March, 2024

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Providers 'wasted' $10.6B in 2022 overturning claims denials, survey finds

Fierce Healthcare

More than 100 provider organizations want the Centers for Medicare & Medicaid Services (CMS) to take a tougher stance on Medicare Advantage (MA) plans’ practices following an industry survey es | Providers spent nearly $20 billion in 2022 pursuing delays and denials across all payer types, yet those efforts are substantially more costly on average when dealing with private plans, hundreds of hospitals and health systems told Premier in a recent survey.

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Mayo Clinic launches digital health product pipeline

Health Care Dive

The program aims alleviate the cost and difficulty digital health companies face in selling to hospitals, while making it easier for hospitals to find and integrate useful tools.

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Memorial Healthcare finds success with switch to Epic-based telehealth vendor

Healthcare It News

With 15,000 team members, 3,000 providers and $3.1 billion in annual operating revenue, Memorial Healthcare System is one of the largest public health systems in the U.S. A South Florida-based academic medical center, Memorial operates six hospitals, including the Joe DiMaggio Children's Hospital; numerous primary, urgent and 24/7 care facilities; a health specialty center; and a nursing home.

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The Looming Home Care Disaster In New York State

Home Health Care

There’s a potential storm brewing in New York state due to Gov. Kathy Hochul’s executive budget for 2025. The budget proposal includes over $1 billion in cuts to the states’ home care programs. The move is an effort to reduce Medicaid spending. The budget proposal cuts, which was released on Jan. 16, would directly impact New York’s Consumer Directed Personal Assistance Program (CDPAP).

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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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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

Children and youth with special health care needs (CYSHCN) require services beyond those needed by children generally, yet they often face difficulties accessing high-quality health care. Of the over 15 million CYSHCN in the U.S., only 12.8 percent receive care in a well-functioning system, 1 and 44.6 percent of families with CYSHCN report frustrations in accessing services. 2 As states adopt strategies to improve systems of care for CYSHCN, many are prioritizing equitable access across populati

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ArteraAI’s Prostate Test Earns Recognition in NCCN Guidelines for Prostate Cancer

HIT Consultant

What You Should Know: ArteraAI , a leader in artificial intelligence (AI)-powered cancer tests, today announced a significant achievement – the inclusion of their ArteraAI Prostate Test in the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Prostate Cancer. This marks a major milestone for ArteraAI, solidifying their position at the forefront of AI-driven oncology and personalized patient care.

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Tax breaks exceed community care spending at large majority of nonprofit hospitals: report

Health Care Dive

Nonprofits’ cumulative “fair share” deficit is enough to pay off the medical debt of everyone in California, Texas, New York and Pennsylvania combined, according to the Lown Institute.

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Technology, cybersecurity and collaboration are featured at HIMSS24

Healthcare It News

HIMSS president and CEO Hal Wolf discusses healthcare trends, including patient engagement, AI advancements and cybersecurity challenges, and how HIMSS24 offers attendees a chance to learn from each other and collaborate in responding to those trends.

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Home Health Disparities: Medicare Advantage Patients Receive Fewer Visits, Worse Outcomes

Home Health Care

Home health patients under Medicare Advantage (MA) plans have worse functional outcomes compared to traditional Medicare patients, likely as a result of receiving fewer visits, according to a new study. The new study is from researchers with the Department of Rehabilitation Medicine at University of Washington. “Of [nearly 300,000] patients, MA patients had shorter home health length of stay by 1.62 days and had 3% and 4% lower adjusted odds of improving in mobility and self-care, respectively,”

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MEDITECH Expanse takes center stage at ViVE 2024

Meditech

Following the rapid technology boom inspired by AI’s mainstream debut, ViVE 2024 encouraged participants to bring their best advancements to the floor, and MEDITECH embraced that mission with passion. This year, we featured the best of Expanse, the intelligent EHR platform.

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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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HIMSS24 Roundup: M&A, Strategic Partnerships, Deployments, Product Launches, Funding, More

HIT Consultant

Strategic Partnerships New Consortium Aims to Ensure Responsible Use of AI in Healthcare A new initiative, the Trustworthy & Responsible AI Network (TRAIN), was announced at the HIMSS 2024 Global Health Conference. Through collaboration, TRAIN members will help improve the quality, safety, and trustworthiness of AI in health by sharing best practices, enabling registration of AI used for clinical care or clinical operations, providing tools to enable measurement of outcomes associated with t

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Diabetes management tools not worth the cost, study finds. But digital health companies push back on 'flawed' analysis

Fierce Healthcare

A new analysis pours cold water on the effectiveness of widely used digital diabetes management solutions, stirring up discussion about how best to evaluate the growing market of digital health too | The Peterson Health Technology Institute's analysis assessed whether digital diabetes solutions improve users' health outcomes over "usual care.

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Change Healthcare cyberattack having ‘far-reaching’ effects on providers

Health Care Dive

Providers said the outage at the UnitedHealth-owned technology company has affected billing, eligibility checks, prior authorization requests and prescription fulfillment.

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Enhancing hospital IT's speed-to-market capability

Healthcare It News

As healthcare providers worldwide grapple with worsening healthcare staff shortages and rising service demand, low-code technologies have proven indispensable in bridging these twin challenges while promoting positive outcomes for both patients and clinicians. Take the case of Mount Alvernia Hospital, a 300-bed private not-for-profit medical institution in Singapore.

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A Guide to Improved Sepsis Detection & Compliance: 6 Areas You Should Address

This guide highlights key areas that your sepsis detection platform should address to minimize the impact of this leading, entirely preventable cause of in-hospital deaths, as well as how to increase compliance by 20% in 30 days. Download to learn more!

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Aging Media Network, a WTWH Media Company, Announces 2024 Aspect Awards Winners

Home Health Care

Aging Media Network, a WTWH Media company, is proud to announce the 2024 Aspect Awards winners. With more than 60 submissions across the categories of Behavioral Health, Home Health & Home Care, Hospice & Palliative Care, Senior Housing & Senior Living, and Skilled Nursing (SNF), the focus on innovation and creativity is sharper than ever before.

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Connection fuels interoperability at HIMSS24

Meditech

Whether it was connecting with customers, prospects, industry thought leaders and other champions of innovative health IT solutions, or exploring connection through interoperability and open data exchange – the spirit of connection was tangible at HIMSS24.

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Mayo Clinic Platform Unveils Solutions Studio to Propel Digital Health Innovation

HIT Consultant

What You Should Know: – Mayo Clinic Platform launches Solutions Studio , a groundbreaking program designed to accelerate the development, validation, and deployment of digital health solutions. – Solutions Studio addresses a critical challenge in healthcare – bridging the gap between promising digital health innovations and their practical integration into clinical workflows.

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HIMSS24: Oracle Health builds out generative AI tools in its quest to 'eliminate clicks' for clinicians

Fierce Healthcare

ORLANDO, Florida — Software giant Oracle continues to build out generative AI tools in its healthcare solutions as it debuted a new service for care management this week and plans to roll out | Oracle is integrating generative AI and ambient listening technologies into its EHR to streamline medical notetaking for clinicians. "We're not trying to go from 10 clicks to seven clicks.

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The New Tech Experience: Innovation, Optimization, and Collaboration

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

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Medicare to cover Novo’s obesity drug for some patients

Health Care Dive

Two weeks after the FDA updated Wegovy’s label, Medicare changed its stance to allow people with a history of heart disease to receive treatment, a shift that could further boost access to the fast-selling medicine.

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UC Irvine's AI-powered conversational health agent is ready for developers

Healthcare It News

At the University of California Irvine Sue & Bill Gross School of Nursing, faculty members are developing ways for artificial intelligence to help deliver better patient care and improved outcomes. Amir Rhamani is a professor at the nursing school – and also a computer science professor at the Donald Bren School of Information and Computer Sciences, a professor of electrical engineering at the Henry Samueli School of Engineering and an associate director of the Institute for Future Hea

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CenterWell President Sanjay Shetty: ‘It’s Time To Give Home Health Its Due’

Home Health Care

This article is a part of your HHCN+ Membership CenterWell President Dr. Sanjay Shetty knows home health care is an extremely valuable service. Unlike many other leaders, he’s in the position to prove it. For close to a year now, Shetty has led Humana’s (NYSE: HUM) health care services division, which includes CenterWell Home Health, CenterWell Primary Care and CenterWell Pharmacy.

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6 Tips for Patients to Avoid Healthcare-Associated Infections

CDC

When a loved one is hospitalized, the last thing anyone wants is for them to get an infection while receiving care. Yet, according to the Centers for Disease Control and Prevention (CDC), on any given day, about 1 in 31 U.S. hospitalized patients has a healthcare-associated infection (HAI). An HAI is an infection that develops during or soon after receiving health care or being in a healthcare setting, such as a hospital, clinic, doctor’s office, surgery center, or nursing home.

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Strategies to Deal with Collaborative Healthcare Communication

Speaker: Dr. Ugo Uwaoma, MD, MBA

Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.

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Feds Launches Investigation of Change Healthcare Cybersecurity Attack

HIT Consultant

What You Should Know: – The Department of Health and Human Services’ Office for Civil Rights (OCR) has announced an investigation into the recent cyberattack on Change Healthcare , a subsidiary of UnitedHealth Group (UHG). – The cybersecurity attack has significantly disrupted healthcare billing and information systems nationwide, potentially impacting patient care.

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AHA: 94% of hospitals financially impacted by Change Healthcare's cyberattack

Fierce Healthcare

Nearly every hospital is feeling the consequences of Change Healthcare’s cyberattack on their finances, patient care delivery, or both, according to reports from almost 1,000 hospitals compiled by | Almost 60% of surveyed hospitals reported at least $1 million of impacted revenues per day, and 74% said that the incident has had "direct" implications on patient care within their facilities.

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Senior lawmaker questions UnitedHealth over Change cyberattack

Health Care Dive

Rep. Jamie Raskin, D-Md., said UnitedHealth’s “rapid consolidation and vertical integration” has major consequences for the healthcare sector, including increased control of the health IT market.

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First 24/7 virtual emergency clinic in Australia's outback launched

Healthcare It News

Not-for-profit aeromedical services provider Royal Flying Doctor Service has introduced what could be the first unmanned virtual medical emergency centre in Australia's outback. The new RFDS William Creek Community Health Service in the outback tourism town of William Creek in South Australia features a 24/7 virtual emergency centre with a telehealth unit that members of the community and tourists can access to connect with on-call RFDS doctors.

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Top 12 Telehealth KPIs Every Health Tech Leader Should Know

Speaker: Matt McBride, CEO and Co-Founder of Mend

Patient engagement happens before, during, and after interactions. Consumer research has found that in 2021, 64% of US households reported using Telehealth services. In addition 34% of patients would prefer Telehealth visits to in-office visits. Accessible patient engagement technology can help you improve your relationships with your patients while also improving your KPIs.

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Communal Living, Tech And Staffing: Addressing Baby Boomer Demands In Home Care

Home Health Care

Home care providers know that the U.S. population is aging. It’s up to them to adjust, however, and be ready for the seniors they’ll be serving. “The boomers are going to evolve and dictate how we live in later years,” Jisella Dolan, an advisor and consultant with Reverence Care, said during a webinar Thursday. “Retirement is going to be different. We all remember the show ‘Golden Girls.

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Artificial intelligence unpredictably impacts radiologist performance

Health IT Analytics

AI improves performance for some radiologists, but not others, raising questions about a one-size-fits-all integration approach for the tools in healthcare.

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Strengthening Cybersecurity Preparedness for Small Organizations: Lessons from the Change Healthcare Ransomware Attack

HIT Consultant

Usman Choudhary, general manager, VIPRE Security Group Here we go again. The US health system is in a desperate cybersecurity state of affairs. Another healthcare cyberattack has made the news and it’s a big one. UnitedHealth Group’s technology unit, Change Healthcare, is currently facing an ongoing ransomware attack which has reverberated through healthcare systems and affected prescription deliveries.

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HIMSS24: 'Fasten your seatbelts'—Hackensack Meridian CEO predicts acceleration of gen AI to help healthcare workforce

Fierce Healthcare

ORLANDO — It's almost impossible to have a conversation at HIMSS24 without the topic of artificial intelligence or generative AI coming up. | How will the conversations about AI in healthcare change by next year's HIMSS conference? Hackensack Meridian CEO Robert Garrett predicts that pilot projects underway now will roll out into practice.

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