Health Care Dive
AUGUST 24, 2023
The crackdown comes after media reports found fraudulent activity in hospice facilities, including those that certified patients for care who were not terminally ill and those that ran “churn and burn” Medicare billing schemes.
Fierce Healthcare
AUGUST 24, 2023
A new value-based care agreement has been announced between Humana and Interwell Health, a kidney care management company, in 13 states. | Humana and Interwell Health, a kidney care management company, have partnered to begin a new value-based care agreement to certain Medicare Advantage members in 13 states.
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Health Care Dive
AUGUST 24, 2023
The Advanced Research Projects Agency for Health is soliciting proposals for a project that would repurpose national security tech to protect the healthcare industry from cyberattacks.
Fierce Healthcare
AUGUST 24, 2023
Though hospitals’ patient experience scores broadly suffered during the COVID-19 pandemic, the “unprecedented” declines were greatest among facilities that were already facing staffing issues prior | Patient experience score declines were steepest among facilities already understaffed or poorly rated, though no hospital exited 2021 with their HCAHPS scores unscathed, according to a new CMS-backed analysis.
Advertiser: HealthCar
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Health Care Dive
AUGUST 24, 2023
The subsidiary, called Cordavis, will work directly with manufacturers to market or co-produce low-cost biologic drugs, starting with Novartis’ Humira copy.
Healthcare It News
AUGUST 24, 2023
The summer is coming to a close with a feverish launch of artificial intelligence tools some of the biggest names in health tech have designed to ignite electronic health record capabilities – from clinician documentation to claims office efficiencies. Microsoft and Epic expand cloud-boosted AI integrations Out of the combination of Microsoft’s cloud and AI technologies and Epic’s clinical workflows and insights, the companies announced several conversational, ambient and gener
Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.
Fierce Healthcare
AUGUST 24, 2023
Cigna is eliminating prior authorization requirements from 600 diagnostic codes in a bid to streamline the experience for both members and providers. | Cigna is eliminating prior authorization requirements from 600 diagnostic codes in a bid to streamline the experience for both members and providers.
Healthcare It News
AUGUST 24, 2023
OutCare Health provides resources, support, education and research studies to support and improve the LGBTQ+ community's care experience. Dr. Dustin Nowaskie, the company's founder and president, explains.
Fierce Healthcare
AUGUST 24, 2023
The Centers for Medicare & Medicaid Services (CMS) announced that the Medicare Shared Savings Program (MSSP) has saved a net $1.8 billion in 2022 for accountable care organizations, which is th | Accountable care organizations saved a net $1.8 billion in 2022 from the Medicare Shared Savings Program, CMS said Thursday.
The Rand Blog
AUGUST 24, 2023
Earlier this year, a group of experts from RAND and the Special Competitive Studies Project launched a new wargame effort around China's invasion of Taiwan—but unlike most D.C.-based wargames, this effort heavily involved members of the commercial technology sector, in order to understand what near-term capabilities might be brought to bear on a Taiwan scenario.
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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
Fierce Healthcare
AUGUST 24, 2023
Cleveland Clinic dropped to a $21.4 million operating loss (-0.6% operating margin) in the second quarter but notched a $145.2 million bottom line thanks to its investments, according to financial | The nonprofit's latest quarter is a step back from the opening of 2023 but a major improvement over the disastrous second quarter of 2022.
Home Health Care
AUGUST 24, 2023
In an attempt to lower administrative burden, Cigna Healthcare — the health insurance arm of The Cigna Group (NYSE: CI) — announced that it is removing nearly 25% of medical services from its prior authorization requirements. Broadly, prior authorization is the process that occurs when a health care provider requests a patient to receive a specific service, medication or procedure.
Fierce Healthcare
AUGUST 24, 2023
A jump in expenses whittled away UPMC’s strong start to 2023 and left the nonprofit at a narrow $15 million operating gain (0.1% operating margin) for the first six months of the year, according to | The integrated nonprofit system sits at a 0.1% operating margin for the first half of 2023 thanks to higher spending across both major arms of its business.
Home Health Care
AUGUST 24, 2023
This article is a part of your HHCN+ Membership Medicare Advantage (MA) plans, collectively, were one of the home health industry’s clearest opponents over the last couple of years. Now, providers are making a distinction in their criticism of MA plans. They’re not all bad. Some are even good. Sign up for HHCN+ to read this exclusive content. Get Membership Already a member?
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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.
Health Recovery
AUGUST 24, 2023
Do you want to optimize your clinical workflows and provide better care for your patients? Look no further than remote patient monitoring (RPM). With the advancements in technology, RPM has emerged as a game-changer in the healthcare industry. It allows healthcare professionals to monitor patients remotely to improve efficiency, reduce costs , and enhance patient outcomes.
Healthcare ECONOMIST
AUGUST 24, 2023
One concern when using quality adjusted life years (QALY) to measure health gains for cost effectiveness research is that QALYs “undervalue” health gains from life extension for people with serious illness or chronic disability. To see this clearly, take a look at the QALY formula (first formula below) and how it can be decomposed into changes in quality of life (Q) and survival (S) for a new intervention (indexed at 1) compared to the old (indexed to 0).
Sequence Health
AUGUST 24, 2023
In an era where information is power, patient access to medical records stands as a cornerstone for effective healthcare. But why does this matter so much? Let’s explore the multifaceted reasons that make access to health records not just a convenience but a necessity. The Changing Landscape of Healthcare Healthcare has evolved dramatically, with patients demanding more transparency and control over their medical data.
Lexis Nexis
AUGUST 24, 2023
How to Use Marketing Intelligence for Patient Acquisition Bringing in more patients is good for a hospital or health system’s bottom line. However, there are subtleties and nuances that can be lost in the effort to market your institution to the largest number of people possible. Gone are the days of putting up a billboard to give passing drivers a two to three second message, hoping it sinks in.
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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!
NASHP
AUGUST 24, 2023
Palliative care is team-based care that provides support and relief, usually alongside curative treatment, to those with complex or life-threatening conditions. This webinar will highlight recent state policies that expand access to palliative care and key takeaways from a new Center to Advance Palliative Care report that spotlights home-based palliative care.
Health Business Group
AUGUST 24, 2023
RxWare CEO Yishai Knobel discusses how the insights he gained in the IDF and the Israeli health system inspired him on his entrepreneurial path. We discuss the fragmentation of the US healthcare system and how it prompted Yishai to create a solution for seamless patient experiences and improved healthcare outcomes. The solution, RxWare, helps companies rethink the patient journey tech stack.
HIStalk
AUGUST 24, 2023
As a clinical informaticist, a lot of my time is.
Spok Inc
AUGUST 24, 2023
Spok outlines considerations and tips to keep in mind when considering vendor consolidation at your hospital or healthcare system. The post Navigating vendor consolidation in healthcare: Key considerations appeared first on Spok Inc.
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.
Briggs Healthcare
AUGUST 24, 2023
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare No kidding – the FINAL RAI User’s Manual for v1.18.11 was literally just posted by CMS. What’s New – August 22, 2023 NOW AVAILABLE: Final MDS 3.0 RAI User’s Manual version 1.18.11 The final Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page.
HIStalk
AUGUST 24, 2023
Top News NextGen Healthcare is reportedly exploring options that could.
Briggs Healthcare
AUGUST 24, 2023
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare What’s New – August 24, 2023 UPDATED: Final MDS 3.0 Item Sets version 1.18.11 v5 The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 have been updated and are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page.
HIStalk
AUGUST 24, 2023
Healthcare payments tech firm Waystar confidentially files for US IPO.
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.
Briggs Healthcare
AUGUST 24, 2023
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Five Star Preview Reports will be available on or around August 24, 2023. Provider Preview Reports have moved to iQIES as of August 2023. Please follow the steps below to locate the Provider Preview Report in iQIES: 1) Log into iQIES at [link] using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. 2) Select the My Reports option from the Reports menu. 3) From the M
Healthcare It News
AUGUST 24, 2023
Oracle, the cloud vendor and owner of Cerner electronic health record, will support the White House’s National Cancer Moonshot public-private partnership's overall goal to reduce cancer death rates through the CancerX project. WHY IT MATTERS Cancer is the second leading cause of death in the U.S., according to the CancerX website. Cancer survivors are also 2.5 times more likely to declare bankruptcy.
HIT Consultant
AUGUST 24, 2023
Scott Hondros, MHA, SCPM, VP of Customer Excellence & Strategic Consulting at CenTrak The last few years have caused significant disruption and constraints of budgets, staffing, and resources throughout healthcare facilities, from the bedside to administrative teams. Despite these parameters, healthcare professionals and employees are still asked to do more with less while operating at the top of their licenses.
NASHP
AUGUST 24, 2023
State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Palliative care can be an important component of these strategies, buttressed by research that finds it improves patient satisfaction and reduces costs for people with serious illness.
Speaker: Matt McBride, CEO and Co-Founder of Mend
Patient engagement happens before, during, and after interactions. Consumer research has found that in 2021, 64% of US households reported using Telehealth services. In addition 34% of patients would prefer Telehealth visits to in-office visits. Accessible patient engagement technology can help you improve your relationships with your patients while also improving your KPIs.
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