Wed.Jun 11, 2025

article thumbnail

HHS watchdog accuses CVS Medicare Advantage plan of upcoding

Health Care Dive

The vast majority of diagnoses codes that CVS subsidiary Coventry submitted to the CMS between 2018 and 2019 weren’t supported by patient documentation, the HHS Office of the Inspector General found.

Medicare 337
article thumbnail

MetroHealth and MUSC Health make for a patient engagement powerhouse

Healthcare It News

Like most health systems, Ohio's MetroHealth has over the years made substantial investments in health IT, from telemedicine to healthcare education to, of course, an electronic health record. THE CHALLENGE While all these tools are important for care teams and patients, MetroHealth has not had a good way to connect them in a manner that is coordinated and tailored to the unique needs of each person IT staff serves.

Insiders

Sign Up for our Newsletter

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

article thumbnail

Addiction treatment center to pay $1.9M to settle allegations it misled consumers

Health Care Dive

The civil penalty could almost quadruple if the FTC discovers Evoke Wellness, which allegedly poised as other treatment centers in a bid to nab new business, misrepresented its financial holdings.

279
279
article thumbnail

Cancer patients find community support online

Healthcare It News

Rahul Mahadevan founded WiTT Group to create a platform where patients can ask for help with specific needs after he saw other patients delaying or refusing treatment because of non-clinical obstacles.

174
174
article thumbnail

How to Start Virtual Care the Right Way: A Proven Roadmap for 2025 and Beyond

Speaker: Dr. Christine Gall, DrPH, MS, BSN, RN

The promise of virtual care is no longer theoretical and is now a critical solution to many of healthcare’s most urgent challenges. Yet many healthcare leaders remain unsure how to build a business case for investment and launching the right program at the right time can be the difference between value and failure. For organizations seeking a financially sound, clinically effective entry point, Virtual Patient Observation (VPO) offers a compelling case to lead with.

article thumbnail

AMA swears in Bobby Mukkamala as president

Health Care Dive

Mukkamala, who was diagnosed with a brain tumor last year, raised concerns during his inaugural address about cuts to federal spending on biomedical research, saying the funds have advanced treatments for patients like him.

143
143
article thumbnail

Fierce Healthcare - Untitled Article

Fierce Healthcare

This week on "Podnosis," we explore how employers are rethinking their approach to employee wellbeing—integrating mental, physical and financial health strategies to better reach the people who need them most.

More Trending

article thumbnail

Fierce Healthcare - Untitled Article

Fierce Healthcare

Blue Shield of California members can now book appointments with in-network providers through the payer’s website.

159
159
article thumbnail

Building An At-Home Care Employee Referral Program To Boost Conversions, Cut Costs

Home Health Care

This article is a part of your HHCN+ Membership Home-based care providers are always innovating new ways to recruit and retain care staff, but companies are still getting the most mileage out of internal word-of-mouth referrals. Companies that heavily invest in employee referral programs, including creating social media groups, physical materials employees can hand out and email campaigns with current and former employees, have been able to improve retention rates.

article thumbnail

Fierce Healthcare - Untitled Article

Fierce Healthcare

Capital Rx says the acquisition now allows its members to benefit from a seamless, unified medical and pharmacy claims platform.

148
148
article thumbnail

Novo Nordisk Amps Up Drug Discovery with Gefion AI Supercomputer

HIT Consultant

What You Should Know: – DCAI today announced that Novo Nordisk has become a customer of the Gefion AI supercomputer. – Through this agreement, Novo Nordisk will gain access to Gefion’s unparalleled computational capabilities to process vast datasets, with a goal of transforming drug discovery and development as well as driving healthcare innovation.

article thumbnail

How to Turn “Check-the-Box” Compliance Trainings Into Real Learning

Speaker: Brian Richardson, Brian Richardson, Founder and CEO of Richardson Consulting Group

Let’s face it—most ethics and compliance training programs aren’t winning awards for engagement. But that doesn’t mean they can’t be effective, captivating, and maybe even enjoyable! Join learning design expert Brian Richardson for a dynamic session on how to breathe new life into your ethics and compliance training. We'll explore innovative strategies to bring traditionally dry topics to life, making them resonate with learners and drive tangible change.

article thumbnail

Fierce Healthcare - Untitled Article

Fierce Healthcare

In a new analysis and policy article, Association of American Medical Colleges warns that "academic health systems can only absorb so much without significant harm to biomedical research, medical education and patient care.

230
230
article thumbnail

Mayo Clinic Invests in hellocare.ai, Backing Future of Ambient Clinical Intelligence

HIT Consultant

hellocare Smart Hospital Room What You Should Know: – hellocare.ai , an AI-assisted virtual care delivery platform announced it has entered into a collaboration with Mayo Clinic focused on ambient clinical intelligence. The AI company also announced the expansion of its previously announced $47M growth round, welcoming Mayo Clinic as its latest investor. – The collaboration aims to leverage technology for a more proactive approach to healthcare, with the potential to reduce hospitali

article thumbnail

Healthcare AI News 6/11/25

HIStalk

MENU MENU Home Navigation Articles Full list News Headlines Dr. Jayne Interviews Readers Write Weekender RSS feed Sponsors Sponsor guide Jobs Announcements Industry events Webinars Calendar About YouTube channel Information About HIStalk Sponsorship Vince Ciottis HIS-tory HIStalk Practice Recent Posts Recent Posts Morning Headlines 6/12/25 June 11, 2025 Healthcare AI News 6/11/25 June 11, 2025 This Week in Health Tech 6/11/25 June 11, 2025 Morning Headlines 6/11/25 June 10, 2025 News 6/11/25 Jun

article thumbnail

KLAS Report: Most Clinicians “Stuck in the Middle” with EHR Experience

HIT Consultant

What You Should Know: – A new 2025 impact report from the KLAS Arch Collaborative reveals that while some progress has been made, most clinicians have a mediocre experience with their electronic health record (EHR) systems. The KLAS report, “ Clinician EHR Experience 2025: State of the Industry, ” highlights that only a minority of clinicians have a strong or elite EHR experience, and it underscores the critical link between EHR satisfaction, organizational culture, and clinici

Nursing 59
article thumbnail

Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

article thumbnail

Fierce Healthcare - Untitled Article

Fierce Healthcare

BHIQ is a standalone product built on the analytics work NeuroFlow has already routinely been doing for years. It leverages existing data, like historical EHR, claims and pharma data, to predict a population or patient’s behavioral health needs.

152
152
article thumbnail

Humata Health’s AI-Powered Prior Authorization Platform Now Available on Microsoft Azure Marketplace

HIT Consultant

What You Should Know: – Humata Health , a provider of AI-powered touchless prior authorizations, today announced the availability of its platform in the Microsoft Azure Marketplace , an online store providing applications and services for use on Azure. – The integration allows healthcare payers and providers seeking to automate prior authorization to leverage the productive and trusted Azure cloud platform, with streamlined deployment and management.

article thumbnail

Fierce Healthcare - Untitled Article

Fierce Healthcare

The investment follows a highly successful collaboration between Emory Healthcare and Guidehealth that significantly improved the academic health system's Centers for Medicare & Medicaid Services star ratings.

Medicaid 143
article thumbnail

Why Your Health IT Project Needs a Coach, Not Just a Manager

HIT Consultant

Ammarah Sulaiman, founder of Phoenix Sunrise LLC Project managers are no longer mere overseers of projects; they are transitioning to become coaches who lead their teams to success in the changing healthcare environment. In the healthcare technology domain, where collaboration occurs between diverse teams, the role of project managers is shifting to include team mentoring and empowerment.

article thumbnail

Can Your Organization Spot a Conflict Before It’s a Crisis?

Speaker: Amie Phillips Pablo, VP, Corporate Compliance & Privacy Officer at Novo Nordisk

In today’s complex healthcare environment, navigating third-party relationships has become even more challenging—whether it’s vendor relationships, employee activities, or patient-facing interactions. Left unmanaged, these conflicts can compromise trust, regulatory compliance, and even organizational reputation. So, how can healthcare teams stay ahead?

article thumbnail

What Children Can Teach Us About Using GenAI – Insights from The Alan Turing Institute and LEGO

Health Populi

“While children are the group that may be most impacted by the widespread deployment of generative AI, they are simultaneously the group least represented in decision-making processes relating to the design, development, deployment or governance of AI,” we learn in Understanding the Impacts of Generative AI Use on Children , research conducted by The Alan Turing Institute in partnership with the LEGO Group.

article thumbnail

Healing Healthcare Finance: How AP Payment Automation Solves Staffing Challenges and Improves Patient Care

HIT Consultant

Darin Horrocks, Executive VP, Business Payments at REPAY Healthcare providers and facilities face a dual challenge in their accounting operations: a critical shortage of accounting professionals coupled with increasingly complex payment processes. Unless properly addressed and managed, this problem can threaten the operational stability and security of any healthcare organization, from large hospitals and clinics to rural and specialty care providers.

article thumbnail

A Full Guide on How to Reduce No-Show Appointments 

Clearwave Inc

Reading Time: 5 minutes By Blakely Roth | June 11, 2025 Patient no-shows are a persistent problem for healthcare practices, leading to lost revenue, reduced access to care and frustrated staff and physicians. Fortunately, with the right strategies and technologies, no-shows can be significantly reduced—even dropped to as low as 5% in some cases. In this guide, we’ll cover the real cost of no-shows and how to proactively reduce no-show rates through proven approaches.

article thumbnail

RadiantGraph Unveils AI Voice Studio to Scale Personalized Member Engagement

HIT Consultant

What You Should Know: – RadiantGraph , the AI-powered platform for personalized healthcare engagement, has unveiled AI Voice Studio , a new capability in its Intelligent Personalization platform. – The new feature leverages HIPAA-compliant AI voice agents to help health plans and digital health organizations scale their member outreach and engagement efforts efficiently and effectively.

article thumbnail

Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

Speaker: Jennifer Hill

Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.

article thumbnail

Morning Headlines 6/12/25

HIStalk

MENU MENU Home Navigation Articles Full list News Headlines Dr. Jayne Interviews Readers Write Weekender RSS feed Sponsors Sponsor guide Jobs Announcements Industry events Webinars Calendar About YouTube channel Information About HIStalk Sponsorship Vince Ciottis HIS-tory HIStalk Practice Recent Posts Recent Posts Morning Headlines 6/12/25 June 11, 2025 Healthcare AI News 6/11/25 June 11, 2025 This Week in Health Tech 6/11/25 June 11, 2025 Morning Headlines 6/11/25 June 10, 2025 News 6/11/25 Jun

article thumbnail

Zorro Secures $20M for AI-Powered Benefits Adminstration Platform

HIT Consultant

What You Should Know: – Zorro , a next-generation benefits administration platform using advanced technology to reshape how America’s workers plan for and purchase healthcare secures $20M in Series A funding led by Entrée Capital , with participation from existing investors 10D and Pitango. – The company is pioneering the use of Individual Coverage Health Reimbursement Arrangements (ICHRA) combined with an AI-driven platform to move employers away from traditional one-size-fits-all g

article thumbnail

States starting to limit payer use of prior authorization?

Healthcare ECONOMIST

Recently, I published a paper noting that the risk of using prior authorization and step edits may vary by the disease to which this type of utilization management is applied. States are starting to pass legislation to limit how health insurers can use prior authorization rules. According to the American Medical Association (AMA) , 10 states (Vermont, Minnesota, Wyoming, Colorado, Illinois, Mississippi, Maine, Maryland, Oklahoma and Virginia ) have passed laws to reform health insurer prior auth

article thumbnail

Corti Launches FactsR™ to Cut Clinical ”Note Bloat” by 65%

HIT Consultant

What You Should Know: – Corti , the leading infrastructure layer for building clinical-grade AI in healthcare, today announced the launch of FactsR , a breakthrough real-time agentic reasoning system for clinical consultations. Designed with ambient documentation in mind, FactsR reduces general purpose AI driven “note bloat” by 65 percent, keeping records precise, relevant, and tightly aligned with the actual clinical conversation. – By minimizing post-visit edits and transformin

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

Plant Innovation in Europe: Patents and GMO Regulation

Bill Of Health

Food Plant Innovation in Europe: Patents and GMO Regulation Recently three key areas have attracted special EU attention: sustainability, biodiversity, and food supply and security. Published June 11, 2025 Author Laura Valtere Share Share on LinkedIn Share on X Share on Facebook Share on Reddit Recently three key areas have attracted special EU attention: sustainability , biodiversity , and food supply and security.

article thumbnail

Hormone Optimization Goes Digital: Supporting the Next Wave of HRT and Longevity Clinics

HIT Consultant

Josh Rosaasen, Chief Operating Officer at Locke Bio Hormone optimization has entered a new era, where digital platforms are reshaping access to hormone replacement therapy (HRT) and longevity-focused treatments. By going digital, specifically through telehealth platforms, patients and providers are experiencing a new level of convenience and efficiency in care delivery.

article thumbnail

HHS Secretary Kennedy Dismisses Entire CDC Vaccine Advisory Panel

HKLaw

U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. dismissed all 17 members of the CDC's Advisory Committee on Immunization Practices (ACIP).

87
article thumbnail

Healthcare’s Digital Dilemma: AI Adoption Surges While Legacy Systems and Security Risks Lag Behind

HIT Consultant

What You Should Know: – A new report from SOTI , “ Healthcare’s Digital Dilemma: Calculated Risks and Hidden Challenges Exposed ,” reveals a growing divide in U.S. healthcare’s digital transformation. While many organizations are rapidly embracing AI and mobile technologies to improve patient care, a significant number are being held back by outdated systems and rising security risks. – The report , which surveyed 1,750 IT decision-makers across 11 countries, includ

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