Health Care Dive
JULY 13, 2023
Aetna wrongly retained millions in undisclosed fees and paid provider claims “that should have never been paid,” according to the lawsuit filed in a Texas federal court.
Fierce Healthcare
JULY 13, 2023
Approximately 22% of gross Medicare Part D spending can be attributed to 10 top-selling prescription drugs, according to analysis from KFF. | A new analysis shows a small number of prescription drugs disproportionately make up Medicare Part D spending.
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Health Care Dive
JULY 13, 2023
Over the past decade, the share of physicians working in private practice has declined as hospital systems, private equity firms and payers have acquired practices, according to a report from the American Medical Association.
Fierce Healthcare
JULY 13, 2023
The Centers for Medicare & Medicaid Services (CMS) is recommending preexposure prophylaxis (PrEP) with oral or injectable antiretroviral therapy to people at risk of HIV without patient cost sh | A new proposal would allow Medicare beneficiaries to protect themselves against HIV without cost-sharing through preexposure prophylaxis and antiretroviral therapy.
Advertiser: HealthCar
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.
Health Care Dive
JULY 13, 2023
Nearly two million people have been disenrolled from Medicaid to date, but it’s too early to get a full picture of redeterminations’ effect on vulnerable Americans, experts say.
Fierce Healthcare
JULY 13, 2023
Hospital merger and acquisition deal volume has returned to pre-pandemic levels as of the second quarter of 2023, according to a new roundup report. | Twenty new hospital merger and acquisition deals were unveiled during the second quarter of 2023, the most since 2018.
Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.
Fierce Healthcare
JULY 13, 2023
The Centers for Medicare & Medicaid Services has released its proposed Medicare payment rates and policy updates under the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory S | The CY 2024 OPPS and ASC Payment System Proposed Rule includes a 2.8% pay increase for facilities, hospital price transparency updates and more.
Healthcare It News
JULY 13, 2023
Tech-enabled home healthcare provider Speedoc has tied up with Parkway Shenton, the primary care arm of IHH Healthcare Singapore, to expand care options for patients. Parkway Shenton, which operates over 50 GP clinics across the country, taps into Speedoc's capabilities in home healthcare to offer the option to deliver care within the comfort of their patients' homes.
Fierce Healthcare
JULY 13, 2023
A key House panel has advanced yet another legislative package that aims to inject greater transparency into healthcare, particularly for pharmacy benefit managers. | A key House panel has advanced yet another legislative package that aims to inject greater transparency into healthcare, particularly for pharmacy benefit managers.
Healthcare It News
JULY 13, 2023
MQ Health adopts MediRecords clinical record system MQ Health is adopting the clinical record system of cloud health software company MediRecords. Based on a media release, MediRecords was chosen via a competitive tender process to support MQ Health's 18 outpatient clinics. The Macquarie University-owned hospital will also integrate its existing EMR solution by InterSystems with MediRecords.
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Fierce Healthcare
JULY 13, 2023
Novant Health, a health system serving North and South Carolina, has partnered with NeuroFlow, maker of behavioral health integration software, to support mental health and prevent burnout for pati | Novant Health patients with depression will have access to digital mental health resources and support. The benefit will also be offered to Novant Health’s more than 36,000 team members.
Health Care Dive
JULY 13, 2023
J.P. Morgan and Wolfe Research analysts cited uncertainty and pricing concerns in Medicare Advantage and cost pressures in the commercial market when downgrading major U.S. payers.
Fierce Healthcare
JULY 13, 2023
The New Hampshire Hospital Association (NHHA) and state officials are putting to bed a multiyear legal dispute over acute mental health patients being involuntarily held in emergency departments, a | The legal dispute over involuntarily held mental health patients had swung in hospitals' favor thanks to court decisions earlier this year.
Health Care Dive
JULY 13, 2023
Panelists who spoke during the agency’s Tuesday hearing on medical billing and collections identified deferred interest credit cards as a prime culprit saddling patients with medical debt.
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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.
Fierce Healthcare
JULY 13, 2023
In December 2022, Magellan Rx officially became a part of Prime Therapeutics. | In December 2022, Magellan Rx officially became a part of Prime Therapeutics. Now, Magellan's chief Mostafa Kamal is taking the helm of the entire organization.
Health Care Dive
JULY 13, 2023
The oral contraceptive’s maker, Perrigo, said the pill will be available in drug and grocery stores early next year, but did not disclose its planned price.
Fierce Healthcare
JULY 13, 2023
Papa, a health tech startup that offers companionship services to older adults, has invested in new security protocols and stepped-up background checks for home caregivers as the safety of elderly | Eldercare startup Papa exclusively shared with Fierce Healthcare a roadmap for new safety and security measures, including enhancements to its vetting process.
Bill Of Health
JULY 13, 2023
On June 20 th , the Petrie-Flom Center welcomed Susannah Baruch on board as its new Executive Director. Susannah comes to the Petrie-Flom Center with expertise in reproductive health law policy, genetics, and genomics, and a wealth of experience in nonprofits, academia, and government. We asked Susannah to share a bit about herself and her past work by way of introduction to Bill of Health ’s readers.
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HIT Consultant
JULY 13, 2023
Rebecca Kase, Founder & CEO – Kase & CO We all experience stress in our lifetimes, and most of us have survived something that could be considered traumatic. For this reason, millions of people stand to benefit from Eye Movement Desensitization and Reprocessing (EMDR) therapy just as millions more already have. Even if stressful experiences in your past haven’t led to a clinical diagnosis, those experiences can still have an impact on you.
The Rand Blog
JULY 13, 2023
The fundamental drivers of the continuing hostilities in Ukraine could produce a years-long conflict that causes immense human suffering, economic hardship, and international instability. The United States and its allies should begin to try to steer the conflict toward an endgame.
Home Health Care
JULY 13, 2023
Fortis Home Health & Hospice appoints new CEO Fortis Home Health & Hospice has named Rob Radics as the company’s new CEO. Radics joins Fortis with nearly three decades of experience leading and operating home health and hospice businesses. Most recently, he served as the president of the home health and hospice segments at Aveanna Healthcare Holdings (Nasdaq: AVAH).
The Rand Blog
JULY 13, 2023
What motivates mass shooters? And what might break the cycle of violence? Developing an effective policy response first requires better understanding of the factors that drive would-be attackers to kill.
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.
Home Health Care
JULY 13, 2023
This article is a part of your HHCN+ Membership For most home health provider leaders, the Centers for Medicare & Medicaid Services’ (CMS) proposed rule was disappointing, but not surprising. Between now and the fall, they’ll be straddling a line. One foot will be in advocacy, doing whatever they can to keep these cuts from becoming finalized, whether that’s through persuasion, congressional action or both.
Health IT Analytics
JULY 13, 2023
Researchers have developed algorithms to identify osteoarthritis patient subgroups that experience more comorbidities and lower quality of life than their peers.
Home Health Care
JULY 13, 2023
While hospital at home is becoming more common in the U.S., there are some who still believe that cancer is too severe a condition to care for in the home. Despite that, there are a number of cancer care at home programs and pilots in place right now, many of which are seeing success. “Just as cancer is many diseases with many different facets, so too is cancer hospital at home,” America’s Physician Groups President and CEO Susan Dentzer said during a presentation at the Virtual Advanced Healthc
Health IT Analytics
JULY 13, 2023
An NLP model classified patient messages with 94 percent accuracy, lessening the time between provider response and COVID-19 treatment.
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.
Healthcare ECONOMIST
JULY 13, 2023
Which HVBP components matter for patients choosing a hospital? Conflict of interest for RVU determination. How are payers de-risking cell and gene therapy cost (hint: stop-loss insurance) Over-the-counter birth control pill approved. ICER to advise CMS on MFP calculation ?
HIStalk
JULY 13, 2023
Top News The Defense Health Agency announces that stateside roll.
HIT Consultant
JULY 13, 2023
What You Should Know: U.S. News & World Report will incorporate the 3M™ Ambulatory Potentially Preventable Complications (3M AM-PPCs) software in the analysis of its 2023-2024 Best Hospitals Specialty rankings. Developed to address patient safety and quality oversight for procedures performed in hospital outpatient departments or ambulatory surgery centers, 3M AM-PPCs uses sophisticated classification logic and allows providers and payers to identify and analyze complications in outpatient s
Healthcare Leadership
JULY 13, 2023
On the next HCLDR weekly tweetchat, we welcome special guest host Richard Webster, PhD. Richard will be leading us in a discussion on climate change initiatives at healthcare organizations. Please join the community and Richard on Tuesday July 18th at 8:30pm ET (for your local time click here ). Below is the informative blog that Richard crafted to introduce the topic.
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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