2023

article thumbnail

UnitedHealth sued over use of algorithm to deny care for MA members

Health Care Dive

The lawsuit alleges UnitedHealth used nH Predict to deny claims for Medicare Advantage seniors, despite the algorithm’s determinations being overturned in more than 90% of appeals.

Medicare 363
article thumbnail

Primary care player Forward unveils AI-based, self-serve CarePods backed by $100M investment

Fierce Healthcare

Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.< | Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.

Insiders

Sign Up for our Newsletter

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

article thumbnail

Doctor Marketing: How to Integrate Doctors Into Your Marketing Programs

Healthcare Success

Doctors are central to the success of virtually every multi-location healthcare practice and health system we work with. Moreover, today’s doctor partners have strong opinions about marketing and growing their locations within the larger business. Some of the hospitals and multilocation practices that engage our agency have doctors, executives, investors, and other stakeholders aligned around their brand strategy and marketing plan.

Doctors 302
article thumbnail

Orlando Health to launch AI-driven hospital-at-home services

Healthcare It News

Data from the new hospital-at-home platform will be accessible through Orlando Health's Epic electronic health records through a multi-year agreement with the connected health and digital therapeutics company. WHY IT MATTERS Orlando Health – a non-profit health system with 18 hospitals and emergency rooms with five in development serving the southeastern United States – is expected to launch the new advanced remote patient monitoring capabilities in early 2023.

Hospitals 353
article thumbnail

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.

article thumbnail

“My Doctor’s Office” Should Accept Wearable Tech Health Data, Most Patients Say

Health Populi

“Do personal health trackers belong in the doctor’s office?” Software Advice wondered. “Yes,” the company’s latest consumer survey found, details of which are discussed in a report published on their website. Unique to this study is the patient sample polled: Software Advice surveyed 876 patients in September 2023 to gauge their perspectives on wearable tech and health.

article thumbnail

In-Ear Wearable Measures Blood Flow to the Head for Long COVID POTS

HIT Consultant

What You Should Know: STAT Health emerges from stealth to introduce a 24/7 in-ear wearable that measures blood flow to the head to better understand symptoms such as dizziness, brain fog, headaches, fainting, and fatigue that occur upon standing. These are common symptoms for illnesses like long COVID, postural orthostatic tachycardia syndrome (POTS), myalgic encephalomyelitis / chronic fatigue syndrome (ME/CFS), and other orthostatic (caused by standing) syndromes that affect more than 13 milli

144
144

More Trending

article thumbnail

How AI helps Microsoft partners innovate across industries

Cloud Blogs

AI is driving a wave of innovation, transforming the potential of organizations in every industry. It is reinventing customer engagement, ensuring every connection adds value to customer relationships, enriching employee experiences to be more creative, and reshaping business processes with automated and 360-degree views of a company’s operations. The Microsoft Cloud delivers the most comprehensive development platform, tools, and solutions to enable our customers and partners to take advantage

article thumbnail

North Korea, Russia and China: The Developing Trilateral Imperialist Partnership

The Rand Blog

There are no easy ways for the United States and its allies to counter the developing Russia-China-North Korea partnership. But there are options to consider and steps to take. There are also fissures in their relationships to exploit.

145
145
article thumbnail

A Categorical No to Categorical Accommodation Denials Related to COVID-19?

Bill Of Health

By Katherine Macfarlane and Irina Manta Since fall 2021, when most colleges and universities reopened their campuses to in-person activities, it has become increasingly difficult for faculty and students with disabilities to obtain reasonable accommodations to teach or attend class remotely. Remote accommodations were granted freely during the first year of the COVID-19 pandemic, but in 2021, the in-person aspect of teaching and learning was suddenly deemed essential, and at many institutions, r

article thumbnail

Going nowhere fast: How specialist wait times impact primary care practitioners

Healthcare Leadership

With Emily Gard Marshall Have you or a family member had to endure prolonged wait times to see a medical specialist? Have you gone through the anxiety and uncertainty associated with waiting to see a specialist and wondered whether you or your family member’s health condition is getting progressively worse while you wait? Turns out your primary care provider (PCP) shares similar concerns, and the wait time to see specialists impacts their patients as well as their practice.

article thumbnail

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

article thumbnail

Healthcare bankruptcies are rising. Here are five major filings so far in 2023.

Health Care Dive

Bankruptcies have spiked this year as federal COVID-19 funding lapsed and heightened interest rates, regulatory changes and labor shortages squeezed the sector.

article thumbnail

Ardent Health Services hit with ransomware attack, forcing hospitals in multiple states to divert ambulances

Fierce Healthcare

Hospitals in multiple states have been forced to divert ambulances and reschedule some elective patient procedures after U.S. | Hospitals in multiple states have been forced to divert ambulances and reschedule some elective procedures after U.S. hospital owner Ardent Health Services was hit with a ransomware attack.

Hospitals 342
article thumbnail

Antibiotic Stewardship when an Allergy Label is Present Improves Our Antibiotic Care and Treatment Outcomes

CDC

Did You Know? Although 10% of the population in the U.S. reports a penicillin allergy, less than 1% of the population is truly penicillin allergic. Broad-spectrum antibiotics are often used as an alternative to penicillins. The use of broad-spectrum antibiotics in patients labeled “penicillin-allergic” is associated with higher healthcare costs, increased risk for antimicrobial resistance, and suboptimal antibiotic therapy.1,2,3 Is it a “true” penicillin allergy?

article thumbnail

PCAST Report to U.S. President Outlines “A Transformational Effort on Patient Safety”

Patient Safety Movement

The President’s Council of Advisors on Science and Technology (PCAST) has just released its findings and recommendations on patient safety in a report to U.S. President Joe Biden. Titled “A Transformational Effort on Patient Safety,” the report draws much-needed attention to the fact that patient safety is an urgent national public health issue. The report’s goal is to empower existing and new efforts that will transform patient safety.

article thumbnail

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!

article thumbnail

New Artificial Intelligence Executive Order Contains Numerous Healthcare Implications

HKLaw

President Joe Biden signed a sweeping EO and invoked the Defense Production Act to establish the first set of standards for using AI in healthcare and other industries.

article thumbnail

23andMe Launches Health Action Plan Based on Genetic/Health Data

HIT Consultant

What You Should Know: – 23andMe , a genetic health and biopharmaceutical company launched Health Action Plan, a new digital tool for 23andMe+ members that draws on results from genetic reports, health history survey data, as well as blood and biomarker data to provide a uniquely tailored set of health recommendations out of hundreds of options. – Health Action Plan is a helpful first step when it comes to prevention and early risk detection.

article thumbnail

‘It’s the structures that are sick – it’s not the kids’: Experts stress importance of clean air in schools

Healthy Debate

The post ‘It’s the structures that are sick – it’s not the kids’: Experts stress importance of clean air in schools appeared first on Healthy Debate.

128
128
article thumbnail

News 11/17/23

HIStalk

Top News VA CIO Kurt DelBene tells a House committee.

122
122
article thumbnail

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.

article thumbnail

A Case for Greater U.S. Engagement in Central Asia

The Rand Blog

Central Asia's souring relations with Russia and growing skepticism of Chinese influence have created a rare and valuable window of opportunity for the United States to bolster its image through greater long-term investment in the region.

144
144
article thumbnail

Non-State Actors and Public Health Emergencies

Bill Of Health

By Rossella De Falco Strong, well-coordinated and resilient public health care services play a vital role in preventing and responding to public health crises. Under international human rights law, States have a positive, primary obligation to ensure that such health care services are of the highest possible quality and accessible to everyone, everywhere, and without discrimination.

article thumbnail

Hospitals: UHC's 2024 MA coverage policy 'blatantly violates' new CMS coverage requirements

Fierce Healthcare

Hospitals are petitioning the Biden administration to crack down on Medicare Advantage (MA) plans they say are flaunting coverage requirements recently codified by the Centers for Medicare & Me | The nation's largest MA operator is skirting new CMS regulations prohibiting MA plans from limiting or denying coverage for hospital services that would be covered under traditional Medicare, the hospital industry told federal officials this week.

Hospitals 349
article thumbnail

UnitedHealthcare hit with class action over alleged use of AI to deny Medicare Advantage claims

Fierce Healthcare

UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage. | UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage.

Medicare 355
article thumbnail

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.

article thumbnail

CVS Health beats the Street with $2.3B in Q3 profit

Fierce Healthcare

CVS Health beat the Street on both earnings and revenue in the third quarter, reporting $2.3 billion in profit. | By comparison, the company reported a $3.4 billion loss in the third quarter of 2022 as it paid out its part in a global settlement over the opioid crisis.

363
363
article thumbnail

Prior authorization and other regulatory burdens have increased since last year, practices tell MGMA

Fierce Healthcare

Nine in 10 polled medical practices say their regulatory burden has increased over the past year with prior authorization, audits and appeals, the Medicare Quality Payment Program (QPP) and require | The latest annual poll of practices' regulatory burden outlined prior authorization, audits and appeals, Medicare QPP and other leading pain points that physicians say are weighing down theor staff and ability to deliver care.

Medicare 355
article thumbnail

Physician groups decry finalized Medicare payment cuts for 2024 as expenses rise

Fierce Healthcare

The Biden administration Thursday finalized policy changes for Medicare reimbursements in 2024 that will cut payments to physicians by 1.25% compared to 2023. | The Biden administration Thursday finalized policy changes for Medicare reimbursements in 2024 that will cut payments to physicians by 1.25% compared to 2023.

Medicare 359
article thumbnail

Proposals on PBMs and medical devices advanced by House subcommittee

Fierce Healthcare

The House Committee on Energy and Commerce health subcommittee pushed forward 21 proposals on Tuesday, some of which will restrict the power of pharmacy benefit managers (PBMs). | PBMs were a source of bipartisan agreement during a House hearing on Tuesday, while Republicans and Democrats clashed over durable medical equipment legislation.

347
347
article thumbnail

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.

article thumbnail

Lawmakers mull lifting ban on physician-owned hospitals as doc lobbying groups claim major cost savings

Fierce Healthcare

A new analysis backed by doctor lobbying groups suggest that physician-owned hospitals could have fueled about $1.1 billion in savings across 20 of Medicare’s most expensive conditions in 2019— tho | Lobbying groups in favor of overturning the ban on new physician-owned hospitals outlined broad cost savings if 2019's Medicare patients were treated at such facilities instead of a traditional hospital.

Hospitals 361
article thumbnail

Industry Voices—The beginning of the end for Alzheimer’s Dementia?

Fierce Healthcare

The approval of Leqembi by the Food and Drug Administration marks an exciting turning point for Alzheimer’s disease. | The approval of Leqembi by the FDA marks an exciting turning point for Alzheimer’s disease. There are big questions around costs, access, risk and efficacy in certain populations. The most urgent, overarching question is: How can we find patients who will benefit from the drug before their condition progresses outside of the treatment window?

357
357
article thumbnail

Medical AI scribe startup Nabla rolling out tool to Kaiser Permanente docs in Northern California

Fierce Healthcare

Nabla, maker of an autonomous clinical AI scribe, has joined forces with Kaiser Permanente to roll out its tool to 10,000 doctors in Northern California. | The AI tool will be available to 10,000 Kaiser Permanente doctors in Northern California across all care settings and specialties.

Doctors 363
article thumbnail

Express Scripts embraces cost-plus pricing with new ClearNetwork model

Fierce Healthcare

The country's largest pharmacy benefit manager is taking a page out of Mark Cuban's book. | The country's largest pharmacy benefit manager is taking a page out of Mark Cuban's book.

344
344
article thumbnail

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.