Sat.Nov 23, 2024 - Fri.Nov 29, 2024

article thumbnail

Biden proposes Medicare, Medicaid cover anti-obesity drugs

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) is attempting to cover anti-obesity medications under Medicare Part D and Medicaid, the agency announced Nov. 26. | With time running out before leaving office, the Biden administration is proposing a rule to have Medicare and Medicaid cover anti-obesity medications and bolster guardrails for AI, among the changes.

Medicaid 320
article thumbnail

CMS ordered to recalculate UnitedHealthcare’s 2025 MA stars

Health Care Dive

A Texas federal judge has sided with UnitedHealthcare in determining regulators messed up calculating its Medicare Advantage quality scores for next year. The decision could have big implications for similar pending cases.

Insiders

Sign Up for our Newsletter

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

article thumbnail

How Medical Billing Teams Handle Denied & Rejected Claims?

p3care

Healthcare providers often face underpayments due to claim denials or rejections that affect the disposal of effective medical billing services. Before we discuss the solutions, it is important to understand the nuances between denied and rejected claims. What is a claim rejection? When a billing claim fails to match the standards of an insurance company or government organization like X12, or ASC X12 EDI (Accredited Standards Committee X12, Electronic Data Interchange), it is rejected.

article thumbnail

Singapore tackling chronic diseases with wearables

Healthcare It News

Singapore's Health Promotion Board has partnered with several technology companies to pilot programmes that aim to promote self-health management by delivering data-driven, personalised recommendations for preventing and managing chronic diseases. WHAT IT'S ABOUT The DigiCoach programme with Abbott, together with Health2Sync, developer of a digital diabetes platform from Taiwan, will target pre-diabetic individuals or those with high body mass index.

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

CMS finalizes 6-year kidney transplant model with concessions to hospital lobby after critiques

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) finalized a six-year mandatory model to increase access to kidney transplants, the agency announced Nov. 26. | CMS made some concessions to hospitals who strongly criticized the kidney transplant model proposed rule in May.

Hospitals 320
article thumbnail

AI could be ‘transformational’ for payers, experts say

Health Care Dive

Insurers could save 20% in administrative costs and 10% in medical costs by harnessing the technology, experts said during a panel hosted by Healthcare Dive last week.

More Trending

article thumbnail

$14M more for EMR implementation in Victoria and more briefs

Healthcare It News

Victoria announces $14M EMR expansion The Victorian government is investing A$21.4 million ($14 million) more to replace paper-based patient medical records systems in several public health settings. In a statement, state health minister Mary-Anne Thomas said four health services will be supported to transition to electronic records: The Royal Eye and Ear Hospital, Eastern Health (Victoria's second largest health service with 65 facilities), the 15-service Hume Rural Health Alliance, and Gra

Hospitals 205
article thumbnail

Teladoc Health launches AI motion detection solution to improve patient safety in hospital beds

Fierce Healthcare

Teladoc Health launched an AI-enabled technology that allows hospital staff to virtually detect when a patient is at risk of falling from a hospital bed. | Teladoc Health launched its new motion detection solution, vSitter, which allows staff to virtually observe patients and detect if they are at risk of falling out of the hospital bed. The advanced AI solution uses computer vision, motion detection, pose estimation and spatial boundaries to predict if patients are at risk of harm.

article thumbnail

HIPAA audits not effective at improving cybersecurity: OIG

Health Care Dive

The HHS’ Office for Civil Rights’ audit program was too narrow in scope to effectively assess data protections and reduce cyber risks in the healthcare sector, according to the report.

article thumbnail

Trustwise and Partners Develop MedAssist GPT: AI-Powered Medical Education Platform

HIT Consultant

What You Should Know: – Trustwise , an innovator in AI performance and risk management, has collaborated with Health Innovation Kent Surrey Sussex (Health Innovation KSS), Hitachi Digital Services, and Further to co-develop MedAssist GPT, a generative AI application for medical education that leverages NVIDIA NIM microservices. – The application equips UK medical students with real-time, personalized evidence-based clinical guidance.

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

Compassus CEO: To ‘Grow Up,’ Home Health Industry Needs To Become Accountable

Home Health Care

This article is a part of your HHCN+ Membership Compassus – one of the largest home-based care organizations in the U.S. – takes a unique path to growth. Of late, the company has formed new joint ventures with prominent health systems. Those JVs come with advantages. “I think that’s a differentiator for us,” Compassus CEO Mike Asselta recently told me.

article thumbnail

Cambridge Health Alliance taps Abridge's AI medical scribe to support multilingual patients

Fierce Healthcare

Providers are rapidly adopting generative AI-based clinical documentation tools to aid clinicians and make digital paperwork more efficient. | Cambridge Health Alliance, the only public academic health system in Massachusetts, is deploying Abridge's AI-based medical note-taking tool across its 600 clinicians after a successful pilot.

299
299
article thumbnail

Johns Hopkins surgeon Makary is Trump’s pick to lead FDA

Health Care Dive

A prolific medical research and author, Martin Makary criticized the FDA and CDC for their decision-making during the pandemic, although he describes himself as pro-vaccine.

306
306
article thumbnail

Cofactor AI Launches Platform to Help Hospitals Fight Tidal Wave of Claims Denials and Announces $4 Million Seed Round

HIT Consultant

What You Should Know: – Hospitals across the country are facing an ever-increasing onslaught of claims denials from insurance companies, with denials up 20.2% in 2023, according to the American Hospital Association. These denials – triggered by AI and often error-prone – cost hospitals $20 billion a year in administrative bloat and reduce patients’ access to quality care. – To help hospitals fight back, Cofactor AI today introduced a new first-of-its-kind AI-powered platform to easil

Hospitals 105
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

A Holistic Approach to Maternal Child Health From a Wellness Expert

GoMoHealth

By Jess Bevilacqua CEO, Founder & Lead Instructor, Opal Moon Yoga & Wellness A primary pillar of holistic maternal-child health engagement is treating the whole person by providing easy access to personalized wellness resources. In maternal health, supporting mothers through their journey—from prenatal to postpartum and into early childhood—is essential for improving health outcomes.

article thumbnail

UnitedHealthcare wins 2025 star ratings lawsuit requiring CMS to recalculate results

Fierce Healthcare

UnitedHealthcare successfully won its lawsuit over the Centers for Medicare and Medicaid Services, a federal judge determined Nov. 22. | UnitedHealthcare will get to claim victory over CMS for its star ratings lawsuit win. The insurer will receive a recalculated score from the federal agency, potentially giving the insurer more in quality bonus payments.

Medicaid 287
article thumbnail

Nearly a quarter of Americans are underinsured: report

Health Care Dive

Twenty-three percent of working-age adults with health insurance face high out-of-pocket costs that make it difficult to afford care, according to a survey by the Commonwealth Fund.

264
264
article thumbnail

VA Award Medtronic Contract to Deploy AI-Powered Endoscopy Units Nationwide

HIT Consultant

What You Should Know: – Medtronic today announced that the U.S. Department of Veterans Affairs (VA) has awarded a three-year contract for the deployment of nearly 100 additional GI Genius™ AI-powered endoscopy units across VA medical centers nationwide. – The expansion aims to provide veterans with access to state-of-the-art colorectal cancer screening technology.

102
102
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

The Queen’s Health Systems Partners with Health Recovery Solutions (HRS) to Launch Remote Patient Monitoring Program

Health Recovery

HONOLULU, HI , Nov. 25, 2024 /PRNewswire/ – Health Recovery Solutions (HRS) is proud to announce a strategic partnership with The Queen’s Health Systems to launch a comprehensive Remote Patient Monitoring (RPM) program through the Native Hawaiian Health Department. This initiative aims to enhance the management of chronic illnesses such as hypertension and diabetes among Native Hawaiians in the community, improve health knowledge, quality of life, expand access through innovative virtual technol

article thumbnail

OCR missed opportunities to prevent health information breaches: HHS watchdog

Fierce Healthcare

HHS' Office of the Inspector General released a report on Monday that badgers the Office for Civil Rights' enforcement of HIPAA.

article thumbnail

Indiana health system withdraws merger application after regulator pushback

Health Care Dive

Union Health said it would submit a new Certificate of Public Advantage application to try to acquire Terre Haute Regional Hospital.

article thumbnail

Philips, AWS Expand Partnership to Bring Integrated Diagnostics to the Cloud

HIT Consultant

– Philips announced it is expanding its strategic collaboration with Amazon Web Services (AWS) to offer its integrated diagnostics portfolio in the cloud. – The strategic partnership aims to unify diagnostic workflows, improve access to critical insights, and drive better outcomes across clinical specialties. Cloud-Powered Diagnostic Solutions Philips is leveraging AWS’s cloud infrastructure to deliver scalable and reliable healthcare informatics solutions.

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

News 11/27/24

HIStalk

Top News England’s three-hospital Wirral University Teaching Hospitals NHS Trust.

Hospitals 122
article thumbnail

Mount Sinai opens doors to new $100M research site for AI development

Fierce Healthcare

Mount Sinai Health System has opened the doors of its new AI research center in Manhattan, the Hamilton and Amabel James Center for AI and Human Health. | Mount Sinai Health System announced on Tuesday that it opened its Hamilton and Amabel James Center for Artificial Intelligence and Human Health, which will be a research site for AI development.

213
213
article thumbnail

Sanofi joins J&J, Eli Lilly in proposing 340B rebate model

Health Care Dive

Sanofi plans to phase in its own rebate model for 25 drugs — including anti-inflammatory injectable Dupixent, one of the top 10 drugs in global sales — early next year. It’s unclear how regulators will react.

article thumbnail

GE HealthCare Unveils Mammography System to Improve Patient-Centered Breast Care

HIT Consultant

What You Should Know: – GE HealthCare has announced the launch of its new Pristina Via™ mammography system , designed to improve the screening experience for both technologists and patients. This innovative system, debuting at the Radiological Society of North America’s 2024 Annual Meeting, addresses the growing need for efficient workflows and personalized care in breast imaging. – GE HealthCare developed Pristina Via™ based on extensive feedback from mammography technologists

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

How Providers Are Turning The Home Into A Hospital

Home Health Care

Research has indicated that patients needing care prefer to receive it in their homes rather than in a hospital setting. Health care models like Hospital at Home (HaH) facilitate this preference, but how do providers ensure that patients’ homes are safe for delivering these services? For this evolution to be successful, homes must adapt. They must be designed and modified to meet residents’ changing health care needs, as the boundaries between health care facilities and homes become less d

article thumbnail

Congressional staffers expect bipartisan movement on AI amidst changes in Washington

Fierce Healthcare

Health policy staffers gathered last week at the Capitol for a day of discussing AI policy with members of industry, hosted by the Coalition for Health AI (CHAI), a non-profit AI advocacy | This comes as the president-elect reportedly seeks to hire an “AI Czar” to spearhead progress for the technology under his administration, per Axios.

198
198
article thumbnail

CHS deal to sell 3 Pennsylvania hospitals falls through after buyer fails to secure funds

Health Care Dive

Some lawmakers are concerned the facilities may close absent a deal.

Hospitals 165
article thumbnail

Interwell Health Launches Nephrology Rounds App with Epic EHR Integration

HIT Consultant

What You Should Know: – Interwell Health, a value-based kidney care management company, has unveiled Acumen Rounder, a nephrology rounding application that seamlessly integrates with Epic’s electronic health record (EHR) system. – The innovation is set to transform how nephrologists manage patient workflows and deliver value-based care. Enhancing Nephrology Workflows Acumen Rounder offers a comprehensive suite of features designed to improve efficiency, accuracy, and the user experie

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!