What You Should Know:
- The American Medical Association (AMA) has released the CPT® 2025 code set, a comprehensive update that reflects the latest advancements in medical procedures and services.
- This year's release features 420 total changes, including 270 new codes, 112 deletions, and 38 revisions.
Key Updates in CPT 2025
CPT codes are essential for data sharing, billing, and reimbursement in the healthcare industry. The CPT 2025 code set was developed through a
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Health IT | News, Analysis, Insights - HIT Consultant
The Road Ahead for Healthcare Finance Leaders: Navigating Challenges in AI Adoption & Data Quality
The road ahead for healthcare leaders continues to be fraught with challenges. According to a recent McKinsey survey, health system executives see digital and AI transformation as crucial to overcoming ongoing challenges such as rising costs, workforce shortages, aging populations, and increasing competition from nontraditional players. While AI, traditional machine learning, and deep learning are projected to result in net savings of $200 billion to $360 billion in healthcare spending, 75% of
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Study Reveals AI Predicts Patient Risk in Polypharmacy Seniors
What You Should Know:
- A new study published in The American Journal of Managed Care (AJMC) highlights the potential of AI-powered technology to address the complex issue of polypharmacy in senior patients.
- The study, conducted by researchers at Brigham and Women’s Hospital, evaluated FeelBetter’s platform and found it to be highly effective in predicting medication risks and stratifying patients based on their likelihood of hospitalization or emergency department visits.
The
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NCQA Launches Virtual Care Accreditation Program
What You Should Know:
- The National Committee for Quality Assurance (NCQA) has introduced a groundbreaking new program designed to evaluate and accredit organizations offering virtual care services.
- The Virtual Care Accreditation program provides a roadmap for organizations to deliver high-quality patient care, identify gaps in their programs, and effectively track patient outcomes.
Key Features of the Virtual Care Accreditation Program
Comprehensive Standards: The
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Mercy Terminates Contracts with Anthem Blue Cross Blue Shield
What You Should Know:
- Mercy, a healthcare provider in Missouri, has announced its plans to terminate contracts with Anthem Blue Cross Blue Shield in the state.
- This decision comes after months of negotiations, during which Mercy sought to address concerns about rising costs and administrative burdens imposed by Anthem.
A Growing Disparity
Mercy has experienced a significant disparity between the rising costs it faces and the profits generated by managed care companies
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Former FDA/Verily’s Amy Abernethy Launches Highlander Health
What You Should Know:
- Industry veterans Amy Abernethy, M.D., Ph.D., and Brad Hirsch, M.D., have co-founded Highlander Health, a new company dedicated to improving individualized patient care.
- The company is comprised of Highlander Health Institute, a public interest platform, and Highlander Health Partners, an investment arm.
A Vision for Personalized Healthcare
Dr. Abernethy and Dr. Hirsch believe that the healthcare industry needs a more integrated approach to
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The Imperative to Stay the Course on Value-Based Transformation
Is value-based care still the right strategy to reduce U.S. healthcare costs? Or is it time to move to what comes next in the generation-long battle to constrain total medical spending?
The question is being increasingly asked and with good reason. For 2024 medical costs are projected to rise 7.0% year over year for Individual and Group markets. That is greater than the medical cost trend in 2022 and 2023, which was 5.5% and 6.0%, respectively, and adds to a decade-plus of at least 5.5% per
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Ubie’s AI Symptom Checker Outperforms Traditional Methods
What You Should Know:
Ubie, a global healthcare AI platform that enhances the intersection of patients, providers, and life sciences, today announced data from Ubie Symptom Checker: A Clinical Vignette Simulation Study, which was published on medRxiv.The study evaluated the performance of Ubie’s platform using an innovative large language model-assisted (LLM) simulation method. Results show that Ubie achieved a Top-5 hit (inclusion of the correct diagnosis) accuracy of 63.4% and a
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Essence SmartCare, Skyresponse Partner to Expand Ageing-In-Place Products Across Europe
What You Should Know:
Essence SmartCare, part of Essence Group, a global leader in IoT remote care solutions, today announced the integration of Care@Home, an end-to-end senior care solution, with leading Swedish alarm management platform Skyresponse.Under this partnership, over two million seniors across the UK, Switzerland, Nordic countries, and the DACH region will have expanded access to Care@Home, providing a fully connected care experience from initial assessment to ongoing monitoring
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Breaking the Vicious Cycle of Hospital Staffing
Matt Dane, Senior Vice President, Business Development, Hallmark Health Care Solutions
The healthcare labor market is in the middle of a fundamental shift. Healthcare workers are looking for greater flexibility and balance when it comes to their working arrangements, which poses significant challenges for nurse recruitment and retention. At the same time, traditional staffing models employed by large healthcare providers, which have heavily relied on staffing agencies to fill labor gaps, have
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