In a world where consumer expectations and needs are constantly evolving, healthcare organizations are faced with pressure to meet patients’ demands and stay both relevant and profitable. In recent years, the competitive landscape has changed due to the emergence of digital tools across industries like retail, where purchases can be made within seconds, and transportation, where consumers can call an Uber from their smartphone in a matter of seconds. Though these services are convenient, they
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How Skilled Nursing Facilities Can Navigate New Value-Based Purchasing Rules
Post-acute care facilities for years have been preparing for the impact that value-based purchasing (VBP) programs would have.
The Affordable Care Act of 2010 (ACA) and the Medicare Access and CHIP Reauthorization Act of 2015 put providers on notice that quality of care measures, like reducing hospital readmissions and improving patient outcomes, would take precedence over fee-for-service models.
In 2024, the stakes have gotten much higher for post-acute care facilities. Understanding
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How AI Can Increase the Success of Clinical Denials Appeals
It’s a perfect storm of financial pressures facing healthcare provider organizations – from rising costs to labor shortages to constrained capacity – that stymies revenue growth. Growing challenges with payer payments only exacerbate these issues. According to a Kaufman Hall report, 73% of leaders surveyed said claims denials, which was the top revenue cycle issue in 2022, had increased in 2023.
The cost of denials is staggering. A recent data analysis revealed that providers spent nearly $20
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IRT: The Unsung Hero of Modern Clinical Trials
The modern landscape of clinical trials is expanding to include hybrid and decentralized approaches to conducting research. As the methods of conducting clinical trials diversify, clinical trial logistics also increase in complexity. In 2024, experts estimate that 50% of clinical trials will be conducted via hybrid or decentralized methods. Though increasing remote access in clinical trials improves convenience, reduces costs and expands diversity, it also presents new challenges in navigating
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Why a FHIR-Only Approach to Advance Interoperability Won’t Work Today
There’s been a strong push for a FHIR standard for information sharing in healthcare. Although a standard built on application programming interfaces (APIs) using data standards like FHIR is a step in the right direction, in today’s healthcare ecosystem, there’s a broader impact to consider.
The industry avoided a major health equity setback when the U.S. Department of Health and Human Services (HHS) Office of National Coordinator (ONC) nixed prescriptive language in the HTI-1 rule,
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Securing the Drug Supply Chain: How Simulation Tech is Aiding Electronic Drug Tracing in the US
The United States drug supply chain is a complex and decentralized system that involves multiple entities. This includes suppliers, distributors, manufacturers, repackagers, wholesale distributors, third-party logistics providers (3PLs), dispensers, and medical facilities such as hospitals and retail stores. To protect this system against potential threats and the illegal movement of counterfeit drugs, the Drug Supply Chain Security Act (DSCSA) was enacted in 2013.
With more than a decade of
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How Connected Healthcare Operations Helps Health Systems Work Smarter, Not Harder
When it comes to healthcare, efficiency isn’t just a goal—it’s a lifeline. With a growing and aging patient population and widespread workforce shortages, hospitals and health systems must find ways to increase efficiencies and do more with less, while providing safe, high-quality care. This starts with liberating data and connecting healthcare operations solutions across the enterprise.
The Epidemic of Siloed Data
The volume of healthcare data is growing exponentially, with a
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3 Steps to Unlock the True Potential of AI for Health Leaders
The AI buzz is not subsiding, making headlines across industries. In his summary article about the 2024 HIMSS conference, Chilmark Research’s John Moore III noted, “Good luck trying to get noticed for anything other than AI or cybersecurity (in the wake of the Change Healthcare breach).” One of Moore’s key takeaways was the consensus among attendees that while all the new AI use cases may be compelling, there is still concern about their readiness for broader deployment.
Yet, AI is
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How Motion Capture and CV Technology is Transforming Rehabilitation
The dawn of integrating motion capture and computer vision (CV) technologies into rehabilitation practices marks a pivotal moment in healthcare, bridging the gap between advanced technological innovation and patient-centric care. This integration heralds a transformative shift towards a hybrid model of rehabilitation that seamlessly combines the accuracy and efficiency of digital tools with the irreplaceable human element of traditional therapy. The result is a groundbreaking approach that not
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Why It’s Time to Go on the Offensive with Healthcare Cybersecurity
Being an avid soccer fan, player, and coach, I’ve heard countless times that “the best defense is a good offense.” As a cybersecurity professional, the concept of taking active steps to improve your team’s position resonates. However, cybersecurity programs within and outside the healthcare industry typically focus on reactive approaches.
The stakes are too high in healthcare to wait for a hacker to strike your organization, and meanwhile, the scale and scope of cyberattacks continue to
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