Healthcare Exec Intelligence Latest News, Reports, Podcasts and Briefs for Healthcare Professionals at Hospitals, Payers, ACO and Pharma Life Sciences

UHG reports losses after cyberattack, providers warm up to AI

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The major health insurer UnitedHealth Group has not yet issued a formal breach notification, prompting more scrutiny of its response to the Change Healthcare cyberattack. So far, UnitedHealth Group...

What principles should guide artificial intelligence innovation in healthcare?

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Artificial intelligence tools (AI) are proliferating in healthcare at breakneck speed, amplifying calls from healthcare leaders and policymakers for greater alignment on the responsible use of these...

How to introduce quality measures that are useful for providers

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In the push toward value-based care and incentivized quality measures, providers have been left with a long, complicated to-do list. But the industry can do better, according to Brad Ryan, MD,...

How to turn healthcare into an API-first industry

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Application programming interfaces (APIs) play a significant role in the average consumer's world, whether they know it or not. How might the API takeover look different for the healthcare...

How the cloud can advance data democratization, AI development

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A new user experience for healthcare data management is on the way through cloud innovation. When properly employed to create a strong infrastructure, cloud has the potential to achieve data...

HIMSS 2024 Recap: Generative AI Uses, Workforce Management

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Generative AI use cases and workforce management--specifically in light of severe labor shortages--dominated the conversation at HIMSS 2024. Rich Birhanzel, senior managing director and global health...

Diabetes Tools Do Not Deliver, Epic Adds Ambient Listening

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The major EHR vendor Epic will introduce an ambient listening function into its EHR as the healthcare industry buzzes over the new technology. Ambient listening tools are artificial intelligence (AI)...

How Healthcare Technology Can Improve, Worsen Provider Burnout

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Provider burnout is not new, but it has been an increasingly pressing topic as the pool of healthcare professionals shrinks. Healthcare strikes point to underlying issues related to workforce strain....

Cigna Plans to Sell Medicare Business, WH Aims to Lower Sickle Cell Therapy Costs

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Cigna will sell its Medicare plans for billions of dollars, according to an announcement from HCSC. The independent licensee of Blue Cross Blue Shield Association revealed that it had plans to...

ACOs Flock to CMS Shared Savings Program, NSA Averts Surprise Billing

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The CMS Medicare Shared Savings Program (MSSP) saw an uptick in accountable care organization (ACO) involvement. The agency announced that 480 ACOs are participating in the MSSP and 245...

Providers Laud Prior Authorization Rule, EHRs Can Lower Provider Burnout

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Providers were encouraged by the new CMS rule on prior authorizations, which holds payers to a higher standard on prior authorization denials, transparency, and timing. The new rule, which CMS...

Top 2024 Predictions for the Life Sciences, Pharmaceutical Industries

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At the start of a new year, the life sciences and pharmaceutical industries face a roiling political climate, mental health crisis, and other challenges, but these industries are also riding a wave of...

How One Rural Healthcare Facility Is Handling Financial Strain

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Rural health facilities across America are closures and financial instability. In the midst of these struggles, one rural hospital tested out a creative solution to stay open.  Bucktail...

VBC May Poorly Affect Health Equity, Amazon Adds Health Offering

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Value-based care efforts have aimed for health equity, but one Health Affairs study found evidence that some value-based purchasing efforts may maintain care disparities for Black Medicare...

How Providers Can Adopt Automation to Reduce Clinician Burnout

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Automation could prove essential in the struggle to alleviate provider burnout, but adoption can be difficult. In 2023, the American Hospital Association (AHA) released a document that assessed...

CMS Starts Maternal Health Program, 2022 National Spending Normalizes

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CMS announced an initiative to improve maternal health outcomes for Medicaid and CHIP beneficiaries. The new initiative, called the Transforming Maternal Health model, will last ten...

The Importance of Having a Licensed Nurse at the Other End of the Line

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Amid the workforce shortage in healthcare, nurses are in high demand. Technology has helped bridge the gap, allowing nurses to serve patients remotely using virtual care nursing or sitting...

Cigna-Humana Merger Called Off, Providers See Surge in Audits

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Major payers Cigna and Humana have dissolved their merger plans, according to the Wall Street Journal. Rumors emerged that the two payers were in talks about a merger in late November 2023, but...

How to Coordinate Mental Healthcare, Physical Care Amid High Demand

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The demand for mental health has increased significantly in the 2020s. Mental healthcare utilization grew 38.8 percent between 2019 and 2022 and spending on mental health jumped 53.7 percent in the...

How to Evaluate Digital Health Tools, Improve Selection Process

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Digital health tools continue proliferate, making it more crucial than ever for healthcare leaders to be discerning in their digital health decisions.  On average, the number of digital health...

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