Private equity (PE) firms, once eager investors in the healthcare services sector, are facing a chilling reality. A confluence of factors including challenges recruiting and retaining physicians, reimbursement headwinds, accelerating labor costs and restrictive antitrust policies, have resulted in a string of high-profile failures, and are casting doubt on the future role of PE in healthcare. This shift has profound implications across the healthcare delivery spectrum – from hospitals and health
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Health IT | News, Analysis, Insights - HIT Consultant
Code Red: Healthcare Cybersecurity in a Post-Chevron World
In light of the recent Supreme Court decision overturning the Chevron deference, the regulatory landscape, especially concerning cybersecurity in healthcare, faces significant changes. The ruling in Loper Bright Enterprises v. Raimondo, which reversed the 1984 Chevron v. Natural Resources Defense Council precedent, alters how federal agencies can interpret and implement laws. This shift carries profound implications for the Department of Health and Human Services (HHS) and the Cybersecurity and
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HLTH: Tennr Raises $37M to Automate Healthcare Documentation, Streamline Patient Referrals
What You Should Know:
- Tennr, a healthcare technology company transforming the patient referral process, has secured $37M in Series B funding led by Lightspeed Ventures, with participation from existing investors Andreessen Horowitz (a16z) and Foundation Capital. This latest investment brings Tennr's total funding to over $61M, following a Series A round just six months ago.
- Tennr has monetized their business through an automation platform that works for everyday healthcare
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HLTH: Zoom and Suki Integrate to Power AI-Generated Clinical Notes
What You Should Know:
- Suki, a leader in AI technology for healthcare, announced a partnership with Zoom Video Communications, Inc., a leading telehealth platform.
- Zoom will integrate Suki's AI engine, Suki Platform, to generate clinical notes, enhancing its user experience and improving patient care.
- The Suki Platform enables companies to build AI experiences with minimal development effort and already supports nearly one million clinicians across the U.S.
- Suki's AI-powered
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HLTH: CopilotIQ & Biofourmis Merge to Create AI-Driven Platform for In-Home Care
What You Should Know:
- CopilotIQ, a health tech company focused on improving the lives of older adults with chronic conditions, and Biofourmis, a global leader in technology-enabled home care solutions, have announced a strategic merger.
- The combined company creates an AI-driven platform to deliver comprehensive in-home care across the entire care continuum, from pre-surgical optimization to acute, post-acute, and chronic care management. As part of this merger, investors
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HLTH: Blue Shield of California, Salesforce Partner on Real-Time AI Prior Authorizations
What You Should Know:
- Blue Shield of California and Salesforce are joining forces to tackle a major pain point in healthcare: the lengthy and often frustrating process of prior authorizations.
- The new AI-powered platform solution, built on Salesforce Health Cloud, aims to deliver near real-time prior authorization decisions, streamlining healthcare delivery and improving patient experience.
Addressing the Burden of Prior Authorizations
Prior authorizations are a
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Value-Based Care is Growing – Is Your Data Ready?
The famous quote “What gets measured, gets managed” is often incorrectly attributed to business guru Peter Drucker. Although Drucker may not believe that maxim entirely, when it comes to value-based care (VBC), only care quality that can be measured and reported matters.
Whether it is capitated, bundled, pay-for-performance, or hybrid VBC reimbursement models, the Centers for Medicare and Medicaid Services (CMS) and other payers typically have significant demands regarding quantitative data
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The Fine Print of Health Insurance: Why Surprise Bills Are So Common?
Surprise medical bills can be a major headache for anyone, but they can be annoyingly common for those with high-deductible health insurance plans (HDHPs). In fact, half of patients with an HDHP state they have received a surprise medical bill, even though they have insurance coverage.
High-deductible plans typically feature lower monthly premiums but higher out-of-pocket expenses. However, these plans can leave patients on the hook for unexpected medical costs that they may not be able to
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Internal Patient Feedback Benchmarking Metrics Improves Care
Healthcare professionals recognize the power of patient feedback. Many even consider this data to be the lifeline of their organization. In an age where buyer power is in the hands of the patient, staying ahead means constantly improving provider performance and patient outcomes. When patients notice these improvements, they are more likely to leave positive feedback, which, over time, enhances an organization’s reputation.
Collecting patient satisfaction survey responses and benchmarking
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CVS Health Appoints David Joyner as New CEO
What You Should Know:
- CVS Health has announced the appointment of David Joyner as its new President and Chief Executive Officer, effective October 17, 2024.
- Joyner succeeds Karen Lynch, who has stepped down from her position. This leadership transition comes as CVS Health also released preliminary financial results for the third quarter of 2024.
New Leadership at CVS Health
David Joyner brings extensive experience in healthcare and pharmacy benefit management to his
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