Trending Articles

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CMS faces another star ratings lawsuit, this time from UnitedHealthcare

Fierce Healthcare

Another significant legal headache related to star ratings is on the table of the federal government just days before open enrollment begins. | One call center interaction is at the crux of a lawsuit UnitedHealthcare is bringing forward against the federal government because of a reduced star rating score.

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Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings

Health Care Dive

Only 25% of Humana members will be in plans with four stars or above next year, down from 94% this year, the insurer disclosed Wednesday. The downgrade could wipe out Humana’s profits in 2026.

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Wyden, Brown urge FTC to investigate PBM 'co-manufacturing' arrangements

Fierce Healthcare

Two key senators are urging the Federal Trade Commission to investigate "co-manufacturing" arrangements that they fear pharmacy benefit managers may be using to stymie competition. | Two key senators are urging the Federal Trade Commission to investigate "co-manufacturing" arrangements that they fear pharmacy benefit managers may be using to stymie competition.

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5G will power the next evolutionary stage of healthcare in APAC

Healthcare It News

Remote surgeries, holographic medical imaging, mixed reality, and patient tracking are some of the emerging 5G-powered healthcare innovations in the Asia-Pacific region. Dr Gao Yujia, Assistant Group CTO, National University Health System; William Chan, CIO, CUHK Medical Centre; Chien-Chang (Paul) Lee, Chief Medical Information Officer, Ministry of Health and Welfare (MOHW), Taiwan; and Terence Wong, Head of APAC 5G Industry, GSM Association, Hong Kong sat together to discuss these innovations d

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

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13 Pitfalls That Spell Doom for Google Ad Conversions & How to Fix Them

Healthcare Success

Managing successful Google Ads campaigns is more than just winning clicks—it’s about converting those clicks into results (e.g., new patients or B2B inquiries). At Healthcare Success, we manage millions of dollars in Google Ads spend for our healthcare clients. We often see the following 13 mistakes tank conversion rates. But don’t worry—13 isn’t unlucky here.

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UHS forced to pay more damages related to child sexual abuse allegations at behavioral care facilities

Health Care Dive

The health system has been hit with a combined $895 million in damages this year related to alleged child abuse at some of its behavioral health subsidiaries.

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HHS finalizes 2024-2030 Federal Health IT Strategy 

Healthcare It News

The Assistant Secretary for Technology Policy within the Office of the National Coordinator for Health Information Technology has published its final 2024-2030 Federal Health IT Strategy, which seeks to enhance care delivery and experiences for patients, caregivers, healthcare providers, public health professionals and others in the healthcare continuum.

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‘This Feels Different’: Lawmakers Push Federal Legislation To Tackle Health Care Workforce Crisis

Home Health Care

Lawmakers have introduced federal legislation that aims to address the shortage of health care professionals, including home-based care professionals. On Wednesday, Rep. James Comer (R-Ky), and co-sponsor Morgan McGarvey (D-Ky), introduced H.R.9812 into the House of Representatives. The bill is looking to tackle the dearth of nurses, nurse aides and more, by incentivising states to develop health care workforce partnerships.

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FOMO Drives AI Investment in Healthcare, Despite Trust Concerns

HIT Consultant

What You Should Know: – A new study by intelligent automation company ABBYY reveals that fear of missing out (FOMO) is a major factor driving AI investment in healthcare. – The study reveals that 57% of global healthcare providers expressed concern that their organizations will fall behind if they don’t embrace AI. Efficiency and Patient Service as Key Drivers While FOMO plays a role, over half (52%) of healthcare leaders also cite increased efficiency and improved patient serv

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

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Rippl announces $23M series A to expand virtual dementia care

Fierce Healthcare

Rippl, a virtual dementia care company, secured $23 million in series A funding to expand its services to patients in more states. | Rippl, a virtual dementia care startup, plans to use its series A funding to expand into new states, build out its value-based contracts and participate in CMS' GUIDE program.

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Teladoc COO to depart at year end

Health Care Dive

Mike Waters’ resignation comes after other leadership changes at the telehealth vendor, including the departure of Teladoc’s former CEO this spring.

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AI is transforming patient engagement and experience

Healthcare It News

Large language models are "enabling a new level of patient empowerment" by helping people understand clinical notes, navigate insurance claims and much more, says Dr. Chethan Sarabu, AI and informatics strategist at OpenNotes.

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Health Care Giants Are Falling Short Of Home-Based Care Disruption

Home Health Care

This article is a part of your HHCN+ Membership The biggest retailers were zealous in their pursuit of home-based health care initiatives. But there’s little evidence to suggest that pursuit has been successful, at least thus far. This week, CVS Health (NYSE: CVS) announced that it was laying off 2,900 workers. Simultaneously, reports surfaced of Glenview Capital – a significant shareholder in the company – emerging as an activist investor.

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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Navigating 2024 Healthcare Challenges: Policy, AI, and the Road Ahead

HIT Consultant

Bill Charnetski, EVP of Health System solutions and Government Affairs at PointClickCare Now that we’re halfway through 2024, we’ve gained significant insights into the most pressing healthcare issues facing our industry and how they might shape the future. From regulatory hurdles to technological advancements, our sector is at a pivotal juncture, and understanding these dynamics will be crucial for all stakeholders involved.

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New analysis points to troubling trends as U.S. healthcare costs rise, but health outcomes worsen

Fierce Healthcare

A new analysis points to troubling trends in the U.S. healthcare market as costs continue to rise but health outcomes are declining. | "The inputs of the U.S. healthcare system, as measured by cost, exceed the outputs, as measured by the actual value or benefits received by Americans," Sanjula Jain, Ph.D., Trilliant Health's chief research officer, said.

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CVS to lay off 2,900 employees amid reports of strategic review

Health Care Dive

CVS is cutting 1% of its workforce as the healthcare behemoth pursues a massive cost-cutting plan — and considers a potential breakup of its businesses, according to reports.

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As healthcare AI proliferates, patients are 'confused,' research shows

Healthcare It News

They recognize the promises of faster diagnosis and easier access to treatment and cost info, says Mark Polyak, president of analytics at Ipsos. While they're comfortable with AI for administrative tasks, they're wary of clinical applications.

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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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How Home Care Providers Can ‘Transform’ To Ride The Hospital-At-Home Wave

Home Health Care

As more advanced care moves into the home setting, traditional home-based care providers can ensure they aren’t left behind by forming innovative partnerships. The collaboration between BrightStar Care and Medically Home is one example of this. “More care is moving into the home, and higher acuity care is moving into the home,” Shelly Sun Berkowitz, founder and executive chairwoman of BrightStar Care, said during a panel discussion at Home Health Care News’ FUTURE conference in August.

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From TikTok to the Frontline: The Unsung Heroes of Healthcare Strike Management

HIT Consultant

Trevor Fandale, President at Huffmaster Last summer, Mireya Bustamante , BSN, RN, had more than 51,000 TikTok followers and 4.4 million likes across her videos when she posted a TikTok about her time as a travel nurse. The 35-second clip showed Ms. Bustamante flying into an unspecified city where staff nurses were striking. In the clip, Ms. Bustamante said, “Strike contracts are a pretty quick turnaround, so you must be ready to go.

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At-home hospital care popular with patients and clinicians, but data backing quality, costs are limited, CMS finds

Fierce Healthcare

Hospital programs providing at-home acute care are widely appreciated by patients and clinicians but still don’t have a bulletproof argument in respect to quality and costs as compared to a brick-a | A new 79-page government report on the soon-to-expire Acute Hospital Care at Home initiative outlines both clear-cut and muted wins for advocates.

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Two-thirds of healthcare organizations hit by ransomware in past year: survey

Health Care Dive

Nearly 40% of healthcare organizations reported it took more than a month to recover after an attack, according to the survey by cybersecurity firm Sophos.

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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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HIMSSCast: Out-of-pocket expenses are a challenge to keeping people well

Healthcare It News

Prioritizing wellness means taking into account the out-of-pocket cost for patients, according to Alberto "Beto" Casellas, Casayess EVP & CEO of Health and Wellness Platform at Synchrony. Synchrony is a financial services company that offers a health and wellness platform in CareCredit.

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California Governor Vetoes Assembly Bill 3129: What's Next?

HKLaw

California Gov. Gavin Newsom vetoed Assembly Bill 3129 on Sept. 28, 2024, citing the state's Office of Health Care Affordability's (OHCA) role in studying healthcare consolidation and transactions.

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GE HealthCare Receives FDA Clearance for Innovative Alzheimer’s Imaging Tool

HIT Consultant

What You Should Know: – GE HealthCare a nnounced today that its MIM Software has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for a groundbreaking tool in the fight against Alzheimer’s disease. – The advancement allows MIMneuro, a vendor-neutral software solution, to perform “Centiloid scaling” for analyzing and quantifying amyloid plaque density in the brain using positron emission tomography (PET) imaging.

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With Medicare's annual enrollment period 2 weeks away, here's what major payers will have on offer

Fierce Healthcare

As the calendar turns to October, the health insurance industry is gearing up for Medicare's annual enrollment period. | As the calendar turns to October, the health insurance industry is gearing up for Medicare's annual enrollment period.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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MA premiums to decrease on average in 2025

Health Care Dive

The CMS said premiums, benefits and plan choices will hold steady in 2025, even as insurers have warned they could cut MA offerings in a bid to preserve profits.

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Addressing 'techquity' at Children's National Hospital

Healthcare It News

With more than two decades of telemedicine experience and research, the Washington, D.C.-based Children's National Hospital Telemedicine team identified a disparity in access to the internet and digital tools that disproportionately affects low-income and rural communities, causing a digital divide. THE PROBLEM Many of these families lack reliable, unlimited internet access or the necessary devices to engage in telemedicine services, which has become a valuable mode of care delivery, especia

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CMS Report Shows Hospital-At-Home Care Increases Recovery, While Decreasing Costs And Readmissions

Home Health Care

This week, the Centers for Medicare & Medicaid Services (CMS) published a report on a study of its Acute Hospital Care at Home (AHCAH) program. This program permits specific Medicare-certified hospitals to provide inpatient-level care to patients in their homes. The report outlines the study’s results and discusses potential future considerations and limitations.