Sat.Dec 09, 2023 - Fri.Dec 15, 2023

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Fees charged by hospitals for colonoscopy procedures 50% higher than surgical centers, study finds

Fierce Healthcare

A new price comparison study finds over 50% higher facility fees for commercially insured colonoscopies performed in hospitals rather than ambulatory surgery centers (ASCs), suggesting that “money | The analysis of commercial payers' price transparency data shows that “money has apparently been left on the table” for employers and consumers, the study's senior author says.

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Where AI innovation has taken one EHR vendor in 2023

Healthcare It News

Healthcare IT News sat down with Paul Brient , chief product officer of athenahealth, to gain his insights into how artificial intelligence can improve patient experiences and healthcare delivery, simplify healthcare interactions, and make healthcare more accessible, as well as hear how the electronic health record vendor is using AI today. He said that new AI-driven features in athenaOne are already helping to improve healthcare efficiency and address clinician burnout by cutting administrative

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CMS asks health plans, PBMs to ease up on independent pharmacies

Health Care Dive

A new letter urges payers to put in place special payment arrangements with pharmacies before a new policy kicks in that could reduce how much pharmacies are paid upfront.

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P3 Care Brings Exclusive Holiday Discount Offer For Medical Practices

p3care

This approaching holiday season, P3 Care is here with warm wishes for all the medical providers. Meanwhile, we are truly filled with the spirit of giving in our joyous celebrations of the holiday season. Our medical billing outsourcing company in USA has earned a name for its valued medical billing services. Along with this, we provide other services like medical credentialing, A/R management, etc.

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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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House price transparency legislation passes with bipartisan support

Fierce Healthcare

The Lower Costs, More Transparency Act, which advances policies to force pharmacy benefit managers and hospitals to meet price transparency standards, passed on the House floor Monday by a vote of | Members on both sides of the aisle are celebrating successful efforts to codify price transparency requirements and establish site-neutral payments in the Lower Costs, More Transparency Act passed by the House of Representatives on Monday.

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How GPT and LLMs could usher in an era of 'intelligence-based medicine'

Healthcare It News

SAN DIEGO – As the HIMSS AI in Healthcare Forum kicked off on Thursday morning, Rob Havasy, senior director of informatics strategy at HIMSS, offered some introductory remarks that looked back on a busy decade-plus of health IT innovation. "I've seen a lot of technologies come and go," said Havasy. But with artificial intelligence, he said, especially in the year-plus since ChatGPT captured the attention of the general public in a big way, "this time feels a bit differen

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Redefining Chronic Kidney Disease Management with Remote Patient Monitoring

HIT Consultant

Lucienne Marie Ide, M.D., PH.D., Founder & CEO of Rimidi Chronic kidney disease may be one of the biggest killers of American adults, but individuals affected may not even know it. Today, more than 37 million people – 15% of the population – have chronic kidney disease, which is the ninth leading cause of death. But, according to the Centers for Disease Control and Prevention, as many as 90% of these individuals are unaware they have this disease.

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Class action lawsuit accuses Humana of using AI algorithms to restrict access to care

Fierce Healthcare

A newly filed lawsuit alleges that Humana used artificial intelligence algorithms to deny key rehabilitation care for seniors. | A newly filed lawsuit alleges that Humana used artificial intelligence algorithms to deny key rehabilitation care for seniors.

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To bridge the digital divide, national nonprofit offers free devices and internet

Healthcare It News

Approximately 11.7 million U.S. households do not have in-home internet access and approximately 5.5 million households do not have a computer, according to the U.S. Census Bureau. That's just the beginning of a deep digital divide in this country. One big question in healthcare when it comes to the digital divide: How can people in these households get access to telemedicine ?

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Cigna pulls out of Humana deal: WSJ

Health Care Dive

Cigna and Humana are abandoning merger discussions less than two weeks after news of the potential deal dropped, following a less-than-positive market reaction.

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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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EHR Data Holds Promise for Chronic Disease Surveillance, Study Reveals

HIT Consultant

What You Should Know: – As chronic disease rates rise across the U.S., researchers are exploring how electronic health records (EHRs) can be used to improve public health surveillance and intervention efforts. While 90% of healthcare providers in the U.S. utilize EHRs, sharing this data with public health departments is currently limited due to legal, political, and organizational barriers. – A new study from the Regenstrief Institute provides practical guidance for implementing gove

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Google unveils MedLM generative AI models for healthcare with HCA, Augmedix and BenchSci as early testers

Fierce Healthcare

Google continues to advance its generative AI models designed specifically for healthcare use cases. | Google this week unveiled MedLM, a family of foundation models designed for healthcare industry use cases and available through Google Cloud.

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2024 outlook: Traditional care and faxes on the way out; retail care executes its plans

Healthcare It News

In 2024, healthcare and health IT will feel the continued erosion of traditional care paradigms, be impacted by a retail shift from exuberant expansion to the long game of execution, and will finally, at long last, witness the death of the fax machine. This is the outlook for next year offered by Laura Kreofsky, digital transformation program director at Cascadia Health, a community health provider in Oregon, and executive advisor at Pivot Point Consulting, a health IT consultancy where she has

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North Carolina AG sues HCA over degraded care quality at Mission Health

Health Care Dive

Attorney General Josh Stein slammed staffing and service shortages at Mission Hospital after HCA acquired it in 2019. “Responsibility for this downward spiral rests entirely with HCA,” the lawsuit says.

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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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State Actions to Build the Behavioral Health Crisis Continuum

NASHP

A comprehensive and coordinated continuum of behavioral health crisis services and supports is crucial for providing effective interventions to individuals with acute mental health and substance misuse needs. It is core to delivering services where and when they are most needed — serving as a backbone to a community-based system equipped to preserve life and well-being and to reduce reliance on avoidable acute and institutional care settings.

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'It can be life or death': Microsoft's Peter Lee on the power, dangers of GPT-4 in medicine

Fierce Healthcare

Addressing a room of healthcare professionals at the IHI Forum on Wednesday, Peter Lee, corporate vice president of research and incubations at Microsoft, opened by saying the audience was possibly | It is wrong to think of large language models like GPT-4 as traditional computers—they are reasoning engines and can make mistakes like humans do, the tech giant's corporate vice president of research and incubations warned IHI Forum attendees.

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Why patient engagement is essential for effective CDS

Healthcare It News

Effective patient engagement strategies – using multi-modal approaches including images, video animation, phone call, etc. – are critical to building a more effective clinical decision support plan. Providers can develop better care paths using this valuable information – not just from the key data patients can bring to the equation but by fostering a more robust and trusting relationship between care teams and patients.

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TEFCA goes live in ‘Big Bang’ for health data exchange

Health Care Dive

Five Qualified Health Information Networks, or QHINs, completed the onboarding process and are ready for data exchange, with more companies in the pipeline.

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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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When the Law of Scientific Evidence Collides with Medical Practice

Bill Of Health

By Barbara Pfeffer Billauer Approaches to resolving scientific evidentiary issues continue to diverge throughout the country. [1] A prominent recent example includes the rejection of the medical diagnosis of Shaken Baby Syndrome (SBS) to reflect disparate views in the scientific, medical, and legal communities. Under guise of making a scientific evidentiary ruling, a New Jersey court has just dismembered the medical diagnosis of SBS, with the judge disavowing the condition’s validity.

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2024 Outlook: The cybersecurity trends health system leaders need to know

Fierce Healthcare

The danger of cybercrime and security breaches looms over the healthcare industry like a slow-moving storm. | Shifting targets, indirect angles of attack and increasing regulatory expectations await hospitals and health systems in the coming year, cybersecurity experts say.

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Integrating behavioral tools improves access

Healthcare It News

Dr. Nele Jessel, chief medical officer of athenahealth, says bringing telehealth and other tools into the primary care setting destigmatizes mental health conditions and increases treatment.

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House passes bill targeting price transparency, site-neutral payments, PBMs

Health Care Dive

Hospitals have lobbied against the site-neutral payment policies included in the bipartisan legislation.

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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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NAHC President Dombi: Providers Need To Keep Their Eyes Open To Innovation

Home Health Care

Predicting the future of home-based care is like predicting the weather. There will be sunny days ahead, cloudy days ahead and always the chance of isolated thunderstorms. Knowing that the weather won’t always be perfect is the first step in being prepared for whatever comes next in home-based care. “For those of us who’ve been involved in health care services at home for a number of years, we have seen this evolution,” National Association for Home Care & Hospice (NAHC) President Will

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Payers' increasing claims denials, delays 'wreaking havoc' on provider revenue cycles

Fierce Healthcare

A jump in claim delays and denials is “wreaking havoc on providers’ revenue cycle performance” and contributing to health systems’ “volatile” accounts receivable and diminishing cash reserves, acco | More frequent pushback from commercial and Medicare Advantage payers is complicating patient self-pay collections and, ultimately, undermining the revenues and cash reserves of hospitals, health systems and physician groups, according to a pair of recent reports.

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Cybercriminals seek to extort Fred Hutch patient for about $2M

Healthcare It News

Fred Hutchinson Cancer Center patients are receiving extortion emails stemming from a reported data breach that occurred late last month. WHY IT MATTERS Nick Quinlan, a Fred Hutch patient, was asked to pay 50 bitcoin to prevent his data from being leaked, according to the NBC15 Seattle report. "They had the chance to protect your data, but they refused to make a deal," the attackers said, according to a screenshot of an email Quinlan received on December 6.

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CVS, Geisinger, others sign responsible AI in healthcare pledge

Health Care Dive

The voluntary commitment from 28 healthcare organizations comes as interest in artificial intelligence in the sector continues to grow.

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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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Home Health Spending Begins To Climb Again Post-Pandemic

Home Health Care

After stalling in 2021, spending on home health care returned to a more normalized growth rate in 2022, according to a new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). Specifically, national health expenditures on home health care increased by 6% to $132.9 billion in 2022. In 2021, spending only increased by 0.3%.

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CVS, Oscar Health and Geisinger join 25 other payers, providers to sign AI safety pledge

Fierce Healthcare

More than two dozen healthcare payers and providers, including CVS, Premera Blue Cross and Mass General Brigham, are making voluntary safety, security and transparency commitments to the White Hous | More than two dozen healthcare payers and providers are making voluntary safety, security and transparency commitments to the White House regarding the use of artificial intelligence.

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Decentralising care with interoperability 'should be the innovation of our decade'

Healthcare It News

We need to focus on interoperability standards and engage patients in data governance, so we can improve care with a 360-degree view of the patient, according to Simon Rost, CMO of GE Healthcare.

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HHS settles first phishing cyberattack investigation with Louisiana medical group

Health Care Dive

The agency found Lafourche Medical Group failed to conduct a risk analysis or regularly review its information system activity. The 2021 breach may have exposed nearly 35,000 patients’ data.

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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.