Wed.Nov 13, 2024

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Unraveling the Maze: Tackling Out-of-State Medicaid Claims and Credentialing Challenges

Healthcare IT Today

The following is a guest article by Crystal Campbell, Director Out-of-State Medicaid at Aspirion For healthcare providers, managing out-of-state (OOS) Medicaid claims can feel like traversing a regulatory minefield. While Medicaid typically does not cover non-emergency care received outside a patient’s home state, the realities of healthcare access in rural America have led to an increase in patients crossing state lines for treatment, especially for specialty care.

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From handwritten notes to digital solutions: a journey in health IT

KevinMD

The journey of electronic health records (EHRs) mirrors my own professional transformation. As a practicing anesthesiologist at Moffitt Cancer Center in the early 2000s, I handwrote paper charts in an era when computers were already integral to other parts of the hospital. Relying on manual notes was frustrating and inefficient, so I jumped at the Read more… From handwritten notes to digital solutions: a journey in health IT originally appeared in KevinMD.com.

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Backline and Dr G Share How to Scale Advance Care Planning in a Medical Practice

Healthcare IT Today

Andy Gulbis, MD, Owner at Dr. G Medical Solutions , says that one of people’s top concerns is for the last week of their life “to be on my terms.” In this extended video conversation, Gulbis and Rishi Sarna, MD, Chief Clinical Officer at Backline , discuss the purpose and process of advance care planning (ACP). Advance care planning is one of the major focuses of Backline’s planning and scheduling platform, which allows patients to answer the critical questions of ACP and

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J&J sues HRSA for blocking controversial 340B rebate plan

FierceHealthIT

Johnson & Johnson is escalating its fight with the federal government over its controversial plan to change how it doles out drug discounts to hospitals. | Johnson & Johnson is escalating its fight with the federal government over its controversial plan to change how it doles out drug discounts to hospitals. J&J is suing the Health Resources and Services Administration for blocking the implementation of its new 340B rebate model.

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Bridging Innovation & Patient Care: The Growing Role of AI

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

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!

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Society of General Internal Medicine releases position statement on genAI

Mobi Health News

The Society urges collaboration between clinicians and technologists, and healthcare organizations to use the tech to assist the clinical workforce, not replace it.

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Ubie partners with PatientsLikeMe for access to AI symptom checker

Mobi Health News

The health management company will integrate Ubie's symptom checker into its platform to support patients from symptom onset through treatment.

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Behavioral health provider Rogers to deploy AI chatbot from Limbic to speed up patient intake

FierceHealthIT

Rogers Behavioral Health, a national nonprofit provider of mental health and addiction services, is incorporating a third-party AI-based virtual assistant to navigate more patients to car | Limbic makes an AI chatbot that screens prospective patients and refers them to the best care pathways. The tool is just one option and does not replace diagnostic or screening tools nor does it replace clinicians.

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Cardinal Health adds GI Alliance, Advanced Diabetes Supply Group to its portfolio

Mobi Health News

The aim of the acquisitions is to accelerate the company's involvement in two major growth areas and improve patient care.

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Altera Digital Health Joins The Sequoia Project to Advance Nationwide Data Exchange

Digital Health Global

Membership to enhance interoperability and data usability for healthcare organizations NEW YORK–(BUSINESS WIRE)– Altera Digital Health , a global health IT leader, today announced it has joined The Sequoia Project , a non-profit, public-private collaborative chartered to advance implementation of secure, interoperable nationwide health information exchange.

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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.

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Pharos Announces $5M Seed Round To Automate Hospital Quality Reporting

Healthcare IT Today

Hospital quality reporting platform Pharos announced today the close of its oversubscribed $5M seed round led by Felicis with participation from General Catalyst, Moxxie, and Y Combinator. Moxxie previously led the pre-seed round. Pharos will use the funds to grow its engineering team, allowing customers to report to new clinical quality registries and measure a wider range of process metrics.

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Tabia Health Brings AI-Based Healthcare Platform With American Heart Association CarePlans to Improve Cardiac CarePlan Adherence Globally

Digital Health Global

American Heart Association Center for Health Technology & Innovation consortium advances development of evidence-based health tech solutions Tabia Health’s AI platform digitizes, orchestrates and automates care management for healthcare providers globally SARASOTA, Fla.–(BUSINESS WIRE)– #AHA24 –Tabia Health, Inc. (Tabia) today announced plans to combine American Heart Association CarePlans into Tabia’s AI-powered healthcare orchestration platform to improve CarePlan utiliza

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HealthTap partners with DME supplier Aeroflow to fill gap in medical device re-orders

FierceHealthIT

Telehealth platform HealthTap is now going to serve patients who need durable medical equipment, but don’t have a primary care provider, through a partnership with national DME supplier A | Patients with chronic conditions that need ongoing medication or medical device support need consistent contact with a provider to continue to receive their supplies.

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Ambient voice technology to draft patient letters piloted for NHS use

DigitalHealth

Great Ormond Street Hospital for Children is leading a pan-London, 5,000 patient assessment of the use of ambient voice technology.

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The Evolution of Communication in Healthcare Settings

Healthcare communication has evolved from handwritten notes and paper charts to digital tools like EHRs, telemedicine, and AI-powered platforms. This blog explores how these advancements improve patient outcomes, streamline care delivery, and enhance provider collaboration. Learn about the role of mobile health (mHealth) apps, secure messaging, and social media in bridging communication gaps.

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Primary care player Forward shutters after raising $400M, rolling out CarePods

FierceHealthIT

Primary care player Forward is abruptly shutting down its operations, closing its locations and canceling scheduled visits, the company publicly announced Wednesday. | Primary care player Forward is abruptly shutting down its operations, closing its locations and canceling scheduled visits, the company publicly announced Wednesday.

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‘Ping and book’ cancer screening service to launch via NHS App

DigitalHealth

Women will be sent invitations for cancer screening via the NHS App as part of a new “ping and book” service, NHS England has announced.

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Fierce Health Payer Summit, Day 1: Opportunities and challenges for insurers in 2025

FierceHealthIT

AUSTIN, Texas—The second annual Fierce Health Payer Summit kicked off Wednesday to tackle the most pressing issues facing health plan leaders. | AUSTIN, Texas—On Day 1 of the Fierce Health Payer Summit, panelists discussed the role of technology to retain members, trends in Medicare Advantage and changes to Medicare Part D.

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Babylon founder Ali Parsa returns with new healthcare AI venture

DigitalHealth

Ali Parsa the founder of defunct health AI firm Babylon has launched AI health venture Qu to provide personal digital clinical assistants.

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Less Stress, More Success: Accounting Best Practices & Processes for 2025

Speaker: Duke Heninger, Partner and Fractional CFO at Ampleo & Creator of CFO System

Are you ready to elevate your accounting processes for 2025? 🚀 Join us for an exclusive webinar led by Duke Heninger, a seasoned fractional CFO and CPA passionate about transforming back-office operations for finance teams. This session will cover critical best practices and process improvements tailored specifically for accounting professionals.

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Massachusetts Blues launches new doula pilot program, caregiving support

FierceHealthIT

Blue Cross Blue Shield of Massachusetts members will benefit from an expanded partnership with Maven Clinic, a new doula pilot program and more caregiving support in collaboration with Cleo, the co | Blue Cross Blue Shield of Massachusetts is further strengthening its offerings for women through a doula pilot program and more caregiving support.

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Validic Advances Diabetes Care with Seamless CGM Integration into EHR Workflows

Digital Health Global

Innovative solution brings continuous glucose monitoring data and reports directly into clinicians’ hands, enhancing patient care and streamlining workflows. DURHAM, N.C.–(BUSINESS WIRE)–Validic, a leader in digital health and personalized care technology, today announced a significant advancement in diabetes management: the integration of continuous glucose monitoring (CGM) data directly into electronic health record (EHR) clinical workflows.

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Senior care company Papa maps out safety and trust standards for growing home healthcare industry

FierceHealthIT

Papa, a company that offers companion care, has learned valuable lessons in the past seven years as it has expanded its services to more older seniors. | Papa, a company that offers companion care, has learned valuable lessons in the past seven years as it has expanded its services to more older seniors.

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HIStalk Interviews Lauren Patrick, CEO, Healthmonix

HIStalk Interviews

Lauren Patrick is president and CEO of Healthmonix. Tell me.

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The Role of Technology in Remote Patient Monitoring

Remote patient monitoring (RPM) is transforming healthcare by enabling providers to track patient health outside traditional clinical settings. This blog explores the role of technology in RPM, including wearable devices, mobile apps, and connected medical tools that collect and share real-time data. Discover how RPM expands care access, improves outcomes, enhances patient engagement, and reduces costs by shifting from reactive to proactive care.

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2024: A pivotal year in the fight against cardiovascular disease

FierceHealthIT

For Esperion Therapeutics, 2024 has marked a pivotal transformation in its mission to combat cardiovascular disease. | Esperion has extended its reach to 70 million potential patients. Here, CEO Sheldon Koenig discusses the mission to combat cardiovascular disease and exciting pipeline developments beyond cholesterol management.

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Babylon Founder Returns With Launch of Quadrivia

Digital Health Wire

Babylon founder Ali Parsa is rising from the wreckage with a new startup – Quadrivia – and he’s certainly hoping that his second AI wonder app works out better than his first. A LinkedIn post from Parsa laid out Quadrivia’s vision of using customizable AI agents to tackle “the main challenge” in healthcare: the structural imbalance between the elastic demand from our communities and the constrained supply of our clinicians.

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Optum mounts defense of $3.3B Amedisys deal

FierceHealthIT

The Department of Justice is seeking to intervene in UnitedHealth Group's $3.3 billion acquisition of home health company Amedisys, and the company is already mounting a defense of the deal. | The Department of Justice is seeking to intervene in UnitedHealth Group's $3.3 billion acquisition of home health company Amedisys, and the company is already mounting a defense of the deal.

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Salesforce: Big Tech continues to expand into HealthTech

Lloyd Price

Exec Summary: Salesforce's recent acquisition of Tenyx, a developer of AI-powered voice agents, signals a clear intent to bolster its AI capabilities in the healthcare sector. This move positions Salesforce to further enhance patient engagement, automate clinical workflows, and improve overall healthcare efficiency. Given the rapid evolution of healthcare technology and Salesforce's strategic focus on industry-specific solutions, it's reasonable to speculate on potential future ac

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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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A note from your heart and brain

Digital Health Hub

Hello from your heart and brain: We are contacting you to inform you about recent research published in the AHA Circulation (Yes, we read journals daily). Brain: Scientists used 18F-fluorodeoxyglucose positron emission tomography (PET)/computed tomography (CT) ( Philips ) to study my amygdalar metabolic activity, which is known to be a marker of stress-related neural activity (SNA).