Fri.Dec 02, 2022

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UnitedHealthcare loses lawsuit to TeamHealth — again — in ongoing battle over billing

Health Care Dive

A three-judge arbitration panel in Florida has awarded $10.8 million to TeamHealth after finding UnitedHealthcare underpaid the physician group’s clinicians from 2017 to 2020.

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HHS issues guidance on the use of online tracking tools in healthcare CRM

Healthcare It News

The U.S. Department of Health and Human Services issued a bulletin to highlight the obligations on covered entities and business associates under HIPAA's Privacy, Security and Breach Notification Rules when using online tracking technologies. These tracking tools have caused a number of patient data security concerns and there are several class-action lawsuits, creating a new challenge for healthcare organizations.

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Healthcare sector added 45K jobs in November as pandemic recovery continues

Health Care Dive

Ambulatory healthcare services and hospitals have gained jobs consistently, adding about 300,000 and 130,000 jobs, respectively, since last November.

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Digital health VCs eye healthcare workforce, cancer care as ripe for startups in 2023

Fierce Healthcare

Digital health VCs eye healthcare workforce, cancer care as ripe for startups in 2023. hlandi. Fri, 12/02/2022 - 06:26.

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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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Advocate Aurora and Atrium complete merger, creating $27B system

Health Care Dive

The new system, Advocate Health, will operate 67 hospitals and more than 1,000 sites of care in six states.

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Industry Voices—The changing digital health landscape

Fierce Healthcare

Industry Voices—The changing digital health landscape. hlandi. Fri, 12/02/2022 - 11:20.

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Advocate Aurora Health, Atrium Health close megamerger, forming the nation's 5th largest nonprofit system

Fierce Healthcare

Advocate Aurora Health, Atrium Health close megamerger, forming the nation's 5th largest nonprofit system. pminemyer. Fri, 12/02/2022 - 16:26.

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HeartSciences & Rutgers Partner to Develop AI-based ECG Algorithms

HIT Consultant

What You Should Know: – Heart Test Laboratories , a medical technology company focused on saving lives by making an ECG a far more valuable screening tool through the use of Artificial Intelligence (AI), announced that it has entered into a multi-year collaboration agreement with Rutgers University (Rutgers). – HeartSciences and Rutgers will collaborate to develop AI-based ECG algorithms, which are expected to accelerate HeartSciences’ product development pipeline and further expand

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KFF: More large employers and unions turn to Medicare Advantage to offer retiree health benefits

Fierce Healthcare

KFF: More large employers and unions turn to Medicare Advantage to offer retiree health benefits. rking. Fri, 12/02/2022 - 16:04.

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PE Firms Rebrand Prison Healthcare Companies, But Care Issues Continue

HIT Consultant

What You Should Know: – A new report, “ Private Equity Firms Rebrand Prison Healthcare Companies, But Care Issues Continue ,” by the Private Equity Stakeholder Project (PESP) focuses on healthcare company Wellpath and the regulatory risks that the company continues to take in local jails and prisons. – Wellpath is owned by private equity firm H.I.G.

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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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HHS bulletin clarifies when pixel tracker use may violate HIPAA

Fierce Healthcare

HHS bulletin clarifies when pixel tracker use may violate HIPAA. pminemyer. Fri, 12/02/2022 - 15:21.

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Fee-For-Service Payment Remains Dominant Model In Health Care

Home Health Care

Although value-based payment models are trendy in the home-based care space right now, a new study shows that a majority of all health care payments are still based on fee-for-service. The study was conducted by the Health Care Payment Learning & Action Network (LAN), which found that advanced value-based payment models are still the non-dominant form of payment in the U.S.

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CMS gives providers breathing room on looming advanced good faith cost estimates

Fierce Healthcare

CMS gives providers breathing room on looming advanced good faith cost estimates. rking. Fri, 12/02/2022 - 14:29.

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VOICES: Eric Scharber, Managing Principal, SimiTree

Home Health Care

This article is sponsored by SimiTree. In this Voices interview, Home Health Care News sits down with SimiTree managing principal Eric Scharber to learn what home-based care providers can do to manage unprecedented wage growth, and how they can capture the workforce of the future: the millennials who by 2025 will make up 75% of the workforce, along with Generation Z behind them — with 50% of all workers as part-time employees.

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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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Oura launches employer-focused wellness arm

Fierce Healthcare

Oura launches employer-focused wellness arm. aburky. Fri, 12/02/2022 - 11:49.

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Senior Helpers Leverages Data-Driven Assessment Tool To Decrease Rehospitalizations

Home Health Care

Three years ago, Senior Helpers rolled out its Life, Independence, Function, Evaluation (LIFE) Profile assessment tool. The hope was to break the unfortunate – but typical – cycle of injury, hospitalization and rehospitalization. Since its implementation, Senior Helpers has seen success utilizing its LIFE Profile tool to stop what the company refers to as the “revolving door of hospitalizations.

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CDC awards $3.2B to public health departments

Fierce Healthcare

CDC awards $3.2B to public health departments. fdiamond. Fri, 12/02/2022 - 08:25.

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Consumers Are Feeling Their Healthcare Cost of Living – Research from Qualtrics

Health Populi

Rising costs are the #1 reason U.S. health consumers are avoiding or delaying health care, replacing concerns about COVID-19, based on survey research from Qualtrics. The company’s Healthcare Cost of Living survey research learned that 48% of U.S. adults chose to defer health care in 2022, split by. 31% of consumers skipping care due to cost concerns, and, 17% of people delaying care who had concerns about the coronavirus.

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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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Becerra decides to not extend mpox public health emergency set to expire next month

Fierce Healthcare

Becerra decides to not extend mpox public health emergency set to expire next month. rking. Fri, 12/02/2022 - 16:39.

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Northwestern Medicine Launches New Center for Collaborative AI in Healthcare

Health IT Analytics

The Institute for Augmented… read more

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Interview with Ben Albert, CEO & Cofounder of Upfront Healthcare

Fierce Healthcare

Interview with Ben Albert, CEO & Cofounder of Upfront Healthcare. ncapone. Fri, 12/02/2022 - 14:51.

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Links

Healthcare ECONOMIST

Will Switzerland to accept devices approved by FDA ? What is a superager ? Marijuana substitutes for opioids for cancer patients? What is ‘Brokenism ’? Can you use dating apps to fight STDs ? Quotation of the week: “Everything bad comes from change, but so does everything good” The Tablet.

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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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Protests in China, Negotiating with Russia, L.A.'s 'Mansion Tax': RAND Weekly Recap

The Rand Blog

This weekly recap focuses on protests in China amid the government's zero-COVID policy, the potential harm in negotiating with Russia, building more affordable housing in Los Angeles, and more.

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Home Health Claims: New Grouper Edits

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS posted Transmittal 11714 – Change Request 12924 on November 18, 2022. This Change Request contains no new policy. It improves the implementation of existing policies. The Home Health (HH) Grouper program contains various data validity edits that ensure consistent and accurate data is used when calculating payment groups on HH claims.

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RevSpring Integrates with Epic Willow to Take Payments for Pharmacy Transactions

HIT Consultant

What You Should Know: – RevSpring announced a new integration with Epic Willow that empowers staff to take payments for pharmacy transactions. – The Willow integration focuses on specific solutions for pharmacies and gives them more choice about how to take and process in-pharmacy credit card payments in the most streamlined fashion. Why It Matters.

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Latest CMS, NHSN and CDC COVID-19 Nursing Home Data Posted

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS has posted the nursing home COVID-19 data for the week ending November 20, 2022. Comparing the November 20 th data to the November 13 th data shows these changes: Resident primary vaccination completion rate decreased 0.1% this week. Residents up to date with vaccines increased 0.8% – same as the previous week.

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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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Improving Patient Access to Med Services Named Top Priority for Health Systems

HIT Consultant

What You Should Know: – Improving patient access to medical services remains a top priority for U.S. health systems as they grapple with economic uncertainty and the continued impact of the COVID-19 pandemic, which has altered patient behavior, according to a new report from the Center for Connected Medicine (CCM) and KLAS Research. – To address the challenge, health systems are investing in telehealth technology, patient portals and other digital tools, updating their organizational

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Five-Star Preview Reports Available on December 5, 2022

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The Five Star Preview Reports will be available on December 5, 2022. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the ‘Folders’ button, then select ‘My Inbox’ or the Inbox beginning with ‘LTC’ and the state abbreviation followed by a facility ID.

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FirstLight, Nova Leap See ‘Competitive Differentiation’ In Bolstering Disease-Specific Care Capabilities

Home Health Care

As the prevalence of dementia continues to increase in the U.S., it’s likely that more home care providers will be in the business of caring for seniors with this condition. But focusing on dementia care is often easier said than done for agencies. Broadly, the volume of seniors living with dementia is expected to increase exponentially over the next 17 years or so.

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FY 2024 SNF VBP Program December 2022 Quarterly Reports Now Available

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The December 2022 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2024 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Quality Improvement and Evaluation System (QIES)/Certification and Survey Provider Enhanced Reports (CASPER) reporting system.

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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.