Sat.Oct 19, 2024 - Fri.Oct 25, 2024

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Roundup: Health systems embracing AI imaging tools

Healthcare It News

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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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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Medicare Advantage plans received billions from Medicare for home visits. The feds are skeptical

Fierce Healthcare

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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Code Red: Healthcare Cybersecurity in a Post-Chevron World

HIT Consultant

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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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

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Multi-million dollar smart hospital emergency system projects in South Korea and more briefs

Healthcare It News

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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PBM model is a ‘dead man walking.’ What comes next?

Health Care Dive

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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Growing Doctor Referrals With Physician Liaisons

Healthcare Success

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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Cleveland Clinic and Amazon to launch coordinated care

Healthcare It News

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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AMA sues MultiPlan, insurers alleging ‘cartel’ to fix physician prices

Health Care Dive

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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AMA leads new antitrust lawsuit against MultiPlan and price-fixing cartel

Fierce Healthcare

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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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

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The Rise of AI in Telemedicine: Enhancing Efficiency and Accessibility

HIT Consultant

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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Pinnacle Home Care CEO: Home Health Margins Will Increase ‘Significantly’ With AI

Home Health Care

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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Change Healthcare data breach officially affects 100M

Health Care Dive

The breach marks the largest ever reported to a portal managed by federal regulators.

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HLTH24: Employers still in an 'experimental' mode around GLP-1s

Fierce Healthcare

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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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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How Technology Is Transforming Medical Marijuana Access

HIT Consultant

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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The Case For Stronger Caregiver Vetting In Home Care 

Home Health Care

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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‘AI arms race’ underway as payers, providers jockey for upper hand in claims review

Health Care Dive

Payers currently have a leg up when using AI to review claims, but providers could soon catch up, experts say.

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100M people impacted by massive Change Healthcare cyberattack: OCR

Fierce Healthcare

UnitedHealth Group has officially disclosed that 100 million people were affected by the massive cyberattack on Change Healthcare earlier this year. | UnitedHealth Group has officially disclosed that 100 million people were affected by the massive cyberattack on Change Healthcare earlier this year.

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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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Report: The State of AI During the Great Burnout in Healthcare

HIT Consultant

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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Monday Morning Update 10/21/24

HIStalk

Top News A US Senate subcommittee report finds that UnitedHealthcare,

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Humana sues HHS over calamitous Medicare Advantage star ratings decrease

Health Care Dive

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.

Medicare 293
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HLTH24 Day 3: Amazon One Medical rolls out AI tools; Avandra launches out of stealth

Fierce Healthcare

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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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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FAQ: Engaging People with Lived Experience of Incarceration

NASHP

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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HLTH: KLAS Research Unveils Top 20 Emerging Healthcare Solutions

HIT Consultant

What You Should Know: – KLAS Research, a healthcare research and insights firm, has announced the winners of its 2024 Emerging Solutions Top 20 awards at the HLTH 2024 conference. These awards recognize the most innovative and impactful emerging healthcare companies that are poised to transform the industry. – While AI and other emerging technologies offer tremendous potential, the KLAS report also acknowledges the challenges of integrating these solutions into existing healthcare IT

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State Medicaid directors concerned about program’s stability: KFF

Health Care Dive

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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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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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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Healthcare AI News 10/23/24

HIStalk

News Amazon One Medical launches AI tools for its 1Life.

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Philips, Medtronic Neurovascular Partner to Advocate for Improved Stroke Care

HIT Consultant

What You Should Know: – Philips and Medtronic Neurovascular, an innovator in neurovascular therapies, have announced a strategic partnership to advocate for improved stroke care worldwide. – Recognizing the critical need for timely diagnosis and treatment of stroke, the two companies are joining forces to raise awareness, improve access to care, and leverage technology to enhance stroke outcomes.

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Insurer lobby blames government policies for 2025 Medicare Advantage market makeup

Health Care Dive

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.

Medicare 284
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HLTH24: Atropos Health unveils chat-based AI co-pilot for real-world evidence

Fierce Healthcare

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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Enhance Healthcare Efficiency With Top Payroll & HCM Services

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.