy nations and their healthcare services, based on key health equity, access to care and outcome measures.

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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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Zynx Health, Innovaccer Partner to Deploy Evidence-Based Care Management

HIT Consultant

What You Should Know: – Zynx Health Incorporated, a leader in evidence-based clinical decision support solutions, and Innovaccer Inc., a leading healthcare AI company, today announced a strategic partnership to transform care management and population health. – This alliance is set to significantly enhance clinical, financial, operational, and patient experience outcomes, addressing the most critical needs of healthcare providers.

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Lawmakers Set Sights On Eliminating Age Restrictions For Medicaid Buy-In Program

Home Health Care

U.S. Sens. Bob Casey (D-Penn.) and Marsha Blackburn (R-Tenn.) have set their sights on lifting age-based restrictions in the Medicaid buy-in program. Their proposed legislation has the potential to widen the addressable market for home care providers. On Wednesday, the policymakers introduced the Ensuring Access to Medicaid Buy-In Programs Act. If enacted, the legislation would eliminate a restriction that blocks people living with disabilities from buying into Medicaid once they reach age 65.

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MDsave for Employers Rebrands to Tendo Care Connect

HIT Consultant

What You Should Know: – Tendo is proud to announce the rebranding of its MDsave for Employers solution to Tendo Care Connect—a move driven by the company’s success in the employer healthcare market. – As Tendo continues to meet the evolving needs of the direct contracting market, the Care Connect platform is expanding its capabilities to serve both providers and self-insured employers.

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One year in: How Suki and MEDITECH are transforming clinician workflows with voice AI capabilities

Meditech

While generative AI is making headlines everywhere today, just one year ago Suki and MEDITECH were at the starting line of implementing ambient listening and note generation within MEDITECH Expanse – with the goal to reduce administrative burden so clinicians can Physician%20Productivity">focus on patient care. Today, Expanse users can access Suki Assistant’s AI capabilities seamlessly across a variety of clinician workflows.

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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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ECHO Model Proven Effective for Improving Diabetes Care in Rural Areas

HIT Consultant

– A recent study has shed light on the significant potential of the ECHO Model in improving diabetes care in rural communities. – The research, published in The Journal of General Internal Medicine , showed that rural healthcare providers participating in weekly ECHO telementoring sessions achieved comparable results to endocrinology specialists in academic medical centers when managing patients with diabetes.

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News 9/20/24

HIStalk

Top News Care enablement vendor Fabric acquires TeamHealth’s 50-state virtual.

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Kyruus Health Launches AI-Powered Search and Provider Data Solutions

HIT Consultant

What You Should Know: – Kyruus Health , the industry leader in care access platforms, today unveiled two new products designed specifically for health plans: Guide , a conversational AI search experience, and Provider Data Solutions , a provider data management and attestation solution. – Together, these innovations will enable health plans to leverage their provider data more effectively, improve member experiences, and connect members to the most appropriate care.

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EPtalk by Dr. Jayne 9/19/24

HIStalk

The Journal of the American Medical Informatics Association recently.

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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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97% of Patients Are Confident AI Will Elevate Patient Care, Report Reveals

HIT Consultant

What You Should Know: – A new study by Upvio , a leading digital care platform, titled “ State of AI and Technology Adoption in Healthcare ,” provides critical insights into the transformative role of technology in the healthcare industry. – The comprehensive report, based on a survey of over 1,400 patients and healthcare professionals, underscores the widespread adoption of telehealth and the growing acceptance of AI-powered tools.

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Why weren’t prescription drugs covered when Medicare was established?

Healthcare ECONOMIST

Why were drugs not included in Medicare in 1965? And the answer is, because drugs didn’t matter. They were not all that good, and they didn’t do a lot… We now see pharmaceutical care as the heart of treating someone; not so then. Steven Grossman , Executive Director – Alliance for a Stronger FDA It’s amazing how much progress there has been in pharmaceutical treatments in recent years; this is not something that should be taken for granted.

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Harnessing AI to Navigate the Shifting Landscape of Member Engagement

HIT Consultant

Amanda Bury, Chief Commercial Officer at Infermedica The healthcare landscape continues to evolve rapidly, driven by advancements in technology and the ongoing shift towards alternative payment models. As payers navigate this increasingly complex environment, member engagement has emerged as a critical factor in ensuring the success of healthcare initiatives.

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State Scrutiny Of UnitedHealth Group-Amedisys Deal Pushes Timeline Back Further 

Home Health Care

UnitedHealth Group’s (NYSE:UNH) acquisition of Amedisys (Nasdaq:AMED) is still pending. That could be due to a variety of factors, but one is clear: the Oregon Health Authority’s (OHA) ongoing review, which is expected to continue until at least the end of November. OHA’s Health Care Market Oversight (HCMO) program reviews health care business deals to ensure they do not harm the state’s citizens or communities.

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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.