Category Archives: Health

What is new in the field of Health. Trending topics, and cutting edge research in the are of Health. Press Releases that give us updates on Health.

NeuroFlow Partners with athenahealth’s Marketplace Program to Optimize Management of Behavioral Health Data


The integration into athenaOne has been wonderful

NeuroFlow, a provider of healthcare technology and advanced analytics, today announced a partnership with athenahealth, Inc. through athenahealth’s Marketplace program. As part of the athenahealth® Marketplace, this newly integrated application is now available to athenahealth’s growing network of 160,000 healthcare providers for workflow automation and the delivery of holistic, integrated care.

Thanks to NeuroFlow’s EMR integration, athenahealth clients can seamlessly and digitally deliver validated behavioral health screeners and assessments to assist with clinical decision-making. NeuroFlow also offers many patient-facing tools coupled with incentives to encourage engagement in tracking and improving their mental wellness. “The integration into athenaOne has been wonderful,” said Dr. Sudhir Rao of Pain and Spine Specialists, a leading pain management clinic with locations in Maryland, Pennsylvania, and Virginia. “Patients enjoy the ability to pre-fill out forms on their phones prior to visits and love using the breathing techniques.”

athenahealth is a network-enabled, results-oriented services company that offers medical record, revenue cycle, patient engagement, care coordination, and population health services for hospital and ambulatory clients. The company’s vision is to build a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. As a Marketplace partner, NeuroFlow joins a network of like-minded healthcare professionals who are looking to disrupt established approaches in healthcare that simply aren’t working, aren’t good enough, or aren’t advancing the industry and help providers thrive in the face of industry change.

Patient-generated activity from the NeuroFlow app such as mood and sleep trackers, pain logs, journal entries, breathing exercises, and more are automatically placed in the patient’s chart as a summary report to help monitor patient progress and trends at a glance. The tools, assessments, and mental wellness resources provided to patients also support many reimbursable codes — including several that do not require in-office visits. To learn more about NeuroFlow’s new integrated application, please visit the product listing page on the Marketplace.

About NeuroFlow

NeuroFlow is a collaborative and measurement-based behavioral health platform integrated in all care settings. NeuroFlow’s suite of HIPAA-compliant, cloud-based tools simplify remote patient monitoring, improve risk stratification, and facilitate collaborative care. Hundreds of health systems, clinicians, and care teams are using NeuroFlow to bridge the gap between mental and physical health in order to improve patient outcomes and reduce the cost of care. Learn more at http://www.neuroflowsolution.com

About athenahealth Marketplace

The athenahealth Marketplace, the largest EMR app store, is where athenahealth customers find innovative healthcare IT solutions that extend athenahealth services and allow customers to create highly tailored user experiences. Customers use Marketplace partner solutions to boost practice efficiency, increase patient satisfaction, and engage patients in their own care. The Marketplace has more than 250 solutions across 60 categories that are seamlessly integrated with athenaNet, athenahealth’s network-enabled platform through which the company offers medical records, revenue cycle, patient engagement, and care coordination service offerings.

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Help.org Names the Best Drug and Alcohol Rehab Centers in Albany


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Help.org, a trusted online resource for individuals who struggle with addiction and their loved ones, has announced the Best Rehab Facilities in Albany, New York for 2020. The informational guide recognizes the top 11 rehab facilities based on cost, treatment options, location, accompanying services and more.

According to recent studies, drug overdose is the leading cause of death among people under age 50. In Albany, deaths related to opioid abuse increased significantly from 2011 to 2015. Substance abuse among adolescents is also escalating in Albany with 55 percent of high school students reported using alcohol, 38 percent reported using marijuana, 8 percent reported using prescription drugs without a valid prescription, and 2 percent reported using heroin. With the growing need for accessible and high-quality rehab programs, Help.org has developed a unique ranking process to help connect individuals with treatment providers that meet their needs.

The Help.org research team analyzed thousands of facilities across the country and then identified the most cost-effective and highest rated programs in larger cities like Albany. Each facility was evaluated based on rehabilitation services, treatment approaches, cost, special programs for unique demographics and ancillary services. The website also provides information about drug use and side effects as well as educational articles. For a detailed listing of the Best Rehab Facilities in Albany, New York please visit https://www.help.org/best-drug-and-alcohol-rehab-centers-in-albany-ny/

2020 Best Rehab Facilities in Albany, New York (in alphabetical order)

Arms Acres

75 Seminary Hill Road

Carmel, NY 10512

845-225-3400

Conifer Park

79 Glenridge Road

Glenville, NY 12302

800-989-6446

Hope House, Inc.

573 Livingston Avenue

Albany, NY 12206

518-482-4673

Hospitality House

271 Central Avenue

Albany, NY 12206

518-434-6468

Long Island Center for Recovery

320 West Montauk Highway

Hampton Bays, NY 11946

631-728-3100

Saint Jude Retreat

9 Market Street

Amsterdam, NY 12010

518-842-2204

St. Mary’s Healthcare

427 Guy Park Avenue

Amsterdam, NY 12010

518-842-1900

The Addictions Care Center of Albany, Inc.

90 McCarty Avenue

Albany, NY 12202

518-465-5470

The Next Step, Inc.

2 Holland Avenue

Albany, NY 12209

518-465-5249

Trinity Alliance of the Capital Region – Homer Perkins Center

76-82, 2nd Street

Albany, NY 12210

518-436-1104

Whitney M. Young Jr. Health Center

920 Lark Drive

Albany, NY 12207

518-465-4771

ABOUT HELP.ORG

Help.org is an online resource for individuals who struggle with addiction and their loved ones. The website provides the latest research through scientifically proven methods, community recovery resources as well as information about local financial assistance. Help.org’s team of researchers, activists and writers work together with addiction counselors and other professionals to offer useful and accurate resources to help individuals seeking recovery. To learn more, visit https://www.help.org/.

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Gentle Dental Gives Renton a Reason to Smile


Gentle Dental, a full service dental provider with nearly 155 affiliated locations in eight states, has more than doubled the size of its location in Renton, WA. Located at 17220 140th Ave. SE, Suite C, Renton, WA 98058, this is one of 29 locations in Washington state.

The Fairwood Gentle Dental office celebrated the New Year with the opening of its newly expanded office. The completely renovated office incorporated six new operatories and added state of the art digital technology.

As part of Gentle Dental’s powerful network, patients will continue to have access to a wide range of general dentistry and specialty dental services, bringing patients one-step closer to a healthier and more beautiful smile. The local community will continue to receive consistent high-quality treatments from a carefully selected staff of dental professionals.

The Gentle Dental Fairwood team of dental providers and staff members, would like to extend a special invitation to the public to stop in and see the expanded facility during business hours.

Gentle Dental Fairwood is staffed by the same friendly experienced members. General Dentists include Dr. Charles Hu, Dr. Oveys Hedayati and Dr. Constatine Granatosky.

Working along-side our General Dentists is a team of dental Specialists who include; Dr. David Kang, Endodontist, Dr. Sirisha Munimadugu, Periodontist, Dr. Patrick Wang, Oral and Maxillofacial Surgeon and Dr. Tripti Pawar, Orthodontist.

Supporting our dentists and Specialists is a team of assistants, hygienists and an administrative support team running the front office so dentists and hygienists can focus on providing quality patient care.

The Gentle Dental Fairwood location accepts most insurance plans, offers easy financing, and has an in-house dental plan available to patients without current dental insurance. Gentle Dental is committed to providing every patient with flexible options, respect, compassion, and open communication regarding treatment and costs.

To book a dental appointment, simply call (425) 271-4000 or visit the office’s web page at: http://www.gentledentalfairwood.com

About Gentle Dental

Gentle Dental® is one of the brands of dental offices supported by InterDent Services Corporation, a dental services organization headquartered in Vancouver, WA. For over 30 years, Gentle Dental has delivered high-quality care with a personal touch. With more than 155 affiliated practices located across Arizona, California, Hawaii, Kansas, Nevada, Oklahoma, Oregon and Washington, Gentle Dental offers comprehensive care in general, cosmetic and specialty dentistry. Each location offers the leading edge of treatment options in the industry and is equipped with state-of-the-art equipment and technology. Visit http://www.interdent.com/gentle-dental/ to learn more.

About InterDent Service Corporation

InterDent Service Corporation provides comprehensive administrative support services to 175 affiliated dental practices employing more than 450 dentists in the following eight states: Arizona, California, Hawaii, Kansas, Nevada, Oklahoma, Oregon, and Washington. InterDent’s branded divisions include Gentle Dental®, Dedicated Dental, Capitol Dental, Smile Keepers and Blue Oak®. The network of practices delivers comprehensive dentistry to over one million patients annually.

InterDent is seeking new affiliation opportunities with dental groups or practices. If you have or know of a practice that is interested in affiliating with one of the nation’s leading dental service organizations, call (888) 416-5525 or visit http://www.interdent.com.

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Vi’s Judy Whitcomb recognized as “Notable Leader in HR” by Crain’s Chicago Business


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Leading national developer, owner and operator of high-end continuing care retirement communities Vi has announced that Senior VP of Human Resources, Learning and Organizational Development Judy Whitcomb has been named one of Crain’s Chicago Business 2020 “Notable Leaders in HR”. The Crain’s list celebrates top Chicago area HR executives for their success and accomplishments over the last 18 months.

Under Whitcomb’s leadership, Vi has been widely recognized for its employee development initiatives, executed to guide and grow future leaders. Whitcomb has been instrumental in the implementation of strong, sustainable and impactful learning and development programs that have enabled Vi to attract and retain top talent in the senior living space. Over the past eight years, companywide turnover has dramatically decreased from 29 percent to 22 percent. Whitcomb and her team also harness the positive effects of employee development success stories, which serve as an employment differentiator to a wide applicant pool while also being a motivating and inspirational force within the organization.

Whitcomb spearheads strategies to ensure employees thrive at Vi, securing local and national partnerships with relevant organizations such as AARP, U.S. Jobs and community colleges. Through outreach to high schools and community colleges, she has cultivated interest in senior living careers and has initiated an apprenticeship strategy to foster upcoming talent and engage potential future Vi employees.

“I am humbled and honored to be recognized by Crain’s Chicago Business, especially among some of the top leaders in human resources,” said Whitcomb. “I am immensely proud that during my tenure at Vi, working alongside my human resources and business partners, we have become an award-winning employer-of-choice, committed to growth and development for all employees. Looking towards the future, I hope to positively impact the lives of our employees with continued opportunities to better themselves, which in turn improves the quality of service and care for Vi residents.”

“For more than a decade, Judy has done an exceptional job leading our human resources operations at Vi, and we’re thrilled to see her recognized for her contributions to the company and countless employees who have grown under her guidance,” said Randy Richardson, President at Vi. “At Vi, we’re dedicated to providing the best possible quality of life for our residents, and that starts with how we train, develop and grow our team. Judy plays a crucial role in leading these efforts and keeping our employees engaged, and we all celebrate this honor with her.”

In addition to a bachelor’s degree from DePaul University and an MBA from Roosevelt University, Whitcomb graduated from Northwestern’s Executive Scholars Program. Whitcomb is SPHR and SHRM-SCP certified and has spent 19 years of her career in various HR leadership, marketing and operational roles at United Airlines. Dedicated to her “leaders as teachers” philosophy, Whitcomb serves on Chief Learning Officer Magazine’s editorial board and Harvard Business Publishing’s Advisory Council. She also serves on the workforce development team of Argentum, the nation’s largest senior living association. On top of a wealth of professional commitments, Whitcomb prioritizes her involvement within the HR community by contributing to professional publications, participating in panels and speaking at conferences.

To learn more about Vi communities, visit http://www.viliving.com.

About Vi

Headquartered in Chicago, Illinois, Vi operates 10 continuing care retirement communities (CCRCs) across the United States. With more than 30 years of experience as the owner and operator of residential communities for older adults, Vi continues to work toward providing quality environments, services and programs to enrich the lives of those they serve. In 2019, Vi was recognized by Great Place to Work and Fortune as one of the Best Workplaces for Aging Services and was ranked as one of Glassdoor’s “Top 100 Best Places to Work”.

Media Contact

Murphy O’Brien Public Relations

310-586-7180

vi@murphyobrien.com

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Emergo by UL launches 510(k) Builder for streamlined US FDA medical device submissions


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Emergo by UL’s 510(k) Builder has been developed to help medical device manufacturers achieve US FDA clearance more cost-effectively and faster.

Emergo by UL, a global medical device and healthcare technology consultancy, has rolled out 510(k) Builder, a new subscription-based software tool to simplify and streamline medical device manufacturers’ FDA 510(k) submissions in order to obtain faster US market access.

Available through Emergo by UL’s Regulatory Affairs Management Suite (RAMS) automated medical device registration and compliance platform, 510(k) Builder provides step-by-step support for preparing and compiling a complete Premarket Notification submission according to FDA requirements.

Key features of 510(k) Builder include:


  • Full integration with FDA databases, allowing users to quickly identify product codes, predicate devices and relevant standards;
  • A “token system” providing auto-population capabilities to ensure consistent application of content throughout a 510(k) premarket submission;
  • Commenting and feedback tools to enable collaboration among staff as the 510(k) is assembled;
  • Automated formatting to meet FDA specifications and reduce submission production time.

FDA 510(k) submission generation typically involves manual preparation and compiling of hundreds of documents; oversights and errors can result in delayed clearance and increased market entry costs for device manufacturers.

“Inconsistencies and omissions in 510(k) premarket submissions can lead to substantial delays for US market applicants, especially when these errors pertain to Indications for Use, product name and related data,” explains Elizabeth Manning, Program Manager at Emergo by UL. “We’ve developed 510(k) Builder to help medical device manufacturers realize more efficient submission generation, plus reduce costly delays in obtaining 510(k) clearance.”

About RAMS

Emergo by UL’s Regulatory Affairs Management Suite (RAMS) software service provides digital tools and insights to help medical device manufacturers monitor regulatory changes, efficiently and cost-effectively prepare FDA 510(k) submissions, and manage device registrations and renewals. Learn more about our automated RA/QA platform at EMERGObyUL.com/RAMS.

About Emergo by UL

EMERGO by UL is a leading regulatory consulting firm specializing in global medical device and IVD compliance. Our comprehensive solution is designed to help you achieve and maintain regulatory and commercial success. With a presence on six continents, we can provide real-time service and on-the-ground expertise. Learn more about how we can help you grow at EMERGObyUL.com.

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Help.org Names the Best Drug and Alcohol Rehab Centers in Akron


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Help.org, a trusted online resource for individuals who struggle with addiction and their loved ones, has announced the Best Rehab Facilities in Akron, Ohio for 2020. The informational guide recognizes the top 18 rehab facilities based on cost, treatment options, location, accompanying services and more.

According to recent studies, drug overdose is the leading cause of death among people under age 50. In Akron, deaths related to opioid abuse increased significantly from 2011 to 2015. Substance abuse among adolescents is also escalating in Akron with 55 percent of high school students reported using alcohol, 38 percent reported using marijuana, 8 percent reported using prescription drugs without a valid prescription, and 2 percent reported using heroin. With the growing need for accessible and high-quality rehab programs, Help.org has developed a unique ranking process to help connect individuals with treatment providers that meet their needs.

The Help.org research team analyzed thousands of facilities across the country and then identified the most cost-effective and highest rated programs in larger cities like Akron. Each facility was evaluated based on rehabilitation services, treatment approaches, cost, special programs for unique demographics and ancillary services. The website also provides information about drug use and side effects as well as educational articles. For a detailed listing of the Best Rehab Facilities in Akron, Ohio please visit https://www.help.org/best-drug-and-alcohol-rehab-centers-in-akron-oh/.

2020 Best Rehab Facilities in Akron, Ohio (in alphabetical order)

Akron Urban Minority Alcoholism Drug Abuse Outreach Program Inc.

665 W. Market Street

Akron, OH 44303

330-379-3467

Arrow Passage Recovery

721 Lincoln Way E.

Massillon, OH 44646

855-790-7398

Child Guidance and Family Solutions

18 N. Forge Street

Akron, OH 44304

330-762-0591

Community Health Center

725 E. Market Street

Akron, OH 44305

330-434-4141

Crossroads Center

311 Martin Luther King Drive E.

Cincinnati, OH 45220

513-475-5300

IBH Addiction Recovery Center

3445 S. Main Street

Akron, OH 44319

330-644-4095

Inpatient Rehab Placement

87 E. Tallmadge Avenue

Akron, OH 44310

330-349-8121

New Day Recovery

960 Boardman-Canfield Road

Youngstown, OH 44512

330-886-4744

Ohio Addiction Recovery Center

1151 S. High Street

Columbus, OH 43206

800-481-8457

Oriana House ADM Crisis Center

15 Frederick Avenue

Akron, OH 44310

330-996-7730

Rosary Hall

2351 E. 22nd Street

Cleveland, OH 44115

216-861-6200

SMART Recovery

7304 Mentor Avenue, Suite F

Mentor, OH 44060

440-951-5357

Sojourner Recovery Services

1430 University Blvd.

Hamilton, OH 45011

513-896-3497

Summit County Health District Counseling Services

1867 W. Market Street

Akron, OH 44313

330-923-4891

Tarry House Recovery Home

564 Diagonal Road

Akron, OH 44320

330-253-6689

The Bluffs

2650 Lodge Road S.W.

Sherrodsville, OH

888-481-7821

The Recovery Village Columbus

3964 Hamilton Square Boulevard

Groveport, OH 43125

614-362-1686

The Ridge Ohio

25 Whitney Drive, Suite 120

Milford, OH 45150

513-275-7571

ABOUT HELP.ORG

Help.org is an online resource for individuals who struggle with addiction and their loved ones. The website provides the latest research through scientifically proven methods, community recovery resources as well as information about local financial assistance. Help.org’s team of researchers, activists and writers work together with addiction counselors and other professionals to offer useful and accurate resources to help individuals seeking recovery. To learn more, visit https://www.help.org/.

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Salt Athletics Is Coming To The Salt Grotto In Tampa, Florida


The Salt Grotto is pleased to announce the addition of Salt Athletics to their wellness center serving the Brandon / Tampa Florida community. For many years The Salt Grotto has been offering their clients an amazing wellness center featuring halo therapy (dry salt inhalation therapy), along with other beneficial wellness practices such as massage and acupuncture. The addition of Salt Athletics will allow the Salt Grotto to further secure their standing as the most comprehensive halo therapy based wellness center in the greater Tampa area.

Salt Athletics features a patent-pending scientific wellness program that delivers a “stack” of advanced wellness protocols into a single 30-minute session, referred to as “Scientific Wellness”. Each Salt Athletics experience features complete coverage Mito Red Light systems as well as state of the art Halo Generators (dry salt therapy). During each Salt Athletics session users will receive a unique combination of near infrared light 850nm and far infrared light 660nm therapy and salt inhalation therapy. Red light therapy (near infrared-850nm / deep red-660nm) is known to benefit the following conditions:

        *Inflammation

        *Improved mitochondria function in cells

        *Reduced pain

        *Improved injury healing time

        *Reduced training recovery time

        *Liver function

        *Combats lethargy

        *Bone density

        *Improved fertility and testosterone increases

        *Healthier, plumper skin due to collagen production

        *Wound healing

        *Metabolic boost

        *Reduced scaring

        *Muscle and tendon strain healing

        *Reduction of fine wrinkles

        *Improved skin texture

        *Improved circulation

        *Stimulation of hair growth

Additional components of Salt Athletics at The Salt Grotto include oxygen concentrators and negative ion generators. Each Salt Athletics session begins with a glass of ionized water to enhance the wellness offering. The Salt Grotto will offer their clients an option of riding a commercial recumbent bike for enhanced cardio development/weight loss/athletic performance or zero gravity lounge chairs for spinal decompression while engaging in a Salt Athletics session.

“The Salt Grotto has been serving the Tampa Bay Area for over 7 years and we are so excited to be adding Salt Athletics to our wellness services in our Valrico location,” said Sheila Alba , manager of The Salt Grotto. “Salt Athletics adds a dynamic new scientific wellness platform for our customers at The Salt Grotto. Stay tuned for more information about the our upcoming open house to introduce Salt Athletics to the greater Tampa Bay area,” added Alba.

Salt Athletics is a division of HaloTherapy Center, LLC, and currently has 3 separate patents pending with the U.S. Patent and Trademark Office. “Salt Athletics is pleased to be coming to The Salt Grotto, one of Florida’s most established and respected halo therapy practices,” said John Brier, Managing Partner of Salt Athletics. “We look forward to delivering the powerful scientific wellness principals that Salt Athletics embodies to the customers of The Salt Grotto as part of our planned national roll-out across the fitness and wellness center sectors,” added Brier.

Salt Athletics is expected to launch at The Salt Grotto in the second half of February, 2020.

Contact Information:

The Salt Grotto

1026 Bloomingdale Ave

Valrico, FL

Tel. 813-324-8946

http://www.TheSaltGrotto.com

info@thesaltgrotto.com

Salt Athletics

HaloTherapy Center, LLC

http://www.SaltAthletics.com

Info@HaloTherapyCenter.com

Tel. 850.292.2590

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Inaugural Issue Features Top Podcaster Glynn Washington, Host of “Snap Judgment”


Podcast Magazine featuring Glynn Washington – Inaugural Issue Feb. 2020

With the tremendous growth and outside investment the industry has recently experienced—coupled with undeniable shifts in consumer audio consumption—the timing is ideal for our launch.

PODCAST Magazine’s publisher and editor-in-chief Steve Olsher—entrepreneur, podcaster, international speaker and New York Times bestselling author—announces the launch of the new podcasting culture and lifestyle publication that goes “beyond the microphone” and into the lives of the leading Podcasters that fans love.

The Inaugural February Issue cover story features Glynn Washington, a media personality and producer whose chart-topping podcasts—WNYC Studios’ “Snap Judgment” (available on 400+ NPR stations), “Spooked” and “Heaven’s Gate”—have generated over 250 million downloads to date.

Esteemed journalist Katie Couric will appear on PODCAST Magazine’s March cover, talking about the success of her podcast, “Next Question with Katie Couric,” and what listeners can look forward to in upcoming episodes.

Additional upcoming features include top podcasters Jordan Belfort (April cover), Adam Corolla, John Lee Dumas, Marie Forleo, Jenna Kutcher, Ed Mylett, Amy Porterfield and Dave Ramsey, among many others.

Olsher says, “When I was initially struck with the idea of creating a lifestyle magazine that caters to Podcast fans, I was stunned and excited to find that no such publication exists. With the tremendous growth and outside investment the industry has recently experienced—coupled with undeniable shifts in consumer audio consumption—the timing is ideal for our launch.”

Washington, who is one of only three people to launch three different shows to number one on Apple Podcasts, says, “My primary role is to open a dialogue between people and to help them understand one another better. When you talk about things politically, no one does anything. To capture your attention, to secure your interest, I need to tell you a story. A story is a sneak attack to having a real dialogue.”

The monthly magazine is available for a free digital lifetime subscription for a limited time at PodcastMagazine.com. Initial distribution will be digital-only, available via iOS and Google distribution platforms, with a limited print run for each issue.

According to the Infinite Dial’s 2019 report released by Edison Research and Triton Digital, more than 90 million Americans over the age of 12 now listen to podcasts on a monthly basis—up from 73 million a year prior. Further, podcast consumers are listening to an increased number of episodes with the average podcast listener now tuning in to an average of seven episodes per week. Both trends are expected to continue their upward ascent both on a domestic and international basis.

Launching with 19 category directors, the magazine features a curated team of dedicated writers, podcasters and industry authorities who share personal interviews, the latest top podcasts, “Under The Radar” shows, podcasting products, tools & platforms, and industry happenings—as well as PODCAST Magazine’s exclusive fan-driven, monthly categorical chart, The Hot 50.

For more information, please visit PodcastMagazine.com.

About PODCAST Magazine

PODCAST magazine is the preeminent lifestyle publication covering podcasts, podcast culture and the podcasters fans love—taking readers “beyond the microphone,” behind-the-scenes and into the lives of today’s leading hosts and producers. Each month, a curated team of dedicated writers, podcasters and industry authorities share personal interviews, the latest top podcasts, podcasting products, tools & platforms, and industry happenings—as well as PODCAST Magazine’s exclusive fan-driven, monthly categorical chart, The Hot 50. The magazine also features independent ratings and reviews for under-the-radar shows, while sharing growth, traffic and monetization strategies for professional podcasters.

About Steve Olsher

Steve Olsher, the world’s foremost reinvention expert, is renowned for helping individuals and corporations become exceptionally clear on their “WHAT”—that is, the ONE thing they were created to do. His practical, no-holds-barred approach to life and business propels his clients to achieve massive profitability, while also cultivating a life of purpose, conviction, and contribution. A 30+ year entrepreneur, Olsher is the founder and editor-in-chief of PODCAST Magazine; the original chairman and founder of Liquor.com; an online pioneer who launched on CompuServe’s Electronic Mall in 1993; the New York Times bestselling author of What Is Your WHAT? Discover The ONE Amazing Thing You Were Born To Do; a real estate developer; creator of The New Media Summit; host of the #1 rated podcasts “Reinvention Radio” and “Beyond 8 Figures”; an international keynote speaker; and an in-demand guest who has appeared in countless media outlets, including CNN, The Huffington Post and on the cover of Foundr Magazine.

Instagram: @thepodcastmag

Twitter: @thepodcastmag

Facebook: [facebook.com/thepodcastmag

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Highmark Inc.’s Anti-Fraud Department using Artificial Intelligence to reduce fraud, waste and abuse impact


“By using technology and working with other Blue Plans and law enforcement, we have continually evolved our processes and are proud to be among the best nationally.” -Melissa Anderson, executive VP and chief audit and compliance officer, Highmark Health

Highmark Inc.’s Financial Investigations and Provider Review (FIPR) department made a financial impact of over $260 million in savings related to fraud, waste and abuse in 2019 and has saved more than $850 million over the past five years. In 2020, FIPR is successfully using artificial intelligence (AI) to enhance the company’s ability to identify, prevent and stop potentially fraudulent activities earlier than ever.

“We know the overwhelming majority of providers do the right thing. But we also know year after year millions of health care dollars are lost to fraud, waste and abuse,” said Melissa Anderson, executive vice president and chief audit and compliance officer, Highmark Health. “By using technology and working with other Blue Plans and law enforcement, we have continually evolved our processes and are proud to be among the best nationally.”

Kurt Spear, vice president of financial investigations and provider review for Highmark Inc., said AI is a game-changer for everyone.

“Highmark’s Payment Integrity program deploys twenty eight unique initiatives to help ensure claims payment accuracy. Fifteen of these initiatives are embedded within our FIPR department and aim directly at addressing instances of fraud, waste and abuse. Healthcare claims go through rigorous reviews, including automated AI algorithms as well as manual assessments,” he said. “Although just recently implemented, we’re already seeing positive results from our AI software. The goal of AI is to adapt quickly to changing behavior and to help predict aberrancies earlier than traditional tools that often rely on established rules to catch suspicious behavior. We know it is much easier to stop these bad actors before the money goes out the door then pay and have to chase them.”

Spear said these very sophisticated tools are looking at algorithms and patterns to detect indicators of fraudulent activity much sooner than in the past. He noted that as bad actors use social media and other tools and evolve their schemes, Highmark also leverages best practices to limit financial exposure for our customers. As further noted below, the results of Highmark’s anti-fraud department continue to be recognized as industry leading.

Here is a chart of the savings from 2015 – 2019.

Year     Actual Savings

2015: $120,000,000

2016: $148,000,000

2017: $183,000,000

2018: $145,000,000

2019: $260,000,000

Breaking down 2019, Spear said the $260 million in financial impact includes prevented losses, recovered money and policy savings.

FIPR utilizes an internal team that includes registered nurses, investigators, accountants, former law enforcement agents, clinical coders and programmers, complemented by an array of industry-leading vendors, to complete its objectives. As part of its work, the team performs audits to identify unusual claims, coding reviews and investigations that assess the appropriateness of provider payments.

National Independent External Review

Recently national healthcare industry consultant Change Healthcare conducted an assessment of Highmark Inc.’s Payment Integrity programs, including FIPR. The goal of the assessment was to determine how Highmark’s Payment Integrity programs compare with other large Blues plans and national insurers and to identify any areas for improvement. The independent external review showed that Highmark’s work is among the best in the nation. The program outpaces the industry standard and saves approximately ten percent of medical claims for group customers. The program also delivers nearly 33 percent more savings than other national payers.

“We have known for some time that our programs have substantial return on investment and were top notch. This external review proves that we are among the best in the nation, and that means real savings for our Highmark regional and national customers,” added Jeff Bernhard senior vice president of national and commercial markets, Highmark Inc. “This is also a benefit to our Sales teams when out competing to win business. They can share this information with our prospective customers and truly benchmark Highmark, and show it superiority around fraud and waste controls, compared to other insurance carriers.”

National Awards

In late 2019, Highmark’s Financial Investigations and Provider Review (FIPR) department was honored by the National Health Care Anti-Fraud Association (NHCAA) with the Special Investigation Resource and Intelligence System (SIRIS) Investigation of the Year award. This is considered among the top awards in the nation. The investigation involved a specialty pharmacy supplying excessive amounts of hemophilia factor medications to patients. In order to drive up their reimbursement, the pharmacy would create shell employer groups that would enroll as an ACA small group. Ultimately, the scheme was shut down.

NHCAA also recognized Highmark with a second award for Excellence in Public Awareness for Highmark’s Opioid Epidemic Education Program.

“The goal of our program is to educate students, facilitators and parents about the opioid epidemic. The presentation to students, faculty and parents addresses understanding opioids, fentanyl, heroin and deadly drug combinations, being empowered to say “no”, the stigma of addiction and key takeaways for real-life situations. Highmark has reached more than 8,500 students and plans to continue the program in 2020,” Spear said.

ABOUT HIGHMARK INC.

One of America’s leading health insurance organizations and an independent licensee of the Blue Cross Blue Shield Association, Highmark Inc. (the Health Plan) and its affiliated health plans (collectively, the Health Plans) work passionately to deliver high-quality, accessible, understandable, and affordable experiences, outcomes, and solutions to customers. As the fourth-largest overall Blue Cross Blue Shield-affiliated organization, Highmark Inc. and its Blue-branded affiliates proudly cover the insurance needs of more than 4.4 million members in Pennsylvania, Delaware, and West Virginia. Its diversified businesses serve group customer and individual needs across the United States through dental insurance and other related businesses. For more information, visit http://www.highmark.com.

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Understand.com® & Blausen Medical Announce Partnership


Understand.com and Blausen Medical announced their global partnership today. These two leaders in medical animation have combined their extensive medical content offerings with Understand.com serving as the sales and marketing arm for both companies.

“I have admired the quality and breadth of Blausen’s medical animations for many years,” said Darik Volpa, founder and CEO of Understand.com. “This partnership represents thousands of hours of hard work at both companies. From our new website to our new video player, this launch will position us as the number one site for doctors and hospitals interested in medical education content for their patient education needs.”

“We at Blausen are pleased to announce our partnership with Understand.com,” said Bruce Blausen, founder and CEO of Blausen Medical. “They are an incredible organization with superb sales and marketing capabilities. Understand.com has the corporate leadership necessary to bring our collective content to the largest number of buyers. We could not be more pleased.”

Medical libraries are now offered in the following specialties:

  • Plastic Surgery
  • Ophthalmology
  • Diabetes
  • Oncology
  • Orthopedics
  • Dental
  • OBGYN
  • Gynecology Oncology
  • Spine
  • Ear, Nose, & Throat
  • Maternal-Fetal     
  • Hepatology Oncology
  • Dermatology    
  • Respiratory System    
  • Male Reproduction    
  • Radiology
  • Breast Cancer    
  • Cardiovascular System     
  • Urology     
  • Radiation Oncology
  • Hair    
  • Digestive System    
  • Immunology    
  • Diagnostic Radiology
  • Neurology
  • Bariatric     
  • Allergy
  • Pharmacology

Languages include English (US and Great Britain), French, German, Arabic, Chinese (Cantonese and Mandarin), Dutch, Danish, Hungarian, Italian, Japanese, Korean, Norwegian, Portuguese (Brazil and Portugal), Romanian, Russian, Spanish (Latin American and Castilian), Turkish and Swedish.

In addition to the expanded content offering, animations now can be licensed individually and customers have the ability to create their own libraries based on their specific practice needs.

About Understand.com

Founded in 2003, Understand.com® is a global medical education company that has educated over 10,000,000 patients worldwide. Their unparalleled 3D medical animations are at the core of the patient learning experience. Their content clearly explains complex MOAs, disease pathologies, surgical techniques and procedures, as well as treatment methods for hundreds of medical topics.

Understand.com recognizes the huge gap in communication between doctors and patients. Doctors are frequently overloaded with patients, and may lack the time or skills to effectively communicate the complexity of a medical condition or procedure to their patients. Consultations can leave patients confused, frustrated, and unable to get the information they need to be active participants in their own medical care. Understand.com viewed this challenge as an opportunity to empower doctors and educate patients by providing high-quality, informative patient education content.

About Blausen Medical

Founded in 1991, Houston-based Blausen Medical Communications, Inc., is the developer, owner and licensor of the world’s largest library of 3D medical animations. Known for their high standard of excellence in scientific and medical accuracy, Blausen creates masterpieces that explain difficult concepts with exceptional clarity.

Blausen Medical’s extensive library content is available for multiple platforms. The award-winning animation library is now viewed in every country in the world and has been translated into over 21 languages. The company and its products have received over 30 honors, including the 2013 Platinum Award for Best Interactive Site; and the Gold Award for Best Mobile Communications in eHealthcare Leadership. Blausen Medical has also been honored with numerous Web Health Awards, and with an ABBY Award from the Adaptive Business Leaders Organization for developing innovations that reduce the cost of quality healthcare.

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