Fri.Apr 19, 2024

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Online chatter points to broad layoffs at Optum—but the full extent is unclear

Fierce Healthcare

UnitedHealth Group subsidiary Optum appears to have laid off a significant percentage of its workforce, Fierce Healthcare has learned, though the full extent of those job cuts remains unclear. | UnitedHealth Group subsidiary Optum appears to have laid off a significant percentage of its workforce, Fierce Healthcare has learned, though the full extent of those job cuts remains unclear.

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Doctors are getting on board with genAI, survey shows

Healthcare It News

In an online survey of 100 practicing physicians who work in a large U.S. hospital or health system and use clinical decision support tools, four in five providers – 81% – agreed that generative artificial intelligence can improve care team interactions with patients. The doctors surveyed by Wolter Kluwer also indicated high standards for selecting genAI tools – with 89% reporting they need vendors to be transparent about the sources of CDS data and want to be sure it comes fro

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Pennsylvania providers file suit against Aetna over breach of contract

Fierce Healthcare

A Pennsylvania provider group has filed suit against Aetna this week, alleging the insurer conducted multiple breaches of contract. | A Pennsylvania provider group has filed suit against Aetna this week, alleging the insurer conducted multiple breaches of contract.

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HIMSSCast: New analytics strategies for patient-centric pop health

Healthcare It News

The shift toward value-based reimbursement demands that hospitals and health systems take a more thoughtful approach to population health management. That requires the development of robust analytics strategies to track care quality and help patients manage their chronic conditions. To achieve this, provider organizations should embrace an enterprise-wide approach that focuses on integrating key data into clinical workflows to identify high-risk patients – and, crucially, provide proactive

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How to Battle Layoffs: The Career Star Accelerator Bootcamp

Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.

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Avive pockets $57M for portable defibrillator to speed up cardiac arrest response

Fierce Healthcare

Portable defibrillator company Avive Solutions raised $56.5 million in growth equity financing to build out its staff and commercial developments. | The company, which launched in 2017, has contracts with four cities for its network of AEDs to improve survival rates of sudden cardiac arrest. It has raised tens of millions to expand operations.

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Providers, drugmakers at odds over new 340B dispute resolution process

Health Care Dive

PhRMA said the new rule “panders to 340B hospitals,” while the American Hospital Association and 340B Health said the rule would preserve the drug discount program’s integrity.

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Indigenous communities need to be engaged with healthcare choices

Healthcare It News

Native leaders should work to ensure culturally relevant education and care for their populations, says Dr. Donald Warne, codirector of the Center for Indigenous Health at Johns Hopkins and a HIMSS24 Changemaker.

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Novant, CHS fire back after FTC sues to block North Carolina hospital sale

Health Care Dive

The health systems argued in a court filing that regulators’ allegations are based on a “distorted and artificially narrow view” of the healthcare market in the Charlotte area.

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Industry Voices—How 2nd opinions can save payers and satisfy patients

Fierce Healthcare

Payers face a multifaceted challenge of managing rising healthcare costs while also meeting the heightened expectations of consumers who expect medical interactions to be as personalized and conven | Third-party analyses recently commissioned by The Clinic by Cleveland Clinic showed medical cost savings from, and high consumer interest in, virtual second opinions, writes Frank McGillin, CEO of The Clinic by Cleveland Clinic

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What would happen if we eliminated medical debt?

Healthcare ECONOMIST

Medical debt in the U.S. is a major problem. While over 90% of individuals have health insurance, many people are uninsured and even those with insurance may be liable to high deductibles and copayments. A Kaiser Family Foundation (KFF) analysis uses data from Survey of Income and Program Participation (SIPP) and finds that: …20 million people (nearly 1 in 12 adults) owe medical debt…people in the United States owe at least $220 billion in medical debt.

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5 Essentials for Healthcare CIOs: A Provider Data Management Checklist

Complete and accurate provider data is essential for health organizations to operate effectively. A better understanding of your provider network helps to understand patients and consumers, identify gaps in care, and make the best possible decisions for your businesses. A modern provider data management solution should power a complete and accurate view of each of your providers, make this data easily accessible across functional groups, and be flexible and agile enough to scale. with your needs

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FDA Clears First-Ever Digital Bone Marrow Aspirate App

HIT Consultant

What You Should Know: – Scopio Labs , a leader in digital cell morphology, has achieved a major breakthrough with FDA De Novo clearance for its Full-Field Bone Marrow Aspirate (FF-BMA) Application. – The FDA clearance marks a pivotal moment, establishing the first-ever regulatory category for digital bone marrow aspirate analysis software in the US.

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What Home Health Providers Can Learn From CMS’ Other Proposed Rules For 2025

Home Health Care

This article is a part of your HHCN+ Membership Every year, home health providers await the release of the U.S. Centers for Medicare & Medicaid Services’ (CMS) proposed payment rule. While home health providers are likely months away from seeing a proposal, it’s worth examining if what’s happening in other care settings could offer a clue of what to expect.

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The Critical Role of Outsourcing Revenue Cycle Management in Healthcare

Advanced Data Systems

In the rapidly evolving healthcare industry, the ability to effectively manage the revenue cycle is a critical factor in ensuring the financial health and operational efficiency of medical practices. For doctors and practice administrators, the decision to outsource Revenue Cycle Management (RCM) can be transformative, offering a strategic advantage in navigating the complexities of billing, coding, and compliance.

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Cured by Innovaccer Launches AI-Powered Healthcare Experience Platform

HIT Consultant

What You Should Know: – Innovaccer , a leader in healthcare data activation, has unveiled the Healthcare Experience Platform (HXP) , a comprehensive AI-powered solution designed to boost patient engagement and accelerate revenue growth for healthcare providers. – This announcement follows Innovaccer’s acquisition of Cured, a strategic move to propel innovation in patient experiences and outcomes.

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Level up Culture & EQ | Sign up for the #CultureDrop

Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.

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Sweden, Finland, and NATO's First-Class Airpower Upgrade

The Rand Blog

After Russia invaded Ukraine in 2022, Finland and Sweden—both longtime neutral states—decided to join NATO. What do these new alliance members bring to the air fight, and how does this impact NATO strategy in the Baltics?

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PurposeCare Bucks Historic Home-Based Care M&A Inactivity Trend In Q1

Home Health Care

The home health, home care and hospice industries are barely exhibiting signs of life when it comes to M&A, sans a few active companies. Transactions were again historically low in the first quarter. Overall, only 12 total home-based care deals have been reported from the first quarter, according to data provided by the M&A firm Mertz Taggart.

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RFX Solutions Raises $9M for All-in-One Healthcare Regulatory Compliance Platform

HIT Consultant

What You Should Know: – RFX Solutions , a leading provider of SaaS compliance software for healthcare facilities, has announced a successful $9 million Series A funding round led by Arthur Ventures. – The user-friendly SaaS platform empowers healthcare facilities to navigate the complexities of regulatory requirements efficiently and effectively.

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Innovation drives digital health advancements and improved patient outcomes

Osf Healthcare

In the ever-evolving landscape of health care, the challenges we face seem to multiply by the day. It can be incredibly challenging to provide high-quality health care while keeping up with rapidly advancing technology and ensuring equal access for everyone.

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A Guide to Improved Sepsis Detection & Compliance: 6 Areas You Should Address

This guide highlights key areas that your sepsis detection platform should address to minimize the impact of this leading, entirely preventable cause of in-hospital deaths, as well as how to increase compliance by 20% in 30 days. Download to learn more!

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ABOUT Healthcare Acquires Edgility: Streamlining Patient Flow with AI-Powered Care Orchestration

HIT Consultant

What You Should Know: – ABOUT Healthcare (ABOUT®) , a leader in hospital operations solutions, has announced a strategic acquisition of Edgility , an AI and analytics platform company. This move signifies a significant leap forward in patient flow management, promising to optimize hospital operations and expedite patient care. – ABOUT emphasizes that the combined platform offers the only end-to-end care orchestration solution in the market.

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Patient Financial Responsibility: An Ultimate Guide

Etactics

NRC Health reports that 68% of patients feel frustrated by the healthcare billing processes. The same study shares that 80% of patients report they would switch providers for more convenience. When it comes to patient financial responsibility (PFR), we are talking about out-of- pocket expenses. These include the following: Copayments - When a patient with a health insurance plan must pay a fixed dollar amount at the time of a medical service.

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Conversational AI improves 'fourth trimester' maternal care at Penn Medicine

Healthcare It News

The U.S. is considered one of the most dangerous high-income countries in the world in which to give birth. Meanwhile, there's a shortage of OB-GYNs, leaving more than 2.2 million women of childbearing age living in so-called maternity care deserts with limited obstetric care. THE PROBLEM The "fourth trimester," or postpartum time-period, is often a forgotten "trimester" of pregnancy, yet plays a critical role in parental, newborn and overall population wellbeing, explain

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Putting 2024’s Split/Shared Services Billing Regulations into Practice

HIT Consultant

Medicare providers in hospitals and skilled nursing facilities (SNFs) are adjusting to new split/shared services documentation and billing regulations rolled out by the Centers for Medicare and Medicaid Services (CMS) as part of the 2024 Medicare Physician Fee Schedule (MPFS) final rule. The most notable change within the new regulations, which took effect on Jan. 1, 2024, is the finalization of CMS’s definition of the “substantive portion” of a split/shared evaluation and management (E/M) visit

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The New Tech Experience: Innovation, Optimization, and Collaboration

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

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HHS streamlines 340B dispute process to hospitals' applause, pharma's disappointment

Fierce Healthcare

The Biden administration has put the finishing touches on the steps entities covered under the 340B Drug Discount Program must take to resolve disputes with drug manufacturers. | A final rule issued this week, among other changes, makes the administrative dispute resolution process more accessible for smaller covered entities.

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Nibble Health Officially Re-Launches As Standard Practice, Changing How Medical Practices Operate

HIT Consultant

What You Should Know: – Standard Practice , a voice-AI platform that automates medical practices’ outbound calls to insurance and pharmacies, today announced its official re-launch into the healthcare market since pivoting from Nibble Health. – Co-founded by reformed investment banker Steven Greene and technical product and engineering leader Phil Markunas, Standard Practice offers a transformative healthcare solution designed to streamline administrative tasks and enhance revenue ge