Healthcare It News

OCTOBER 24, 2024

Health systems that embrace artificial intelligence tools can not only improve radiology operations and quality but patient follow-up as well, which can result in greater staff efficiencies, higher patient completion rates and better access and outcomes for patients. A collaboration between East Alabama Medical Center, Inflo Health and the American College of Radiology Learning Network began using machine language models and advanced natural language processions to extract data from radiology re

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Health Care Dive

OCTOBER 21, 2024

UnitedHealth, CVS and Humana used technology to increase MA prior authorization denials for post-acute services, boosting profits, according to a report from a Senate subcommittee.

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Medicare 332

Fierce Healthcare

OCTOBER 24, 2024

Medicare Advantage (MA) insurers, namely industry titans UnitedHealth Group and Humana, could be using health risk assessments and chart reviews to inflate payments from Medicare through upcoding, | A federal watchdog is questioning whether UnitedHealthcare, Humana and other Medicare Advantage payers are either creating diagnoses out of thin air to inflate payments from Medicare or are not providing adequate care to sick members.

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Medicare 268

Healthcare Success

OCTOBER 25, 2024

Despite the influx of digital technologies into virtually every aspect of our everyday lives, healthcare is still a very human business. As a result, healthcare providers still heavily rely on positive relationships with their referring doctors and other healthcare professionals (HCPs). While leading health systems and hospitals have long employed teams of on-the-ground “physician liaisons” to protect and grow their vital referral sources, today leading multilocation specialty practices do the s

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Doctors Hospitals Primary Care Accountability 130

Speaker: Simran Kaur, Founder & CEO at Tattva 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

Patient Experience

Healthcare It News

OCTOBER 25, 2024

The Department of Health and Human Services has filed proposed modifications to the Health Insurance Portability and Accountability Act of 1996 security rule to strengthen the cybersecurity of electronic protected health information with the Office of Information and Regulatory Affairs. The central authority for the review of Executive Branch regulations provided few details, but once the White House reviews HIPAA updates HHS can release its Notice of Proposed Rulemaking for public comment.

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Fierce Healthcare

OCTOBER 20, 2024

LAS VEGAS—The Coalition for Health AI unveiled the first applied model card, completed by AI imaging company Aidoc. | The Coalition for Health AI released a draft of their AI model card, or “nutrition label” for AI, filled out with information from AI imaging company Aidoc. CHAI's work is part of ongoing efforts to ensure the responsible use of AI in healthcare.

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Healthcare 299

Home Health Care

OCTOBER 22, 2024

If you don’t like change, you’re going to hate extinction. That’s a phrase that should be hung up on home health providers’ walls across the country, according to Pinnacle Home Care CEO Shane Donaldson. There’s traditional Medicare rate cuts, Medicare Advantage (MA) penetration, staffing shortages and regulatory challenges in the home health market.

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Home Care Medicare Medicaid 118

Healthcare It News

OCTOBER 25, 2024

Korea to develop AI-driven regional smart emergency platforms The South Korean Ministry of Health and Welfare (MOHW) has announced seven more projects under the Korean Advanced Research Projects Agency for Health (ARPA-H) initiative. These include two AI-based emergency systems – one is a regional emergency system for patient classification and transfer and the other is a multi-institutional, real-time critical patient transfer management system.

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Health Care Dive

OCTOBER 25, 2024

MultiPlan, which denies the allegations, has been sued dozens of times over concerns the company is conspiring with health insurers to underpay doctors for out-of-network care.

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Doctors 235

Speaker: Kaitlin Ruby Carroll

Fertility benefits have become a crucial component of employee well-being and retention strategies. In today’s competitive landscape, creating a fertility benefits program that aligns with both employee needs and organizational goals can be more complex than it seems. From cycle-based to flat-dollar and telehealth models, each solution offers unique advantages and challenges that directly affect employee satisfaction and financial well-being.

Fierce Healthcare

OCTOBER 25, 2024

Shares in Centene were up premarket Friday after the company beat Wall Street analysts' expectations on both profit and revenue for the third quarter. | Shares in Centene were up premarket Friday after the company beat Wall Street analysts' expectations on both profit and revenue for the third quarter.

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Home Health Care

OCTOBER 23, 2024

Compassus has signed an agreement to form a joint venture with the health system Providence. The partnership will include home health care, hospice, community-based palliative care and home care services. It is the latest example of Compassus’ overarching joint venture growth strategy. “Providence at Home with Compassus” will be the name of the venture.

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Healthcare It News

OCTOBER 22, 2024

A new partnership with Amazone One Medical, which offers hybrid virtual and in-person primary care, aims to expand access to high-quality coordinated care in Northeast Ohio, Cleveland Clinic said in an announcement Monday. WHY IT MATTERS Patient access to essential health services is behind the collaboration, according to Dr. Tom Mihaljevic, Cleveland Clinic's chief executive officer and president, with the new practices to offer same and next-day appointments, an onsite lab and virtual care

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Primary Care Patient Experience Doctors Hospitals 191

Health Care Dive

OCTOBER 23, 2024

The Better Medicare Alliance is warning of disruptions to care for America’s seniors, though MA premiums and major benefits are essentially unchanged next year.

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Medicare 278

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Fierce Healthcare

OCTOBER 23, 2024

LAS VEGAS — Demand for GLP-1s has not slowed, and employers still have not cracked the code on the perfect solution for medications that represent a growing portion of spend. | LAS VEGAS — Demand for GLP-1s has not slowed, and employers still have not cracked the code on the perfect solution for medications that represent a growing portion of spend.

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HIT Consultant

OCTOBER 25, 2024

What You Should Know: – Gradient Health , a leading provider of medical imaging data for AI development, has acquired DataAppraisal , a healthcare AI company specializing in unlocking the value of anonymized data from health systems worldwide. – The strategic acquisition will significantly expand Gradient Health’s ability to provide medical AI developers with access to a vast and diverse collection of de-identified medical imaging studies, including datasets from underserved ru

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Medical Technology Healthcare 97

Healthcare ECONOMIST

OCTOBER 21, 2024

That is the title of an interesting panel from USC Schaeffer Center on Coverage with Evidence Development (CED). It includes an interview with Tamara Syrek Jensen, Director, of the Coverage & Analysis Group within the Centers for Medicare & Medicaid Services. After the interview, there is a panel discussion with Darius Lakdawalla of USC, Peter Neumann of Tufts University, and Joshua Makower of Stanford University.

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Medicaid Medicare 105

Health Care Dive

OCTOBER 22, 2024

The academic medical giant is the latest health system to notch a deal with One Medical, defraying the cost of expansion for the primary care chain while creating a valuable source of referrals for the hospital.

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Primary Care Hospitals 273

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.

Fierce Healthcare

OCTOBER 22, 2024

Amazon One Medical, working with the online retail company's technology teams, developed artificial intelligence tools for its clinicians to help them save time. | Amazon One Medical, working with the online retail company's technology teams, developed artificial intelligence tools for its clinicians to help them save time.

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HIT Consultant

OCTOBER 25, 2024

What You Should Know: – Osigu , an AI-powered platform for healthcare claims and revenue management in Latin America and the Caribbean, has raised $25 million in Series B funding led by IDC Ventures , with strategic participation from Visa. – Visa’s strategic investment and partnership will drive the development of real-time payment solutions for healthcare providers.

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NASHP

OCTOBER 21, 2024

States are seeking ways to include people with lived experience (PwLE) of incarceration in reentry policy development, decision-making, and program implementation. Multiple new reentry policy changes are taking place at the federal and state level, bringing new opportunities to improve health and safety. The National Academy for State Health Policy (NASHP) and the Health and Reentry Project (HARP) are partnering to support states in these efforts through our State Reentry Learning and Action Net

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Health Care Dive

OCTOBER 21, 2024

It’s the latest in a string of lawsuits from health insurers scrambling to protect their prized quality scores and the money that ratings represent.

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Medicare 293

Advertiser: HealthCar

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Fierce Healthcare

OCTOBER 23, 2024

Sanford Health and Marshfield Clinic Health System have signed a merger agreement, the health systems announced on Wednesday, after first revealing their intent to combine in July. | Sanford Health and Marshfield Clinic Health System have signed a merger agreement, the health systems announced on Wednesday, after first revealing their intent to combine in July.

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HIT Consultant

OCTOBER 24, 2024

What You Should Know: – Philips and Medtronic Neurovascular, an innovator in neurovascular therapies, have announced a strategic partnership to advocate for improved stroke care worldwide. – Recognizing the critical need for timely diagnosis and treatment of stroke, the two companies are joining forces to raise awareness, improve access to care, and leverage technology to enhance stroke outcomes.

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Hospitals Healthcare 94

Home Health Care

OCTOBER 22, 2024

The Future Leaders Awards program is brought to you in partnership with Homecare Homebase. The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. To see this year’s Future Leaders, visit [link]. Kylee Bradshaw, the director of operations at the Bloomington, Indiana Office of Village Caregiving, has been named a 2024 Future Leader by Home Health Care News.

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Health Care Dive

OCTOBER 23, 2024

Centene is emulating other insurers unhappy with how regulators handled quality ratings for 2025. The flurry of complaints is “symptomatic of what appear to be systemic issues” with CMS calculations, Centene said.

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Medicare Regulations 244

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Healthcare

Fierce Healthcare

OCTOBER 24, 2024

Dyania Health is using artificial intelligence to automate manual patient chart review, boosting providers' ability to comb through medical records and speeding up medical research. | Dyania Health is using artificial intelligence to automate manual patient chart review, boosting providers' ability to comb through medical records and speeding up medical research.

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HIT Consultant

OCTOBER 24, 2024

What You Should Know: – PeopleOne Health , a pioneer in value-based primary care, has secured up to $32.3M in Series B funding led by GV (Google Ventures) , with participation from notable investors including healthcare entrepreneur Glen Tullman. – The funding will accelerate PeopleOne Health’s mission to transform primary care by providing a comprehensive, patient-centric, and cost-effective health benefit.

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Home Health Care

OCTOBER 23, 2024

Help at Home, one of the largest home care providers in the country, is expanding its reach in the state of Florida through its acquisition of Caregiver Services Inc. “When we evaluate any organization for a possible acquisition, it’s important for us to have a cultural connection with that company,” Ray Smithberger, chief operating officer of Help at Home, told Home Health Care News.

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