Trending Articles

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CMS: Insurers to make $10.3B in 2023 risk adjustment payments

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) has released new data on risk adjustment payments for 2023. | The Centers for Medicare & Medicaid Services has released new data on risk adjustment payments for 2023.

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PBMs battle bipartisan scrutiny as lawmakers eye industry reform

Health Care Dive

Top executives of CVS Caremark, Optum Rx and Express Scripts made a rare congressional appearance to defend pharmacy benefit managers’ drug pricing policies.

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Global IT outage takes down health system EHRs, forces hospitals to cancel non-emergency services

Fierce Healthcare

A widespread outage to Microsoft systems has impacted health systems, hospitals and clinics as electronic health record software has been knocked offline, forcing providers to cancel non-emergency | A widespread outage to Microsoft systems has impacted health systems, hospitals and clinics as electronic health record software has been knocked offline, forcing providers to cancel non-emergency procedures and services.

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CrowdStrike outage hits US hospitals

Health Care Dive

The cybersecurity firm released what was meant to be a routine software update, but now health systems, including CommonSpirit Health and Cleveland Clinic, are locked out of Windows systems.

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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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One company's efforts to expand digital health access

Healthcare It News

Enterprise Taxonomy: Patient Access Operations Population and Public Health Analytics Clinical and business intelligence Care Business Data and Information Node settings: Exclude from Accelerate RSS feed

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Transforming Mental Health Care in Skilled Nursing

Healthcare Success

Entrepreneurial Insights from a Market Disruptor Market disrupters are drastically changing the healthcare industry, creating more accessible solutions and lucrative business models by addressing unmet needs with innovative solutions and scalable business models. Psych360 was one of the early disruptors to transform access to mental health care in long-term care facilities.

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PBMs defend business practices — but lawmakers aren’t convinced

Fierce Healthcare

Lawmakers bashed the business practices of pharmacy benefit managers during a House Committee on Oversight and Accountability hearing Tuesday. | A contentious hearing between PBM CEOs and the House Commitee on Oversight and Accountability reinforced recent federal angst toward pharmacy benefit managers, but little new ground was made.

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Preventing and Mitigating Gun-Related Violence in Hospitals: The Intersection of Proactive and Reactive Security Technologies

HIT Consultant

Dustin Brooks, CCO and co-founder of ZeroEyes Gun-related violence continues to pose a significant threat to society, with the Gun Violence Archive reporting over 650 mass shootings in 2023. Disturbingly, even institutions dedicated to healing and safeguarding individuals, like hospitals, are not immune to these threats; in fact, they’re uniquely susceptible.

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What outcomes should we target to improve health outcomes and overall well-being?

Healthcare ECONOMIST

The Rippel Foundation has an interesting framework to describe the dimensions for improving health and overall individual quality of life. This is part of their mission to guide “transformational change that supports better health and well-being for all—a future where everyone thrives, without exception.” The organization identified relevant desirable outcomes of health and wellness as “vital conditions” These are listed and defined below: [link] The contention of the Rip

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Walgreens Boots Alliance Brings On Former Humana Executive Dr. William Shrank

Home Health Care

Walgreens Boots Alliance Inc. (Nasdaq: WBA) announced the appointment of former Humana, Inc. (NYSE: HUM) Chief Medical Officer (CMO) Dr. William H. Shrank to its board of directors as the company continues its strategic turn toward health care services. Currently, Dr. Shrank is a venture partner with the Bio + Health team of Andreesen Horowitz, a private venture capital firm based in Menlo Park, California.

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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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Optum lays off more employees at Landmark, OptumInsight

Fierce Healthcare

The sprawling enterprise that is UnitedHealth Group is undergoing more layoffs under its Optum umbrella. | UnitedHealth's Optum is again laying off workers, with the scope unconfirmed. Landmark Health is downsizing once again and leaving major metropolitan areas.

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Humana inks minority investment in Medicare choice tool Healthpilot

Health Care Dive

The company uses AI to recommend Medicare Advantage, Medicare supplement and prescription drug plans based on enrollees’ healthcare preferences and needs.

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Large Language Models Fall Short in Medical Accuracy Compared to Medical Professionals, Study Reveals

HIT Consultant

What You Should Know: – Kahun , a company specializing in evidence-based clinical AI, has released a new study comparing the medical capabilities of popular large language models (LLMs) to human experts. – The findings reveal the limitations of current LLMs in providing reliable information for clinical decision-making. The Study: Comparing LLMs to Medical Professionals LLMs Tested: OpenAI’s GPT-4 and Anthropic’s Claude3-Opus Evaluation Method: 105,000 evidence-based medi

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The Evolution of Voice AI in Healthcare: Enhancing Patient Care and Streamlining Operations

Advanced Data Systems

In the rapidly evolving healthcare landscape, voice AI technology is a transformative force, reshaping how care is delivered and managed. As we delve into the myriad ways voice AI enhances patient experiences and streamlines healthcare operations, it becomes clear that this technology is not just an adjunct tool but a central component of modern healthcare systems.

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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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‘Bad Apples In A Barrel’: How Fraudsters In Home Health Care Impact The Entire Space

Home Health Care

This article is a part of your HHCN+ Membership The home health industry has its very own boogeyman — the bad actor. However, there’s a difference between providers that have made errors in claims processing or quality of care provisions versus those taking part in purposeful fraudulent activity, according to National Association for Home Care & Hospice (NAHC) President William A.

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Walgreens receives $25M BARDA grant for COVID-19 vaccine trial

Fierce Healthcare

Walgreens has received $25 million in grant funding to conduct a decentralized clinical trial assessing how well a person vaccinated against COVID-19 is protected from future infections. | The award comes from a consortium funded by the Biomedical Advanced Research and Development Authority (BARDA), embedded in the U.S. Department of Health & Human Services.

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Steward fails to spark competitive auction during first round of hospital sales

Health Care Dive

The bankrupt health system did not receive any qualified bidders in Ohio and Pennsylvania.

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Sutter Health Deploys World’s First Wearable Doppler Ultrasound Patch to Enhance Safety of ICU Patients

HIT Consultant

What You Should Know: – Sutter Health , an integrated healthcare system in Northern California, announced today its decision to deploy FloPatch, the world’s first wireless, wearable Doppler ultrasound device developed by Flosonics Medical. – The wearable Doppler ultrasound patch empowers ICU clinicians with a faster, hands-free method for assessing blood flow at the bedside, ultimately improving patient care and outcomes.

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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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Why doctors don’t like insurance

Healthcare ECONOMIST

If you go to the doctor or dentist in the US, you often can get a discount if you pay out of pocket as compared to paying through insurance. Why is that the case? Wouldn’t the physician like to get a big insurance company to pay them as compared to potentially incurring credit card fees for patient self payment? The reason why doctors don’t like insurance is because payment is slow, uncertain and administratively burdensome to their staff.

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‘Dealmaking Optimism’ Surfaces As Home-Based Care Transactions Pick Up

Home Health Care

There were at least 20 deals closed in home health, home care and hospice during the second quarter, in addition to a few major deals that were announced, but not finalized. Overall, recent months have shown a thaw in M&A may actually be in progress. The home health sector saw at least 10 deals, while the hospice sector saw at least nine, according to the M&A firm Mertz Taggart.

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Instacart partners with Northwell Health to bolster food access

Health Care Dive

The tie-up with New York’s largest healthcare provider is focusing first on supporting expecting mothers in Black and Brown communities who are food insecure.

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Transparency Launches to Tackle Counterfeit Prescription Crisis with Substance Test Kits

HIT Consultant

What You Should Know: – Transparency, a harm reduction organization providing at-home drug testing kits for any substance, today announced its official launch and formation as the parent organization of the Bunk Police. – Celebrated for its strong impact in the harm reduction space, the Bunk Police provides critical education and drug testing services to enhance safety and awareness among music festival and concert attendees.

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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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Advance Detection and Reporting Are Key to Preventing Attacks

The Rand Blog

Shootings, bombings, and the like are most commonly prevented when members of the public report their suspicions. What kinds of warning signs should we all be on the lookout for in the weeks and months ahead?

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How Home-Based Care’s Leaders Foster A Multi-Generational Workforce

Home Health Care

In order for the home-based care space to benefit from the demographic tailwinds coming its way, it needs to embrace emerging leaders who are bringing in fresh ideas. VNS Health, Andwell Health Partners and UVA Continuum Home Health are just a few of the companies that are throwing their support behind the next generation of leaders. As one of these next generation leaders, RJ Gagnon is making a name for himself at Andwell, but it doesn’t end with him.

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The states with the best and worst women's health outcomes, per new scorecard

Fierce Healthcare

A new nationwide scorecard ranks the state of women’s health and reproductive care. The results reveal a deep geographic divide in women’s healthcare access and outcomes. | The state-by-state rankings found “significant” disparities between states and deepening racial and ethnic gaps in outcomes. The findings suggest these gaps could widen further, especially for women of color and those with low incomes in states with restricted access to reproductive care.

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What does your CEO need to know about cybersecurity?

Health Care Dive

CEOs don’t necessarily have to become experts in the technical aspects of cybersecurity to be prepared in case of an attack or — hopefully — stop one before it starts.

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Strategies to Deal with Collaborative Healthcare Communication

Speaker: Dr. Ugo Uwaoma, MD, MBA

Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.

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Healthcare Organizations at Risk of Data Breach Due to Insecure File Sharing Practices

HIT Consultant

What You Should Know: – A new report by Metomic , a data security company, reveals concerning vulnerabilities in how healthcare organizations handle sensitive data. – The report, titled “ Healthcare Data Crisis – Uncovering the Alarming Gaps in Data Security and Compliance ,” highlights the prevalence of insecure file-sharing practices that put patient information at risk.

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What’s Expected to Drive Up Health Plan Costs in 2025: GLP-1s, Behavioral Health, and Inflationary Pressures for Hospitals and Doctors – PwC’s Behind the Numbers 2025

Health Populi

The U.S. Bureau of Labor Statistics had good news for American consumers long-facing inflation for household spending over the past couple of years, announcing on July 11, 2024, that the general consumer price index (CPI) fell, lowering real prices for people buying airline tickets, used cars and trucks, communication, and petrol to fill auto tanks.

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What ‘Leveling Off’ Medicare Advantage Penetration Would Mean For Home Health Providers

Home Health Care

This article is a part of your HHCN+ Membership The Centers for Medicare & Medicaid Services (CMS) isn’t letting up on cuts to home health payments, but its recent rulemaking in Medicare Advantage (MA) may end up benefiting home health providers indirectly. As MA plans become more scrutinized by regulators and lawmakers – and payment updates come with more meager increases – MA penetration is likely to plateau, or at least slow down in its rate of increase.

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DOJ: DaVita to pay $34M to settle kickback allegations

Fierce Healthcare

Kidney care giant DaVita has agreed to pay nearly $34.5 million to settle allegations that it paid kickbacks to secure referrals, according to an announcement from the Justice Department. | Kidney care giant DaVita has agreed to pay nearly $34.5 million to settle allegations that it paid kickbacks to secure referrals, according to an announcement from the Justice Department.

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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.