Fri.Jul 14, 2023

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One year of 988: The crisis hotline's successes and challenges

Fierce Healthcare

The 988 Suicide & Crisis Lifeline added Spanish text and chat services ahead of the hotline’s one-year anniversary on Sunday. | The hotline transitioned to three digits last year. Since then, it has answered nearly 5 million calls, texts and chats.

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CMS floats 1.25% physician fee cut, 2.8% outpatient bump in new proposed rules

Health Care Dive

Regulators also proposed stricter price transparency requirements on hospitals and expanded behavioral health payments in Medicare.

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Coalition of 12 Kaiser Permanente unions to picket 50 facilities amid contract negotiations

Fierce Healthcare

An 85,000-strong body of unionized healthcare workers is turning up the pressure on Kaiser Permanente as both sides hash out the terms of a new labor contract. | The demonstrations will involve "tens of thousands" of union participants seeking increased staffing commitments in their next labor contract.

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For value-based care, virtual options aren't always beneficial, study shows

Healthcare It News

A new telehealth study by the University of Texas McCombs School of Business found that virtual care did not significantly lower costs, or reduce the number of future visits to emergency rooms or specialists for circulatory, respiratory and infectious diseases. WHY IT MATTERS Indranil Bardhan, a professor of information, risk and operations management at UTexas, and his co-authors, Sezgin Ayabakan of Temple University and Zhiqiang 'Eric' Zheng of UTexas at Dallas, examined telehealth thr

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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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UnitedHealth kicks off Q2 earnings with $5.5B in profit, double-digit revenue growth

Fierce Healthcare

Healthcare giant UnitedHealth Group kicked off insurer earnings for the second quarter Friday morning, when it reported $5.5 billion in profit alongside double-digit revenue growth. | Healthcare giant UnitedHealth Group kicked off insurer earnings for the second quarter Friday morning, when it reported $5.5 billion in profit alongside double-digit revenue growth.

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UnitedHealth beats Q2 expectations, despite medical cost growth fears

Health Care Dive

Rising outpatient utilization among seniors that spooked investors earlier in the quarter left the payer’s bottom line largely unscathed.

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More Trending

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‘We Will Be Paying For This For Years’: 8 Home Health C-Suite Leaders Sound Off On ‘Alarming’ Medicare Cuts

Home Health Care

At the end of last month, the U.S. Centers for Medicare & Medicaid Services (CMS) published its home health proposed payment rule for 2024. The proposal, almost immediately, drew a negative response from key home health stakeholders. The main headline was CMS’ decision to propose a home health payment decrease of 2.2%. The proposal also includes a 5.653% permanent rate cut.

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Medicare Advantage overpayments continue to balloon. Here are ways policymakers could address the problem

Fierce Healthcare

When Paul Ginsburg, Ph.D., Steve Lieberman and other experts co-authored | While insurers would likely fight massive changes to the program, experts say less drastic updates could still go a long way toward lowering overpayments.

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NextGen to Pay $31M Settlement for False Claims Act Allegations

HIT Consultant

What You Should Know: EHR vendor NextGen Healthcare has agreed to pay $31M to settle allegations that NextGen violated the False Claims Act (FCA) by misrepresenting the capabilities of certain versions of its EHR software and providing unlawful remuneration to its users to induce them to recommend NextGen’s software. The civil settlement includes the resolution of claims brought under the qui tam or whistleblower provisions of the False Claims Act by Toby Markowitz and Elizabeth Ringold, health

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CMMI seeks feedback for a new bundled payment model

Fierce Healthcare

The Center for Medicare and Medicaid Innovation (CMMI) has released a request for information to design a future episode-based payment model. | It is expected that a new episode-based payment model would be implemented no earlier than 2026, CMMI said.

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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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CMS Home Health Cuts Could Be More Significant Than Originally Estimated, New Analysis Reveals

Home Health Care

If finalized as is, the home health proposed payment rule for next year could lead to larger cuts than originally estimated. That’s according to an analysis from Homecare Homebase (HCHB), which pulled data from its vast customer base, representing nearly 50% of all Medicare-certified home health visits. Released on June 30, the FY 2024 home health proposed payment rule from the U.S.

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A look inside UnitedHealthcare's community health program Catalyst

Fierce Healthcare

Population health initiatives require payers to plug into the local community, and for UnitedHealthcare, that work is baked into a program called Catalyst, which operates in 28 states. | Population health initiatives require payers to plug into the local community, and for UnitedHealthcare, that work is baked into a program called Catalyst.

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Local instrumental variables (LIV) vs. two-stage least squares (2SLS)

Healthcare ECONOMIST

An interesting recent paper by Moler-Zapata, Grieve, Basu, and O’Neill (2023) compares local instrumental variables (LIV) with two-stage least squares (2SLS) to IV. Local instrumental variable (LIV) approaches use continuous/multi-valued instrumental variables (IV) to generate consistent estimates of average treatment effects (ATEs) and Conditional Average Treatment Effects (CATEs).

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Big Health to acquire Limbix, maker of digital therapeutics for teenage mental health

Fierce Healthcare

Big Health, a maker of digital therapeutics, announced it was acquiring Limbix, creator of digital therapeutics for adolescents. | The acquisition marks Big Health’s first entry into the adolescent space. With a product for depression and one in development for anxiety, Limbix will be made available to Big Health’s employer, public sector, health system and payer customers.

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Level up Culture & EQ | Sign up for the #CultureDrop

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.

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‘We’re Very Strong Believers In The Value Of Home Health’: UnitedHealth Group Affirms Commitment To Home-Based Care, Mum On Amedisys

Home Health Care

Although leaders at UnitedHealth Group (NYSE: UNH) were relatively quiet about the deal for its Optum arm to acquire Amedisys Inc. (Nasdaq: AMED) during a Friday Q2 earnings call, they did touch on the high-level strategic fit. In fact, UnitedHealth Group CEO Andrew Witty doubled down on his company’s focus and investment in the home health space. “As you’d expect, we’re now in the very early stages of that process, and it wouldn’t be appropriate to talk about anything specific

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Chutes & Ladders—Oncology Care Partners names new chief health officer; Notable snatches up new CMO

Fierce Healthcare

Chutes & Ladders—Oncology Care Partners names new chief health officer; Notable snatches up new CMO aburky Fri, 07/14/2023 - 13:38

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There’s a New “O” in Medicine-Town – Welcome OPill to the Front of the Counter

Health Populi

You may not be able to get that ear-worm jingle that goes “O O O Ozempic” out of your musical mind, but I’m happy to tell you there’s a new “O” in town: the Opill. Welcome to the first OTC contraceptive for sale in the USA. I wrote about Perrigo’s Opill here in Health Populi in May 2023 as a “signpost on the road to retail health.” It’s official: “The U.S.

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Eli Lilly Acquires Obesity Drug Maker Versanis for $1.9B

HIT Consultant

Versanis logo What You Should Know: Eli Lilly announced an agreement to acquire Versanis , a private clinical-stage biopharmaceutical company focused on the development of new medicines for the treatment of cardiometabolic diseases for $1.925B in cash. Versanis’ lead asset is bimagrumab, a monoclonal antibody that binds activin type II A and B receptors to block activin and myostatin signaling.

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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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July is Healthy Vision Month

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Be part of Healthy Vision Month 2023. Eye disease and vision loss affect millions of Americans—including many older adults. As people get older, they’re at greater risk for common eye diseases and conditions, including age-related macular degeneration (AMD), cataracts, and glaucoma.

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AI’s Ability to Manipulate Decision Making Requires a Moratorium on Its Use in Obtaining Consent for Biomedical Research

Bill Of Health

By Jennifer S. Bard Until more is known about how to mitigate the threat of AI-fueled persuasion in human subject research, a ban on its use is the only reasonable way to keep the promise that we, as a country, made to those harmed while participating in research. The federal government’s commitment to assuring that participants in human subject research provide fully informed consent dates back to the U.S Public Health Service’s (USPHS) Syphilis Study at Tuskegee , whose revelation to the publi

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AI in The Medical Field: Everything You Need to Know

Etactics

Using Artificial Intelligence (AI) in healthcare can create $150 billion in annual savings for the US healthcare economy by 2026. This is according to a study by Accenture. Another report predicts that AI in healthcare will grow at a compound annual growth rate of 28.75% from 2023 to 2028. Artificial intelligence is becoming increasingly prevalent in businesses and society in general, and the healthcare industry is not immune to these changes.

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Deep Learning Algorithm Predicts Need for Crohn’s Disease Therapy

Health IT Analytics

Deep learning analysis of complete capsule endoscopy at initial Crohn’s disease diagnosis can accurately forecast a patient's need for biological therapy.

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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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NATO Summit, Russia's Failures in Ukraine, Vietnam Bans 'Barbie': RAND Weekly Recap

The Rand Blog

This weekly recap focuses on the NATO summit in Vilnius, Russia’s repeated missteps in Ukraine, why America's superintendents are so stressed, and more.

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The Joint Commission: Select Retired and Revised Accreditation Requirements

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare For those providers who have Joint Commission accreditation: Prepublication Standards – Effective August 27, 2023. Last year, The Joint Commission reviewed the hospital accreditation requirements that are above and beyond the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) and reduced the requirements for hospitals, as well as related requirements across accreditation programs.

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M&A transactions heat up to pre-pandemic levels, Kaufman Hall finds

Health Care Dive

Transactions in Q2 were the most in a single quarter since the COVID-19 pandemic began — a sign the M&A market is “regaining momentum.

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CMS Administrator Brooks-LaSure Letter to Payors Regarding Coverage of COVID-19 Vaccines Post Commercialization

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare July 13, 2023 … CMS Administrator Brooks-LaSure Letter to Payors Regarding Coverage of COVID-19 Vaccines Post Commercialization To Medicare Plans, Private Insurance Plans, and State Medicaid and CHIP Programs: Thank you for your continued efforts to address the effects of COVID-19, even after the end of the COVID-19 Public Health Emergency (PHE) declared under the Public Health Service Act.

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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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CMS Proposes Policy Changes for Quality Payment Program

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) has issued its proposed policies for the Quality Payment Program (QPP) via the Calendar Year (CY) 2024 Medicare Physician Fee Schedule (PFS) Proposed Rule , with proposals applicable to the 2024 performance year. These include proposals for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), as well as several Requests for Inform

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SNF Provider Preview Reports Now Available

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the October 2023 refresh. The data contained within the Preview Reports are based on quality assessment data submitted by SNFs from Quarter 1, 2022 through Quarter 4, 2022.

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Period of Enhanced Oversight for New Hospices in Arizona, California, Nevada, & Texas 

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS is placing newly enrolling hospices located in Arizona, California, Nevada, and Texas in a provisional period of enhanced oversight. Over the last 12 months, we’ve received numerous reports of hospice fraud, waste, and abuse. The number of enrolled hospices has also increased significantly in these states, raising serious concerns about market oversaturation.

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The Joint Commission, in Collaboration with the Alzheimer’s Association, Launches Memory Care Certification for Assisted Living Communities

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Tuesday, July 11, 2023. The Joint Commission, in collaboration with the Alzheimer’s Association, launched Memory Care Certification for Assisted Living Communities (ALCs) on July 1. The voluntary, specialty certification recognizes Joint Commission-accredited ALCs that meet its standards to support the delivery of high-quality care for residents diagnosed with Alzheimer’s disease or other forms of dementia.

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Top 12 Telehealth KPIs Every Health Tech Leader Should Know

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.