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Senate report slams Medicare Advantage insurers for using predictive technology to deny claims

Health Care Dive

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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HLTH24: Here’s a first look at a draft 'nutrition label' for health AI

Fierce Healthcare

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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Sunway Medical to test surgical robots and more robotics briefs

Healthcare It News

Sunway partners with Medtronic to test surgical robotics Sunway Healthcare Group in Malaysia recently announced its partnership with Medtronic. According to a social media announcement, they signed a memorandum of understanding to work together to improve the centres of excellence at its flagship hospital, Sunway Medical Centre, which specialises in spine, neuroscience, and cardiovascular medicine.

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Direct to Patient Healthcare

Healthcare Success

Struggling with burnout while maintaining high-quality healthcare services that patients love? Tune in to our latest podcast as Lee Aase, founder of HELPCare, LLC, shares how he transitioned from his pioneering social media work at Mayo Clinic to lead an innovative membership-based direct-to-patient healthcare business. This podcast is a must-listen for healthcare leaders and primary care practitioners seeking innovative ways to enhance patient access, optimize care delivery, and address challen

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Fertility Benefits Playbook: How HR Leaders Are Delivering Value in 2025

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.

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HLTH 2024: 21 Executives Share Their Predictions and Insights

HIT Consultant

As HLTH 2024 prepares to convene in Las Vegas, the anticipation for groundbreaking insights and transformative discussions is palpable. To get a glimpse into the key themes and predictions shaping this year’s event, we reached out to 21 digital health executives for their expert perspectives. From the rise of generative AI and the evolving role of virtual care to the increasing focus on health equity and value-based care, these industry leaders offer a diverse range of perspectives on the

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Google’s AI-backed healthcare search tool now available for general use

Health Care Dive

Vertex AI Search for Healthcare is designed to quickly query a patient’s medical record. Google says the tool will reduce the administrative burden for payers and providers.

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Eyewear that senses emotions grabs facial data

Healthcare It News

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Why Home Health Providers Want Employees Working At Top Of License 

Home Health Care

As home health organizations fight for a margin in tough labor and payment environments, they are increasingly seeking ways to help employees practice at the top of their licenses. By applying top-of-license assignments in organizations, less complex work is handed off to the level below. This allows organizations to see more patients, bill for more services, reduce burnout and provide better care.

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Google Cloud Report: How Generative AI Can Tackle Administrative Burdens

HIT Consultant

What You Should Know: – A new research report from Google Cloud sheds light on the significant administrative burden faced by healthcare professionals and the potential for generative AI (gen AI) to alleviate these challenges. – The report, “ Measuring the administrative burden on U.S. healthcare workers—and how generative AI can help, ” reveals that clinicians spend a substantial amount of time on administrative tasks, contributing to burnout, staff shortages, and reduce

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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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UnitedHealth, CVS, Humana, increasingly deploy AI and deny post-acute care claims, Senate report finds

Fierce Healthcare

The country’s three largest Medicare Advantage (MA) insurers obstruct seniors’ ability to receive post-acute care, a scathing report from the U.S. | A report from Sen. Richard Blumenthal, D-Connecticut, found that the country's biggest Medicare Advantage insurers use artificial intelligence to control costs and deny prior auth claims.

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Blue Cross Blue Shield to pay $2.8 billion to settle class action provider antitrust case

Health Care Dive

It's the largest antitrust settlement to date in the healthcare industry, according to law firm Whatley Kallas, which represented the plaintiffs.

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Give clinicians a comprehensive view of patient health

Healthcare It News

Sponsor: Hyland Primary topic: Patient Engagement Topic: Patient Engagement Resource Central: White Papers External url: [link] Thumbnail: Body: Sponsor: Hyland Enterprise Taxonomy: Quality Care Care Short Headline: Give clinicians a comprehensive view of patient health Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed

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Walgreens To Close 1,200 Stores, ‘Reorient’ Business Away From Health Care Services

Home Health Care

Just a few years after it decided to go all in on health care services, Walgreens Boots Alliance (Nasdaq: WBA) is largely returning to its roots. It also plans to close as many as 1,200 retail stores in the next three years amid a financial downturn. On a Tuesday earnings call, Walgreens CEO Tim Wenworth – who took over as the company’s chief leader in October of last year – said the company would be “reorienting” its business to focus on retail pharmacy.

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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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Bridging Healthcare’s Digital Divide: The Interoperability Imperative

HIT Consultant

Natalie Schibell, MPH, our VP of Marketing, Strategy, Intelligence, and Insights at Zyter|TruCare In today’s intricate healthcare landscape, seamless data exchange across diverse systems has shifted from a convenience to a critical ethical and business imperative. Interoperability has become the foundational element that enables healthcare IT systems to communicate effectively and exchange real-time data across the continuum of care.

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Microsoft rolls out new healthcare AI tools in partnership with Epic, Paige.ai, major health systems

Fierce Healthcare

Microsoft recently unveiled several new artificial intelligence capabilities for healthcare organizations designed to help analyze diverse medical data, streamline nursing documentation and enable | Microsoft recently unveiled several new AI capabilities for healthcare organizations designed to help analyze diverse medical data, streamline nursing documentation and enable companies to build their own healthcare AI agents.

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New legislation aims to tame ‘Wild West’ in healthcare cybersecurity

Health Care Dive

The bill, announced last month by Sens. Ron Wyden and Mark Warner, is a good step forward, but hospitals may need more funds to boost their cybersecurity practices, experts say.

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Digital transformation of world's 'largest geographical health service'

Healthcare It News

Western Australia Country Health Service board chair Dr Neale Fong shares how they are enabling telemedicine and remote patient monitoring.

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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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The Journey to an Infection Prevention and Control Career

CDC

The Journey to an Infection Prevention and Control Career In the complex world of health care, infection prevention and control (IPC) is crucial to keeping everyone safe. IPC helps protect healthcare professionals and reduces patients’ risk for healthcare-associated infections (HAIs), which they can get while or soon after receiving care. HAIs can lead to prolonged hospital stays, increased healthcare costs, and even death, but implementing effective IPC measures can significantly reduce these r

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UnitedHealthcare Offers Calm Health to Members for Enhanced Mental Well-being

HIT Consultant

What You Should Know: – As more people search for solutions to help manage their mental health, the interest and usage of smartphone apps and digital tools continues to grow. But when it comes to starting a journey with a digital health app, it may be overwhelming when there are many to choose from. – That’s why UnitedHealthcare is bringing Calm Health to more than 13 million commercial members as part of its offerings.

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DEA sends 3rd temporary extension of telemedicine prescribing rules to White House

Fierce Healthcare

The Drug Enforcement Administration is poised to extend pandemic-era telehealth prescribi | The third temporary extension is rumored to be for just one year, punting the deadline for the next administration to negotiate permanent rules to December 2025. Telemedicine companies, including those that prescribe Adderall, will be able to continue prescribing as they have since 2020.

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CVS replaces CEO Karen Lynch with Caremark head

Health Care Dive

The financially struggling healthcare and pharmacy giant also pulled its earnings guidance, citing increased medical cost pressures in its health benefits unit.

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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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Delivering interoperability for connected care

Healthcare It News

Sponsor: Hyland Primary topic: Interoperability Topic: Interoperability Patient Engagement Resource Central: White Papers External url: [link] Thumbnail: Body: Sponsor: Hyland Enterprise Taxonomy: Interoperability Quality Care Data and Information Care Short Headline: Delivering interoperability for connected care Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed

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Study Shows Caregivers, Patients Prefer Hospital-At-Home Model

Home Health Care

The rise of in-home alternatives to traditional hospital care is raising concerns about the potential strain these models may place on family caregivers. Under the hospital-at-home (HaH) model, it is essential to ensure that caregivers are not inadvertently overwhelmed with additional tasks and responsibilities that exceed their capacity and resources.

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Gesund.ai’s Open-Source Library Aims to Standardize AI Validation in Healthcare

HIT Consultant

What You Should Know: – Gesund.ai , the clinical AI validation company, today announced the open sourcing of a comprehensive library of evaluation methodologies and frameworks to help developers and users address AI performance and potential bias across patient cohorts for the FDA-regulated AI solutions on the market. – As part of its mission to standardize AI validation, Gesund.ai is also announcing it has joined the Coalition for Health AI, after partnering with public and private

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Walgreens plans to close 1,200 stores by 2027 as part of ongoing turnaround strategy

Fierce Healthcare

Walgreens reported a loss of $3 billion in the fourth quarter and plans to close 1,200 stores over the next three years as part of the retail drugstore chain's ongoing turnaround strategy amid a ro | Walgreens reported a loss of $3 billion in the fourth quarter and plans to close 1,200 stores over the next three years as part of the retail drugstore chain's ongoing turnaround strategy amid a rocky fiscal 2024.

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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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CVS Health slashes infusion services offerings, blaming industry headwinds

Health Care Dive

CVS Health will stop providing many infusion services and close or sell 29 pharmacies in the coming months, a spokesperson said.

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‘Employers Haven’t a Clue How Their Drug Benefits Are Managed’

Healthcare ECONOMIST

That is the title of a KFF article published last week. The results are based on KFF’s 2024 Employer Health Benefits Survey. They write: For KFF’s survey of 2,142 randomly selected companies, officials from those with 500 or more employees were asked how much of the rebates negotiated by [pharmacy benefit managers] PBMs returned to the company as savings.

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As AI Proliferates, Do’s And Don’ts Emerge For Home Health Providers

Home Health Care

It wasn’t long ago that bringing up artificial intelligence in conversations about home health care was nearly taboo. An extremely personal and hands-on industry was largely skeptical of the emerging technology, concerned there would be a push for hands-on workers to be replaced. Since then, however, home health leaders have come around to AI, whether it be of the generative or machine learning variety.

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