Trending Articles

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Express Scripts files suit against FTC, demands retraction of report on PBM industry

Fierce Healthcare

Express Scripts has filed suit against the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry. | Express Scripts is suing the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry.

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Express Scripts sues FTC over report damning pharmacy benefit managers

Health Care Dive

The major pharmacy benefit manager said its lawsuit is necessary to protect against misinformation about the controversial drug middlemen, while the FTC promised to defend its research.

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UTHealth Houston collaborates with OpenAI to offer clinicians HIPAA-compliant ChatGPT solutions

Fierce Healthcare

UTHealth Houston unveiled a partnership with OpenAI on Friday to build and deploy algorithms for use in medical training and at the patient’s bedside. | UTHealth Houston, an academic medical center in Texas, is partnering with OpenAI to give clinicians, faculty and students access to ChatGPT tools to build custom, HIPAA-compliant AI solutions.

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PBM executives decline to revise controversial testimony to House committee

Health Care Dive

The leaders of Caremark, Optum Rx and Express Scripts had until Wednesday to walk back statements they made in July — or face potential legal action. However, the executives are sticking to their guns.

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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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AI-powered cognitive priming helps one PT clinic improve care and boost its bottom line

Healthcare It News

Matt Mastenbrook, DPT, clinic manager and treating physical therapist at Baylor Scott & White Institute for Rehabilitation, says one of his first goals as a manager was to set his clinic apart from the many others in the area. And leading-edge technology would be a key change agent. THE PROBLEM Mastenbrook decided to advance and optimize Baylor's use of the CogPT platform, developed by vendor Academy Medtech Ventures.

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Efficiently Sustainable: How Hospitals Can Create Operational Sustainability

HIT Consultant

Connie Moser, Chief Executive Officer, Navenio If any sector requires process improvement, it’s healthcare. There are well publicized NHS waiting list woes and A&E delays, but behind these figures are workforce and operational issues that create real stress on clinical staff and impacts patient satisfaction. Nurses spend 10% of their time searching for equipment (according to a 2009 study ) and sadly little has changed in more than a decade.

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Nationwide hospital mortality risk fell as acuity, volumes rose, report finds

Fierce Healthcare

Hospital patients’ risk of death has fallen substantially since the COVID-19 pandemic and the months preceding it, even as hospitals are treating more and sicker patients, according to a new report | An analysis of 715 hospitals' patient safety metrics showed that patients hospitalized in Q1 2024 were about 22% more likely to survive as compared to Q4 2019, after adjusting for illness severity.

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Telehealth groups urge Congress, White House to extend controlled substance virtual prescribing

Health Care Dive

More than 300 telehealth and provider groups say time is running out for regulators to propose a rule before pandemic-era flexibilities expire at the end of the year.

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Queensland begins telestroke pilot and more briefs

Healthcare It News

Queensland to pilot telestroke service at Hervey Bay Hospital The Queensland government has designated Hervey Bay Hospital as the pilot site for the upcoming statewide telestroke service. Based on a media release, doctors and nurses at Hervey Bay Hospital are being prepared for the Queensland Telestroke Service pilot happening in the coming weeks. Queensland is the remaining Australian state to launch a telestroke service.

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From Payroll Pains to Growth Gains: Streamlining Payroll & HR for Success

Speaker: Joe Sharpe and James Carlson

In the world of small business management, the challenge of managing payroll & HR efficiently while scaling operations can be overwhelming. Yet, with the right strategies in place, these challenges can become opportunities for growth and innovation. In this session, Joe Sharpe, Senior Director of Managed Payroll Services at IRIS, will reveal practical methods and expert insights for outsourcing and streamlining payroll processes, resulting in substantial time and resource savings.

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Bayada, HomeWell Leaders Share Strategies For Recognizing And Retaining Office Staff

Home Health Care

Office staff have the highest client satisfaction scores among home health care provider employees. They also have the lowest administrative salaries. These salaries can impact job satisfaction and cause employees to seek employment elsewhere, according to the 2024 Activated Insights Benchmarking Report. Some organizations are turning to recognition to combat this trend.

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Fathom Autonomous Medical Coding Available in Epic Toolbox

HIT Consultant

What You Should Know: – Fathom , a pioneer in autonomous medical coding, announced today that its technology has been added to Epic’s Toolbox program within the Fully Autonomous Coding category. – By being part of Toolbox, Fathom can reach a wider audience of healthcare providers and demonstrate its compatibility with Epic’s systems.

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West Tennessee Healthcare President, CEO James Ross dies

Fierce Healthcare

James Ross, president and CEO of West Tennessee Healthcare, died Thursday morning, according to an announcement from the health system on social media. | The nurse-executive had been with the seven-hospital nonprofit for nearly four decades and was a prominent member of the Jackson, Tennessee, community.

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Major PBMs could be zeroing in on specific payer markets for dominance, study suggests

Health Care Dive

Though CVS Caremark holds a dominant share of the commercial, Medicare Part D and Medicaid managed care markets, each large pharmacy benefit manager seems to be focusing on one particular arena.

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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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Moving aging patients from confusion to the point of care

Healthcare It News

There's help for providers who want to help aging patients navigate complex government websites and access the information and resources they need to overcome isolation, lack of transportation and limited financial resources barring full access to healthcare opportunities. By making use of technologies such as artificial intelligence, providers can empower senior patients with the extra guidance and support that informs them and gets them to the point of care, according to Karl Ulfers, cofou

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‘Only The Beginning’: Signify Health Dives Into Condition-Focused Home Visits

Home Health Care

Signify Health has launched condition focused visits, a new service that provides screening and preventive care tailored around various complex chronic conditions. These services are delivered in the home. “Condition focused visits are really giving the member, and the provider who is with them in their home, more dedicated time to do some customized care planning and education about that particular condition,” Dr.

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CPT 2025 Code Set Released, Featuring AI Integration, Digital Medicine

HIT Consultant

What You Should Know: – The American Medical Association (AMA) has released the CPT® 2025 code set , a comprehensive update that reflects the latest advancements in medical procedures and services. – This year’s release features 420 total changes, including 270 new codes, 112 deletions, and 38 revisions. Key Updates in CPT 2025 CPT codes are essential for data sharing, billing, and reimbursement in the healthcare industry.

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Lehigh Valley Health Network agrees to $65M settlement over ransomware attack that leaked nude photos

Fierce Healthcare

Lehigh Valley Health Network has come to a $65 million class-action lawsuit settlement stemming from a 2023 ransomware attack that led to hundreds of patients’ nude medical record photos being post | After the nonprofit system refused to meet a ransomware gang's demands, over 600 patients' nude medical record photos were posted online. The plaintiffs' legal representation described the settlement as the largest of its kind.

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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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Chronic disease 'patient burnout' – a silent issue that must be tackled

Healthcare It News

While clinician burnout is well known, "patient burnout" within the chronic disease population is an equally critical but silent issue. Managing chronic conditions, especially diabetes, is complex and overwhelming. Nonadherence affects 12% of the U.S. population with Type 2 diabetes ; 42% of patients with chronic conditions manage at least two or more.

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Why is the market design for innovative pharmaceuticals not well understood?

Healthcare ECONOMIST

That is the title of a fantastic editorial from Olivença et al. (2024). A lot of people when they look at pharmaceutical prices think they are ‘too high’ or ‘too low’ But the question is, too high or too low relative to what? What are our goals in pharmaceutical pricing. The editorial clearly articulates the issue as one of a market design problem.

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Aledade Launches New Provider Recruitment Service for Practices

HIT Consultant

What You Should Know: – Aledade , the nation’s largest network of independent primary care, has launched a new service to accelerate practices’ ability to hire physicians, advanced practice providers and new staff, addressing the ongoing nationwide workforce challenges that primary care practices encounter. – Aledade’s Practice Health Recruiting Solution streamlines the hiring process – from initial opportunity intake to candidate sourcing and vetting – of both clinical and non-cli

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Sanders, Cassidy promise to hold Steward Health Care CEO in contempt after no-show

Fierce Healthcare

Steward Health Care CEO Ralph de la Torre, M.D., defied a subpoena to testify before Congress Thursday morning, leading heads of the investigating committee to promise civil enforcement and crimina | Despite receiving a Congressional subpoena, Ralph de la Torre, M.D., did not attend a Thursday morning hearing where he was scheduled to testify on the for-profit's financial struggles.

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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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The power of resilient and redundant healthcare technology systems

Health Care Dive

How resilient and redundant systems keep health data flowing during a crisis (like cyber-attacks).

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The Light Collective amplifies its call for patient data rights

Healthcare It News

To mark World Patient Safety Day on September 17, the patient-led Light Collective plans to lead discussions in Washington, D.C., designed to help ensure that patient concerns about health data aggregation are given the stage. WHY IT MATTERS Large corporations and social media platforms continue to aggregate patient data and profit from it, the collective says.

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World Sepsis Day 2024: Focus on Protecting Children from Sepsis

CDC

For the last seven years, Get Ahead of Sepsis has encouraged patients, their loved ones, and healthcare professionals to know the risks, spot the signs and symptoms, and act fast if they suspect sepsis during Sepsis Awareness Month and year-round. Anyone can get an infection, and almost any infection can lead to sepsis. Some people are at higher risk, including children younger than one.

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Innovaccer Launches AI-Powered Care Management Copilot

HIT Consultant

What You Should Know: – Innovaccer Inc. , a leading healthcare AI company, announced the launch of its Care Management Copilot. – This new solution brings Innovaccer’s healthcare-native AI model, Sara, into its industry-leading care management solution, reducing the documentation burden on care managers, saving them over ten hours per week, and enabling them to engage 30-40% more patients.

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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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Payer Roundup—Minnesota providers drops Humana MA plans; New No Surprises Act bill introduced

Fierce Healthcare

Below is a roundup of payer-centric news headlines you may have missed during the month of September 2024. | This month, Humana faces consequences for prior auth delays, Congress members have introduced new No Surprises Act legislation targeting insurers and Aetna has been sued for denying gender-affirming facial reconstruction surgeries.

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Elevance to acquire Indiana University Health’s insurance business

Health Care Dive

IU Health Plans will operate under the Anthem Blue Cross and Blue Shield brand after the deal closes, which is expected at the end of 2024.

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Atrium Health responds to new social engineering attack

Healthcare It News

Atrium Health announced on its website Friday that it is sending notifications to certain patients and staff who may have been affected by a malicious email sent to some of the health system’s employees on April 29. The Charlotte, North Carolina-based health system noted that its electronic medical records are separate from its email system and were unaffected by the incident.