Health Care Dive

SEPTEMBER 22, 2023

Presidents of the American Academy of Family Physicians and the American College of Physicians argue for reforms in the national physician payment system.

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Fierce Healthcare

SEPTEMBER 22, 2023

Cigna is facing another lawsuit over its PxDx tool, which has garnered controversy amid concerns that the insurer is using it to reject claims en masse. | Cigna is facing another lawsuit over its PxDx tool, which has garnered controversy amid concerns that the insurer is using it to reject claims en masse.

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Health Care Dive

SEPTEMBER 22, 2023

CMS Deputy Administrator Jon Blum signaled regulators could increasingly crack down on bad actors in the MA program, which now covers more than half of Medicare seniors.

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Fierce Healthcare

SEPTEMBER 22, 2023

Catholic healthcare giant CommonSpirit Health has reported a $1.4 billion operating loss (-4.1% operating margin) and a net loss of $259 million for its 2023 fiscal year, which ended June 30, accor | The 145-hospital nonprofit system's improving volumes were undercut by lagging reimbursement, high costs and a cybersecurity incident. But, fourth-quarter labor costs were somewhat checked by the health system eliminating "approximately 2,000" full-time jobs.

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Hospitals Healthcare 307

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Health Care Dive

SEPTEMBER 22, 2023

Leaders of the Coalition of Kaiser Permanente Unions announced on Friday that over 75,000 members will strike from Oct. 4 to Oct. 6 if labor and management cannot agree to new contract terms.

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Fierce Healthcare

SEPTEMBER 22, 2023

Access to early cancer screenings and intervention can reduce deaths by 45%, according to the American Cancer Society. However, accessibility remains a significant challenge. | In this week's episode of "Podnosis," Heather Landi from Fierce Healthcare engages in a conversation with Othman Laraki, co-founder and CEO of Color Health. They delve into strategies for boosting screenings and explore the partnership between Color Health and the American Cancer Society, aimed at making co

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Healthcare 201

Fierce Healthcare

SEPTEMBER 22, 2023

Enthea, an administrator of benefits focused on medication-assisted therapies, has made ketamine-assisted therapy available nationwide as an employee benefit. | Enthea says it is the first and only licensed provider of plans that cover medication-assisted therapies like ketamine and psychedelics. Employers interested in the benefit can add it as an ancillary benefit, similar to dental and vision offerings.

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Health Care Dive

SEPTEMBER 22, 2023

On Thursday, the HHS and other departments proposed a rule that would raise the independent dispute resolution process fees from $50 to $150. Last month, a federal court vacated a rate of $350.

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Fierce Healthcare

SEPTEMBER 22, 2023

The U.S. Chamber of Commerce wants to spearhead a global private-public effort to ensure universal health coverage throughout the world by 2030. | The main hurdle to reaching global universal health coverage by 2030 is raising the $176 billion needed to achieve that goal, according to research by the U.S. Chamber of Commerce.

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Health Care Dive

SEPTEMBER 22, 2023

Leaders of the Coalition of Kaiser Permanente Unions announced on Friday that over 75,000 members will strike from Oct. 4 to Oct. 6 if labor and management cannot agree to new contract terms.

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Fierce Healthcare

SEPTEMBER 22, 2023

For the past two years, we've convened industry leaders to dig deep into the health insurance sector's hottest market—Medicare Advantage—in a series of virtual forums. | We're bringing together top minds in the payer space at the inaugural Fierce Health Payer Summit, taking place on Nov. 2 and 3 in Austin, Texas.

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Medicare 157

Health Care Dive

SEPTEMBER 22, 2023

The nonprofit giant is the latest healthcare organization trying to position itself as an attractive partner for independent physicians who want to transition to value-based payment arrangements.

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Healthcare 167

Fierce Healthcare

SEPTEMBER 22, 2023

Black, Latino Medicare beneficiaries more likely to face difficulty with activities of daily living, report finds agliadkovskaya Fri, 09/22/2023 - 15:16

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Medicare 157

Home Health Care

SEPTEMBER 22, 2023

This article is a part of your HHCN+ Membership It’s easy for home health agencies to point the finger at the U.S. Centers for Medicare & Medicaid Services (CMS) for slashing reimbursement rates. However, some argue that agencies also should take a close look in the mirror, with a point of reflection being around cost reporting. Sign up for HHCN+ to read this exclusive content.

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Fierce Healthcare

SEPTEMBER 22, 2023

Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry.

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Healthcare 157

Home Health Care

SEPTEMBER 22, 2023

Home-based care providers continue to look toward technology to address workforce issues. While there’s no silver bullet, those providers are gaining traction. One of the companies that believes it is uncovering new ways to optimize care through technology is the Burlingame, California-based CareLinx. “One of the things that we leverage our technology for at CareLinx is to really understand the density of available workforce in a particular market ahead of a program launching,” Francesca Rinaldo

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Home Care 105

HIT Consultant

SEPTEMBER 22, 2023

What You Should Know: In new research released by Teladoc Health, t he global leader in whole-person virtual care, U.S. employers with 2,500 or more employees reported a 21% increase in the implementation of additional virtual care offerings over the past 18 months, with 77% stating they plan to increase their investment in virtual care over the next three years.

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Healthcare ECONOMIST

SEPTEMBER 22, 2023

James Chambers has put together a series of papers looking at health gains (and cost effectiveness) using the Tufts Cost Effectiveness Analysis Registry. In these studies , he finds that treatments for rare diseases, specialty drugs, and those that receive expedited review are more likely to provide the largest health benefit (≥0.9 QALYs gained versus comparator).

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Pharmaceuticals 91

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Hospitals

HIT Consultant

SEPTEMBER 22, 2023

What You Should Know: Motif Neurotech , a neurotechnology company developing minimally invasive bioelectronics for mental health, announced new research published to the preprint server medrxiv that demonstrates a millimeter-sized brain stimulator in a human subject. The study was a collaboration with researchers at Rice University, Baylor College of Medicine, and UTHealth Houston.

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Health IT Analytics

SEPTEMBER 22, 2023

A machine learning model using ecological momentary assessment data could forecast 1-, 3-, and 8-month suicidal ideation in sexual and gender minority individuals.

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Health Populi

SEPTEMBER 22, 2023

“ Groceries and glutes,” CNN reported in 2019 about a food store combining a gym in the store. While grocery stores have been embedded various fitness options into their brick-and-mortar footprints long before the pandemic, there’s a new riff on fitness at the grocer coming to Augusta, Georgia: grocery and golf. FreshTake, a new grocery store from a family-owned food chain, will open its doors in 2024, located in a Whole Foods location that closed in 2017.

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HIT Consultant

SEPTEMBER 22, 2023

What You Should Know: Astarte Medical, a leading pediatric clinical intelligence company, is forming a joint venture with Tiny Health, makers of gut microbiome tests for babies and expecting parents. The partners have agreed to develop a clinical-facing technology solution to support gut health for preterm and critically ill infants receiving care in the neonatal ICU.

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Integration 52

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.

Healthcare

Etactics

SEPTEMBER 22, 2023

According to updated statistics for 2023 , approximately 300,000 new malware appear every day. I personally run across phishing emails nearly once every few days…it’s not fun. The world of cybercrime is growing with no end in sight. So it’s important to keep your company up to date on current cybersecurity trends and practices. In August 2023 alone, 73 publicly disclosed security breaches occurred worldwide.

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Accountability Medical Services Healthcare Providers Healthcare 52

Fierce Healthcare

SEPTEMBER 22, 2023

A Florida nurse practitioner was convicted this week by a federal jury for her participation in a $200 million healthcare fraud scheme. | Elizabeth Hernandez, 45, ordered more cancer genetic tests than any other provider in the nation during 2020 and "routinely" billed over 24 hours of office visits in a single day," DOJ said.

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Health Care Dive

SEPTEMBER 22, 2023

In kicking off a medical debt rulemaking process, the Consumer Financial Protection Bureau aims to tackle what is a “serious pain point” for many families, Director Rohit Chopra said Thursday.

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Bill Of Health

SEPTEMBER 22, 2023

By Maayan Sudai Joanna Wuest’s Born This Way: Science, Citizenship, and Inequality in the American LGBTQ+ Movement describes the evolution of the “born this way” framework through pivotal moments in the history of the LGBTQI+ movement. A central theme of the book’s analysis is the role that “certainty” and “uncertainty” play in the legitimation of science-based policy regarding sexuality and gender issues.

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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.

Healthcare