Wed.Nov 29, 2023

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WSJ: Cigna, Humana exploring insurance mega-merger

Fierce Healthcare

A health insurance megamerger is reportedly brewing. | The Wall Street Journal, citing people familiar with the matter, reported on Wednesday that payer giants Cigna and Humana are exploring a combination that could shake up the power dynamics of the industry.

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Cigna, Humana in talks to merge: WSJ

Health Care Dive

The merger would have major effects for the makeup of the U.S. health insurance industry, and would almost certainly face a regulatory challenge.

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ACOs not shown to improve mental health outcomes: study

Fierce Healthcare

Accountable care organizations do not positively influence treatment and outcomes for chronic mental health conditions for Medicare patients, according to a study in Health Affairs. | A new study pours water on the belief that ACOs are well-suited to handle chronic mental health conditions its patients experience.

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Global medical costs to dip in 2024 — but respite may not last long, research finds

Health Care Dive

Medical costs will continue to rise over the next few years, according to WTW. Surveyed insurers blamed expensive medical technologies and an overuse of health services.

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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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Mayo Clinic unveils $5B, 6-year renovation of its flagship Rochester campus

Fierce Healthcare

This week Mayo Clinic pulled back the curtain on a $5 billion, six-year plan to overhaul its flagship campus located in downtown Rochester, Minnesota. | The nonprofit will add five new buildings spanning 2.4 million square feet, two of which will be clinical facilities with designs intended to support continuous, tech-enabled care.

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How behavioral healthcare can benefit from patient portals

Healthcare It News

Some behavioral healthcare practices have begun advancing their patient portal and mobile app offerings. Native telehealth integration was a rarity in patient portals not too long ago. But it has become more common since the COVID-19 pandemic – and this trend is likely to continue. After telehealth appointments , patient portals can grant access to information about self-care and healthy habits between appointments, and also can be a vehicle for reporting patient health indicators over tim

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Majority of Medicaid enrollees satisfied with plans, despite flaws, survey finds

Health Care Dive

Medicaid enrollees are more likely to understand and be satisfied with their plans, despite reporting poorer health outcomes, according to a new report from KFF.

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Analytics and risk management saves Franciscan Alliance $2.2M

Healthcare It News

With care management and engagement tools, the Franciscan Alliance healthcare ministry was able to generate $2.2 million in savings across multiple Medicare and Medicare Advantage plans, according to an announcement Wednesday. The Franciscan health system leveraged the Innovaccer platform to reduce readmissions, automate emergency department workflows and improve the patient experience, the company said.

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Hospitals continue post-COVID recovery: Kaufman Hall

Health Care Dive

Margins and volumes are still stabilizing above pandemic levels, according to a new report from the consultancy.

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Here are the steps executives should take to build out a successful health equity strategy

Fierce Healthcare

To meaningfully advance health equity, companies should prioritize data, focus on internal diversity as well as external, seek community input and support coalitions of partners, according to a new | Companies that incorporate health equity into their core strategy and operations can encourage better patient outcomes while also improving financial outcomes, Bain & Company wrote in a recent brief.

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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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Highmark Health’s insurance business boosts earnings

Health Care Dive

The insurance arm pushed the healthcare parent company to positive results during the first nine months of 2023 after its provider arm, Allegheny Health, reported an operating loss.

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Charlie Health taps former Tinder, Optum execs to build out tech and product design teams as it looks to scale

Fierce Healthcare

Virtual mental health provider Charlie Health is making big investments in its engineering and design teams and has tapped former Tinder and Optum executives to lead its technology roadmap. | Virtual mental health provider Charlie Health is making big investments in its engineering and design teams and has tapped former Tinder and Optum executives to lead its tech roadmap.

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Middle-school minds in teenage bodies: The post-pandemic crisis in our high schools

Healthy Debate

The early years of the pandemic had a dramatic impact on kids. High schoolers are not okay. We need to find solutions to help them thrive.

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LHC Group Gets Center-Stage Treatment At UnitedHealth Group’s Investor Day

Home Health Care

UnitedHealth Group (NYSE: UNH) had its annual investor day Wednesday. While the event has included much about home-based care in the past, this time, home health care gained an even brighter spotlight with LHC Group President and CEO Josh Proffitt presenting. Company leaders spent the day tying home-based care to all sorts of initiatives: to behavioral health care delivery, to value-based care strategy; and to medication adherence success, for example.

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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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Ketamine is the New Viagra

Bill Of Health

By Vincent Joralemon Spravato, the first FDA-approved psychedelic therapy, just outsold Viagra. Johnson & Johnson’s ketamine-based formulation generated $183 million in Q3, surpassing Pfizer’s erectile dysfunction (ED) drug, which earned $110 million over the same period. Remarkably, a therapeutic made from ketamine, once dismissed as a “club drug” or “horse tranquilizer,” now sells more than one of the most notable 21st-century pharmaceuticals.

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Beyond The Cuts: What Else Home Health Providers Need To Know About CMS’ 2024 Final Rule

Home Health Care

This article is a part of your HHCN+ Membership Nearly a month after the U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2024 final payment rule , the ins and outs of it have become more apparent. And there’s more to delve into than just blanket rate cuts. Aside from the headline-grabbing 0.8% aggregate payment increase and the permanent prospective adjustment of -2.890%, there are dozens of other notable changes to home health care that providers should be aware of.

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High-Performance Radiology Monitors: A New Era of Remote Work & Improved Care

HIT Consultant

Yoosoo Choi, Director of Product Management, Medical Monitors at LG Business Solutions USA Radiology monitors and the radiologists who use them form a critical part of both emergency and preventive healthcare services, and like most modern industry discussions, any need for new radiology equipment inevitably involves questions concerning cost, quality and benefits for radiologists or institutions.

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More Clarity Emerges Around HCBS Waiting Lists

Home Health Care

Waiting lists for home- and community-based services have long been a topic of discussion, despite the lack of clarity around them. It turns out they have included 700,000 people in most years since 2016, according to a new data analysis from the Kaiser Family Foundation (KFF). When changes in numbers have occurred over the years, it has been due to state policy decisions.

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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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RSNA23: NVIDIA Launches Cloud Service for Medical Imaging AI

HIT Consultant

What You Should Know: – NVIDIA announced the launch of a cloud service for medical imaging AI, designed to streamline and accelerate the development of specialized AI models. – The NVIDIA MONAI cloud APIs, built on the open-source MONAI project, provide developers and platform providers with a streamlined path to integrate AI into their medical imaging offerings.

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Patients love Medicare Advantage, but do providers?

Healthcare ECONOMIST

Just this year a majority of Medicare beneficiaries enrolled in a Medicare Advantage plan. While these plans are popular with patients, I recently wrote that some rural providers are refusing to accept Medicare Advantage due to low reimbursement. A recent article from Kaiser Health News finds that provider frustration with Medicare Advantage is spreading to urban areas as well, such as San Diego and Louisville. …more than 30,000 San Diego-area residents are looking for new doctors after tw

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Beyond QA: The Next Wave of Medical Chatbots

HIT Consultant

David Talby, CTO, John Snow Labs Chatbots have come a long way since inception. While we’ve long used them for shopping and to expedite customer service requests, with growing popularity and use cases, they’re now common in fields from finance to healthcare. In particular, medical chatbots can achieve everything from improving the efficiency and quality of care, to quickly connecting patients to important information or providers.

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Healthcare AI News 11/29/23

HIStalk

News Amazon announces Amazon Q, a generative AI assistant for.

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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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RSNA2023: Aidoc Invests $30M to Develop Clinical AI Foundation Model

HIT Consultant

What You Should Know: – Aidoc , the leading provider of clinical AI solutions, announced a significant investment of $30M to create a groundbreaking comprehensive clinical AI foundation model. – This cutting-edge technology is poised to revolutionize the way medical imaging is used to diagnose and treat patients worldwide. Unleashing the Power of Clinical AI A recent study revealed that hospitals currently utilize only 3% of their available medical imaging data, leaving a wealth of u

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Before implementation, think about prehabilitation

Nordic

Most of us are familiar with the concept of rehabilitation. After a surgery or an injury, a patient typically works with a physical or occupational therapist to try to regain previous functionality or, at the very least, learn to minimize deficits. By definition, rehab occurs after some sort of insult has already happened to us. A lesser well-known concept is the up-and-coming idea of prehabilitation.

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RNSA23: GE Healthcare Awarded FDA Clearance for Pneumothorax Detection Algorithm

HIT Consultant

What You Should Know: – GE Healthcare (Nasdaq: GEHC) announced the US FDA 510K clearance of Critical Care Suite 2.1 , featuring an innovative pneumothorax (PTX) detection algorithm that helps clinicians quickly and accurately identify and localize PTX, a potentially life-threatening condition. – This industry-first technology represents a significant advancement in X-ray imaging, providing clinicians with real-time insights to expedite patient care and improve outcomes.

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8 Key Updates to Telehealth Reimbursement in 2024

Health Recovery

The Centers for Medicare & Medicaid Services (CMS) has released its final rule for Medicare payments under the Physician Fee Schedule (PFS), introducing significant changes that will impact healthcare providers across the country. These updates, effective on or after January 1, 2024, underscore the ongoing expansion of telehealth and remote patient monitoring (RPM) services, reflecting the increasing role of technology in healthcare delivery.

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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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RSNA23: Nuance Pioneers Generative AI in Radiology with PowerScribe Advanced Auto Impression

HIT Consultant

What You Should Know: – Nuance Communications, Inc., a Microsoft Company, announced significant advancements in its efforts to empower radiologists with the latest generative AI capabilities. – At RSNA23, the company unveiled PowerScribe Smart Impression, a revolutionary AI-powered solution that streamlines workflows, accelerates reporting, and enhances efficiency for radiologists amidst growing staffing shortages and clinician burnout.

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Morning Headlines 11/30/23

HIStalk

Tampa General and Synapse Florida Seek Innovation Solutions to Reduce.

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Cigna and Humana Merger Talks Could Face Antitrust Scrutiny

HIT Consultant

What You Should Know: – Cigna and Humana are in talks to merge in a deal that would create a US health insurance giant worth $140B and provide a significant test for antitrust authorities. – A combination between Cigna and Humana would help the companies compete with larger rivals such as UnitedHealth Group and Elevance Health, formerly known as Anthem.

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St. Luke’s Health System and TytoCare Partner to Bring Virtual Care to Idaho

HIT Consultant

What You Should Know: – TytoCare , a virtual care company partners with St. Luke’s Health System , the largest healthcare provider and employer in Idaho. – This strategic partnership will give St. Luke’s employees and members of St. Luke’s Health Plan access to high-quality, convenient virtual care from the comfort of their homes. Benefits for St.

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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.