A new CMS Patient-Driven Groupings Model has been added to MEDITECH's home care EHR solution to help home health agencies comply with PDGM requirements. "The software will use various visual cues to inform the user that a pay period's visit count has not reached the LUPA Threshold, and schedulers can move visits between the two pay periods to ensure a full payment for each 30-day period," according to a press release from MEDITECH officials.
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A federal tax about to take effect on health insurance plans along with health care inflation and an aging population have forced health insurers that sell policies on Connecticut's Access Heath CT exchange to seek premium increases for next year. The health insurance tax was suspended this year, which helped stabilize the individual market, AHIP says.
Alphabet's DeepMind artificial intelligence platform beat experienced biologists at a conference last year in predicting the shapes of proteins, suggesting that AI could accelerate drug development and reduce the failure rate. Investors are already putting money into companies like Recursion that employ AI and machine learning to discover drugs, and drugmakers are acquiring or partnering with more tech firms.
App developer Big Health collaborated with psychologists, a Pixar animator, podcast developers, designers, scriptwriters, software engineers and others to make a mental health app that's meant to be more user-friendly and approachable than many others on the market, and the company is running a clinical trial to test its effects. "A lot of what we're doing from, from scripting to the animation, is really about trying to show that we really understand what you're going through," said Big Health vice president Kelvin Kwong.
The CMS added GuideWell Connect to the list of approved platforms for enrolling in health insurance policies through Affordable Care Act exchanges. HealthSherpa and Stride Health are also CMS-approved for direct enrollment.
Although the data breach at the American Medical Collection Agency did not affect computer systems at Texas-based Clinical Pathology Laboratories, officials have alerted its 2.2 million patients whose information may have been compromised. Among the affected data include patient names, provider treatment information, dates of service, addresses, dates of birth, phone numbers, balance information, and credit card or banking information, but no Social Security numbers.
The CMS saw a near-doubling of Advanced Alternative Payment Model participation in the Quality Payment Program from 2017 to last year, and it plans to take more steps to reduce clinician burden. An MGMA survey last year found QPP was the top regulatory burden for medical practice leaders for the second year in a row.
Health care CIOs can greatly enhance their data security capabilities by adhering to a framework, such as NIST, says Ian Amit, chief security officer of Cimpress. He warns, however, that frameworks only offer a starting point for a health care organization's specific operation and must be expanded on beyond HIPAA compliance for an organization to effectively manage risks. He recommends pairing frameworks with the Factor Analysis of Information Risk standard.
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