March, 2024

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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.

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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.

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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.

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SEO vs. SEM for Healthcare: The Difference Explained

Healthcare Success

Whether you run a multilocation healthcare organization, hospital, or health system, understanding the distinction between search engine optimization (SEO) vs. search engine marketing (SEM)—and how each distinctly helps your business—is important for several reasons. This knowledge helps you: Allocate resources more efficiently. Tailor marketing initiatives to align with specific goals.

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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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Google's healthcare AI ambitions: New model for personal health coaching and next steps for gen AI

Fierce Healthcare

Google is doubling down on its ambitions for healthcare AI by exploring how generative AI can help clinicians in medical decision-making, understand lab and imaging information and provide con | Google is hyper-focused on generative AI in healthcare, pushing forward research to advance gen AI capabilities that can help clinicians in medical decision-making, understand lab and imaging information and provide consumers with personalized health insights based on their wearable data.

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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.

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WSJ: CMS broadens Part D coverage for obesity drugs

Fierce Healthcare

Medicare Part D may cover obesity drugs when they secure approval for additional, medically accepted uses, according to a WSJ report.

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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.

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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.

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'Cybersecurity is patient safety': What the ransomware attack on Change Healthcare should teach the industry

Fierce Healthcare

As the disruption caused by the cyberattack at Change Healthcare stretches beyond its tenth day, cybersecurity experts say that the incident could spur greater emphasis on enhancing protocols | As the disruption caused by the cyberattack at Change Healthcare stretches beyond its tenth day, cybersecurity experts say that the incident could spur greater emphasis on enhancing protocols — and greater oversight from the feds.

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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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AHA: 94% of hospitals financially impacted by Change Healthcare's cyberattack

Fierce Healthcare

Nearly every hospital is feeling the consequences of Change Healthcare’s cyberattack on their finances, patient care delivery, or both, according to reports from almost 1,000 hospitals compiled by | Almost 60% of surveyed hospitals reported at least $1 million of impacted revenues per day, and 74% said that the incident has had "direct" implications on patient care within their facilities.

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HIMSS24: How Epic is building out AI, ambient technology for clinicians

Fierce Healthcare

ORLANDO — A year ago, at HIMSS23 in Las Vegas, Epic announced it was working with Microsoft to integrate large language model tools and AI into its electronic health record software. | AI technology in healthcare is rapidly evolving, and the potential for generative AI to free up time to focus more on patients is getting clinicians excited about technology, said Jacqueline Gerhart, M.D., Epic clinician and vice president of clinical informatics.

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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.

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HIMSS24: Google Cloud builds out generative AI solutions to aid healthcare workers

Fierce Healthcare

ORLANDO — Generative AI continues to be a big buzzword in 2024 as tech companies see the potential to use the technology to alleviate administrative drudgery for healthcare workers. | Google Cloud is using its tech muscle to build out generative AI capabilities for healthcare and life sciences companies to help offload administrative burden and support assistive technology for clinicians.

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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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How Amazon Pharmacy is using AI to deliver medications faster as it expands same-day delivery

Fierce Healthcare

Amazon Pharmacy expanded its same-day medication delivery service to New York City and Los Angeles, with plans to add a dozen more U.S. | Amazon Pharmacy expanded its same-day medication delivery service to New York City and Los Angeles, with plans to add a dozen more U.S. cities by the end of the year, the company announced Tuesday.

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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
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Mark Cuban's drug company inks first health system partnership to sell directly to Community Health Systems

Fierce Healthcare

Mark Cuban Cost Plus Drug Company has found its first national health system buyer for hospital drugs currently in short supply. | The 71-hospital for-profit is the first national health system buyer to cut a deal with the billionaire-backed generic drug maker. The companies are kicking off their partnership in CHS' Texas and Pennsylvania hospitals.

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HIMSS24: AWS, symplr collaborate on AI assistants to automate complex workflows, mundane tasks

Fierce Healthcare

ORLANDO, Florida—HIMSS24 just kicked off today, and there's already a stream of AI innovation news. | ORLANDO, Florida—Symplr is working with Amazon Web Services to develop AI assistants to help automate complex workflows and mundane tasks for healthcare workers and also power chatbots to help patients find and schedule the right care.

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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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Breaking down Biden's 2025 proposed budget: Here are his top health priorities

Fierce Healthcare

President Biden unveiled a proposed $7.3 trillion budget for fiscal year 2025 on Monday, which continued upon and expanded key health items from previous years. | Drug price negotiations and Medicare solvency were just two areas HHS officials hit upon while unveiling President Biden's 2025 fiscal year proposed budget.

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HIMSS24: Microsoft, 16 health systems to 'operationalize' AI under new partner network

Fierce Healthcare

Sixteen health systems, Microsoft and other healthcare technology organizations are the latest to band together and hammer out best practices and standards for AI in care. | The latest provider-tech AI collaboration will build on the groundwork of members' existing AI partnership, the Coalition for Health AI.

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‘As fast as possible but no faster than is safe’: Hospitals, tech companies confront AI governance

Health Care Dive

Regulators seeking to erect guardrails around AI are facing a Sisyphean task, experts said at HIMSS. How do you oversee something that is constantly changing?

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Hippocratic AI banks $53M backed by General Catalyst, a16z, Memorial Hermann, UHS and other health systems

Fierce Healthcare

Launched out of stealth about a year ago, Hippocratic AI launched its first generative AI product and pocketed $53 million in series A funding, the startup announced Monday. | Launched out of stealth about a year ago, Hippocratic AI launched its first generative AI product and pocketed $53 million in series A funding. The fresh funding boosts the company's valuation to $500 million.

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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.

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Google Health, Stanford Medicine unveil open-access dataset of diverse dermatology images

Fierce Healthcare

Google Health unveiled an open-access dataset of real-world dermatology images in partnership with Stanford Medicine. | Thousands of people contributed their images of skin, hair and nail conditions to the Skin Condition Image Network (SCIN) for a diverse dataset reflecting various skin tones, ages, settings and condition severities.

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CDC releases field-tested guidance for hospital CEOs tackling their workers' mental health

Fierce Healthcare

The Centers for Disease Control and Prevention (CDC)’s campaign against healthcare worker burnout took a step forward this week with the release of a new instructional guide for executive-level hos | The free resource was developed alongside the Dr. Lorna Breen Heroes' Foundation and informed by a six-month, six-hospital pilot across CommonSpirit Health facilities.

Hospitals 336
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New Mayo Clinic program to qualify, integrate digital health offerings into clinical care

Fierce Healthcare

Mayo Clinic wants to help digital health more quickly—and more cost-effectively—bring its innovations into the hospital. | The Mayo Clinic Platform's Solutions Studio program will work with digital health companies "from idea to integration into clinical workflows." The system pitches it as a cost-effective way for innovators to bring their offerings to the point of care.

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'Things get built and forgotten about': The challenging work of maintaining AI tools in clinical settings

Fierce Healthcare

With AI being all the buzz in healthcare today, many questions about the technology still remain. Do clinicians understand and trust AI tools? Are algorithms accurate and free from bias? | At the 2024 SXSW conference, a panel on the future of AI in healthcare moderated by AMA President Jesse Ehrenfeld, M.D., discussed what's still needed for safer, more integrated and more impactful systems.

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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

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MedPAC report slammed by insurers and docs over Medicare Advantage and physician reimbursement

Fierce Healthcare

Health plans and providers alike are disgruntled with a new report (PDF) to Congress released | It seems everyone was left unsatisfied by MedPAC's newest report to Congress. Providers objected to its proposal to give physician reimbursement relief, while plans disagreed with its attitude toward Medicare Advantage.

Medicare 335
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Contract negotiations between Providence, Blue Shield of California go publicly south

Fierce Healthcare

Providence has launched the first public salvo in a spat with Blue Shield of California over ongoing contract negotiations. | Providence has launched the first public salvo in a spat with Blue Shield of California over ongoing contract negotiations.

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Nvidia inks tie-ups with Abridge, GE HealthCare and Microsoft as it expands its footprint in healthcare AI

Fierce Healthcare

Chipmaker Nvidia sees big opportunities in healthcare AI and this week it launched more than two dozen new gen AI-powered microservices. | The global computing powerhouse inked collaborations with Abridge, Microsoft, GE HealthCare and Hippocratic AI to to expand its generative AI capabilities into healthcare and life sciences.

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SXSW24: Better communication, collaboration, reimbursement needed to improve cancer care

Fierce Healthcare

Uncomfortable waiting rooms. Revealing hospital gowns. Confusing insurance. Exhausting travel between appointments. | Oncology was a major focus at this year’s SXSW conference. Across multiple sessions, clinicians and patient advocates called for better access to specialty care, more thoughtful communication with patients and continued collaboration across stakeholders.

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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!