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 344

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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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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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

Patient Experience

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 23, 2024

Executives from Amazon, Walgreens, Blue Shield of California and PhRMA weighed in on how to fix the much-scrutinized pharmacy benefit manager model during HLTH 2024.

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HIT Consultant

OCTOBER 22, 2024

Ty Greenhalgh, Principal of Healthcare at Claroty In light of the recent Supreme Court decision overturning the Chevron deference, the regulatory landscape, especially concerning cybersecurity in healthcare, faces significant changes. The ruling in Loper Bright Enterprises v. Raimondo, which reversed the 1984 Chevron v. Natural Resources Defense Council precedent, alters how federal agencies can interpret and implement laws.

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Healthcare Regulations Medicaid Medicare 139

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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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 325

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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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

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 128

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 24, 2024

The presidential election, loss of higher federal funding, inflationary pressures and other challenges are leaving state regulators uncertain about Medicaid’s “new normal.

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Medicaid Regulations 290

Fierce Healthcare

OCTOBER 24, 2024

MultiPlan destroys market competition and engages in price-fixing with major insurers, a lawsuit from the American Medical Association (AMA) and the Illinois State Medical Society alleges.

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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.

Home Health Care

OCTOBER 24, 2024

Direct care workers are, in many ways, the collective face of home-based care organizations. They are who clients and patients interact with. Therefore, regulators and providers are increasingly taking a closer look at who they’re hiring in the first place. While it is shocking to see caregivers commit crimes against clients, it does happen. About one in six people aged 60 and older experienced some form of abuse during 2023, according to the World Health Organization.

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Home Care Law Firms Medicaid Regulations 122

Meditech

OCTOBER 25, 2024

Mobile technology promises enhanced patient care and optimized workflows, but how do organizations fulfill this for patients and providers alike? At MEDITECH LIVE 2024 , I moderated a panel with leadership from Northern Montana Health Care , Alder Hey Children’s Hospital , and Phoebe Putney Health System. Each panelist shared insights on implementing effective mobility strategies that can refine healthcare delivery at any organization.

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Hospitals Healthcare 108

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 290

Fierce Healthcare

OCTOBER 23, 2024

LAS VEGAS—Atropos Health's large language model for real-world evidence is now ready for prime time after a successful beta program. | Atropos Health's large language model for real-world evidence is now ready for prime time after a successful beta program.

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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.

NASHP

OCTOBER 22, 2024

In February 2024, Oregon received approval from the U.S. Centers for Medicare and Medicaid Services (CMS) to implement an innovative 1115 Medicaid demonstration waiver incorporating family caregiver supports and supports for older adults and adults with disabilities. The Oregon Project Independence Medicaid (OPI-M) waiver expands the state-funded Oregon Project Independence (OPI) program to allow more at-risk Medicaid-eligible older adults and people with disabilities to receive long-term servic

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Medicaid Nursing Prevention Medicare 110

HIT Consultant

OCTOBER 23, 2024

Chu Canh Chieu, Director of Global Healthcare Center, FPT Software One of the silver linings of the COVID-19 pandemic was the rise of telemedicine. The constraints imposed by the pandemic sparked a lasting trend of patients willing and able to seek healthcare solutions virtually. Since the pandemic, the rise of AI and its integration with telemedicine and digital health has seen significant investment growth, leading to enhanced patient care and reduced operation costs for healthcare providers a

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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 279

Fierce Healthcare

OCTOBER 23, 2024

Anthem Blue Cross Blue Shield of New York’s directory of doctors is thoroughly inaccurate and forces patients to seek costly out-of-network care and delay care, a class-action lawsuit alleges. | Anthem Blue Cross Blue Shield of New York is making it hard for members to receive care from mental health professionals due to poorly run provider directories, or ghost networks, a lawsuit claims.

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Doctors 317

Advertiser: HealthCar

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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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HIT Consultant

OCTOBER 23, 2024

What You Should Know: – Innovaccer Inc., a healthcare AI company, has released a new research report, “ The State of AI During the Great Burnout in Healthcare , ” shedding light on the increasing role of AI in addressing the challenges faced by healthcare professionals. – The report, based on a survey of 568 healthcare professionals, reveals that AI is being embraced as a crucial tool for reducing administrative burden, improving operational efficiency, and mitigating cli

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Healthcare Integration 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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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 315

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.

Home Health Care

OCTOBER 22, 2024

As home-based care demand continues to increase, several leaders are thinking about the unique growth trajectories at their companies. At Impact Healthcare, growth has been achieved by not overextending. In recent years, the company has seen 35% year-over-year growth, except for in 2020. “When I think about our growth trajectory, it’s making sure that we stay true to who we are,” Steve Burningham said during a panel discussion at Home Health Care News’ FUTURE conference.

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Medicare Medicaid Home Care Primary Care 115

HIT Consultant

OCTOBER 20, 2024

Medical marijuana has been used for many years to help patients who may suffer from pain and other ailments. While still controversial in some states and countries, medical marijuana does have its benefits for those who use it. Unfortunately according to the CDC , 52.5 million people used it illegally in the USA in 2021. According to Pew Research , nine out of 10 people said it should be legalized for medical and recreational use across all of America.

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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 299

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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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.

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