Early next year, the Centers for Medicare and Medicaid Services (CMS) will remove the application of retroactive DIR fees and move DIR fees to the point of sale instead. The major issues with the DIR fees, which are paid by pharmacies to pharmacy benefit managers, are the fact that they drive up the costs of prescriptions for patients and delay reimbursement of care to the pharmacies.
Now, a brand new issue will arise in early 2024 - namely, pharmacies will be facing a DIR “cliff” where
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Digital Health | News, Analysis, Insights - HIT Consultant
Summus Raises $19.5M to Revolutionize Virtual Specialty Care Access
What You Should Know:
- Summus, a New York City-based virtual health company focused on specialty care, has raised $19.5M in its latest funding round to support the company’s continued growth and work to tackle the access problem in healthcare.
- With a total of $70 million raised to date, Summus aims to expand its innovative approach to care, and this new investment will support the company in its efforts to revolutionize how patients and healthcare professionals share and access
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SohoMD, Withings Integrate to Enhance Mental Health through Remote Monitoring
What You Should Know:
SohoMD, the foremost online mental health platform focused on comprehensive biological psychiatry, today announced a first-of-its-kind partnership with Withings Health Solutions, the Healthcare division of Withings, the global leader in at-home connected health.Conceived as part of a holistic approach to mind/body behavioral healthcare, this is the first time a nationally focused online mental health platform has entered into a direct relationship with a
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Blue Shield of California Taps Salesforce to Enhance Member Experience
What You Should Know:
Blue Shield of California and Salesforce (NYSE: CRM), the No. 1 AI CRM, today announced an expanded collaboration to meet members’ need for unified experiences by leveraging the agility and breadth of the Salesforce platform. With its adoption of Salesforce Health Cloud, Blue Shield of California will be able to expand and scale more in-depth care management services to its members, promoting higher quality care.Additionally, with Salesforce, Blue
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Annalise.ai Receives FDA Clearance for Radiology Triage Device
What You Should Know:
Annalise.ai, a leader in AI-powered medical imaging solutions, announced the receipt of 510(k) clearance from the U.S. Food and Drug Administration (FDA) for the triage and notification of obstructive hydrocephalus (OHCP) on non-contrast brain CT scans.Annalise.ai has also received FDA Breakthrough Device Designation for its obstructive hydrocephalus software tool. This is the first radiology triage device to be granted Breakthrough status since the inception of the
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How Telehealth Can Combat Clinician Burnout
The crisis of clinician burnout is worsening.
Clinicians are feeling stressed, overworked and underappreciated. Some are responding by leaving healthcare or cutting back on hours. Nearly 334,000 healthcare providers, including 117,000 physicians left the workforce in 2021, according to a 2022 study.
And the problem did not end when the public health emergency did. In a recent survey by a financial consulting firm, 40% of clinicians said they were considering leaving their jobs for
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Sempre Health Secures $20M to Expand Behavior-Based Healthcare Pricing
What You Should Know:
- Sempre Health, a San Francisco, CA-based solution for behavior-based healthcare pricing raises $20M in additional funding from three new investors, including Cencora Ventures and Echo Health Ventures. Existing investors including the Blue Venture Fund, UPMC Enterprises and Industry Ventures also participated.
- Sempre will use the latest round of funding to accelerate growth of its two-sided network of pharma manufacturers and health plans, launch products for
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Belong.Life Launches AI Clinical Trial Matching Assistant for Cancer
What You Should Know:
- Belong.Life today announced the launch of Tara, a new conversational AI SaaS solution to assist health providers and CROs with cancer clinical trial matching and recruitment.
- Available as a SaaS solution for providers, hospitals, health systems, CROs and other organizations, the technology can be embedded into websites, mobile apps or text messaging platforms to enable easy communication with opt-in patients.
AI SaaS Solution for Cancer Clinical Trial
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AI Algorithm Alerts Therapists to Suicide Risk in Patients
What You Should Know:
In light of Suicide Prevention Awareness Month, Talkspace announced the results of its unique AI algorithm over the last three years of identifying individuals at risk of self-harm or suicide. Using machine learning capabilities, the Talkspace platform can detect language patterns consistent with high-risk behaviors that place individuals at risk for self-harm.The analysis runs real-time on messages sent by patients in their secure and encrypted virtual therapy
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Employers Struggle with Employee Weight Care as GLP-1 Demand Soars
What You Should Know:
Found, a medically assisted weight loss program, released its inaugural State of Weight Care Report from a survey representing 500 large employers with a minimum of 5,000 employees each and more than 350 active individual Found members. The 2023 report illuminates what employers and benefits decision-makers need to do to support employees on their healthcare journeys. The survey revealed that nearly all (96%) employers acknowledge weight management is important
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