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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Health IT | News, Analysis, Insights - HIT Consultant
72% of Independent Contract Nurses Also Hold Full- or Part-Time Jobs
What You Should Know:
- Nursa, a nationwide platform connecting nurses with healthcare facilities for per diem shifts, has released the results of a survey examining the work and career preferences of its nurse clinician user base.
- The survey, which gathered responses from over 2,000 nurses across 44 states, provides valuable insights into the growing trend of per diem nursing.
- As the healthcare industry continues to evolve, per diem nursing is likely to play an
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Suspect Arrested in UnitedHealthcare CEO Killing After Nationwide Manhunt
What You Should Know:
- After a five-day manhunt, the suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson has been apprehended. Luigi Mangione, a 26-year-old computer scientist with a history of anti-corporate sentiment, was arrested in Altoona, Pennsylvania, following a tip from a McDonald's employee who recognized him from wanted posters.
- Thompson, 50, was killed on December 4th outside the New York Hilton Hotel where he was attending a UnitedHealth Group
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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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Penn Medicine Partners with Cost Plus Drug Company to Enhance Medication Affordability
What You Should Know:
- Penn Medicine is teaming up with Mark Cuban's Cost Plus Drug Company to secure affordable generic medications for its patients.
- The strategic alliance will enable Penn Medicine to offer lower-cost prescriptions through its network of retail pharmacies, ultimately improving medication access and affordability for the community.
Addressing the Rising Cost of Medications
The cost of prescription drugs continues to be a significant barrier for many
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KLAS: The High Cost of Clinician Turnover in 2024
What You Should Know:
- The healthcare industry is facing a growing crisis of clinician turnover, with burnout and EHR frustration driving many professionals to leave their organizations or even the healthcare field entirely.
- A new report from the KLAS Arch Collaborative sheds light on this concerning trend, examining the factors contributing to clinician turnover and highlighting best practices for improving clinician satisfaction and retention.
Understanding the Scope of the
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Medical Home Network and Instacart Partner to Address Food Insecurity
What You Should Know:
- Medical Home Network (MHN), an organization supporting value-based care in federally qualified health centers (FQHCs) forms a collaboration with Instacart, the North American grocery technology leader, to integrate Instacart's SNAP eligibility screener into MHNConnect, its care management platform.
- The strategic partnership aims to address food insecurity among vulnerable populations and improve health outcomes.
Tackling Food Insecurity in
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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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Aya Healthcare Acquires Cross Country Healthcare for $615M
What You Should Know:
- Aya Healthcare, a provider of healthcare staffing solutions, has announced a definitive agreement to acquire Cross Country Healthcare for approximately $615M.
- The strategic acquisition will combine two of the largest healthcare staffing companies, creating a comprehensive workforce solutions provider with a nationwide reach.
Expanding Services and Expertise
Aya Healthcare and Cross Country Healthcare offer complementary, tech-enabled workforce
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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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