The following is a guest article by Carol Howard, BSN, MBA, Vice President of Innovation and Adoption at Janus Health
Hospitals are entering another period of uncertainty as the Centers for Medicare & Medicaid Services…
What You Should Know:
– Kaiser Permanente affiliates have agreed to a $556M settlement to resolve allegations of violating the False Claims Act by submitting invalid diagnosis codes to inflate Medicare Advantage (MA) payments.
– The…
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Overview of Contractor Transition
The Centers for Medicare and Medicaid Services (CMS) has announced a significant change in its provider enrollment verification process. Starting January 3, 2026, CMS will transition to two new National Site…
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Kaiser Permanente affiliates will pay $556 million to settle False Claims Act allegations that they inflated Medicare Advantage risk scores.
Federal investigators say that Kaiser electronically searched patient histories for diagnoses…
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Anthropic announces Claude for Healthcare, a HIPAA-ready set of AI tools that can support prior authorizations, claims processing, care coordination, and medical data interpretation by connecting to data sources such as the…
Sending data over the wire is just the start of health care data interoperability. Other critical tasks include identifying the right destination (in other words, a directory), identifying the patient and other security practices,…
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Can CMS reduce Medicare spending with its new WISeR model? | Healthcare IT News
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Jay Nakashima, President at eHealth Exchange, discusses in this video interview some recent hot developments in health data exchange, and how he expects it to expand in the future.HHS's TEFCA project has been in…
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The TEAM model puts hospitals on the hook for both cost AND quality.Pay attention when Robin Roberts breaks down what’s changing: https://www.healthcareittoday.com/2025/12/04/making-the-team-transforming-episode-accountability-model-work/#PointClickCare #CMS #TEAM #healthtech…
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2026 Predictions: The Great Data Quality Reckoning in Healthcare ITBy Jodi Amendola
Jodi Amendola is executive advisor for the Supreme Group.
The healthcare IT industry has been playing the “Let’s Improve Interoperability!” game…
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