Fri.Nov 03, 2023

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CMS finalizes 2024 Medicare hospital, doctor payments, 340B fix and price transparency requirements

Health Care Dive

Regulators finalized a number of rules Thursday with sweeping implications for providers in the Medicare program, including rates for next year that doctors and hospitals slammed as insufficient.

Doctors 305
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Industry Voices—UnitedHealthcare's Advance Notification program is getting in the way of patient care

Fierce Healthcare

Insurance policies are notoriously known for red tape and processes that burden both doctors and patients. | The time-sensitive GI procedures that UHC is targeting with prior authorization are critical in helping to detect, treat, and monitor a range of diseases that impact millions of Americans.

Doctors 290
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Minnesota law kicks in requiring hospitals to bolster charity care checks prior to debt collections

Health Care Dive

As of Wednesday, Minnesota hospitals must check patients' financial assistance eligibility prior to sending debts to collections, as a part of a multi-year push around charity care oversight.

Hospitals 281
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Independence Blue Cross unveils three new health plans for small businesses

Fierce Healthcare

Among a rush of new changes in 2024, Independence Blue Cross is introducing new health plans, increased access to virtual care and in-network dental plans. | Independence Blue Cross is prioritizing three new health plans and virtual care as part its batch of offerings heading into 2024.

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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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Emory Healthcare and DrFirst partner on medication adherence

Healthcare It News

Emory Healthcare is using three medication management services offered within Fuzion by DrFirst, a platform that provides clinicians with medication history, to streamline workflows for its clinicians and improve medication adherence for its patients. WHY IT MATTERS Patients at Emory Healthcare could have less chance of adverse drug events and know what they will pay for prescriptions at the pharmacy before they leave the doctor's office or hospital with AI-driven insights.

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Industry Voices—Why 'new' isn't always better in innovating healthcare

Fierce Healthcare

Innovation is often measured and marked by disruption – particularly in healthcare. | Innovation is often measured and marked by disruption – particularly in healthcare.

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Nonprofit health plans are better poised to address beneficiaries' needs, SCAN Health Plan exec says

Fierce Healthcare

Karen Schulte, president of the Medicare division for SCAN Health Plan, believes the nonprofit model brings unique advantages when working to reach reach populations in need. | In a keynote on Friday morning at the Fierce Health Payer Summit in Austin, Karen Schulte, president of the Medicare division for SCAN Health Plan, praised the nonprofit model's ability to better reach populations in need.

Medicare 154
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Key Considerations for Patient-Reported Outcome Measures

Bill Of Health

By Sharona Hoffman Patient-reported outcome measures (PROMs) are questionnaires that patients fill out on tablets or other computers or devices. They ask patients to check boxes in answer to questions about their symptoms, treatment effects, and ability to function physically, emotionally, and socially. They thus may solicit very sensitive information about matters such as anxiety, depression, and sexual satisfaction.

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Chutes & Ladders–Major retail players hire new leaders

Fierce Healthcare

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

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To Win At Recruiting, Home Care Providers Need To Better Understand Job Seekers

Home Health Care

With 7.8 million jobs expected to open up in home-based care and senior living facilities by 2026, it’s more important than ever for providers to understand what attracts employees and what leads to dissatisfaction. That was one key takeaway from a recent panel discussion that took place last month at the Home Care Association of America’s (HCAOA) annual conference.

Home Care 108
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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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Unforgotten: Supporting People with Dementia and Their Caregivers

NASHP

As older Americans increase in number, so does the population of those with Alzheimer’s disease and related dementias. More than 6 million Americans have Alzheimer’s and related dementias ; that number is projected to grow to over 12 million by 2050. States have partnered with public health, aging, social services, and Medicaid agencies to address the needs of those with dementia and their caregivers.

Medicaid 105
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The Realistic Future of ChatGPT/AI in Healthcare

HIT Consultant

Matt Cohen, Director of AI, Loyal As the buzz around ChatGPT and generative-AI continues, it’s important for health leaders to look past their excitement around these new tools and remain committed to ensuring patient trust is a top priority. Consider that six out of every ten patients are reportedly uncomfortable with providers relying solely on AI for specific healthcare needs, and while ChatGPT may appear to provide impressive responses, there’s still room for error and data misinformation, w

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ML Model Estimates Chemotherapy Success in Bone Cancer Patients

Health IT Analytics

Johns Hopkins Medicine researchers have successfully developed a machine learning model to calculate percent necrosis in patients with intramedullary osteosarcoma.

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How Modivcare Plans To ‘Outgrow’ The Personal Care Market

Home Health Care

Modivcare Inc. (Nasdaq: MODV) leaders believe the company’s access to the home will be what separates it from others in the eyes of payers. “The people that take risk, whether that’s a payer or somebody that the payer has offloaded risk to, those are our customers,” Modivcare CEO L. Heath Sampson said during the company’s third-quarter earnings call Friday.

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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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In case you missed it: November HICPAC Public Meeting recap

CDC

The Healthcare Infection Control Advisory Committee (HICPAC) held a public meeting Nov. 2-3, in Atlanta, Ga. Per the Federal Advisory Committee Act, and as has been done throughout our HICPAC meetings, official meeting minutes will be available on the HICPAC website in the coming weeks. Until then, below is a summary of key issues from the day’s discussion.

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Transactions: Gentiva Completes ProMedica Deal; Avid Health at Home Acquires Independence 4 Seniors

Home Health Care

This article is a part of your HHCN+ Membership Gentiva officially acquires ProMedica’s home health, palliative and hospice business Gentiva has closed on its $710 million deal for ProMedica’s home health, palliative and hospice business. The deal was first announced in February. Sign up for HHCN+ to read this exclusive content. Get Membership Already a member?

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State Laws Passed to Lower Health System Costs: 2023

NASHP

Find state laws enacted to address health care costs in 2023 using the map and chart below. Use the drop down menu to select the type of legislation you’re interested in. You can also explore all state legislative action to address health care costs. Have information about enacted state legislation to share? Email Nia Denise Gooding. The post State Laws Passed to Lower Health System Costs: 2023 appeared first on NASHP.

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Inflection Point: How to Reverse the Erosion of U.S. and Allied Military Power and Influence

The Rand Blog

U.S. military forces no longer enjoy the kind of comprehensive superiority that was the foundation of victories over adversary states. Re-establishing a credible posture against aggression by highly capable adversaries will call for sustained, coordinated efforts by the United States, its allies, and its key partners to rethink their approaches to defeating aggression and to recast important elements of their military forces and postures.

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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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Legislative Recap on Hospital and Health System Costs: States Seek to Address Consolidation

NASHP

Health care affordability continues to be a priority across states. Throughout the 2023 state legislative session, NASHP tracked 200 bills ranging from omnibus bills that included provisions seeking to address multiple policy issues to those pursuing discrete changes. States enacted legislation on the following topics: facility fees; health care market oversight and certificate of need; competition; community benefits; transparency and oversight; surprise billing; and 340B transparency.

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Verana Health Partners with Foundation Fighting Blindness to Integrate Genetic Testing Data into Real-world Evidence Research

HIT Consultant

What You Should Know: Verana Health® (Verana), a digital health company helping to revolutionize patient care and clinical research by unlocking the potential of real-world data, and the Foundation Fighting Blindness – the world’s leading organization committed to finding treatments and cures for blinding retinal diseases—announce a partnership focused on providing the life sciences community with deeper and broader data to optimize and expedite clinical trials.

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California and Ohio Advancing Equity for Older Adults and Family Caregivers

NASHP

Executive Summary State administrators use state plans on aging and master plans on aging to inform policy to improve the lives of older adults and their family caregivers. These plans provide frameworks for states to develop aging-related policy, form targeted goals, and track outcomes both in the short and long term. Based on a NASHP review of all states’ state plans on aging, two states — California and Ohio — are at the forefront of incorporating equity into infrastructure, data collection,

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11 Steps for Your Website Redesign Checklist

Etactics

Did you know that websites that have a blog have 55% more traffic than those that don’t? I mean, the fact that you found this blog is a perfect example! Thanks for reading, by the way. I’ll keep this introduction short and to the point. Having a website is a very effective way to promote your business. Kudos to you for taking that important first step!

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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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The History of Hostage Negotiations Tells Us Empathy Isn't Enough

The Rand Blog

History offers no prescriptions on how to bargain for human life. The circumstances of each case differ, but lessons can be learned.

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Valley Health System aims to transform care delivery with new tech-intensive hospital

Healthcare It News

Valley Health System is constructing a new hospital in Paramus, New Jersey – presenting an opportunity to transform healthcare delivery for the surrounding communities. This is the story of the hospital – which is scheduled to open April 14, 2024 – and some of the technologies its IT leaders say will help advance delivery of leading-edge care.

Hospitals 262
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AHA, hospitals sue Biden administration to stop restrictions on website tracking tech

Health Care Dive

The lawsuit filed on Thursday alleges the agency overstepped when issuing guidance seeking to limit hospitals’ use of third-party tracking technologies.

Hospitals 157
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Amid concerns about claims denials, Democrats seek greater oversight of Medicare Advantage plans' use of AI

Fierce Healthcare

House Democrats are pressuring Centers for Medicare and Medicaid Services to better evaluate how AI is utilized by Medicare Advantage plans, hoping to prevent eye-catching rates of denial. | Medicare Advantage prior authorization denials are in the crosshairs of House Democrats. They say evidence points toward insurers willingly allowing algorithms to wrongfully deny service to patients.

Medicare 349
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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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Everybody is Stressed in America, and It’s Not Good for Our Health: the 2023 Update from the American Psychological Association

Health Populi

The U.S. is “a nation recovering from collective trauma,” the according to the latest survey on Stress in America 2023 from the American Psychological Association (APA). The APA has been quantifying Stress in America since 2007; for context, at the end of that year The Great Recession kicked in , and in response President Obama’s team put together assistance to bolster the national economy, jobs, and health technology (codified in the American Recovery and Reinvestment Act).

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Disinformation Amid the Israel-Hamas War, U.S. Gun Policy, Cannabis: RAND Weekly Recap

The Rand Blog

This weekly recap focuses on how the information war may play out between Israel and Hamas, what the evidence says (and doesn't say) about U.S. gun policy, supply models for recreational cannabis, and more.

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