Data + Technology

It has been a record year for healthcare claim denials and underpayments, often leaving providers to foot the bill. Here are 10 suggestions to help providers avoid preventable denials.

Health systems say prior authorization hurts patient care and adds to clinician burnout. The CMS is proposing reform measures that have produced some optimism, but health leaders say other steps are needed.

The system said the breach involved patient data from Virginia Mason Franciscan Health, an affiliate of CommonSpirit.

The benefits stretch beyond sepsis management, but its use in this setting could make a meaningful difference for patients and healthcare providers.

UPMC selects a chief clinical information officer, BJC Healthcare hires a hospital president, and other leaders take new roles.

Health systems continue to struggle with higher expenses, including rising labor costs, according to the latest monthly report from Kaufman Hall.

Federal officials warn that individuals behind ‘Lorenz’ ransomware are targeting larger organizations, including those in the healthcare industry.

The company’s app on relaxation and mindfulness is used by millions. Now, Calm is offering mental health services with ‘Calm Health.’

In an interview with Chief Healthcare Executive, the chief health officer of Oracle Health talks about the role of data in closing disparities. She also offers guidance for hospitals aiming to improve equity in care.

Several experts discussed ways to close disparities among disadvantaged groups during a panel at the HLTH Conference. They stressed working with communities and measuring data to see if interventions are working.

Accreditation and certification programs can help organizations address gaps and demonstrate to other providers, partners, and insurers that they are serious about protecting healthcare data.

Just as Americans are shopping online for the holidays, patients should be able to have the same convenience in finding the care that they need.

Health plans possess the back-end technology powering value-based models and the patient information that will empower more equitable care.

He spoke with Chief Healthcare Executive about controlling costs, thinking about the long-term, labor shortages and what healthcare leaders should be doing.

Many digital products in behavioral health are aimed at the ‘worried well.’ Those looking to develop solutions for mental illness need to involve clinicians and patients in designing products.

CMS is moving to a value-based reimbursement program for home health agencies. This change represents a generational opportunity for agencies to implement new models of in-home care.

Health systems must implement proven tech solutions that aggregate evidence-based data and protocols to determine treatment plans that provide the best outcomes for all patients.

Health systems have made progress, but they still have a long way to go, says Clearwater CEO Steve Cagle. Hospital executives must drive change from the top.

David Feinberg, chairman of Oracle Health, talked about Oracle’s acquisition of Cerner, the need to fix electronic health records and transforming the industry.

Founders of health tech companies can find success, but they’ll need sound business plans. Investors are doing more homework before putting money into new companies.

While he said the virus isn’t the destructive force it was even a year ago, too many are dying from the virus. He also discussed long Covid and the federal government’s newest research agency.

The head of the Pennsylvania healthcare system cites the ability to invest in programs to help patients live healthier lives. And he says those efforts are paying off.

The company announces a new collaboration with Epic to give providers more choices on the cloud, and new accelerators to help health organizations do more with their data.

Chiquita Brooks-LaSure, administrator of the Centers for Medicare and Medicaid Services, said technological advances don't do enough if disadvantaged patients can't benefit from them.

He talked about efforts to confront racism, the social factors affecting health, and he urged leaders to own the opportunity to make things better.

Even with difficult economic headwinds, HCA is moving forward with its agenda to transform care, and partnerships are a key ingredient, he says.

The fifth annual event is drawing thousands of healthcare leaders and innovators to Las Vegas.

Experts say health systems must weigh the costs and the risk of products being unavailable. Hospitals need good data and strong leadership to deal with ongoing challenges.

Russ Thomas, CEO of Availity, and Mary Lantin, president and COO of Diameter, talked with Chief Healthcare Executive about the deal, and how the better use of data can reduce waste and improve patient care.

If a provider or surgery center is attacked, the practice is on the hook for bad publicity, potential fines, and the high cost of remediation.