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News 7/24/24

July 23, 2024 News 5 Comments

Top News

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Congressman Matt Rosendale (R-MT), chairman of the House Veterans Affairs Subcommittee on Technology Modernization, testifies on the rollout of the combined DoD/VA Oracle Health system at the Lovell Federal Health Care Center (IL) earlier this year. He notes that pharmacy staff are only able to process about 40% of prescriptions due to poor software functionality. Rosendale says that the pharmacy required 100 new employees with another 100 on the way to keep functioning.

He says that the VA should be required to lay out the cost to finish the Oracle Cerner rollout before committing to it, adding that he is certain the $16 billion figure that the VA previously supplied will be exceeded.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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HealthStream announces Q2 results: revenue up 3%, EPS $0.14 versus $0.13, beating Wall Street expectations for both. HSTM shares have risen 29% in the past 12 months versus the S&P 500’s 23% increase, valuing the company at $903 million.

Patient engagement software vendor Loyal raises $33.5 million in a Series B funding round and announces that founder, CEO, and chairman Chad Mallory will transition to a senior advisory role. Saurabh Sinha, founder and chairman of Emids Technologies, will take over as chairman of Loyal’s board and lead a search to fill executive roles.


Sales

  • NHS Norfolk and Waveney Acute Hospital Collaborative in England will implement Meditech across three trusts in 2026.
  • West Tennessee Healthcare selects automated perioperative scheduling and workflow software from Qventus.
  • Bon Secours Mercy Health will implement patient monitoring technology from Philips across its 49 hospitals over the next three years.

People

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Volpara Health CEO Teri Thomas, RN, MSN takes on the additional role of chief business officer of Lunit’s cancer screening group, while CFO Craig Hadfield takes on the additional role of chief customer officer. Becky Weber (Health Catalyst) joins Volpara as EVP of sales.


Announcements and Implementations

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Abridge, Mayo Clinic, and Epic will develop an AI-powered ambient documentation solution for nurses. The group hopes to have Mayo nurses using the system by the end of 2024.

Park Medical Centers in Detroit implements Kaid Health’s Whole Chart Analysis coding, quality monitoring, and clinical analytics software.

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Wolters Kluwer Health launches its ClinicalPulse continuing education app for nurse practitioners.

Owensboro Health Regional Hospital (KY) launches virtual nursing programs in its ortho-neuro and pulmonary units ahead of a systemwide rollout.

The Sequoia Project publishes a draft of its Data Usability Workgroup Implementation Guide and invites public comment.

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USPTO awards pharmacy benefit manager / pharmacy benefit administrator Capital Rx a patent for the data tagging system that it developed for its JUDI enterprise health platform.

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A new KLAS report on go-live support places Optimum Healthcare IT in the #1 spot for overall performance, while emerging firms Ellit Groups and Healthrise earned high client satisfaction from the limited number of their clients who were interviewed.


Government and Politics

The VA will require veterans who use its website, apps, and My HealtheVet to enroll in Login.gov or ID.me starting next year.


Privacy and Security

Schneider Regional Medical Center (USVI) reverts to downtime procedures after discovering a ransomware attack on its systems over the weekend.

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Michigan Medicine notifies 57,000 patients of a data breach in late May that was caused by hackers infiltrating employee email accounts. The health system began sending out notifications last Friday, the same day that the global CrowdStrike/Microsoft update flaw temporarily crippled global IT systems across several sectors, including healthcare.


Sponsor Updates

  • Black Book survey-takers rank Symplr as the top end-to-end provider data management and credentialing platform for payers.
  • The Government of Greece will implement Agfa HealthCare’s Enterprise Imaging platform across its public hospitals.
  • Arcadia publishes a new guide, “Quality management tools to balance care and rising costs.”
  • Capital Rx becomes one of the Lehigh Valley Business Coalition on Healthcare’s pharmacy benefit management partners.
  • Clearwater integrates the Payment Card Industry Data Security Standard and NIST Cybersecurity Framework 2.0 into its IRM/Performance SaaS solution.
  • The “Powered by Authenticity” podcast features Cordea Consulting founder and CEO Jen Jones, “Coaching and Mentoring Along the Way.”
  • Health Data Movers posts a new episode of its “QuickHITs” podcast titled “Breaking Down Barriers in Healthcare IT: Insights from Stephanie Davis.”
  • Direct Recruiters releases a new e-book, “The Power of People: Why AI Alone Isn’t Enough in Modern Recruitment.”
  • CareCloud expands its partnership with DrFirst to include integrated RxInform functionality.
  • Crossings Healthcare Solutions now offers Oracle customers customized EHR content and functionality.
  • Inovalon offers Provider Market Insights to help life sciences organizations optimize investments based on market intelligence and accelerate the launch of innovative therapies.
  • Surescripts releases a new report, “Clinician Perspectives & Prescribing Patterns Reveal Opportunities for Care Team Evolution.”
  • CloudWave joins The Iroquois Healthcare Association as an enhanced business associate member.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

Monday Morning Update 7/22/24

July 21, 2024 News Comments Off on Monday Morning Update 7/22/24

Top News

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Commure will acquire ambient medical documentation system vendor Augmedix in an all-cash, take-private transaction that values the company at $139 million.

AUGX shares had lost 80% of their value in the past 12 months prior to the announcement. The company’s market capitalization peaked at $290 million in early December 2023 and is down 62% since. The deal represents a significant share price premium and a four-quarter revenue multiple of 2.8.

Athelas acquired Commure in October 2023, claiming a total company valuation of $6 billion. It offers tools for revenue cycle management, workflow, and patient monitoring. Commure launched its free, AI-powered Ambient Scribe just a few weeks ago.


Reader Comments

From Observer: “Re: Intermountain. Craig Richardville out as CIO. Confirmed by internal memo.” His LinkedIn profile is unchanged, but his bio has been removed from the health system’s leadership webpage. He joined Intermountain Health as chief digital and information officer in April 22 after spending three years in a similar position with SCL Health, which was acquired by Intermountain in April 2022. Intermountain announced in September 2023 that it would replace Oracle Cerner with Epic.


HIStalk Announcements and Requests

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More than half of poll respondents reported that they experienced no major issues in their most recent PCP visit, although those who did most often named lack of appointment availability and PCP distractions.

New poll to your right or here: Were you significantly affected by CrowdStrike-caused downtime? You probably were on Friday if you interacted with airlines, public transit, banks, mail carriers, and government offices. Bonus question to which you may comment below – as in the Change Healthcare ransomware attack, how do you keep a single vendor’s technical issues from crippling a specific industry or the country in general?

Dear researchers and/or Epic: please do a Cosmos analysis of the patient effects of the CrowdStrike downtime to prove or disprove the hospital executive insistence that patient care doesn’t suffer when the EHR goes down for days.

  • How long were systems unavailable as determined by deviation from normal usage?
  • Were more patients discharged or transferred than usual?
  • Was visit and admission volume higher afterward as patients sought care that was deferred during the event?
  • Were ED visits reduced or of shorter duration?
  • How many surgeries were cancelled and of what kinds?
  • After the event is resolved, how were patient complications and mortality impacted during and immediately after?
  • How were the schedules of clinical staff affected?
  • How were patient satisfaction scores affected?

Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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For-profit hospital operator Ardent Health – which owns 30 hospitals, 200 care sites, and 1,700 providers across six states – goes public at a valuation of over $2 billion. Notes:

  • Shares closed on their first day of trading 6% off the IPO price, which had already been lowered.
  • They have since rebounded and are up  8% from the  IPO price of $16.
  • Previous owner Equity Group Investments offered 12 million shares and retained 55% voting power.
  • PureHealth, which operates hospitals and other healthcare businesses in the United Arab Emirates, is the second-largest shareholder.
  • Ardent EVP/General Counsel Stephen Petrovich is the largest individual shareholder with $18 million worth.
  • According to the prospectus, Ardent’s implementation of Epic in 2021 “makes us a more attractive partner for emerging technology providers and facilitates physician use of novel technology.”

People

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The American Academy of Nursing names Suzanne Bakken, PhD, RN as one of five “Living Legends” of nurse leadership. She is professor of nursing and biomedical informatics at Columbia University.


Announcements and Implementations

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Hospitals everywhere experienced computer downtime starting Friday as a result of the CrowdStrike cybersecurity update flaw that triggered the Windows “blue screen of death.” The company has issued a fix for users of the endpoint protection system, but experts say it may take days to fix all affected systems. A Microsoft executive called the incident “the largest IT outage in history,” although Microsoft said the incident affected 8.5 million devices, less than 1% of all Windows machines. Some of the hospitals that reported outage-related patient care issues:

  • Mass General Brigham cancelled non-urgent surgeries, procedures, and visits.
  • Penn Medicine warned that it might need to reschedule appointments.
  • Cincinnati Children’s Hospital cancelled appointments and warned of delays.
  • Michigan Medicine reported a major incident.
  • Mount Sinai Hospital and Hospital for Special Surgery lost access to affected systems.
  • Baylor Scott & White reported outages.
  • RWJBarnabas Health delayed procedures, as did Emory Healthcare and Norton Healthcare.
  • UVA Health closed its ambulatory clinics and outpatient radiology services.
  • Computers and phones at Greater Baltimore Medical Center went down.
  • University of Miami’s UHealth lost access to its systems and went back to paper.
  • Quest Diagnostics cancelled appointments and advised providers who send specimens via Fedex to hold them until that company returns to normal operations.
  • A hospital employee claimed in a now-deleted Reddit post that the bug had taken down tens of thousands of hospital endpoints, adding with regard to affected machines in surgery, “We cannot reboot them without killing patients.”
  • 911 services in several states were taken offline.
  • EMIS, the system used by 60% of England’s GPs, went down.

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Industry long-timer Drex DeFord, who worked several years as a healthcare executive for CrowdStrike until January 2024,  posted this admirably succinct description of the CrowdStrike issue, including a new warning:

Here’s what I think I know so far: Everybody runs CrowdStrike (if you don’t, lots of your partners do). Most customers have endpoint sensors set to auto-update. Bad-sensor update jammed up Windows machines. New/improved update now deployed. But customers often have to reboot machine to fix problem. Some have to boot to “safe-mode” and remove offending file. Reports now that some adversaries posing as “CrowdStrike Support” are reaching out to customers offering help — stay a little paranoid about who you are communicating with.


Government and Politics

HHS creates new positions for CTO, chief artificial intelligence officer, and chief data officer.


Privacy and Security

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Oracle will pay $115 million to a lawsuit that charged the company with violating website user privacy by tracking their browsing activity and compiling it into a profile that it sold via its Oracle Data Marketplace, which the company says is the world’s largest third-party data marketplace, with “actionable audience data” covering 80% of the US internet population. 


Other

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Academic publisher Taylor & Francis – a leading scholarly publisher that is owned by HIMSS conference owner Informa and whose brands include several healthcare journals — surprises its journal authors by selling access to their articles to Microsoft to use for AI training. Experts urge authors to ask publishers about their AI policies before signing contracts.


Sponsor Updates

  • Nordic releases a new “Designing for Health” podcast, “Interview with Mitesh Patel, MD.”
  • Rhapsody Health publishes a new white paper, “9 questions to ask to create a winning interoperability strategy.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

News 7/19/24

July 18, 2024 News Comments Off on News 7/19/24

Top News

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UnitedHealth Group raises its estimate of the full-year company financial impact of the Change Healthcare cyberattack from $1.6 billion to $2.3 billion.

UnitedHealth Group closed its $8 billion purchase of Change Healthcare in October 2022, weeks after overcoming a challenge that had been raised by the Department of Justice. The cyberattack occurred in February 2024.  

The company reported Q2 results on Tuesday: revenue up 6.4%, adjusted EPS $6.80 versus $6.14, beating Wall Street expectations for both and valuing the company at $520 billion.

The company’s $99 billion in quarterly revenue was up $6 billion quarter over quarter, with its Optum business leading the increase. Unadjusted earnings from operations reached $7.9 billion.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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Freshpaint, which offers a platform for healthcare marketers to check their websites, advertising, and videos for privacy compliance, raises $30 million in a Series B funding round. The company emphasizes the warnings by HHS and FTC that website visitor tracking tools violate HIPAA. Those warnings are in question since a federal court ruled last month that HHS does not have the authority to ban use of those tools. The court also ruled that the information that is collected by most website trackers is not tied to an individual and therefore is not covered by HIPAA. 

Social care software vendor Findhelp acquires Kiip, which offers software to reduce the administrative burden of at-risk populations who are seeking community services.

GE HealthCare acquires Intelligent Ultrasound, whose AI-driven ultrasound analysis tools are used by GE HealthCare and other device manufacturers, for $51 million.


Sales

  • Intermountain Health will use NeuroFlow’s behavioral health technology to identify and triage behavioral health risk within its primary care population.

People

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AI-powered retinopathy screening technology company Eyenuk hires Bryan Haardt (Boehringer Ingelheim) as CEO.

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Grady Health System hires Joey Meneses, MS (Akron Children’s Hospital) as executive director of technology.


Announcements and Implementations

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Executives of Adventist Health confirm via LinkedIn job postings the long-reported rumor that the health system will implement Epic, which will replace Oracle Cerner. Roseville, CA-based Adventist Health has 28 hospitals and 38,000 employees.

Huma Therapeutics announces Huma Cloud Platform, a no-code system for configuring regulated disease management tools that includes pre-built modules, device connectivity, cloud hosting, APIs, and a marketplace.

UPMC researchers find that adding EHR nudges reduced the unnecessary use of lymph node biopsies in older female patients by nearly 50%. They modified the outpatient clinic EHR that is used by seven breast surgical oncologists, adding a column to the surgeon’s schedule to flag patients who meet Choosing Wisely guidelines to skip the procedure. The authors conclude that the most important takeaway is that surgeons appreciated getting the reminder on the day of the patient’s visit without having to click anything.


Government and Politics

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A NEJM perspective piece says that the Supreme Court’s overturning of the so-called Chevron doctrine will impact every aspect of society, but especially HHS’s scientific and technical agencies such as CMS, CDC, FDA, NIH, and AHRQ. The authors predict that the ruling – which increases the power of courts and makes it easy for businesses to challenge the actions of federal agencies – will encourage big companies to challenge any rule or guidance that threatens their bottom lines, such as Medicare’s payment policies. They also expect companies to challenge FDA’s regulatory authority over laboratory-developed tests, which is the subject of a lawsuit that was brought by the clinical laboratory trade group. From the article, which refers to the decision under its legal name of Loper Bright:

Whereas Chevron favored the government experts charged with administering public programs, Loper Bright favors well-funded industry insiders with the resources to litigate rules that threaten to curb waste, fraud, or abuse. For example, industry-driven litigation has hampered government implementation of the No Surprises Act, which has resulted in far less savings and weaker protections for patients from surprise out-of-network bills than anticipated … Loper Bright will also most likely make it more difficult for agencies to adapt their regulatory approaches in response to changing scientific or economic circumstances. Under Chevron and related opinions, agencies retained some latitude to change their interpretations of ambiguous statutes over time.


Other

Scammers are creating deepfake videos that depict famous UK TV doctors pitching scam health products such as hemp gummies and herbal blood pressure remedies on social media platforms. Recent surveys have shown that most Americans under 26 get their health and wellness advice from TikTok because it’s fast and free, although 10% of them have experienced health issues after following influencer advice. One survey found that one in three TikTok users did not double-check the advice they got from platform users, while 10% said they would trust an influencer who has a high number of followers or likes. The platforms urge users to report misinformation, but posting a factual disclaimer triggers the influencer’s massive follower count to defend them and their medical advice.


Sponsor Updates

  • Inovalon’s Converged Quality software earns HEDIS certification for the 24th consecutive year.
  • EClinicalWorks releases a new podcast, “Say Hello to Easy Joint Documentation with EClinicalWorks.”
  • TruBridge announces that it has received the Peer Reviewed by HFMA designation for its Complete Business Office solution for the fourth consecutive year, and for its RCM solution for the seventh consecutive year.
  • Vyne Medical becomes a commercial member of MUSE.
  • FinThrive releases a new episode of its HealthLeaders Cyber Resilience Podcast.
  • Five9 announces that it has been named a Leader in the IDC MarketScape: Worldwide Contact Center-as-a-Service Applications Software 2024 Vendor Assessment.
  • Wolters Kluwer Health adds its Rx Transitions for Mental Health medication management tool to its UpToDate Pro clinical decision support software.
  • Linus Health will exhibit at Pri-Med West through July 20 in Anaheim, CA.
  • Meditech will host Meditech Live September 25-27 at its facility in Foxborough, MA.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

News 7/17/24

July 16, 2024 News 4 Comments

Top News

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Healthcare governance, risk, and compliance solutions company RLDatix acquires London-based digital social care planning and management software vendor Carebeans.


Webinars

July 18 (Thursday) noon ET. “New CMS Final Rule: Strategies to Get EHR and IT Vendors Up to Speed.” Sponsor: DrFirst. Presenters: Nick Barger, PharmD, VP of product, DrFirst; Tyler Higgins, senior director of product management, DrFirst. The new final rule that was issued by CMS on June 13, 2024, goes beyond a basic upgrade of SCRIPT standards and improves care connections among doctors, pharmacies, and patients. The presenters will lead EHR and IT vendors through the final rule, provide details on key provisions and compliance deadlines, offer tactics to tackle roadmap development, and provide direction on where and how partners can best leverage the requirements for the benefit of their customers.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Sales

  • Beebe Healthcare (DE) will implement Epic across its system next year.
  • In New Mexico, the City of Albuquerque and Bernalillo County will roll out social care screening and referral technology from Unite Us later this summer.
  • CentraCare (MN) will offer virtual urgent care visits using technology from KeyCare.

People

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Alok Chaudhary, MBA (Ballad Health) joins VCU Health (VA) as VP and chief data and AI officer.

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Acentra Health names Ryan Bosch, MD, MBA (Inova Health) EVP and chief health and informatics officer.

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Medicomp Systems founder, chairman, and president Peter Goltra died last month at 84.


Announcements and Implementations

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The VA will pilot ambient clinical documentation software from Nuance and Abridge, which won the first phase of the VA’s AI Tech Sprint. It will integrate the AI-powered technologies with its EHR and workflows. The locations and duration of the pilots have yet to be announced.

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After a four-month pilot, UVM Health Network (VT) will implement Abridge’s generative AI software for clinical documentation across its enterprise.

In New Jersey, Premier Health Associates will go live on parent organization Atlantic Health’s Epic system early next year.


Government and Politics

Former FDA Commissioner Scott Gottlieb, MD says that FDA should regulate medical AI using the same firm-based approach as it does for medical devices, in which it reviews the developer’s design approach and the product’s results rather than dissecting its underlying hardware and software. He says the VALID Act, which codifies the firm-based regulatory approach, is more appropriate for products such as AI that go through rapid cycles of innovation. He also notes that AI processing is not easily defined by tracing every possible input to its output. He urges Congress to facilitate the creation of large, reliable databases that can be used used for consistent AI development, training, validation, and post-market monitoring.

The Kansas Court of Appeals rules that healthcare providers are not required to keep patient medical records confidential, dismissing a University of Kansas Medical Center lawsuit in which a doctor took pictures during the plaintiff’s pelvic exam and sent them to two medical students whom the patient had approved to be present. The court concurred with a lower court’s decision that the state does not recognize a provider’s duty to protect patient confidentiality.


Other

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St. Joseph’s Hospital (FL) implements Amazon’s Just Walk Out checkout-free payment technology at its Seasons Cafe. The new shopping workflows have enabled the cafe to stay open longer, and have not caused any employee layoffs.

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A Dallas magazine profiles the leadership and funding crises that have sent White Rock Medical Center spiraling into financial and clinical chaos. The hospital has:

  • Reverted to paper charting due to an inability to finance a new contract with its EHR vendor.
  • Laid off employees with the only warning being a midnight email, which prompted former employees to file a class-action lawsuit against owner Heights Healthcare.
  • Left vendors unpaid, causing it to scramble to borrow supplies from neighboring facilities and buy patient food from the local grocery store.

Sponsor Updates

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  • Clinical Architecture sponsors the The ALS Association Indiana Chapter and the Bob Kravitz ALS Golf Classic.
  • SingHealth in Singapore implements Agfa HealthCare’s enterprise imaging 8.3 platform.
  • Arcadia announces that it has been named as a Leader in the IDC Marketscape:US Value-based Health Analytics 2023 Vendor Assessment.
  • Impact Advisors is named to Consulting Magazine’s “Best Large Firms to Work For” list.
  • Artera publishes a new case study, “Wheeler Health Lowers Call Volume and Enhances Staff Efficiency with Artera.”
  • Capital Rx releases a new episode of The Astonishing Healthcare Podcast, “The Power of APIs in Healthcare, with Alfonso Martinez.”
  • CloudWave will exhibit at the 2024 NCHA Summer Meeting July 17-19 in Asheville, NC.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

Monday Morning Update 7/15/24

July 14, 2024 News 1 Comment

Top News

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Ransomware hackers who breached the Vital Statistics system of Florida’s health department publish 100 gigabytes of HIV results, immunization records, and clinical notes to the dark web after the state declines to pay a ransom.

Florida says that 20,000 records from 2023 and 2024 were exfiltrated. Those records include patient names, dates of birth, addresses, Social Security numbers, and insurance information.

The system outage has caused delays in issuing birth and death certificates, as families report that they are unable to hold funerals, close bank accounts, file insurance claims, and update Social Security records.


Reader Comments

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From Smitten: “Re: Epic. More campus expansion. Meanwhile, is Oracle really moving its HQ to Nashville?” The Verona paper covers how city and state government help fund Epic’s never-ending expansion, including its latest Other Worlds campus. I haven’t heard any fresh Nashville news from Oracle, although the guy who owns nearly half of the company says it will happen and he tends to get what he wants.


HIStalk Announcements and Requests

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Poll respondents name insurers as being most responsible for physician dissatisfaction.

New poll to your right or here: What did you like least about your most recent PCP visit? I’m in the N/A group because I have never had any of these problems with my direct primary care physician.


Webinars

July 18 (Thursday) noon ET. “New CMS Final Rule: Strategies to Get EHR and IT Vendors Up to Speed.” Sponsor: DrFirst. Presenters: Nick Barger, PharmD, VP of product, DrFirst; Tyler Higgins, senior director of product management, DrFirst. The new final rule that was issued by CMS on June 13, 2024, goes beyond a basic upgrade of SCRIPT standards and improves care connections among doctors, pharmacies, and patients. The presenters will lead EHR and IT vendors through the final rule, provide details on key provisions and compliance deadlines, offer tactics to tackle roadmap development, and provide direction on where and how partners can best leverage the requirements for the benefit of their customers.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


People

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CereCore promotes Joel St. Francis to COO and Phil Sobol to chief commercial officer.


Announcements and Implementations

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Samsung releases its first Galaxy Ring smart ring that supports AI-backed biometric monitoring of sleep, pulse, stress, and activity via the Samsung Health app. The $400 ring costs $100 more than the Oura Ring, but the latter requires a $6 per month subscription.


Other

A Microsoft Asia blog post describes how pharmacists in Taiwan’s 2,500-bed Chi Mei Medical Center doubled the number of patients they can see using a generative AI copilot that displays patient records from multiple systems. Doctors at the same hospital use a copilot for generating reports from medical records, nurses use it to create shift change reports, and nutritionists create dietary recommendations using their own copilot.

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CNBC profiles SimVET, a $43 million simulated hospital in Orlando where the VA tests new technologies and procedures. The facility, which opened in 2016, has 60 full-time employees.


Sponsor Updates

  • Netsmart’s TheraOffice EHR and practice management software earns ONC Certification.
  • Symplr signs the US CISA Secure by Design pledge and achieves SOC 2 Type II compliance attestation for its flagship products.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

News 7/12/24

July 11, 2024 News 3 Comments

Top News

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ONC publishes its Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule for public comment.

The rule would include new certification criteria for public health and payers, including the technical requirements to support CMS’s Interoperability and Prior Authorization rule. 

The proposed rule introduces certification criteria for a real-time prescription benefit tool.

The rule would mandate adoption of USCDI version 4 by January 1, 2028. It would also update standards that are related to clinical image exchange and the use of multi-factor authentication.

It also clarifies the information blocking regulations to address concerns that entities could be penalized for choosing to limit sharing of a patient’s reproductive health information.


Reader Comments

From Peds MD: “Re: the Epic Care Everywhere matching problem for newborns that I reported earlier this week. Epic reached out to me, facilitated by Mr. HIStalk. They agreed that the Epic (and probably every EMR) newborn matching needs special considerations since many normal demographics change for newborns. In discussion are that the Care Everywhere ID (or any other quasi-national identifier) should be accessible for newborns, and with it, the requestor probably should only need one other matching point to be able to see a possible match. I will be bringing this complex topic to a Newborn Informatics Standardization Workgroup and Epic will be participating in this. The Epic staff wanted to encourage other clinicians with questions to contact Epic so that they can work with them, too.”

From SunsetSister: “Re: ModMed. Heard thy are sunsetting TRAKnet (podiatry EHR) and Exscribe (ortho EHR). Can you confirm? Both EHRs were acquired by ModMed in 2021. Maintaining status quo for three years and then telling customers they need to make a choice – convert to ModMed’s version or find a new system – the timing sounds about right.” I’ve emailed the company’s press contact, who provided this response:

As part of our overall strategy to deliver best-in-class experiences to our customers, ModMed has been upgrading clients using TRAKnet and Sammy to ModMed Podiatry for some time. We’ve taken the best of both platforms and built a superior cloud-based solution in ModMed Podiatry that is trusted by thousands of providers. ModMed is a leader in the podiatry space, and making this change places us in an even stronger position to continue providing state-of-the-art features, including artificial intelligence, enhanced patient engagement, and intuitive revenue cycle capabilities to our customers.

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From Minor Kibble: “Re: Marshfield Clinic being acquired by Sanford. They will move to Epic, the latest in the clinic’s 10-year journey in which it tried to become a vendor by selling its homegrown EHR, abandoned that strategy in 2017 and replaced the homegrown EHR with Cerner even though Epic dominates in Wisconsin, and then begin replacing Cerner with Epic the year after its Cerner installs were complete.” The combined organization would have 56 hospitals, 56,000 employees, and $10 billion in annual revenue. The memorandum of understanding says that the combined system will invest up to $500 million to transition to Epic.   

From Dr. Q: “Re: AI. See this article from the journal Gastroenterology about using AI alone or with the involvement of an endoscopist in the optical diagnosis of colorectal polyps. Neither excelled, but AI did better working alone than when it was ‘corrected’ by the doctors. My impression so far is that AI is great for pictures and patterns. The language stuff, meh.” I’m thinking of driverless cars, where it became obvious that the best way to train them was to just let them watch humans who are doing it, which is how you would train your not overly bright 16-year-old to achieve driving competence purely by observation and practice instead of writing down 100,000 rules. The AI could fall well short of perfection and still be consistently safer than reckless or inattentive human drivers. The other interesting aspect of this article is that we want AI that enhances rather than replaces physician judgment, but we also know that physicians overweight their own personal experience in their narrow patient population, so they may override AI’s correct conclusions in assuming that they are smarter than the machine.


Webinars

July 18 (Thursday) noon ET. “New CMS Final Rule: Strategies to Get EHR and IT Vendors Up to Speed.” Sponsor: DrFirst. Presenters: Nick Barger, PharmD, VP of product, DrFirst; Tyler Higgins, senior director of product management, DrFirst. The new final rule that was issued by CMS on June 13, 2024, goes beyond a basic upgrade of SCRIPT standards and improves care connections among doctors, pharmacies, and patients. The presenters will lead EHR and IT vendors through the final rule, provide details on key provisions and compliance deadlines, offer tactics to tackle roadmap development, and provide direction on where and how partners can best leverage the requirements for the benefit of their customers.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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AI-driven cardiac device monitoring manufacturer Octagos Health raises $43 million in a Series B funding round.

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Clinical insights platform vendor Regard closes a $61 million Series B funding round.

A private equity firm makes an unstated investment in healthcare-focused IT managed services provider Medicus IT.

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ExactCare, which acquired Tabula Rasa HealthCare in November 2023, renames the combined business to AnewHealth, which offers pharmacy services and technology for managing chronic conditions in home and community settings. CEO John Figueroa has held CEO roles at CarepathRx, Genoa Healthcare, Apria Healthcare Group, and Omnicare. He is a former Army captain and Ranger. 


Sales

  • Carle Health will deploy Nabla’s ambient AI assistant to 1,500 providers, starting with its multi-specialty physician group.

People

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Clearsense hires Jonathan Cook (Arcadia) as CTO, Ken Misch, MBA (Medhost) as CFO/COO, and Glen Wirick (Adhere Health) as chief commercial officer.

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RLDatix names August Calhoun, PhD (Optum Insight) as president/GM of RLDatix North America and Mike Allelunas (ConcertAI) as president/GM of RLDatix Life Sciences.


Announcements and Implementations

Porter County, IN’s health department launches a Findhelp-powered website that provides information on free or reduced-cost community services.

The New Hampshire business paper covers the rollout of Nuance’s DAX at Elliot Health Systems.

KONZA National Network launches Birth Connect, which immediately alerts OB/GYNs when one of their patients has delivered a baby. The HIE and QHIN says the alert solves EHR interoperability issues that cause delayed reporting and minimizes record loss due to temporary use of “baby girl” or “baby boy” as a first name.


Government and Politics

A federal jury convicts the former CEO of publicly traded hospital supply chain data services vendor SCWorx on two counts of securities fraud. Marc Schessel announced publicly in the early days of the pandemic that the company had a contract to acquire and sell millions of COVID test kits from an Australian supplier, sending SCWorx shares up 400%, but the company’s tests were not FDA approved, SCWorx didn’t have the money to pay for them, and they ended up not acquiring a single test to sell.

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The CDC-funded Data Modernization Implementation Center Program selects CRISP Shared Services as one of its three implementation centers, along with Guidehouse and Mathematica.


Privacy and Security

Mt. San Rafael Hospital (CO) reports being hit by a ransomware attack.

The US Navy disciplines a jhospital corps member who attempted to look up President Biden’s records in MHS Genesis three times in February. He was unable to do so because the access to the President’s records is restricted, although he did access the records of a different Joe Biden.


Other

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Authors from University of Colorado Health describe its Virtual Health Center, which provides 4,100 interventions for 800 patients daily across it 12 hospitals. Some of its programs:

  • A virtual sitter program, where patients who are flagged by a fall risk model are monitored by video and are verbally requested to wait for help when trying to get out of bed unassisted.
  • A sepsis prediction tool.
  • Triaging ill employees early in the pandemic.
  • Discharging stable inpatients with COVID-19 for home monitoring, although some had to be given smartphones because their only Internet access was public Wi-Fi.
  • Future projects include work with wearables and virtual programs for primary care, care transitions, and admissions.

Sponsor Updates

  • Vyne Medical publishes a new whitepaper, “From Costly Paper Processes to Streamlined Operations: How Healthcare Can Build a Better Future.”
  • Notable achieves Oracle Validated Integration Expertise across all Oracle Health domains for its bidirectional integration of the Notable platform for healthcare operations.
  • Elsevier’s new “Insights 2024: Attitudes Toward AI” report reveals researchers and clinicians believe in AI’s potential but demand transparency in order to trust tools.
  • Laudio publishes a new case study, “MemorialCare Enhances Support for Nurse Managers, Boosts Nurse Engagement and Retention.”
  • Medicomp Systems releases a new episode of its “Tell Me Where it Hurts” podcast, featuring Christopher Kunney, managing partner of Iotech Consulting.
  • Meditech publishes a new customer success story, “Expanse delivers cost savings, scalability for Harrison County.”
  • MRO will exhibit at the FHIMA Annual Convention July 14-17 in Orlando.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

News 7/10/24

July 9, 2024 News 3 Comments

Top News

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Sam Altman (OpenAI) and Arianna Huffington (Thrive Global) announce that their companies will jointly fund Thrive AI Health, which will develop a personalized coaching application to support health-related behavior change.

The new company will be led by former Google sensor and fitness product management leader DeCarlos Love.

Launch partners include Stanford Medicine, the Alice L. Walton School of Medicine, and West Virginia University’s neuroscience institute.


HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor Crossings Healthcare Solutions. The King of Prussia, PA-based company is a subsidiary of Universal Health Services, a large hospital system and longtime Oracle/Cerner client and vendor. UHS’s dedicated resources develop solutions to optimize the Oracle Millenium EHR, with the support of Oracle leadership. These solutions embed directly into the Oracle EHR and do not create any third-party solutions. Its MPages and Advisor solutions are installed at more than 85 hospitals across the country, with tools that are tailored to nursing documentation, physician communication, and pharmacy workflows. All of these tools promote usability, safety, and satisfaction of the Oracle EHR. Aside from acute care, UHS also has a large behavioral health representation, with over 300 facilities across the country. It has developed electronic treatment planning with a number of additional MPage enhancements for their BH facilities that are also offered through Crossings. The company is dedicated to making sure that Oracle users are satisfied with the overall use of their EMR, as it is both a client and a vendor. Thanks to Crossings Healthcare Solutions for supporting HIStalk.


Webinars

July 18 (Thursday) noon ET. “New CMS Final Rule: Strategies to Get EHR and IT Vendors Up to Speed.” Sponsor: DrFirst. Presenters: Nick Barger, PharmD, VP of product, DrFirst; Tyler Higgins, senior director of product management, DrFirst. The new final rule that was issued by CMS on June 13, 2024, goes beyond a basic upgrade of SCRIPT standards and improves care connections among doctors, pharmacies, and patients. The presenters will lead EHR and IT vendors through the final rule, provide details on key provisions and compliance deadlines, offer tactics to tackle roadmap development, and provide direction on where and how partners can best leverage the requirements for the benefit of their customers.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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SAIGroup acquires patient engagement technology vendor Get Well. The private investment firm’s portfolio also includes Concert AI, RhythmX AI, and SymphonyAI.

The Wall Street Journal reports that insurers questionably identified “gaps in care” that allowed them to pocket an extra $50 billion from the Medicare Advantage program without performing any additional services for patients. Insurance companies offered patients gift cards to convince them to agree to a home visit, during which time a clinician found – or made up – additional medical conditions that would increase CMS payments. More than 66,000 MA patients were diagnosed with diabetic cataracts even though their damaged lens had already been replaced with a plastic one, with members of UnitedHealth being 15 times more likely to have a diagnosis of diabetic cataracts that patients who were enrolled in traditional Medicare.

A PBS review of internal Amazon documents finds that some patients of its One Medical primary care business were placed at risk when the company shifted their calls and texts to a call center that was staffed by minimally trained employees. Patients of the former Iora Health, the high-touch primary care group for people 65 and over that One Medical acquired for over $2 billion in September 2021, were directed to call center staff who didn’t always have access to their charts. In several cases, patients who reported “red flag” urgent symptoms – such as chest pain or blood in their stool – were scheduled for future appointments instead of being quickly connected to a trained employee.


Sales

  • Ohio State University Medicine will use Andor Health’s ThinkAndor AI-powered virtual care software to improve access to remote specialty interventions.
  • P3 Health Partners selects physician engagement and population analytics software from Innovaccer.

People

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Ken Webb, MBA (OnShift) joins Artera as VP of sales.

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Yeman Collier (UT Health San Antonio) will join University of Chicago Medicine as SVP/CIO on July 28. Michael Schnabel, MBA will serve as UT Health San Antonio’s interim VP/CIO.

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Korea-based medical AI company Lunit names Terry Thomas, RN, MSN (Volpara Health, which was acquired by Lunit in May 2024) as chief business officer.

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Allan Kyburz, MBA (OnShift) joins HCIT Consulting as EVP of growth.

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DrFirst hires Todd Helmink (Atlas Health) as SVP of specialty strategy and business development.

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Dan Delaney (Wolters Kluwer Health) joins MRO as VP of enterprise implementation.


Announcements and Implementations

Hospitals in Israel report an EHR malfunction that caused errors in recording patient information such as blood types, diagnoses, and procedures.

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A new KLAS report on non-US EHR market share finds that Dedalus was the most-chosen vendor, but Epic contracted with more hospitals.


Government and Politics

Cybersecurity experts and NHS employees point to outdated IT systems as a major contributor to the recent ransomware attack on pathology services vendor Synnovis. Despite the fact that the NHS has spent $443 million on cybersecurity over the last seven years, some staff say they are still working with old computers that run Windows 7 and crash every few months. A 2022 report from the British Medical Association found that clinicians were wasting 13.5 million hours annually due to outdated systems.

A federal judge will likely invalidate the Federal Trade Commission’s ban on non-compete agreements based on her preliminary decision that FTC does not have the authority to issue a nationwide ban, in which case non-compete rules would shift back to individual states.


Other

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In Sacramento, UC Davis Health and WellSpace Health launch a digital support program for recently incarcerated patients that includes free smartphones, messaging capabilities, and guides to community and social care resources.

A patient in Iowa sues Zoll Laboratory Services and Zoll Medical after discovering that cardiac data attributed to her Zoll heart monitor was actually from another patient. That incorrect data led her to having a pacemaker implanted during an operation that was performed without sufficient sedation. Her physician discovered the discrepancy in data days after the unnecessary operation while reviewing Zoll data in her EHR, the dates of which didn’t line up with her usage of the device.


Sponsor Updates

  • Capital Rx releases a new episode of The Astonishing Healthcare Podcast, “Empowering Pharmacists, with NASPA’s Krystalyn Weaver, PharmD, JD.”
  • Divurgent VP of Delivery Jeff Fuller will speak on August 20 at the UNC Center for the Business of Health’s first event of the academic year.
  • CereCore releases a new podcast, “CIO Leadership Lessons and Advice from Marty Paslick.”
  • Vyne Medical publishes a new case study titled “Journey to Efficiency: An Award-Winning Hospital’s Path to Workflow Optimization.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

Monday Morning Update 7/8/24

July 7, 2024 News 1 Comment

Top News

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Oregon Health & Science University shuts down its Connected Care Center, the 16-nurse telehealth nursing unit that it launched at the beginning of the pandemic.

OHSU is eliminating 500 positions as it pursues an acquisition of Legacy Health, which would expand its footprint to 10 hospitals and 32,000 employees.


Reader Comments

From Peds MD: “Re: Epic Care Everywhere. A baby had a very high newborn screen for a condition where confirmatory testing and treatment need to be done urgently. The baby was tested within an hour at a local hospital, using the father’s last name. Not having access to the other hospital’s Epic, I logged into the baby’s birth hospital record (Epic), which still had ‘Baby Girl’ and the mom’s name. I asked Care Everywhere to find the baby’s results. Epic said no match even though the date of birth, sex, address, and phone number were the same. Luckily the ED clinician at the testing hospital sent me the results via text. Just to get the records connected officially, the next day I got the Care Everywhere ID from the testing hospital and plugged it in. Again, no match! Learning lesson for Epic — if you have the Care Everywhere ID, which is an amazingly long set of numbers and letters, you should at least be asked ‘Is this the right person?’ And you shouldn’t even need that if other information is the same. I called it in to IT and got the famous ‘working as designed’ answer.”


HIStalk Announcements and Requests

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Poll respondents are evenly divided on whether an oversupply of physician informaticists exists, with those who say yes pointing to the number of doctors who are seeking non-practice roles. 

New poll to your right or here: Who is most responsible for physician dissatisfaction?


Webinars

July 18 (Thursday) noon ET. “New CMS Final Rule: Strategies to Get EHR and IT Vendors Up to Speed.” Sponsor: DrFirst. Presenters: Nick Barger, PharmD, VP of product, DrFirst; Tyler Higgins, senior director of product management, DrFirst. The new final rule that was issued by CMS on June 13, 2024, goes beyond a basic upgrade of SCRIPT standards and improves care connections among doctors, pharmacies, and patients. The presenters will lead EHR and IT vendors through the final rule, provide details on key provisions and compliance deadlines, offer tactics to tackle roadmap development, and provide direction on where and how partners can best leverage the requirements for the benefit of their customers.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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Private equity firm New Mountain Capital proposes to buy R1 RCM and take the company private at a valuation of around $5.6 billion. RCM shares are down 38% over the past 12 months, valuing the company at $4.6 billion.

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California’s attorney general approves UCSF Health’s acquisition of Dignity Health’s Saint Francis Memorial Hospital and St. Mary’s Medical Center, with terms that include UCSF Health spending at least $80 million on their EHR.

India-based hospital operator Narayana Health launches a Kaiser Permanente-type health plan that covers a family of four starting at $10 per month, which is about 20% of what private insurers charge. Founder, chairman, and cardiac surgeon Devi Shetty, MBBS says that Indian citizens need 70 million surgeries per year but only 20 million are performed due to lack of affordability, which he says causes many times the deaths of malaria, TB, and HIV that are covered by government programs. The policy’s benefits include treatment coverage of $6,000 and surgical expenses of $120,000. The company promises easy claims settlement, coverage of preventive checkups, and discounts on tests that are performed at Narayana’s hospitals. Thanks to the reader who sent this item my way.


Sales

  • Shepherd Center will implement Kemtai’s computer vision AI assessments for people with brain injuries.

People

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Primary care network Main Line HealthCare (PA) names SVP/CMIO Donald Klingen, MD as interim president.


Announcements and Implementations

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Bath Community Hospital (VA) goes live on Meditech Expanse.

Australia-based telemedicine service My Emergency Doctor implements InterSystems HealthShare Health Connect Cloud for interoperability with a major suburban hospital to perform virtual overnight supervision.


Government and Politics

National Coordinator Micky Tripathi, PhD, MPP and FDA Director of Digital Health Center for Excellence Troy Tazbaz resign as non-voting members of the board of Coalition for Health AI to avoid potential conflicts of  interest. Republican lawmakers criticized FDA’s involvement with the group last month, citing concerns about potential conflicts given CHAI’s membership that includes major technology companies and health systems that develop AI businesses.


Privacy and Security

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Palomar Health Medical Group (CA) notifies patients that their information may have been compromised in a May 5 cyberattack, but says it doesn’t yet know which patients and which information was involved. PHMG originally hoped to restore most of its systems by July 1, but now is targeting mid-July.

The RansomHub ransomware group claims to have publicly posted 100 GB of information that it stole from the systems of the Florida Department of Health, which declined to pay the ransom that it demanded in accordance with state policy.

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An Ascension Saint Agnes Hospital NICU nurse is forced to use a fax machine for the first time when clinicians lost access to the EHR during Ascension’s cyberattack. She says that staff weren’t prepared for a four-week systems outage, when patient medications were tracked on a shared spreadsheet that was faxed to the pharmacy.


Other

The FDA orders North Shore Medical Center (FL) to stop performing mammograms, determining that the facility’s tests failed to meet American College of Radiology image quality standards. The hospital has contacted all patients who had the tests over a two-year period to advise them to have their results re-evaluated and possibly to have the test repeated. The hospital, which is owned by the bankrupt Steward Health Care, will cover the cost if the patient has the rework performed at another Steward facility.

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“Jeopardy!” fans debate the decision by host Ken Jennings to accept the answer of contestant and Mary Washington Healthcare IT application coordinator Matt Brooks, who mispronounced “larynx” as “larnyx.” He eventually won the game. Some fans were appalled that Jennings accepted his answer given that it is equivalent to misspelling the word, while others said that the mispronunciation is common in the South and Midwest and noted that former host Alex Trebek had accepted the same mistake in 1997 and 2006 in explaining that a lot of people say it wrong.


Sponsor Updates

  • Black Book Research’s latest survey of health plans ranks Surescripts as the top technology solutions provider for payer member safety, PBM, and pharmacy solutions.
  • In Belgium, AZ Sint Lucas and AZ Sint Jan hospitals implement Sectra’s One Cloud public cloud service.
  • Over 400 Konza-powered sites achieve and/or maintain Validated Data Stream Designations in NCQA’s Data Aggregator Validation Program.
  • Meditech customer Humboldt Park Health becomes the first Midwestern hospital to achieve Healthcare Equity Certification from the Joint Commission.
  • Nordic releases a new “Designing for Health” podcast, “Interview with Jeff Mounzer, PhD, and Peter Kriss, PhD.”
  • Optimum Healthcare IT names Brad Sourwine (Pivot Point Consulting) director of recruiting.
  • Sana Kliniken in Germany implements RLDatix’s cloud-based workforce management solutions across the enterprise.
  • Waystar will exhibit at the EClinicalWorks Denver Day Show July 10.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

News 7/3/24

July 2, 2024 News 8 Comments

Top News

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Heritage Valley Health System (PA) will pay $950,000 to settle potential HIPAA security rule violations related to a 2017 ransomware attack that was caused by malware that spread from Nuance to multiple healthcare organizations.

The health system filed a lawsuit against Nuance in 2019 claiming that the vendor failed to prevent the attack, but the suit was dismissed due to contractual technicalities.


Reader Comments

From Angel of AI: “Re: healthcare fraud. What was the largest fraud by number of US patients impacted? Have any that involved medical devices run unto the tens of thousands of patients?” Zeroing in on documented “fraud” rather than just product-related issues narrows the field quite a bit. I was going to say HCA’s various legal and civil challenges over the years, which I believe included performing unnecessary invasive procedures, but I don’t know the extent of that. Theranos might also make the list since while the fraud involved lab testing machines that gave inaccurate results 10% of the time but with unknown effect on outcomes.


HIStalk Announcements and Requests

I’m a new customer, but YouTube Premium is already my most-valued streaming service. Why: it’s ad free, plays in the background, includes YouTube Music, and lets me download videos to play offline. It’s $13.99 for an individual membership and $22.99 per month for families of up to five members with discounts for paying annually. Tips: I play on the big screen through a Roku streaming device, use the Roku app’s remote instead of the physical one so I can type search terms more easily, and turn on good audio like a sound bar. I will acknowledge that 98% of what’s on YouTube is purely intended as time-wasting junk, but the rest is well-made gold and YouTube is better than I expected at suggesting something I’ll like. Mostly I watch videos related to travel destinations, old TV clips, concerts, and how-to fixit help. We still subscribe to Netflix, Hulu, and one of the P-ones (I can never remember if its Paramount+ or Peacock), but I would give up YouTube Premium last.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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Chronic pain management technology vendor Upside Health shuts down.

Care enablement technology company Fabric acquires virtual care service provider MeMD from the now-shuttered Walmart Health. Walmart bought the business, which was started in 2010, in 2021 for a reported $6 million. Fabric acquired virtual healthcare assistant startup Gyant and announced a $60 million Series A funding round earlier this year.

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Telehealth vendor Amwell announces a reverse stock split in order to avoid delisting on the New York Stock Exchange. AMWL shares have lost 87% of their value in the past 12 months to $0.29, valuing the company at $86 million.

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Google and TikTok ban ADHD telehealth provider Done Global from advertising on their platforms amidst a federal investigation that has expanded to include five additional people of interest. Done’s CEO and clinical president were arrested last month on charges of distributing Adderall, healthcare fraud, and obstruction of justice.

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Virtual primary care company K Health raises a $50 million funding round.


Sales

  • Babson Diagnostics will implement Ellkay’s lab-ordering software and LKCareEvolve clinician portal as a part of its BetterWay blood-testing service.
  • Adventist Health (CA) selects The Garage’s population health management software.
  • Cleveland Clinic will integrate Masimo’s Hospital Automation Platform with its patient monitoring technologies as part of its TeleCritical Care program.

People

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Cordea Consulting promotes Thomas Sjostedt to VP of sales.

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Greater Houston Healthconnect promotes Junaid Husain, ALM, MBA to CEO.

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Ron Wozny, MBA (HealthSmart) joins MyDirectives as SVP of marketing and business development.

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CSI Companies hires Douglas Herr (Healthcare IT Leaders) as SVP of client services and strategy.

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Carrie Damon, MHA (CommonSpirit Health) joins KPMG as global chief digital officer of KPMG Delivery Network.


Announcements and Implementations

UT Health East Texas implements virtual nursing from Care.ai across its network.

UCHealth (CO) rolls out prior authorization software co-developed with Arrive Health at three of its clinics. It will implement the software across its network next year. UCHealth invested in Arrive’s (fka RxRevu) Series A funding round in 2019 after working with the company for several years through its Care Innovation Center.

The Headwaters High-Value Network clinically integrated network launches with 19 independent rural Minnesota hospitals as members. HVN will consider shared technology solutions in population health management, analytics, and are management.


Government and Politics

NHS London’s medical director says pathology services across its six boroughs are operating at 46% capacity since its pathology services vendor Synnovis was hit with a ransomware attack on June 3.

The Department of Justice recaps the recent sentences of these former Outcome Health executives who were involved in a $1 billion corporate fraud scheme. Three other executives have pleaded guilty and are awaiting sentencing. DOJ summarizes, “faking it until you make it is not an acceptable practice for any business.”

  • Co-founder and CEO Rishi Shah: seven years and six months in prison.
  • Co-founder and President Shradha Agarwal: three years in a halfway house.
  • CEO/CFO Brad Purdy: two years and three months in prison.

Other

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UTHealth San Antonio previews the technologies its new Multispecialty and Research Hospital will feature when it opens in December, including virtual nursing, smart beds, and three “Rosey” robots that will deliver items to the 144-bed facility’s nursing units.


Sponsor Updates

  • Inovalon joins the Meditech Alliance ecosystem of partner organizations.
  • AdvancedMD launches new automation and payment capabilities to help private practices increase productivity and drive more revenue.  
  • Augmedix AI Advisory Council member Lisa Rotenstein publishes new research in JAMA Network Open, “Virtual Scribes and Physician Time Spent on Electronic Health Records.”
  • AvaSure publishes a new case study, “How UCHealth used Telehealth Technologies to Slash Code Blues up to 70%.”
  • Cordea Consulting promotes Michael Tierney to recruiting supervisor.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

Monday Morning Update 7/1/24

June 30, 2024 News 12 Comments

Top News

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Lurie Children’s Hospital of Chicago reports in a data breach filing notice that the information of 791,000 people was exposed to ransomware hackers in its January 31 cyberattack.

The Rhysida ransomware group claimed in March that it had stolen the hospital’s data and sold it for $3.4 million.

The hospital finished restoring its systems on May 20.


HIStalk Announcements and Requests

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Most poll respondents would like to see government review or approval when private equity firms propose to conduct a provider-related transaction. I’m siding with commenter and industry long-timer Bill Spooner, who suggests that equal attention be paid to not-for-profit transactions since the goal is the same, to eliminate competition and to buy practices as bed-fillers under the guise of integration.

New poll to your right or here, following up on Dr. Jayne’s comments last week and some excellent observations from reader DrM: Does healthcare have an oversupply of physician informaticists? I’m focusing just on the physician part of clinical informatics since that was the subject of Dr. Jayne’s original pondering.


Today I learned – at least I think I did — that my long-time dentist’s practice was acquired years ago by Heartland Dental, which is owned by private equity firm KKR. I’m speculating on the “acquired” part since Heartland labels itself as a DSO (dental services organization) that serves “affiliates,” but it sounds like they either buy practices outright or perhaps take a majority position. Whatever they do, it involves 1,700 practices, 20,000 employees, and the opening of several dozen new practices from scratch each year. I should be relieved that unlike PE-acquired medical practices or hospitals, it doesn’t seem that quality or customer service have slipped.

I don’t watch TV and therefore had never seen Conan O’Brien on anything until YouTube pushed a video at me this weekend from something called “First We Feast Hot Ones” (never heard of it), in which Conan takes over the show as only someone who is smart, funny, and schooled in improv could do (not to mention sticking to the bit while chugging down high-Scoville hot sauce). That led me down the rabbit hole of a Dr. Arroyo follow-up and then a deep dive into old appearances by Jordan Schlansky and savagely funny, Robert Smigel-operated Triumph the Insult Comic Dog, all of which were new to me. I don’t listen to podcasts, but “Conan O’Brien Needs a Friend” might lure me in. Conan sold his Team Coco podcast network for $150 million two years ago to Sirius XM, or as Triumph recently called it, “the abandoned mall of the entertainment industry” and then added, “Why get your milk for free when you could rent the cow for $21.99 a month?”

I nominate “please know” as the most irritating wording in corporate blathering history, given that it’s meaningless, superfluous (just tell us what you want us to know), and also gratingly fawning since companies use it to feign sincerity and humility, usually because of their own misstep or misbehavior. I rank it above even “please don’t hesitate to call” to attempt to sound more professional (sort of like the pompous “utilize” or “leverage” instead of “use.”) I’m more amused than annoyed at out-of-office email replies that claim “I will have limited access to email” as though the person doesn’t own a smartphone instead of just admitting that they at least temporarily have more important things to do.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

Optum notifies Massachusetts regulators that it won’t follow through on a previously announced agreement to buy Steward Health Care’s physician network.


People

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Optum promotes Cara Griffin to SVP of marketing.


Announcements and Implementations

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A new KLAS report on digital rounding solutions for nurses finds that Huron, the 2024 Best in KLAS winner, tops the list in customer satisfaction and the ability to drive outcomes and reduce nurse workload.


Other

Australia’s SA health orders an investigation into an error in its Sunrise EHR that miscalculated the estimated due dates of 1,700 pregnant women, raising concerns that the incorrect dates may have caused clinicians to induce labor too early.


Sponsor Updates

  • Consensus Cloud Solutions receives the 2024 CSO Award from Foundry’s CSO for demonstrating outstanding business value and thought leadership.
  • Black Book Research declares Inovalon the top-ranked vendor in robust data integration and predictive analytics, according to feedback from managed care, health plans, and payer technology users.
  • Five9 publishes a new e-book, “AI in Healthcare: How AI Drives Value for Five9 Healthcare Customers.”
  • Waystar takes Black Book’s top spot for end-to-end revenue RCM solutions for health systems.
  • Surescripts Chief Product Officer Tara Dragert joins the NCPDP Foundation’s Board of Trustees.
  • Inovalon announces a partnership with the Meditech Alliance, which will offer the company’s end-to-end RCM to Meditech customers.
  • TruBridge publishes a new case study, “How Texas Institute for Surgery Increased Cash Flow and Decreased AR Days.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

News 6/28/24

June 27, 2024 News Comments Off on News 6/28/24

Top News

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Walgreens Boots Alliance reports Q3 results: revenue up 2.6%, adjusted EPS $0.63 versus $1.00, beating revenue expectations but falling short on earnings. The company also lowered FY 2024 EPS guidance, citing inconsistent consumer spending. Shares shed 22% of their value following the Thursday morning announcement, dropping their price to 1997 levels.

Walgreens will reduce its stake in primary care provider VillageMD and will no longer hold a majority share. CEO Tim Wentworth, who took the job in October, says that Walgreens will no longer seek majority ownership of primary and specialty care provider businesses and will instead pursue “capital-light services” with a larger range of providers and payers

Walgreens will close a “meaningful percent” of its underperforming stores, which represent about one-fourth of its 8,600 locations. Its review of stores to close will include proximity to other Walgreens and the local crime level in some cities. It says it will work with state Medicaid programs and local law enforcement as the “last company standing” in areas that would be pharmacy deserts otherwise. The company had already closed 625 locations.


Reader Comments

From Steve Shihadeh: “Re: your ‘Death of a Salesman’ response. Pretty good considering your experience and contempt Smile.” Industry long-timer Steve of Get-to-Market Health adds these insights:

  • The best salespeople have a great balance of product and service knowledge, relationship skills, and a real appreciation for what drives the buyer.
  • AI gives good salespeople the chance to be better prepared and have more compelling presentations and facts.
  • While AI is all the rage today, in some ways it is like every big technical evolution. PC, Internet, Search, WiFi, etc. The best sales people will learn about it and find the way to relate it to what the customer needs and how it impacts them in a positive manner.

From Vince Remembered: “Re: ‘Death of a Salesman.’ Your response about salespeople was slightly cynical before turning positive, but not nearly as much so as the late, great Vince Ciotti in your 2019 interview.” I love that interview with industry long-timer Vince and re-read it often. Here are Vince’s thoughts about salespeople, which may or may not remain relevant several decades after his experience:

We hired salesman at SMS and they spent one day walking around all the offices, saying hello, shaking hands. Who are you? What do you do? Oh, OK. Then boom, after one day, they were out there selling. They had no idea what they were selling. It doesn’t matter. Sales is commissions. If you sell a lot of systems, you make a lot of money and you get promoted and you become a big cheese. If you don’t sell any systems, you get fired. You’re going to go to another company and try again. You don’t learn the product. You haven’t been an installer or a customer service rep. You haven’t worked with the system. You have no idea how the system works. What you know how to do is smile, be pleasant, buy lunch, buy dinner, shake hands, be charming, have people trust you, get them to sign the contract, and then run like hell because you’ve got to make some more sales.


HIStalk Announcements and Requests

HIStalk sponsors earn attention from digital health decision-makers, including provider folk, investors, and potential acquisition partners. You’re reading the site already, so imagine the pride of saying, “hey, that’s our name and ad up there.” Contact Lorre, who is motivated by the summer slowdown to offer perks and packages for new signups, and who is likely to offer attractive bundles to startups and former sponsors that rejoin the fold. Thirsty Insta influencers and podcast hosts will perform tricks like an organ grinder’s monkey in desperately seeking views and likes, but we’re talking professional B2B recognition and market influence here.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

Data platform and analytics vendor Arcadia acquires CareJourney, which offers claims-sourced provider cost and quality data.

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Patient access managed services vendor Hummingbird Healthcare closes a $10 million Series A funding round that was led by UCHealth. CEO Jeremy Schwach was formerly CEO Of Bluetree Network, which was acquired by Tegria in 2019.

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The Private Equity Stakeholder Project publishes “The Pillaging of Steward Health Care,” which notes that former owner Cerberus Capital Management generated $1.2 billion by selling off the real estate its hospitals sat on, paid fund investors a $484 million dividend from the proceeds, expanded the chain to become the country’s largest private operator of for-profit hospitals, then dumped the investment with the help of its real estate landlord having made $800 million over its 10-year ownership. The report observes that Steward paid its ownership a $111 million dividend, after which Steward CEO Ralph de la Torre bought a $40 million yacht and the company splurged on two private jets. Meanwhile, Steward missed rent payments, racked up patient safety concerns, laid of employees, closed hospitals, and last month filed Chapter 11 bankruptcy with $9 billion in liabilities, most of it due to the real estate company to which Cerebrus sold the real estate. Terms that were part of new financing require the company to close hospitals that it can’t sell in a bidding process that started this week, as officials in the eight states in which Steward operates hospitals worry about loss of services.

New Jersey-based Atlantic Health System will acquire Saint Peter’s Healthcare System.

Amazon renames its 18-month-old Amazon Clinic to Amazon One Medical Pay-per-visit, which will offer pay-per-visit telehealth – $29 for message-based visits, $49 for video — and a membership program for on-demand virtual care and next-day appointments at One Medical offices.


Sales

  • Findhelp announces new SDoH network customers Stanford Children’s Health, Virginia Association of Free & Charitable Clinics, and Connxus.
  • Community Health Network will implement Microsoft Azure and Nuance Dragon Medical as it increases its use of DAX Copilot and Dragon Medical One.
  • Emergency Services Inc. will implement the recently launched Augmedix Go ED ambient AI for emergency medicine at an unnamed large hospital in central Ohio.

People

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Healthcare IT Leaders names Jody Buchman, MBA (Clarivate) as SVP of continuous services and David Unger (MedKick) as VP of EHR and RCM.


Government and Politics

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Federal authorities will seize the $8 million Chicago mansion of Outcome Health founder Rishi Shah, one of three former company executives who are facing prison time for fraud involving electronic advertising in waiting rooms.Outcome was valued at $5.5 billion before its collapse, with Shah’s net worth estimated at $3.6 billion. The Outcome name was retired in 2021 with the acquisition of its remains by healthcare digital marketing company PatientPoint. Update: 38-year-old Rishi Shah was sentenced to 7.5 years in prison on Wednesday. Co-founder Shradha Agarwal was sentenced to three years in a halfway house on Thursday.

The VA says that it is so far behind on paying contract provider claims due to Change Healthcare’s ransomware downtime that it won’t catch up until February, a year after the original incident. It also expects that its payments from insurers won’t catch up until October.


Privacy and Security

San Diego’s PBS TV station notes that Palomar Health Medical Group’s phones and computer systems remain down from a May 5 cyberattack. Patients report problems getting paper prescriptions filled and nurses relying on the patient to tell them the doctor’s diagnosis.


Sponsor Updates

  • Inovalon publishes a new study, “Race/Ethnicity and Socioeconomic Position in Emergency Department Utilization in Patients with Hepatocellular Carcinoma.”
  • FinThrive publishes a new case study, “Lawrence General Hospital Successfully Switches to FinThrive After a Cyberattack.”
  • Imperial Beach Community Clinic (CA) adds AI, patient engagement, and AI-powered medical scribe capabilities to its implementation of EClinicalWorks.
  • First Databank will share information from RxEOB’s prescription pricing transparency application through its FDB Vela prescribing network.
  • Healthcare IT Leaders CMO Alex Gramling joins the United Way of Southern Maine’s board.
  • Visage Imaging will showcase new enhancements to its Visage 7 Enterprise Imaging Platform at the SIIM annual meeting in National Harbor, MD this week.
  • Children’s National Hospital (Washington, DC) expands its use of Laudio’s AI-enhanced workflow platform to include nurse educators.
  • Linus Health leaders publish a new peer-reviewed paper, “Towards a lifelong personalized brain health program: empowering individuals to define, pursue, and monitor meaningful outcomes.”
  • Loyal achieves TX-RAMP Level 2 Certification for its Chatbot solution from the Texas Department of Information Resources.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

News 6/26/24

June 25, 2024 News 6 Comments

Top News

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HHS releases a final rule that establishes “disincentives” for healthcare providers who are found by HHS OIG to have committed information blocking. It will take effect 30 days after it is published in the Federal Register.

Hospitals will be penalized via the Medicare Promoting Interoperability Program, MIPS-eligible clinicians will sit out a calendar year, and ACOs who participate in the Medicare Shared Savings Program will be made ineligible for at least one year. Health IT developers, HIEs, and health information networks can be penalized up to $1 million per occurrence, as previously announced.

OIG will use four priorities for enforcement: the potential to cause patient harm, the potential to impact a provider’s ability to care for patients, issues of longstanding duration, and practices that have caused financial loss to federal healthcare programs.

HHS plans to eventually impose disincentives on all healthcare providers rather than just those who provide services under Medicare. It also says that other agencies could establish their own disincentives.


Reader Comments

From Troy: “Re: UAB Birmingham. Reportedly purchased all five Ascension hospitals in the Birmingham area.” Verified following board approval Tuesday. UAB Health System will pay $450 million for five-hospital Ascension St. Vincent’s, whose flagship is 400-bed St. Vincent’s Hospital. The health system has 5,000 employees.

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From Thusly Honored: “Re: CIO Times Magazine. I COULD be an important person if I just paid a nominal fee of $1,800.” The India-based magazine – one of several that focus on specific verticals — is selling a spot among “Top 5 HealthTech Leaders Moving Towards Bright Future,” whose odd wording confirms authorship by non-native speakers. The $1,800 deal offers a profile write-up, advertising, and “collaboration” in publishing press releases and guest articles (honestly, this isn’t all that different from my pay-for-play competitors who will run just about any interview, guest post, or company puff piece once the check clears). Respectable companies surely don’t want their names involved, so most “winners” are one-person companies like real estate agents, consulting firms, personal coaches, and self-proclaimed spiritual leaders. The healthcare list publishes in July, when I’ll be like a viewer of “To Catch a Predator” to see which industry blowhards get caught paying to have their vanity stroked.

From AT: “Re: ‘Death of a Salesman.’ Your thoughts on the future of sales as a profession, both for health IT and at large.” It’s natural that you would ask me given my experience in sales (zero) and my occasional contempt for the process (glad-handing hired guns with limited product knowledge who will push iron for whoever pays the highest commission). Still, I begrudgingly acknowledge that “nothing happens until someone sells something” and that prospects often need prodding and education to reach a purchase decision that might be in their organization’s best interest. My conclusions, which could use some help from people who actually know sales:

  • Every company will continue to need salespeople, probably even more of them, and people who excel at selling will never be unemployed. AI is not a threat.
  • Unlike many professions, everyone in a company knows who the best salespeople are. They often are the best at building relationships that span employers.
  • Automation, analytics, and AI won’t make mid-pack salespeople automatically better, but they will amplify the effectiveness of the best salespeople by letting them focus on relationships and help them identify the prospects that are most likely to buy.
  • Remote and virtual selling are newly valued competencies, especially for lower-margin products or those that can be explained in a straightforward way.
  • Getting people to sign on the line which is dotted remains the highest-valued skill in most companies.
  • Maybe the biggest question is how prospects will do research (AI, the recommendations of colleagues, etc.), whether products offer demonstrable ROI that support sales, and whether the role of sales-killers (often the prospect’s IT department or CFO) is changing.
  • If sales were easy, companies wouldn’t hire the best people to do it.

Webinars

June 26 (Wednesday) noon ET. “Population Risk Management in Action: Automating Clinical Workflows to Improve Medication Adherence.” Sponsor: DrFirst. Presenters: Colin Banas, MD, MHA, chief medical officer, DrFirst; Weston Blakeslee, PhD, VP of population health, DrFirst. What if you could measure and manage medication adherence in a way that would eliminate the burdens of medication history collection, patient identification, and prioritization? The presenters will describe how to use MedHx PRM’s new capabilities to harness the most complete medication history data on the market, benefit from near real-time medication data delivered within 24 hours, automatically build rosters of eligible patients, and identify gaps of care in seconds.

June 27 (Thursday) noon ET. “Snackable Summer Series, Session 1: The Intelligent Health Record.” Sponsor: Health Data Analytics Institute. This webinar will describe how HealthVision, HDAI’s Intelligent Health Management System, is transforming care across health systems and value-based care organizations. This 30-minute session will answer the question: what if you could see critical information from hundreds of EHR pages in a one-page patient chart and risk summary that serves the entire care team? We will tour the Spotlight, an easy-to-digest health profile and risk prediction tool. Session 2 will describe HDAI’s Intelligent Analytics solution, while Session 3 will tour HDAI’s Intelligent Workflow solution.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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EVisit acquires inpatient tele-consult technology that was developed by UPMC Enterprises and secures investments from UPMC and MedStar Health (MD).

Health and social care navigation software vendor Pear Suite receives $1 million in funding.

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University Hospitals (OH) will eliminate 300 non-clinical positions and reorganize its leadership structure in an effort to overcome financial challenges. It attributes its nearly half billion dollars in operating losses over the last two years to inflation, rising employee costs, and expenses associated with its Epic implementation last fall.


Sales

  • Watertown Regional Medical Center (WI) will implement MSK-related care protocols, analytics, and patient engagement software from Healthcare Outcomes Performance Company.
  • Unity Health in Toronto will go live on Epic in November.
  • A health system in Ohio will roll out Augmedix’s Go ED generative AI clinical documentation technology with help from Emergency Services Inc.
  • Children’s National Hospital expands its use of Laudio for prioritizing and automating the key responsibilities of frontline leaders.
  • Preferred Management Corporation will deploy Meditech Expanse via the Meditech as a Service platform to its seven hospitals and nine clinics in Texas.

People

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Optimum Healthcare IT names Rick Shepardson (Clearsense) EVP of enterprise application services.

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Antonio Cueto, MBA, LLM, MS (Eden Health) joins Capital Rx as CFO.

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Valley Health System (NJ) hires K. Nadeem Ahmed, MD (The Aga Khan University) as CMIO.

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Firasat Hussain (Arrivia) joins SnapCare as CTO.

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John Evans (Evergreen Health Partners) joins Sutter Health as VP of digital care.

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Michael O’Toole, MS (Nordic Global) joins Coker as SVP.


Announcements and Implementations

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Researchers publish their lessons learned about using patient-generated data to fuel clinical decision support, which they conclude isn’t as easy as it sounds and requires new policies processes, technologies, and expertise.

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FinThrive announces GA of Standby Claims and Standby Eligibility, backup solutions that are designed to help providers maintain financial stability during revenue cycle interruptions.

Regional HIE and health IT consulting firm Centralis Health uses Zen Healthcare IT’s Gemini Integration capabilities to connect to the EHealth Exchange network and Carequality framework.

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FDA clears AliveCor’s AI-powered, single-cable ECG system that can detect 14 arrhythmias and 21 morphologies, including acute MI.

Orlando Health launches Arthur, a self-developed IPad app that allows non-verbal inpatients to communicate by typing or choosing graphics.

Oracle announces GA of the voice-first Oracle Clinical Digital Assistant for ambulatory clinics.


Government and Politics

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A KFF Health News investigation finds that error-prone Medicaid eligibility systems that were developed by Deloitte have caused eligible people to be turned down. The company has been award eligibility systems contracts by 25 states that are worth at least $5 billion.


Privacy and Security

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Greenwood Leflore Hospital and Sharkey Issaquena Community Hospital, both in Mississippi, will implement cybersecurity software from Microsoft through a recently announced White House initiative that offers rural hospitals cybersecurity resources at free and reduced rates.

Vikas Singla will serve two years of home detention after being found guilty of hacking into several Gwinnett Medical Center (GA) systems in 2018 in an effort to create business for Securolytics, where he was employed as COO. He has already paid $800,000 in restitution.


Sponsor Updates

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  • Consensus Cloud Solutions matches MUSE Inspire Conference attendee contributions to donate $3,700 to pediatric medical transport charity AeroAngel.
  • FinThrive VP of Health Insights Jonathan Wiik authors a new book, “The RCM Advantage: Transformative Revenue Management for Healthcare.”
  • Vyne Medical publishes a new customer success story, “Efficiency Elevated: A Hospital’s Success Story with Customized Healthcare Solutions.”
  • AdvancedMD announces a new integration partnership with Mental Health Technologies.
  • Artera adds patient self-scheduling appointment capabilities to its Harmony patient engagement platform.
  • Care.ai announces that it has been recognized as a 2024 Top Company in Smart Rooms by Avia Marketplace.
  • Visage Imaging publishes a new video titled “Visage 7 CloudPACS – Five Things You Need to Know.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

Monday Morning Update 6/24/24

June 23, 2024 News Comments Off on Monday Morning Update 6/24/24

Top News

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A Texas federal court sides with the AHA, Texas Hospital Association, and two health systems in ruling that HHS does not have the authority to invoke HIPAA to ban the use of web tracking tools by providers.

The plaintiffs said in their lawsuit that HHS had issued an unlawful rule that masqueraded as guidance.

The judge specifically rejected HHS’s argument that website tracking data – which doesn’t identify an individual and can’t easily be used to do so – is individually identifiable health information that is protected by HIPAA.


Reader Comments

From Fact Checker: “Re: value of digital health. I see that the survey was done by a ‘creative market research agency, and their methodology was equally creative – they used an online survey of 56 health insurance executives who are involved with digital health. Of course they are going to say that customers of the company are pleased with the newfound strengths of digital health, or otherwise, they would be out of a high-paying job. They should spend more time fixing or eliminating the prior auth process rather than contracting for self-congratulatory surveys.” Industry executive surveys that ask about what they are using or how users / customers like it are prone to bias, given that the people who authorized or oversee the software they bought would be ill-advised to say anything negative and thus implicate themselves in faulty decision-making. They have nothing to gain and everything to lose by spouting off gripes, even ones where they aren’t named as a source. There’s not much value in warning people to avoid making the same mistake you did.


HIStalk Announcements and Requests

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Most poll respondents don’t see the threat of government penalties as a way to improve healthcare cybersecurity. Reader National Geographic posted an analogy involving gazelles running from cheetahs and then finished with an even stronger one related to pirates:

Did you know that maritime piracy peaked in 2010 with 445 attacks? In 2022, there were 115 attacks. Many factors have contributed to the steep decline, including navy involvement, increased security, and targeting of originating countries. Oddly, no one suggested shooting holes in the hulls of the victims as an effective deterrence.

New poll to your right or here: should state or federal government require review and/or approval of provider-related private equity transactions? We allowed for-profit companies to by whatever healthcare assets they want, so do we let the status quo ride, draw the line at PE firms, or tighten laws on any for-profit company buying a hospital or practice?


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Welcome to new HIStalk Platinum Sponsor Augmedix. Augmedix (Nasdaq: AUGX) empowers clinicians to connect with patients by liberating them from administrative burden through the power of ambient AI, data, and trust. The platform transforms natural conversations into organized medical notes, structured data, and point-of-care notifications that enhance efficiency and clinical decision support. Incorporating data from millions of interactions across all care settings, Augmedix collaborates with hospitals and health systems to improve clinical, operational, and financial outcomes. Thanks to Augmedix for supporting HIStalk.

Here’s an intro video for Augmedix.


Webinars

June 26 (Wednesday) noon ET. “Population Risk Management in Action: Automating Clinical Workflows to Improve Medication Adherence.” Sponsor: DrFirst. Presenters: Colin Banas, MD, MHA, chief medical officer, DrFirst; Weston Blakeslee, PhD, VP of population health, DrFirst. What if you could measure and manage medication adherence in a way that would eliminate the burdens of medication history collection, patient identification, and prioritization? The presenters will describe how to use MedHx PRM’s new capabilities to harness the most complete medication history data on the market, benefit from near real-time medication data delivered within 24 hours, automatically build rosters of eligible patients, and identify gaps of care in seconds.

June 27 (Thursday) noon ET. “Snackable Summer Series, Session 1: The Intelligent Health Record.” Sponsor: Health Data Analytics Institute. This webinar will describe how HealthVision, HDAI’s Intelligent Health Management System, is transforming care across health systems and value-based care organizations. This 30-minute session will answer the question: what if you could see critical information from hundreds of EHR pages in a one-page patient chart and risk summary that serves the entire care team? We will tour the Spotlight, an easy-to-digest health profile and risk prediction tool. Session 2 will describe HDAI’s Intelligent Analytics solution, while Session 3 will tour HDAI’s Intelligent Workflow solution.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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Sharecare, which went public via a SPAC merger in July 2021 at a $4 billion valuation, will be acquired and taken private by investment firm Altaris at a price of around $500 million.

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Kaiser-created value-based care organization Risant Health will acquire North Carolina-based Cone Health as its second health system after Geisinger. Cone Health will retain its brand, board, and leadership team.

Philips Respironics will cut 300 manufacturing jobs in western Pennsylvania and relocate 500 workers at its Pittsburgh headquarters to nearby plants, two months after the company was hit with an FDA consent decree for selling sleep apnea machines and ventilators that contained toxic foam. The Department of Justice is continuing its investigation into whether the company knew about the problem years before its massive recall, which would subject it to criminal charges. Philips bought Respironics, which invented the modern CPAP device, in 2008. 


Privacy and Security

Change Healthcare will begin notifying individuals who were affected by its ransomware attack in late July. Andrew Witty, CEO of parent company UnitedHealh Group, previously estimated that up to one-third of Americans may have had their data compromised.

The Russian hacker group that launched a ransomware attack on UK-based pathology provider Synnovis – which disrupted operations at several London hospitals – publishes 400 GB of stolen data after its $50 million ransom demand was not met.


Sponsor Updates

  • Health Data Movers releases a new “Quick Hits” podcast, “Transforming Healthcare IT with Crystal Broj.”
  • Nordic releases a new “Designing for Health” podcast, “Interview with Joshua Reischer, MD.”
  • Waystar will exhibit at the EClinicalWorks Dallas Day Show June 26.
  • Optimum Healthcare IT publishes a video titled “How Top Health Systems Are Using GenAI to Wow Employees.”

Black Book Research publishes the results of its 2024 RCM user survey. The following HIStalk Sponsors have achieved top rankings:

  • Waystar – Inpatient hospital claims management solutions / End-to-end RCM software, large hospital chains, systems, and IDNs / End-to-end RCM software, large inpatient facilities and academic medical centers / Physician clearinghouse services, five to 10 practitioners.
  • MRO – Release of information and secure provider data exchange.
  • Inovalon – Provider RCM intelligence and analytics solutions.
  • FinThrive – Chargemaster and price transparency solutions / Provider revenue/charge integrity and billing compliance solutions / End-to-end RCM outsourcing, community hospitals 101-250 beds.
  • TruBridge – End-to-end RCM software, small/rural/critical access hospital chains, systems, and IDNs / Patient accounting systems, community hospitals.
  • Availity – Physician clearinghouse services, 26+ practitioners.
  • Symplr – Spend management solutions.
  • QGenda – Nurse/clinician staff scheduling solutions.
  • RLDatix – Financial governance and risk management solutions.
  • CereCore – RCM IT infrastructure and tech support services.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.


News 6/21/24

June 20, 2024 News 1 Comment

Top News

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An AMA physician survey finds that nearly 25% believe that prior authorization processes have caused a serious adverse event.

Two-thirds of respondents don’t believe that PA decision criteria are evidence-based. 

Nearly all of the respondents believe that prior authorization work increases physician burnout, with the average physician dealing with 43 PA requests per week that require 12 hours of physician and staff time.

One-fourth of respondents say their requests are often or always denied, while most believe that PA increases overall utilization as patients are forced to try ineffective treatments or to schedule more appointments because of PA-caused delays.


Reader Comments

From Former Nordic Exec: “Re: Nordic. I haven’t seen you report on the lawsuit that continues to impact the company’s leadership team.” I missed this item, although I admit that it doesn’t clear my interest hurdle. John Distefano sued Nordic Consulting Partners and now-retired CEO James Costanzo in February 2023, claiming that Nordic stole his software idea after he contracted with the company to develop and monetize it. The issue is murky because the parties signed various agreements as contractors and then with Distefano as an employee, which gives the company rights to anything an employee creates. Distefano created Wellward, which creates care plans from disconnected health and consumer information. The legal documents I’m able to view – as a litigation illiterate who doesn’t subscribe to PACER or other services – don’t paint a strong case, especially since it doesn’t seem that Nordic ever did anything with the software. I wouldn’t consider this item newsworthy unless a court rules against the company and mandates a big payout, nor would it seem to warrant a lot of executive concern. 


Webinars

June 26 (Wednesday) noon ET. “Population Risk Management in Action: Automating Clinical Workflows to Improve Medication Adherence.” Sponsor: DrFirst. Presenters: Colin Banas, MD, MHA, chief medical officer, DrFirst; Weston Blakeslee, PhD, VP of population health, DrFirst. What if you could measure and manage medication adherence in a way that would eliminate the burdens of medication history collection, patient identification, and prioritization? The presenters will describe how to use MedHx PRM’s new capabilities to harness the most complete medication history data on the market, benefit from near real-time medication data delivered within 24 hours, automatically build rosters of eligible patients, and identify gaps of care in seconds.

June 27 (Thursday) noon ET. “Snackable Summer Series, Session 1: The Intelligent Health Record.” Sponsor: Health Data Analytics Institute. This webinar will describe how HealthVision, HDAI’s Intelligent Health Management System, is transforming care across health systems and value-based care organizations. This 30-minute session will answer the question: what if you could see critical information from hundreds of EHR pages in a one-page patient chart and risk summary that serves the entire care team? We will tour the Spotlight, an easy-to-digest health profile and risk prediction tool. Session 2 will describe HDAI’s Intelligent Analytics solution, while Session 3 will tour HDAI’s Intelligent Workflow solution.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

Lifespan will rename itself to Brown University Health as part of a seven-year, $150 million Brown University investment in the health system.

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Prior authorization technology vendor Humata Health raises a $25 million investment. Founder and CEO Jeremy Friese, MD, MBA, was co-founder and CEO at Verata Health. That company was acquired by now-defunct Olive AI in December 2020. Friese formed Humata Health to buy back the Verata PA assets from Olive in its wind-down.


Sales

  • Deaconess Health System will provide 24×7 urgent care in all 50 states via virtual visits from KeyCare, which offers patients access from Epic MyChart. 
  • HHS agency ARPA-H — the Advanced Research Projects Agency for Health — will use Palantir software to support its healthcare R&D efforts.

Announcements and Implementations

An EY survey of 56 health insurance executives finds that most believe that member experience has become more personalized — partly due to mobile apps, member portals, and telehealth – and member satisfaction increases when they have access to their own information. Most respondents tout the value of medical device wearables. The majority believe that digital health solutions can help reduce costs, but few of them have seen ROI.


Government and Politics

California’s attorney general co-sponsors proposed legislation that would allow require the office’s approval to complete private equity and hedge fund transactions in healthcare. The law could upend the business model that is known as Captive Professional Corporation or Friendly PC model, in which a clinician forms a professional corporation for billing but contracts with an outside company to provide services, thus avoiding conflicts with state laws that address the corporate practice of medicine. The issue is getting significant exposure in the investment and digital health communities through the reporting of Christina Farr, who believes that the legislation would have a major impact on digital health vendors.


Privacy and Security

The Russian hackers who launched a ransomware attack against UK-based pathology services vendor Synnovis have demanded a $50 million payment.


Other

Bizarre: a doctor and former elected official in Kenya who became a billionaire by opening hospitals sees his hospitals and his personal mansion set for the auction block after he is accused of using the hospitals as a front for his involvement with an international organ smuggling syndicate.

A food vlogger’s video titled “The Most Expensive Restaurant in America” draws millions of views, as Trigg Ferrano parodies his hospital stay. I wouldn’t deem it particularly clever or funny, but I feel that way for most YouTube videos whose goal seems to give people yet another way to waste time. I imagine it’s worse on Insta or TikTok, which I don’t use and haven’t installed.


Sponsor Updates

  • Surescripts will implement the NCPDP SCRIPT Standard Version 2023011, Real-Time Prescription Benefit v13, and Formulary and Benefit v60 standards upgrades following publication of the CMS final rule.
  • AvaSure hosts its Chief Nursing Executives Advisory Board in Nashville to share best practices for leveraging virtual care delivery models.
  • Vyne Medical adds FormUSign, a new tool for automating electronic forms, to its Trace data workflow platform.
  • Ellkay publishes a new customer success story featuring Lehigh Valley Health Network.
  • Findhelp announces that benefits screening platform and case management system vendor Single Stop will add Findhelp’s hundreds of thousands of locations to its community resources map.
  • CereCore will partner with FinThrive to deliver Revenue Cycle Management Technology Adoption Model (RCMTAM) consulting and advisory services to providers.
  • Optimum Healthcare IT publishes a new case study titled “Epic Go-Live Success: Navigating a Cyber Outage at Guthrie Lourdes Hospital.”
  • RLDatix CEO Jeff Surges will speak at the HFMA Annual Conference next week.
  • FinThrive joins the Meditech Alliance Program, giving Meditech Expanse end users access to its Claims Manager and Access Coordinator Insurance Verifier solutions.
  • Linus Health announces recent industry recognitions for its efforts to develop better tools for assessing cognitive function.
  • MRO CEO Jason Brown wins EY’s Entrepreneur of the Year 2024 Greater Philadelphia Award.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

News 6/19/24

June 18, 2024 News Comments Off on News 6/19/24

Top News

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Stat reports that Alphabet’s Verily will pivot – for the second time in two years – by retiring its chronic disease management app Onduo and moving to a new one called Lightpath, which will focus on AI-sprinkled diabetes treatment and issuing prescriptions for GLP-1 drugs.

Stat notes that selling weight loss prescriptions is quite a fall from Verily’s charter mission to “defeat Mother Nature” with moonshot ideas such as cancer detection, public health monitoring, and a smart contact lens.

Verily was launched in 2015 as part of Google X and raised $3.5 billion in funding.

Verily’s chairman, president, and CEO is Stephen Gillett, whose background is cybersecurity and executive stints with Best Buy and Starbucks.


Reader Comments

From Deadbeat Dasher: “Re: medical debt. This editorial says the credit reporting system shouldn’t punish Americans for getting sick.” Allow me to take the counterpoint to the article in asking, why shouldn’t medical debt continue to be included in credit reports?

  • A lender should be able to see the total amount of debt that a consumer owes in assessing their ability and willingness to pay the new debt they request.
  • Including medical debt on credit reports gives people an incentive to pay what they owe.
  • Credit report omission argument is a convenient way to avoid addressing the real issues of out-of-control healthcare costs, provider billing errors, insurer foot-dragging, and lack of pricing transparency and the ability to shop around.
  • On top of that, it’s really an indictment of the three credit reporting companies that don’t get paid for accuracy, keeping consumers happy, or responding to consumers who ask to have mistakes on their record fixed.
  • My conclusion: omitting medical debt in credit reports is like excluding criminal history from background reporting using the reasoning that it is unfair, prejudiced, perhaps of limited predictive ability, and possibly erroneous without consumer recourse for correction. Hiding either type of information addresses the symptom, not the problems, and places companies at a disadvantage that make significant decisions based on the accuracy and completeness of consumer record. 

HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor Capital Rx. ‍Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp, Capital Rx is executing its mission through the deployment of JUDI, the company’s cloud-native enterprise health platform, and a Single-Ledger Model, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. Thanks to Capital Rx for supporting HIStalk.

I found this Capital Rx video on YouTube, titled “Meet JUDI — The Enterprise Health Platform For Commercial, Medicare & Medicaid Plans.”


Webinars

June 26 (Wednesday) noon ET. “Population Risk Management in Action: Automating Clinical Workflows to Improve Medication Adherence.” Sponsor: DrFirst. Presenters: Colin Banas, MD, MHA, chief medical officer, DrFirst; Weston Blakeslee, PhD, VP of population health, DrFirst. What if you could measure and manage medication adherence in a way that would eliminate the burdens of medication history collection, patient identification, and prioritization? The presenters will describe how to use MedHx PRM’s new capabilities to harness the most complete medication history data on the market, benefit from near real-time medication data delivered within 24 hours, automatically build rosters of eligible patients, and identify gaps of care in seconds.

June 27 (Thursday) noon ET. “Snackable Summer Series, Session 1: The Intelligent Health Record.” Sponsor: Health Data Analytics Institute. This webinar will describe how HealthVision, HDAI’s Intelligent Health Management System, is transforming care across health systems and value-based care organizations. This 30-minute session will answer the question: what if you could see critical information from hundreds of EHR pages in a one-page patient chart and risk summary that serves the entire care team? We will tour the Spotlight, an easy-to-digest health profile and risk prediction tool. Session 2 will describe HDAI’s Intelligent Analytics solution, while Session 3 will tour HDAI’s Intelligent Workflow solution.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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Tempus AI, which specializes in precision medicine and intelligent diagnostics, raises $410 million in its IPO, giving it a valuation of $6 billion. Founder and CEO Eric Lefkofsky co-founded Groupon and remains its chairman.

Home care management solutions vendor HHAeXchange acquires Cashe Software, which offers homecare operations and billing software.


Sales

  • Sage Memorial Hospital (AZ) will implement Sonifi Health’s interactive patient engagement technology when it opens later this year.
  • Children’s Health Ireland selects Ascom’s Alerts and Notification Management System.
  • Praia Health will use Clear’s identity verification capabilities within its patient-focused digital experience software for health systems.
  • WakeMed (NC) will deploy Bamboo Health’s care coordination solutions.
  • Virtual physical therapy provider Hinge Health will offer its members access to Upswing Health’s digital platform for musculoskeletal health.

People

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AtlantiCare names Jordan Ruch, MBA (RWJBarnabas Health) as CIO.

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Capital Rx hires Antonio Garcia Cueto, MBA (Eden Health) as CFO.

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Acentra Health names Heather Adamson, MS (Integra Connect) as SVP of marketing.

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Keith Belton (Symplr) joins Fluent Dental Market Insights as SVP of marketing.


Announcements and Implementations

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Christus Health (TX) implements Abridge’s AI-powered clinical documentation software.

Health system-collective Truveta adds support for real-world evidence submissions to FDA.

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Healthcare wearable safety technology vendor Canopy releases a wearable safety button and safety app for home health providers.


Government and Politics

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New data from ONC finds that the number of hospitals that are routinely sharing health data grew from 28% in 2018 to 43% in 2023. Of those, 92% noted they had necessary clinical data available from outside providers at the bedside, improving continuity of care.

CMS will stop accepting new applications on July 12 for the advance payments program it set up in March to help providers impacted by the Change Healthcare ransomware attack. The program has made 4,722 advance payments totaling $717 million, and issued $2.55 billion in accelerated payments.

Healthcare privacy and policy experts Tina Grande, MHS and Deven McGraw, JD, MPH, LLM highlight in a Health Affairs editorial that entities are using interoperability technology and policies to seek patient data for non-treatment purposes. They say that companies are posing as providers or, in the case of law firms seeking malpractice information, as the patient themselves. They recommend these changes:

  • Fund health information exchange to prevent participants from adopting business models that are based on selling de-identified data.
  • Tighten rules for the business associates of organizations that aren’t their direct customer.
  • Penalize data misuse with termination from the network, banning company officers from future health network participation, and imposing FTC fines for unfair trade practices.
  • Create a safe harbor for trusted exchange participants which unknowingly provide data to a participant that misstates their intentions.
  • Add a FAQ that describes how entities can decline to share data without violating information blocking regulations.
  • Issue clearer guidance on non-treatment purposes.
  • Extend health data privacy protections to entities that collect health information and share it with patients, which is not covered by HIPAA, and define expectations for obtaining patient consent and ID verification.

Privacy and Security

NHS England reports that London-area hospitals have had to cancel or reschedule 1,500 appointments and surgeries as a result of the June 3 ransomware attack on pathology services vendor Synnovis.


Other

A ProPublica report finds that “life coaches” are mostly unregulated compared to therapists, with no specified training, certification, or ethics pledge required. Anyone can hang out a life coach shingle, and some of those who do so are former therapists who got in professional trouble. A hotbed is Utah, which is known as the “fraud capital of the United States” because many multi-level marketing scammers are Latter-Day Saints who prey on other Mormons who trust them because of their religion.

Interesting: Wells Fargo fires more than a dozen work-from-home employees of its wealth and investment management business after finding that they were using widely available mouse-jiggling software to simulate work. Maybe they should have fired their managers for not being able to notice that they weren’t productive, but in fairness, that’s the case in every business that employs knowledge workers.


Sponsor Updates

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  • Waystar staff across the country celebrate the company’s Nasdaq debut.

The following HIStalk sponsors will exhibit at the HFMA Annual Conference June 24-27 in Las Vegas:

  • AGS Health
  • Alpha II
  • Altera Digital Health
  • Arcadia
  • Availity
  • CereCore
  • FinThrive
  • Inovalon
  • MRO
  • Nordic
  • QGenda
  • RLDatix
  • TruBridge
  • TrustCommerce, a Sphere Company
  • VisiQuate
  • Waystar
  • Wolters Kluwer

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

Monday Morning Update 6/17/24

June 16, 2024 News Comments Off on Monday Morning Update 6/17/24

Top News

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Ascension restores EHR access across its organization, although it once again warns patients that it is still back-entering data that was collected manually since the May 8 ransomware attack.

Remediation of other systems continues, with no timeline provided.


Reader Comments

From Talkin’ Yankees: “Re: arrested executives of Done. What about the investors who funded their company?” Just about any local doctor could pocket lots of cash by writing prescriptions for whatever the customer / patient wants, even if it’s not good for them. Few doctors are willing to sell such prescription-writing services directly, and even those who might be tempted tread lightly because their customers and pharmacies are local and word gets around quickly. Investors flocked to Adderall slingers like Done and Cerebral, which were basically invisible behind websites and mailed prescriptions going all over the US. Both companies raised hundreds of millions of dollars from dozens of investors and weren’t about to let medical ethics stand in their way of scaling to keep those investors happy. I would not be opposed to holding board members equally accountable as executives, although investors who have less day-to-day involvement might rightly claim they didn’t know (and probably didn’t want to know). The fact that no Theranos board members are sharing a country club cell with Elizabeth Holmes suggests long odds of that happening.

From Big Red Zero: “Re: Oracle Health. Feinberg says the contract extension is a testament to its progress in delivering a world-class EHR to the VA.” Company cheerleaders David Feinberg and Seema Verma had to put a positive spin on the 11-month extension. They conveniently didn’t note that Congress was so frustrated with Oracle and the VA that it insisted on one-year extensions instead of the original five as contained in the original, no-bid contract. At least Oracle must have met whatever requirements were needed to earn the renewal and can justifiably celebrate not getting fired, for now anyway. The VA doesn’t really have a backup plan other than to re-implement VistA, which they claim is not only unsustainable, but more expensive than Oracle Health.

From PE Pauper: “Re: private equity buying hospitals and medical practices. Some members of Congress are trying to make laws to limit the damage they can do.” That’s well and good if it passes with teeth in it (unlikely in our political environment), but meanwhile, the cliché of blaming the game rather than the player rules:

  • PE firms break no laws when they load hospitals with unsustainable debt, sell the real estate they sit on Hahnemann-style to immediately get their money back, slash costs dangerously, and then either close the doors or file bankruptcy hoping for a bailout. Like much of corporate America, all of this is unethical, but not necessarily illegal. It’s a bad healthcare system if the only thing propping it up is the assumption of pure intentions.
  • So-called “non-profit” health systems aren’t much better given aggressive business practices, closing of unprofitable but vital services, and stashing piles of cash offshore. Not to mention suing patients into bankruptcy.
  • Nobody notices the inefficiency or indifference of hospital bureaucracy until they move into the patient or caregiver role. Otherwise, more people would be storming the hospital castle with torches and pitchforks.
  • I know to avoid a Chinese buffet that has a long track record of near-failing sanitation scores, but I don’t have that same information or choices when it comes to hospitals. The building is architecturally precious, the lobby has a piano and cabinets full of crystal awards, and they sell sushi in the cafeteria, so it must be a good place to obtain life-or-death care. Once I’m in a bed, the chances of transferring elsewhere are low.
  • Health systems are politically untouchable due to aggressive lobbying and large community employment, so legislators would need to spank  PE firms directly without hitting hospitals with friendly fire.
  • Like it or not, the health system that we have have allowed to develop – one that would not be accepted by any other developed country — will be run by interchangeable corporate suits who call the shots of what happens during your most vulnerable, painful, and life-altering moments. Whether they work for PE, insurers, or regional /national health systems won’t make much difference.  

HIStalk Announcements and Requests

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Oracle EVP Ken Glueck wrote that “everyone in the industry” understands that Epic’s Judy Faulkner is the biggest obstacle to interoperability, a premise with which 78% of poll respondents disagree. See their comments

New poll to your right or here: Are government penalties effective in getting health systems to improve their cybersecurity practices? I would likely vote no since the business impact far exceeds any added-on penalty that the government might impose after the fact. But of course that begs an alternative question – what would provide that encouragement given that cybersecurity awareness is probably already adequate? Where did Ascension fall short, or is it simply impossible to protect against ransomware attacks like theirs?


Want to support what I do and gain company exposure in the process? Ask Lorre to sign you up as a new HIStalk sponsor – it takes one day, but you reap the benefit in 364 others by reaching my influential audience. Lorre can usually be persuaded to offer some first-year perks, which I pretend not to notice since I like the ego boost of bringing on new sponsors.

Today I learned that the term for the near-obsolete verbal practice of dropping the letter R in pronunciation is called a “non-rhotic” accent as practiced in the “pahk the cah” areas of New England, New York, and parts of the coastal South. Actors of the black-and-white era then latched onto the clearly phony “British Announcer Voice” to sound less regional and more sophisticated. Unrelated to R-dropping is R-adding, such as saying “warsh” instead of “wash.” Up next is the “Confederate A,” where people in parts of the deep South (and born-in-California actors trying to sound generically Southern) might pronounce “try” as “trah.”


Webinars

June 26 (Wednesday) noon ET. “Population Risk Management in Action: Automating Clinical Workflows to Improve Medication Adherence.” Sponsor: DrFirst. Presenters: Colin Banas, MD, MHA, chief medical officer, DrFirst; Weston Blakeslee, PhD, VP of population health, DrFirst. What if you could measure and manage medication adherence in a way that would eliminate the burdens of medication history collection, patient identification, and prioritization? The presenters will describe how to use MedHx PRM’s new capabilities to harness the most complete medication history data on the market, benefit from near real-time medication data delivered within 24 hours, automatically build rosters of eligible patients, and identify gaps of care in seconds.

June 27 (Thursday) noon ET. “Snackable Summer Series, Session 1: The Intelligent Health Record.” Sponsor: Health Data Analytics Institute. This webinar will describe how HealthVision, HDAI’s Intelligent Health Management System, is transforming care across health systems and value-based care organizations. This 30-minute session will answer the question: what if you could see critical information from hundreds of EHR pages in a one-page patient chart and risk summary that serves the entire care team? We will tour the Spotlight, an easy-to-digest health profile and risk prediction tool. Session 2 will describe HDAI’s Intelligent Analytics solution, while Session 3 will tour HDAI’s Intelligent Workflow solution.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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Amwell names co-founder, chairman, and co-CEO Ido Schoenberg, MD as sole CEO. Co-founder and former co-CEO, Roy Schoenberg, MD, MPH – his brother — will remain on the board. AMWL shares have lost 83% of their value in the past 12 months and are off 99% from their January 2021 high, when the company’s valuation was nearly $9 billion versus today’s $116 million.


Government and Politics

CDC warns people who have been getting Adderall from telehealth provider Done – whose executives were arrested last week on Adderall-related charges – should not resort to buying the drugs on the street as an alternative. CDC says that patients should ask their PCP about finding a new prescriber, noting that 7 of every 10 illicit pills that the DEA seizes contain a lethal dose of fentanyl.


Sponsor Updates

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  • Medhost’s Cloud Team sorts donations from local grocery stores at Second Harvest, which then distributes them to communities in need.
  • For the second year in a row, Black Book Research survey-takers give InteliChart top marks for end-user satisfaction in the areas of patient engagement and consumer outreach solutions.
  • QGenda publishes a case study, “Banner Health Uses QGenda’s Workforce Management Platform to Improve Patient Access and Time Allocation.”
  • Redox releases a new Diagnosing Healthtech Podcast, “Overcoming challenges of delivering omnichannel healthcare at scale with Marcus Osborne.”
  • CereCore hires Zach Grieshop as AVP of client technical services and names Kim Waters as principal to its newly formed revenue cycle advisory.
  • RLDatix publishes a new resource, “The Joint Commission (JTC) Infection Prevention Updates July 1st – How RLDatix Compliance Solutions Can Help.”
  • Wolters Kluwer Health Executive Director of Continuing Education Karen Innocent, DNP, RN, joins the American Nurses Credentialing Center Commission on Accreditation in Nursing Continuing Professional Development.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

News 6/14/24

June 13, 2024 News 4 Comments

Top News

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Ascension provides updates about its May 8 ransomware attack:

  • The cyberattack was launched by a malicious email that was opened by an unsuspecting employee.
  • The attackers took information from file services that employees use for daily and routine tasks, some of which are likely to contain PHI.
  • Ascension is offering free credit monitoring and identity theft protection services to any patient or employee who requests it.
  • EHR access has been restored in nine regions and in parts of two other regions. Organization-wide EHR access restoration is still on track for Friday, June 14.

Reader Comments

From Siri Soundalike: “Re: advice for my nurse colleague. He has many years of experience in several aspects of healthcare, earned an MBA, and was involved in starting an unrelated business. He is looking for other career opportunities and wondered what directions the diverse HIStalk readership suggests.” I will invite readers to add their thoughts. Their advice could be more targeted if they understood the type of work he wants to do (corporate employee, hands-on provider, entrepreneur,etc.) and whether he has geographic restrictions. Advice would also likely vary if he’s 30 with young children versus a financially secure 50-year-old. My first question would be, is his dream job as an employee or as a business owner? If he says “either is OK,” then more self-reflection is indicated before bringing others into the discussion.

From Kinko: “Re: healthcare disruptors. Just because a big company is dabbling in healthcare doesn’t make it a disruptor.” Agreed. You’re just a disruptor-wannabe until you actually disrupt something, which rarely happens in healthcare except in some niche where insurers and regulators don’t tread. The lumbering interlopers usually end their would-be role as healthcare disruptors and instead slink away as healthcare departers.


HIStalk Announcements and Requests

Maybe healthcare should do this. Mrs. H received an email from the shop that is checking out her car after it went into limp mode, requiring it to be towed and me to rescue her from anxious roadside pacing. A phone-recorded video that was attached to the email featured the mechanic walking around explaining what he found as he pointed at parts. An estimate or email summary would have been equally effective, but it felt more personal to have the expert explaining informally.


Webinars

June 26 (Wednesday) noon ET. “Population Risk Management in Action: Automating Clinical Workflows to Improve Medication Adherence.” Sponsor: DrFirst. Presenters: Colin Banas, MD, MHA, chief medical officer, DrFirst; Weston Blakeslee, PhD, VP of population health, DrFirst. What if you could measure and manage medication adherence in a way that would eliminate the burdens of medication history collection, patient identification, and prioritization? The presenters will describe how to use MedHx PRM’s new capabilities to harness the most complete medication history data on the market, benefit from near real-time medication data delivered within 24 hours, automatically build rosters of eligible patients, and identify gaps of care in seconds.

June 27 (Thursday) noon ET. “Snackable Summer Series, Session 1: The Intelligent Health Record.” Sponsor: Health Data Analytics Institute. This webinar will describe how HealthVision, HDAI’s Intelligent Health Management System, is transforming care across health systems and value-based care organizations. This 30-minute session will answer the question: what if you could see critical information from hundreds of EHR pages in a one-page patient chart and risk summary that serves the entire care team? We will tour the Spotlight, an easy-to-digest health profile and risk prediction tool. Session 2 will describe HDAI’s Intelligent Analytics solution, while Session 3 will tour HDAI’s Intelligent Workflow solution.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

Microsoft retires the GPT Builder part of its $20 Copilot Pro subscription three months after it announced it, saying that the company will shift focus to commercial and enterprise sales.


Sales

  • Cloud PACS vendor Synthesis Health announces new customers Tahoe Carson Radiology, Naugatuck Valley Radiology, and Intermountain Medical Imaging.

People

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Matt Wojcik, MPH (Crossroads) joins Solaris Health as CIO.


Announcements and Implementations

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HealthLynked rolls out an online medical record request form that uses DocuSign to send patient information requests to hospitals, physician offices, and laboratories. The records are added to the company’s network, which allows patients to share their own records with providers.

Komodo Health announces Komodo Patient Insurance, which offers the pharmacy and medical insurance status of 200 million de-identified US lives.


Government and Politics

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Federal agents arrest the CEO and clinical president of ADHD telehealth provider Done on charges of distributing Adderall, healthcare fraud, and obstruction of justice. The Department of Justice charged founder and CEO Ruthia He and Clinical President David Brody, MD for illegally distributing 40 million units of Adderall and other stimulants without medical justification, which DoJ says generated $100 million in revenue.

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The Justice Department and FTC settle their claims under behavioral telehealth vendor Cerebral, which will pay $5 million in consumer refunds and $2 million in civil penalties for exposing user health information via deficient security practices and lax prescribing of Adderall. The government will continue charges against former CEO Kyle Robertson, who left the company in 2022 to start vanity online drug provider Zealthy, which targets patients who seek drugs for depression, obesity, erectile dysfunction, hair loss, and testosterone deficiency. The federal government has added Zealthy to its complaint.

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The VA extends its contract with Oracle Health for an unspecified term, presumably the one-year period that Congress mandated to hold the company more accountable for the troubled implementation.

The VA moves several technology projects and 600 personnel under its Digital Health Office, which it launched on June 2. The office will include connected care, population health, health informatics, and AI programs as the VA’s central coordinator of digital health projects. The VA is recruiting for the office’s permanent leadership, with the interim being Nadia Smith, MBA, acting chief digital health officer, who joined the VA in September 2023 after 27 years of federal government consulting.

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Real Time Medical Systems accuses post-acute EHR vendor PointClickCare (PCC) of information blocking, seeking a federal judge’s intervention to compel PCC to grant access to skilled nursing patient data. PCC argues that providing that access would expose its systems to hacker bots that could slow operations or compromise patient data. Analytics vendor Real Time contends that PCC, which offers a competing service, is attempting to drive it out of business. Real Time claims that PCC previously forced its employees to perform manual queries after completing a CAPTCHA challenge, despite Real Time’s HITRUST certification. PCC says provides information to 1,900 companies via a more secure method. Real Time claims that PCC told it directly that its own introduction of a competing product meant that it would no longer provide Real Time with data access.

CMS actuaries estimate that US healthcare spending will outpace economic growth with an average 5.6% annually from 2023 to 2032. Hospital spending increased an estimated 10.1% last year. Medicare has the highest predicted 10-year average annual increase of 7.4% among payers due to increased enrollment of baby boomers through 2029. The actuaries predict that healthcare spending will increase to nearly 20% of the gross domestic product.

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A US Senate Finance Committee report finds that Vanderbilt University Medical Center failed to protect patient privacy when it provided the requested records of 82 transgender patients to Tennessee Attorney General Jonathan Skrmetti. VUMC says it did not violate privacy laws because it was required to provide the records, a premise that is being questioned by a patient lawsuit and an HHS OCR investigation. The affected patients were not notified until ACLU filed a lawsuit.


Sponsor Updates

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  • HCTec sponsors the Tennessee HIMSS Chapter’s annual golf tournament.
  • FinThrive releases a new Healthcare Rethink Podcast, “Rebel Healthcare: The True Patient Lead Journey Toward Improving Healthcare.”
  • Laudio will exhibit at the Organization of Nurse Leaders Annual Meeting June 13-14 in Newport, Rhode Island.
  • Bizmatics will integrate DrFirst’s RxInform patient engagement solution into its EHR to improve medication adherence.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Contact us.

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RECENT COMMENTS

  1. The poem: Well, it's not it's not the usual doggerel you see with this sort of thing. It's a quatrain…

  2. It is contained in the same Forbes article. Google “paywall remover” to find the same webpage I used to read…

  3. The link in the Seema Verma story (paragraph?) goes to the Forbes article about Judy Faulkner. Since it is behind…

  4. Seema Verma - that’s quite a spin of “facts” good luck.

  5. LOL Seema Verma. she ranks at the top of the list of absolute grifter frauds.

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