Risk adjustment requires constant attention to ensure accurate coding, timely regulatory compliance, and streamlined communications across the payer-provider continuum. Increasingly rigorous oversight from the Centers for Medicare & Medicaid Services (CMS) and Office of the Inspector General (OIG) are calling for better diligence, planning and administrative oversight for effective risk adjustment.
The January 2023 rule from CMS, which struck the fee-for-service adjuster from risk
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Health IT | News, Analysis, Insights - HIT Consultant
Cloud Development Environments: A New Frontline in Healthcare Cybersecurity
It’s no surprise that one of healthcare leaders’ biggest fears is having customer data stolen, leaked or exposed. As large healthcare breaches hit record highs, hacks are affecting more individual records than ever – 136 million in 2023, more than double the previous year. This has triggered a wave of class action lawsuits, disruptions in billing cycles, and major service impacts at healthcare institutions.
Given this backdrop, healthcare organizations are doing everything they can to keep
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SONIFI Health & NESA Bring Epic Virtual Care to Patient TVs
What You Should Know:
- Leading patient engagement technology provider SONIFI Health has partnered with NESA—a rapidly growing virtual care technology provider whose AI-powered solution is embedded directly into Epic’s ECAL/CAL virtual care platform—to improve patient care and engagement with SONIFI Health’s interactive TV system.
- Building on the success NESA has experienced deploying virtual care on wall-mounted displays and mobile carts in hospitals, integrations with SONIFI Health
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Clinical Data Registries: Essential, Yet Underutilized Due to Data Challenges
What You Should Know:
- A recent survey conducted by Carta Healthcare, a company dedicated to advancing healthcare through clinical data, has revealed a concerning reality: while clinical data registries are deemed crucial for improving care quality and population health management, their effectiveness is being hindered by challenges related to data accuracy, completeness, and inadequate sponsor tools.
- The survey, conducted by Reaction Data in June 2024 among clinical data
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WellSpan Health Launches First Patient-Facing GenAI Healthcare Agent
What You Should Know:
- WellSpan Health, a leading integrated healthcare provider known for its innovation, is partnering with Hippocratic AI, a pioneer in healthcare-focused large language models, to introduce a groundbreaking clinical GenAI healthcare agent.
- The conversational AI-powered service will directly interact with patients, enhancing healthcare access, equity, and outcomes.
Improve Access and Health Screening for Patients
Hippocratic AI's GenAI agent,
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Cognoa Launches First State Medicaid Program to Cover AI-Powered Autism Diagnostic
What You Should Know:
Cognoa, a leading child development and behavioral health company, today announced its inclusion as a covered benefit under Wyoming Medicaid that will cover the cost of the company’s flagship product, Canvas Dx – the first FDA authorized diagnostic for children at risk of developmental delays including autism. Wyoming’s coverage of AI-based Canvas Dx sets a powerful precedent for other states as a key step to make early detection of autism and subsequent early
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UPGRADEing Healthcare: Empowering Caretakers with Top-Tier Cybersecurity Readiness
Billions in payments disrupted. Patient care stalled. Personal data of one in three Americans exposed. The February ransomware attack on Change Healthcare, a UnitedHealth subsidiary, didn’t just shake the industry—it shattered it. It shouldn’t take massive breaches to highlight the glaring need for better cybersecurity in healthcare, but unfortunately here we are. In response, the White House is now stepping in, commiting over $50 million for the UPGRADE Program. This landmark initiative
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Mission Bio Launches First-of-its-kind Single-cell Genome Integrity Solution
What You Should Know:
Mission Bio, a leader in single-cell multiomics solutions for precision medicine, today announced the launch of its Tapestri® Genome Integrity CNV Solution. This new product is the only single-cell high-throughput solution for measuring genome-wide copy number variants (CNVs) on the market and is designed to fulfill important needs in the critical areas of therapeutic development oncology research.
Advancing Genomic Integrity Analysis with Mission Bio’s Tapestri
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Novant Health to Deploy CitiusTech’s Enterprise Data & Decision Intelligence Services
What You Should Know:
- Novant Health, a leading integrated healthcare network with over 850 locations across North Carolina and South Carolina has selected CitiusTech as the preferred vendor for Enterprise Data & Decision Intelligence services.
- Novant Health turned to CitiusTech to leverage enterprise data to enhance patient outcomes and operational efficiency through cutting-edge technologies and methodologies.
- CitiusTech will provide Novant Health with a wide array of
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Zing Health Raises $140M to Expand Medicare Advantage Plans for Underserved Seniors
What You Should Know:
- Zing Health, a trailblazing Medicare Advantage insurer, has announced a successful $140M funding round. The round includes participation from Health 2047 Capital Partners, CRG, and First Trust Capital Partners, alongside existing investors Newlight Partners, Town Hall Ventures, Health 2047, and Leavitt Equity Partners.
- The investment will fuel the expansion of Zing Health's integrated, chronic special needs-focused plans to reach more
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