The Centers for Medicare and Medicaid Services (CMS) introduced the MIPS Value Pathways (MVPs) as part of its ongoing revisions to the Merit-Based Incentive Payment System (MIPS) program, which was established in 2017 to encourage ongoing and consistent quality, efficiency, and improvement in medical practices. The MVP framework was designed to ease the burden imposed on clinicians and their administrators who participate in the MIPS program. Traditionally, MIPS scores have been calculated based
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Bridging Healthcare Disparities in Limb Loss Through Data-Driven Strategies
Limb loss and limb difference impact millions of people globally, with over 2.3 million individuals in the United States alone who are affected, a number expected to rise to 3.6 million by 2050. This rise in prevalence presents significant healthcare and economic challenges, necessitating innovative, data-driven solutions to improve patient care, quality of life (QOL) and healthcare equity.
The National Institutes of Health (NIH) has taken a leading role in addressing these challenges
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Systems Thinking: The Future of Equitable, Efficient, and Effective Population Health Management
Healthcare in the United States consists of a tangled web of complex interconnected drivers, including payment models, regulations, processes, and facilities. However, the lack of a cohesive system design has resulted in less than optimal care industry for the US population and highlighted the need for a more comprehensive approach.
Year over year, data from the Commonwealth Fund demonstrates that despite high costs for healthcare, the patients in United States experience worse outcomes with
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Building a Healthier Future With School-Based Telehealth Solutions
Key Takeaways:
School-based telehealth programs provide immediate medical attention to students, reducing absenteeism and improving overall health outcomes.Assessing health needs and involving key stakeholders are essential first steps for successfully implementing telehealth programs in schools.Clear goals, secured funding, and partnerships with local healthcare providers ensure the effectiveness and sustainability of the program.Robust technology infrastructure and thorough staff training
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4 Cornerstones for Successful AI Implementation in Hospital Revenue Cycle Management in 2025
In recent years, payers have increasingly turned to artificial intelligence (AI) as a tool to streamline claims processing, accelerating the deployment of rules related to prior authorizations and medical-necessity assessments. Providers believe this has been a key driver behind a corresponding surge in claims denials, as well funded payers leverage technology to rapidly render these determinations and send them back to hospitals.
This trend has providers looking to respond with a
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The Role of AI-Enabled Pathology in Enhancing Patient Care
There’s no doubt that cancer screening, early detection, and swift intervention are invaluable for improving patients’ health outcomes. In this process, once a clinician has determined a need for a tissue biopsy after detecting an abnormality, diagnostic accuracy and efficiency become crucial factors in the treatment journey.
We’ve seen great advancements when it comes to screening and targeted therapies. However, these treatments cannot occur without an accurate and timely diagnosis.
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New ASCVD Risk Assessment G-Codes Can Enhance Preventive Care with Integrated Solutions
The Centers for Medicare and Medicaid Services (CMS) update to the 2025 Physician Fee Schedule includes a measure that holds significant promise for advancing cardiovascular disease management. The initiative introduces G-codes for atherosclerotic cardiovascular disease (ASCVD) risk assessment and management. When implemented, the changes could greatly increase use of the ASCVD risk assessment in primary care, which has previously faced several barriers to adoption including insufficient time,
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In the Push to Close Nurse Staffing Gaps, the Math Points to Diversifying Support
Gaps in the nursing workforce remain elevated, with an 18.4% hospital turnover rate for registered nurses and an RN vacancy rate of 9.9%, a recent report shows. In fact, more than half of hospitals face nurse vacancy rates of 10% or higher.
It’s a sign of the need to seriously evaluate how we are filling nursing shifts, rather than clinging to a full-time-only model for support or expecting part-time nurses to work exclusively for the hospital or health system.
The Business Case for an
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Addressing Bias in Healthcare AI: A Guide for Developers and Clinicians
The promise of AI is greater efficiency in solving complex problems. But with that promise comes the responsibility of understanding and applying
governance, ethical, and reliability principles. Therefore, developing a responsible approach to developing and deploying artificial intelligence (AI) in a safe, trustworthy, and ethical fashion is essential. As 94% of IT leaders believe more attention should be paid to responsible AI development, the healthcare industry must devise strategies
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The Role of Digitally Savvy Clinical Leadership Ready for the Future in Healthcare
As technological innovations, AI and challenges in healthcare continue to grow, it’s imperative for healthcare leaders – especially clinical ones – to be digitally competent and step into the forefront of change with skills and expertise to support a better future. Not only do they need to be efficient in use of existing technology to streamline operations and support frontline workers, but they also need to be open to new technologies in their workplaces to advance the industry, to pressure
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