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Health IT & Digital Health-Opinion | Op-Eds | Guest Columns | Analysis, Insights - HIT Consultant

Unpacking Medicare Advantage Terminations and How Plans Can Navigate Them

by David J. Sand, MD, MBA Chief Medical Officer at ZeOmega 11/26/2024 Leave a Comment

Unpacking Medicare Advantage Terminations and How Plans Can Navigate Them

The U.S. healthcare system has been undergoing its own stress test. Stakeholders are currently experiencing a variety of pressures with a primary focus on finances, including administrative costs. The COVID-19 pandemic is often used as a convenient delimiter for the emergence of these problems, but in reality, tensions were brewing long before now and were caused by a variety of factors. Medicare Advantage (MA) is facing the headwinds of these issues – and as a result, MA
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5 Cybersecurity Strategies for Remote Patient Monitoring Systems

by Zac Amos, Features Editor at ReHack 11/26/2024 Leave a Comment

Cybersecurity Strategies for Remote Patient Monitoring Systems

Remote patient monitoring systems have unlocked new standards of care. They can reduce lines in hospital waiting rooms, streamline checkups and enable fast, personalized treatments for improved health outcomes. However, they also present a growing cybersecurity risk. Cyberattacks against health care are an increasingly frequent problem — 2023 saw the highest number of data breaches and the most leaked information on record. Wearables and other remote monitoring devices may add fuel to the
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Healthcare as a Right: How AI is Shaping Global Access

by Andreas Cleve, CEO at Corti 11/25/2024 Leave a Comment

Healthcare as a Right: How Artificial Intelligence is Shaping Global Access

The World Health Organization estimates that by 2030, the world will face a shortage of approximately 10 million healthcare workers globally if health systems do not make significant changes. This looming crisis threatens to leave millions without accessible, quality care, potentially leading to devastating consequences for individuals and communities worldwide. Luckily, AI tools are providing innovative solutions to this issue in a variety of ways that can alleviate the administrative burden on
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Optimizing Clinical Trials with AI and Data-Driven Insights

by Sujay Jadhav, CEO of Verana Health 11/25/2024 Leave a Comment

Optimizing Clinical Trials with AI and Data-Driven Insights

While most technology- and innovation-oriented industries have followed the general principles of Moore’s Law, which holds that computing power would double yearly, while costs were cut in half, the life sciences industry appears to be spending more money developing fewer drugs.  According to the latest data, the cost to take a drug candidate from the discovery stage, all the way to market launch, hit $2.3 billion in 2022—a $298 million rise from 2021. Meanwhile, there were
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Bed Shortages: How AI Can Help Reduce Length of Stay in Hospitals

by Michelle Wyatt, Senior Director of Utilization Review Services, Xsolis 11/22/2024 Leave a Comment

Bed Shortages: How AI Can Help Reduce Length of Stay in Hospitals

Length of stay management in acute care facilities represents a critical frontier for providers and payers to improve their own bottom lines, and also improve patients’ experience with the healthcare system.  Let’s take a closer look at how today’s systemic inefficiencies arose, and how collaboration within provider networks, and between payers and providers, might improve length-of-stay procedures and inefficiencies in the future. Acute care facility bed shortages, and how they
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AI in Healthcare: Balancing Automation with Human Expertise

by Kabir Gulati, VP of Data Applications at Proprio 11/22/2024 Leave a Comment

AI in Healthcare: Balancing Automation with Human Expertise

AI holds immense promise in healthcare, from improving patient care and operational efficiency to early disease detection and personalized treatment plans. AI's potential in a patient-centered environment hinges on understanding its capabilities, limitations, and the critical role of human oversight. While AI can greatly enhance human abilities, it is not infallible and cannot replace human expertise. Recognizing and preparing for AI's predictable (and unpredictable) outputs, ensuring
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Revitalizing Medicare Advantage: How The Push to Streamline Prior Authorization Will Impact Senior Care

by Steve Kim, CEO of Valer 11/21/2024 Leave a Comment

Revitalizing Medicare Advantage: How The Push to Streamline Prior Authorization Will Impact Senior Care

As a physician, the odds that you’ve had a negative experience related to the prior authorization process are (unfortunately) highly likely. According to the American Medical Association’s (AMA) 2023 Prior Authorization Physician Survey, 1 in 4 physicians report that prior auths “have led to a serious adverse event for a patient in their care.” Think about the toll that this takes on professionals whose primary job is providing lifesaving care, and the thing preventing this care is outside their
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PCI DSS 4.0: A Guide to API Security for Healthcare Organizations

by Stas Neyman, Director of Product Marketing at Akamai 11/21/2024 Leave a Comment

PCI DSS 4.0: A Guide to API Security for Healthcare Organizations

In recent years, several major health information exchange platforms in the United States have fallen victim to ransomware attacks. These platforms play a crucial role in U.S. healthcare infrastructure, facilitating the flow of patient records and managing payments for extensive networks of providers, including hundreds of thousands of doctors, tens of thousands of pharmacies, thousands of hospitals, and hundreds of laboratories. Some of these systems process billions of claims annually,
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Suicide is NOT a Symptom: Healthcare Is Missing the Mark on Suicide Prevention

by Neil Leibowitz, MD, JD – Chief Medical Officer, Vita Health 11/20/2024 Leave a Comment

Suicide is NOT a Symptom: Healthcare Is Missing the Mark on Suicide Prevention

Too many have lost a loved one to suicide. Every 11 minutes someone dies by suicide in the US, often without warning. Suicidality has historically been regarded as a symptom of major depression and mental illness in general. During my training, when someone was at risk of suicide, we were taught to treat the underlying mental illness and the patient will get better.  However, in many cases that has proven to not be correct.  In fact, a large percentage of severely depressed
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Leveraging AI to Reach Occupancy Goals in Senior Living Communities: What You Should Know

by Ryan Malone, Global CEO, SmartBug Media 11/20/2024 Leave a Comment

Leveraging AI to Reach Occupancy Goals in Senior Living Communities: What You Should Know

Artificial intelligence (AI) is seemingly proliferating everywhere, and so are discussions about its advantages and pitfalls. The senior living industry finds itself at this technology crossroads as it tries to figure out if—and how—to incorporate AI into its operations. Occupancy goals are one area that holds great potential for AI to give senior living communities a nice boost. However, it’s not as easy as just flipping a switch and letting AI take over. To realize the real advantages AI
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Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

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Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

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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

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Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

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RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

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