March, 2024

article thumbnail

Providers 'wasted' $10.6B in 2022 overturning claims denials, survey finds

Fierce Healthcare

More than 100 provider organizations want the Centers for Medicare & Medicaid Services (CMS) to take a tougher stance on Medicare Advantage (MA) plans’ practices following an industry survey es | Providers spent nearly $20 billion in 2022 pursuing delays and denials across all payer types, yet those efforts are substantially more costly on average when dealing with private plans, hundreds of hospitals and health systems told Premier in a recent survey.

Medicare 361
article thumbnail

Mayo Clinic launches digital health product pipeline

Health Care Dive

The program aims alleviate the cost and difficulty digital health companies face in selling to hospitals, while making it easier for hospitals to find and integrate useful tools.

Insiders

Sign Up for our Newsletter

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

article thumbnail

Memorial Healthcare finds success with switch to Epic-based telehealth vendor

Healthcare It News

With 15,000 team members, 3,000 providers and $3.1 billion in annual operating revenue, Memorial Healthcare System is one of the largest public health systems in the U.S. A South Florida-based academic medical center, Memorial operates six hospitals, including the Joe DiMaggio Children's Hospital; numerous primary, urgent and 24/7 care facilities; a health specialty center; and a nursing home.

article thumbnail

The Looming Home Care Disaster In New York State

Home Health Care

There’s a potential storm brewing in New York state due to Gov. Kathy Hochul’s executive budget for 2025. The budget proposal includes over $1 billion in cuts to the states’ home care programs. The move is an effort to reduce Medicaid spending. The budget proposal cuts, which was released on Jan. 16, would directly impact New York’s Consumer Directed Personal Assistance Program (CDPAP).

Home Care 140
article thumbnail

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

article thumbnail

MEDITECH Expanse takes center stage at ViVE 2024

Meditech

Following the rapid technology boom inspired by AI’s mainstream debut, ViVE 2024 encouraged participants to bring their best advancements to the floor, and MEDITECH embraced that mission with passion. This year, we featured the best of Expanse, the intelligent EHR platform.

126
126
article thumbnail

6 Tips for Patients to Avoid Healthcare-Associated Infections

CDC

When a loved one is hospitalized, the last thing anyone wants is for them to get an infection while receiving care. Yet, according to the Centers for Disease Control and Prevention (CDC), on any given day, about 1 in 31 U.S. hospitalized patients has a healthcare-associated infection (HAI). An HAI is an infection that develops during or soon after receiving health care or being in a healthcare setting, such as a hospital, clinic, doctor’s office, surgery center, or nursing home.

More Trending

article thumbnail

Tax breaks exceed community care spending at large majority of nonprofit hospitals: report

Health Care Dive

Nonprofits’ cumulative “fair share” deficit is enough to pay off the medical debt of everyone in California, Texas, New York and Pennsylvania combined, according to the Lown Institute.

Hospitals 340
article thumbnail

UC Irvine's AI-powered conversational health agent is ready for developers

Healthcare It News

At the University of California Irvine Sue & Bill Gross School of Nursing, faculty members are developing ways for artificial intelligence to help deliver better patient care and improved outcomes. Amir Rhamani is a professor at the nursing school – and also a computer science professor at the Donald Bren School of Information and Computer Sciences, a professor of electrical engineering at the Henry Samueli School of Engineering and an associate director of the Institute for Future Hea

article thumbnail

Home Health Disparities: Medicare Advantage Patients Receive Fewer Visits, Worse Outcomes

Home Health Care

Home health patients under Medicare Advantage (MA) plans have worse functional outcomes compared to traditional Medicare patients, likely as a result of receiving fewer visits, according to a new study. The new study is from researchers with the Department of Rehabilitation Medicine at University of Washington. “Of [nearly 300,000] patients, MA patients had shorter home health length of stay by 1.62 days and had 3% and 4% lower adjusted odds of improving in mobility and self-care, respectively,”

Medicare 128
article thumbnail

Connection fuels interoperability at HIMSS24

Meditech

Whether it was connecting with customers, prospects, industry thought leaders and other champions of innovative health IT solutions, or exploring connection through interoperability and open data exchange – the spirit of connection was tangible at HIMSS24.

121
121
article thumbnail

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

article thumbnail

ArteraAI’s Prostate Test Earns Recognition in NCCN Guidelines for Prostate Cancer

HIT Consultant

What You Should Know: ArteraAI , a leader in artificial intelligence (AI)-powered cancer tests, today announced a significant achievement – the inclusion of their ArteraAI Prostate Test in the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Prostate Cancer. This marks a major milestone for ArteraAI, solidifying their position at the forefront of AI-driven oncology and personalized patient care.

article thumbnail

Under new management, and under the cloud of the Change hack, HIMSS24 kicks off in Orlando next week

Fierce Healthcare

One of the largest health IT conferences, HIMSS24, will kick off in Orlando on Monday as a revamped trade show following a deal with Informa Markets last fall. | One of the largest health IT conferences, HIMSS24, will kick off in Orlando on Monday as a revamped trade show following a deal with Informa Markets last fall.

358
358
article thumbnail

Change Healthcare cyberattack having ‘far-reaching’ effects on providers

Health Care Dive

Providers said the outage at the UnitedHealth-owned technology company has affected billing, eligibility checks, prior authorization requests and prescription fulfillment.

article thumbnail

Enhancing hospital IT's speed-to-market capability

Healthcare It News

As healthcare providers worldwide grapple with worsening healthcare staff shortages and rising service demand, low-code technologies have proven indispensable in bridging these twin challenges while promoting positive outcomes for both patients and clinicians. Take the case of Mount Alvernia Hospital, a 300-bed private not-for-profit medical institution in Singapore.

article thumbnail

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.

article thumbnail

How PACE Could Cover More Older Adults

Home Health Care

This article is a part of your HHCN+ Membership Like other care models that primarily serve seniors, the Program of All-Inclusive Care for the Elderly (PACE) has achieved a higher profile following the height of the pandemic. However, there’s still a larger push to expand PACE across the U.S. Currently, there are only 156 PACE organizations operating in 32 states and the District of Columbia.

Medicaid 124
article thumbnail

Advancing patient safety awareness by addressing ECRI’s top 10 patient safety concerns

Meditech

Patient safety has always been at the forefront of MEDITECH's mission. During this year’s Patient Safety Awareness Week (March 10-16), we are celebrating the 10-year anniversary of MEDITECH's internal Patient Safety/Priority Event (PS/PE) Management group. The PS/PE group coordinates initiatives that increase education on patient safety-related topics and workflows.

article thumbnail

HIMSS24 Roundup: M&A, Strategic Partnerships, Deployments, Product Launches, Funding, More

HIT Consultant

Strategic Partnerships New Consortium Aims to Ensure Responsible Use of AI in Healthcare A new initiative, the Trustworthy & Responsible AI Network (TRAIN), was announced at the HIMSS 2024 Global Health Conference. Through collaboration, TRAIN members will help improve the quality, safety, and trustworthiness of AI in health by sharing best practices, enabling registration of AI used for clinical care or clinical operations, providing tools to enable measurement of outcomes associated with t

article thumbnail

HIMSS24: 'Fasten your seatbelts'—Hackensack Meridian CEO predicts acceleration of gen AI to help healthcare workforce

Fierce Healthcare

ORLANDO — It's almost impossible to have a conversation at HIMSS24 without the topic of artificial intelligence or generative AI coming up. | How will the conversations about AI in healthcare change by next year's HIMSS conference? Hackensack Meridian CEO Robert Garrett predicts that pilot projects underway now will roll out into practice.

article thumbnail

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.

article thumbnail

Medicare to cover Novo’s obesity drug for some patients

Health Care Dive

Two weeks after the FDA updated Wegovy’s label, Medicare changed its stance to allow people with a history of heart disease to receive treatment, a shift that could further boost access to the fast-selling medicine.

Medicare 331
article thumbnail

Technology, cybersecurity and collaboration are featured at HIMSS24

Healthcare It News

HIMSS president and CEO Hal Wolf discusses healthcare trends, including patient engagement, AI advancements and cybersecurity challenges, and how HIMSS24 offers attendees a chance to learn from each other and collaborate in responding to those trends.

article thumbnail

Harness the power of data and AI in healthcare with new Microsoft solutions

Cloud Blogs

We are living in the era of AI in healthcare , where data and algorithms augment human capabilities and enable new possibilities for improving health and well-being. AI can help us understand complex patterns, generate insights, and provide recommendations that can enhance clinical decision making, personalize care, and empower patients as well as automate tasks to improve productivity.

article thumbnail

Share and share alike – we are stronger together

Meditech

Regardless of the healthcare organization, patients are always the focus of the services and care that is provided. That’s what makes the healthcare industry special. Teamwork is necessary from organization to organization. You see it on the frontline every day. Hospitals often transfer patients out for a higher level of care or to rehabilitation providers.

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

Feds Launches Investigation of Change Healthcare Cybersecurity Attack

HIT Consultant

What You Should Know: – The Department of Health and Human Services’ Office for Civil Rights (OCR) has announced an investigation into the recent cyberattack on Change Healthcare , a subsidiary of UnitedHealth Group (UHG). – The cybersecurity attack has significantly disrupted healthcare billing and information systems nationwide, potentially impacting patient care.

article thumbnail

HIMSS24: Oracle Health builds out generative AI tools in its quest to 'eliminate clicks' for clinicians

Fierce Healthcare

ORLANDO, Florida — Software giant Oracle continues to build out generative AI tools in its healthcare solutions as it debuted a new service for care management this week and plans to roll out | Oracle is integrating generative AI and ambient listening technologies into its EHR to streamline medical notetaking for clinicians. "We're not trying to go from 10 clicks to seven clicks.

article thumbnail

Senior lawmaker questions UnitedHealth over Change cyberattack

Health Care Dive

Rep. Jamie Raskin, D-Md., said UnitedHealth’s “rapid consolidation and vertical integration” has major consequences for the healthcare sector, including increased control of the health IT market.

article thumbnail

First 24/7 virtual emergency clinic in Australia's outback launched

Healthcare It News

Not-for-profit aeromedical services provider Royal Flying Doctor Service has introduced what could be the first unmanned virtual medical emergency centre in Australia's outback. The new RFDS William Creek Community Health Service in the outback tourism town of William Creek in South Australia features a 24/7 virtual emergency centre with a telehealth unit that members of the community and tourists can access to connect with on-call RFDS doctors.

Doctors 308
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

Private healthcare the ‘ new normal’ in the UK?

Healthcare ECONOMIST

Perhaps so according to the health policy editor at the Guardian. He writes that as NHS has grown weaker, private medical insurance is becoming a more attractive option. The long delays for NHS care that are now endemic – and cause so much worry, risk and harm to those left waiting – are not going to get better anytime soon, as the Institute for Fiscal Studies said last week.

article thumbnail

Becoming a master of change in a dynamic industry

Meditech

As a leader of transformational change at Ozarks Healthcare , it is no surprise that Priscilla Frase, MD, CMIO, and hospitalist was recently recognized as a 2024 HIMSS Changemaker in Health Award winner.

article thumbnail

Leveraging the AI Opportunity for Healthcare Unstructured Data

HIT Consultant

Krishna Subramanian, Co-Founder at Komprise Unstructured data – such as medical images, scans and lab reports – opens the door to a wide range of exciting new possibilities in the world of healthcare. By deriving insights from unstructured data, healthcare organizations can deliver better patient care, as well as unlock powerful capabilities – like using AI models to streamline medical note-taking, reshape hospital billing and improve medical coding.

article thumbnail

Diabetes management tools not worth the cost, study finds. But digital health companies push back on 'flawed' analysis

Fierce Healthcare

A new analysis pours cold water on the effectiveness of widely used digital diabetes management solutions, stirring up discussion about how best to evaluate the growing market of digital health too | The Peterson Health Technology Institute's analysis assessed whether digital diabetes solutions improve users' health outcomes over "usual care.

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!