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Health IT | News, Analysis, Insights - HIT Consultant

Streamlining VA Claims Processing: Guide for Healthcare Providers

by Zachary Schultz, CSMC, CRCR, Sr. Director of Product Policy and Solutions at EnableComp 01/24/2025 Leave a Comment

Streamlining VA Claims Processing: Guide for Healthcare Providers

Healthcare providers navigating Veterans Administration (VA) claims face complex eligibility requirements, multiple payer systems, and stringent documentation demands. These challenges create significant operational burdens for facilities and can impact veterans' access to timely care. With VA claims representing less than 5% of most hospitals' patient revenue, providers often struggle to allocate sufficient resources to master these intricate processes, leading to delayed reimbursements,
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How Thoughtful AI Implementation Can Rebuild Trust in Healthcare

by Stephanie Rosner, Scientific Program Manager, Artificial Intelligence for DIA and Maria Vassileva, PhD, Chief Science and Regulatory Officer for DIA 01/24/2025 Leave a Comment

How Thoughtful AI Implementation Can Rebuild Trust in Healthcare

Imagine a physician and a patient sitting quietly together in an examination room. The physician's eyes are focused on a computer screen as she speaks in brief sentences about elevated A1C levels and the challenges of managing blood sugar through lifestyle changes and medication. The patient nods along silently and anxiously while holding an incomprehensible sheet of lab results and struggling to process her Type 2 diabetes diagnosis. The entire interaction lasts five minutes. The physician,
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Experity Appoints Dr. Andrea Giamalva as Chief Medical Officer

by Healthcare Executive Hires 01/23/2025 Leave a Comment

Experity Appoints Dr. Andrea Giamalva as Chief Medical Officer

What You Should Know:  - Experity, the national leader in on-demand healthcare solutions, today announced the appointment of Dr. Andrea Giamalva as Chief Medical Officer.  - Dr. Giamalva brings over 14 years of experience in family medicine and a demonstrated commitment to patient-centered care to her new role at Experity. Dr. Giamalva Bio/Background A graduate of the University of Illinois at Chicago College of Medicine, Dr. Giamalva joins Experity from UW Health, where
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2025 is the Year of Building Resilience with Emerging Health Technology

by Fred Pennic 01/23/2025 Leave a Comment

2025 is the Year of Building Resilience with Emerging Health Technology

The next 12 months hold immense potential for technological innovation in healthcare, but this rapid pace of change brings both opportunities and risks. As health systems adapt, continuous feedback will be necessary to make sure AI is serving its purpose to alleviate stressors while moving the industry forward. In doing so, AI has the potential to open doors for new applications that could solve complex issues within the healthcare sector, and possibly even cross over into other markets. We
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Beyond Chargemaster Rates: Rethinking Revenue Generation in Healthcare

by Steve Rolfes, Manager, Continuous Improvement at Savista 01/23/2025 Leave a Comment

Beyond Chargemaster Rates: Rethinking Revenue Generation in Healthcare

In the ever-evolving landscape of healthcare, one constant remains: the need for financial stability and growth. Healthcare providers, facing rising operational costs, regulatory changes and increased competition, must evolve their financial strategies to ensure long-term sustainability. Historically, healthcare providers have relied heavily on chargemaster rates—the set list prices for medical services—as a primary method for revenue generation. However, as the industry faces increasing
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Cority Acquires Meddbase to Expand Occupational Health Solutions

by Jasmine Pennic 01/23/2025 Leave a Comment

Cority Acquires Meddbase to Expand Occupational Health Solutions

What You Should Know:  - Cority, a provider of environmental, health, and safety (EHS) and sustainability software solutions acquires Meddbase, a pioneer in cloud-native occupational medicine and enterprise medical practice management software. Financial details of the acquisition were not disclosed.  - The strategic move strengthens Cority's commitment to workforce well-being and accelerates the development of comprehensive occupational health solutions that improve employee
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Healthcare Under Attack: Ransomware Groups Increasingly Target Hospitals and Clinics

by Fred Pennic 01/22/2025 Leave a Comment

Ransomware Groups Are Increasingly Target Hospitals and Clinics, Report Reveals

What You Should Know:  - Black Kite, a provider of third-party cyber risk intelligence, has released new data revealing a disturbing trend: ransomware groups are disproportionately targeting healthcare organizations.  - The research, conducted by the Black Kite Research Intelligence Team (BRITE), identifies specific ransomware groups and their preferred targets within the healthcare sector, highlighting the urgent need for enhanced cybersecurity measures. Top Ransomware Groups
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3 Key Principles to Ensuring Ethical AI Use in Healthcare

by Dave Meyer, Chief AI and Data Officer, Reveleer 01/22/2025 Leave a Comment

3 Key Principles to Ensuring Ethical AI Use in Healthcare

The healthcare industry is undergoing a profound transformation, not only in the tools used, but also in how patient care is approached. As the shift toward a value-based care model continues, aligning operations around improving patient outcomes and managing costs effectively is essential. Artificial intelligence (AI) is playing a key role in advancing this transition, helping healthcare organizations deliver better outcomes and reduce costs.  However, despite its promise, the adoption
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Missed Appointments: A Hidden Cost for Physicians and Patients

by Michael Nilsson, CEO and founder of AddEvent 01/22/2025 Leave a Comment

What Missed Appointments Cost Physicians & Strategies to Mitigate Them

Physicians and patients both struggle with the healthcare system’s many idiosyncrasies, albeit in different ways. On the caregiver side, missed appointments are estimated to cost the average solo physician $150,000 annually. Moreover, they can have a negative impact on patient relationships and retention, making for a poor (and pricey) experience for all involved. For patients, missed appointments have a trickle-down effect that not only slows the delivery rate of what may be critical and
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Imagenet Acquires CODY to Expand Healthcare Compliance and Claims Solutions for Health Plans

by Jasmine Pennic 01/22/2025 Leave a Comment

Imagenet Acquires CODY to Expand Healthcare Compliance and Claims Solutions for Health Plans

What You Should Know:  - Imagenet, a provider of technology solutions for health plans and managed care organizations, announced the acquisition of CODY, a company specializing in member communications and compliance software and services. Financial details of the acquisition were not disclosed.  - The acquisition, finalized on December 31, 2024, strengthens Imagenet's position as a comprehensive solutions partner for health plans across various markets. Imagenet's established
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From Overwhelmed to Optimized: How AI Agents Address Staffing Challenges and Burnout in Healthcare

From Overwhelmed to Optimized: How AI Agents Address Staffing Challenges and Burnout in Healthcare

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

KLAS Report: Epic's Native Ambient Speech Tool Reshapes Customer AI Strategies

KLAS Report: Epic’s Native Ambient Speech Tool Reshapes Customer AI Strategies

Epic Unveils MyChart Central and New APIs to Advance Interoperability at Open@Epic

Epic Outlines Roadmap for Next-Generation Data Sharing at Open@Epic

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