Sat.Mar 16, 2024 - Fri.Mar 22, 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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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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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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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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Google's healthcare AI ambitions: New model for personal health coaching and next steps for gen AI

Fierce Healthcare

Google is doubling down on its ambitions for healthcare AI by exploring how generative AI can help clinicians in medical decision-making, understand lab and imaging information and provide con | Google is hyper-focused on generative AI in healthcare, pushing forward research to advance gen AI capabilities that can help clinicians in medical decision-making, understand lab and imaging information and provide consumers with personalized health insights based on their wearable data.

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Government watchdog warns of Medicaid oversight gaps

Health Care Dive

The CMS doesn’t require states to report data on outcomes or care denials, and has made “delayed” progress on plans to analyze the information and make it public, according to the Government Accountability Office.

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The Emperor’s New Clothes; Lessons for leaders

Pro CRNA

By Thomas Davis, DNAP, MAE, CRNA Born in Denmark in the early 1800’s, Hans Christian Anderson was a prolific writer best known for his fairy tales. Among his famous fables, The Emperor’s New Clothes is a classic story that continues to be referenced two centuries later when the reality that we experience does not align with what we are told is “the truth”.

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SXSW24: Better communication, collaboration, reimbursement needed to improve cancer care

Fierce Healthcare

Uncomfortable waiting rooms. Revealing hospital gowns. Confusing insurance. Exhausting travel between appointments. | Oncology was a major focus at this year’s SXSW conference. Across multiple sessions, clinicians and patient advocates called for better access to specialty care, more thoughtful communication with patients and continued collaboration across stakeholders.

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‘As fast as possible but no faster than is safe’: Hospitals, tech companies confront AI governance

Health Care Dive

Regulators seeking to erect guardrails around AI are facing a Sisyphean task, experts said at HIMSS. How do you oversee something that is constantly changing?

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Inpatient care experience gets a boost from telenursing and AI

Healthcare It News

Sensors and automation tech can allow nurses to interact with and monitor multiple hospital patients around the clock without entering their rooms or interrupting their sleep. Michael Brandofino, president and COO of Caregility, explains how.

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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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Google Health Unveils Generative AI Progress at Check Up 2024

HIT Consultant

What You Should Know: – Google Health recently hosted its annual event, The Check Up, showcasing significant progress in applying generative AI to revolutionize healthcare. – These advancements aim to improve personalized care, radiology workflows, information accessibility, and ultimately, empower individuals to take charge of their health.

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Nvidia inks tie-ups with Abridge, GE HealthCare and Microsoft as it expands its footprint in healthcare AI

Fierce Healthcare

Chipmaker Nvidia sees big opportunities in healthcare AI and this week it launched more than two dozen new gen AI-powered microservices. | The global computing powerhouse inked collaborations with Abridge, Microsoft, GE HealthCare and Hippocratic AI to to expand its generative AI capabilities into healthcare and life sciences.

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Hospital groups question HHS about data breach reporting after Change attack

Health Care Dive

In a Thursday letter, the American Hospital Association urged the HHS’ Office of Civil Rights to reduce possible “duplicative” breach notifications from the Change cyberattack.

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Georgia partners with Aetna Health for Georgia Unity, a social data platform for whole health integration

Healthcare It News

At HIMSS24, Dr. Denise Hines and Shirelle King of Georgia Health Information Network discuss social integration to foster trust in underserved communities.

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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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Rise of Retail Healthcare: Challenges and Opportunities for Payers

HIT Consultant

Adam Rarick-Varner, Sr. Director of Healthcare Strategy at LexisNexis Risk Solutions Healthcare delivery continues to evolve to meet ever-changing patient demands. Over the years, rural doctors who historically performed house calls have been replaced with regional physician groups and community hospitals that are owned and managed by large health systems with multiple locations.

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Hippocratic AI banks $53M backed by General Catalyst, a16z, Memorial Hermann, UHS and other health systems

Fierce Healthcare

Launched out of stealth about a year ago, Hippocratic AI launched its first generative AI product and pocketed $53 million in series A funding, the startup announced Monday. | Launched out of stealth about a year ago, Hippocratic AI launched its first generative AI product and pocketed $53 million in series A funding. The fresh funding boosts the company's valuation to $500 million.

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Steward’s legal battles offer insight into pattern of mismanagement

Health Care Dive

The health system has been hit with at least 35 lawsuits in the last year alleging issues ranging from unpaid bills and falsified checks to doctor kickback schemes.

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Consumers are getting tech-savvier – healthcare has to up its game

Healthcare It News

Health systems should embrace transparency to keep patients connected and informed – and to avoid losing them to retail clinics and other nontraditional providers, says Dr. Geeta Nayyar, MDI Health's executive clinical advisor.

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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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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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Google Health, Stanford Medicine unveil open-access dataset of diverse dermatology images

Fierce Healthcare

Google Health unveiled an open-access dataset of real-world dermatology images in partnership with Stanford Medicine. | Thousands of people contributed their images of skin, hair and nail conditions to the Skin Condition Image Network (SCIN) for a diverse dataset reflecting various skin tones, ages, settings and condition severities.

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Consumers more discerning about health data sharing: survey

Health Care Dive

While respondents were largely willing to share their data, consumers have become pickier about who they’ll offer their information to, according to a Rock Health survey.

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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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Level up Culture & EQ | Sign up for the #CultureDrop

Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.

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Google & Apollo Fight TB, Lung & Breast Cancer in India with 3 Million Free AI Screenings

HIT Consultant

What You Should Know: – Google Health and Apollo Radiology International are joining forces to tackle some of the country’s biggest health challenges – tuberculosis (TB), lung cancer, and breast cancer – using AI-powered screening technology. – Over the next decade, Apollo will leverage AI models to provide 3 million free screenings for TB, lung cancer, and breast cancer.

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CDC releases field-tested guidance for hospital CEOs tackling their workers' mental health

Fierce Healthcare

The Centers for Disease Control and Prevention (CDC)’s campaign against healthcare worker burnout took a step forward this week with the release of a new instructional guide for executive-level hos | The free resource was developed alongside the Dr. Lorna Breen Heroes' Foundation and informed by a six-month, six-hospital pilot across CommonSpirit Health facilities.

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MedPAC’s physician pay recommendations insufficient, provider groups say

Health Care Dive

The Medicare Advisory Payment Commission also suggests tying the rate of physician payment increases to the Medicare Economic Index — a move some industry groups support.

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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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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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Report Reveals Digital Diabetes Management Tools Fail to Deliver Benefits, Increase Costs

HIT Consultant

What You Should Know: – Digital diabetes management tools are failing to deliver meaningful health benefits to patients, according to a new evaluation by the Peterson Health Technology Institute (PHTI). – The report casts doubt on the effectiveness of widely used digital diabetes management tools. Despite billions in investment, the study finds these tools offer minimal health benefits and actually increase healthcare spending.

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Tech company Artera adds new feature to revamp how providers complete referrals

Fierce Healthcare

Artera has spent the past nine years developing tech solutions to solve industrywide pain points and streamline patient communications. | Artera's tech helps healthcare providers deliver timely patient communications with automated referral outreach and real-time responses and automates pre-visit communications to make sure patients and staff are prepared for the appointment.

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Change Healthcare’s drawn-out recovery catches flak from cyber experts

Health Care Dive

At least 100 services remain offline four weeks after the UnitedHealth Group detected an intrusion in its medical claims clearinghouse. Experts say the impacts are unprecedented.

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Healthcare orgs face significant data modernization challenges

Health IT Analytics

Healthcare organizations report an average 124% ROI for their data investments, but many cite data management and integration as major roadblocks.

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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.