Thu.Feb 01, 2024

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Hospital-backed proposal would make insurers reveal prior auth denial rates

Fierce Healthcare

A recommendation on the 2024 Measures Under Consideration list, brought forward by the Federation of American Hospitals (FAH), would add a quality measure in the Medicare Advantage (MA) star rating | The Federation of American Hospitals is pushing CMS for the inclusion of a star ratings quality measure that shows how often insurers overturn or uphold prior authorization denials.

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Telehealth availability for mental healthcare varies by state, study finds

Health Care Dive

Mental health treatment can be challenging to access, and earlier research has found telehealth could expand the number of people who receive care. But the latest study found virtual care availability could be hindered by location.

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At inaugural food-as-medicine summit, HHS announces partnerships to bolster the movement

Fierce Healthcare

The U.S. Department of Health & Human Services (HHS) announced new private-public partnerships to support the food as medicine movement at its first-ever summit on the topic on Wednesday. | HHS will be teaming up with Instacart, a grocery delivery company and two nonprofits, the Rockefeller Foundation and Feeding America. They will share research, communication and program implementations to advance the collective understanding of food as medicine.

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Atlantic Health System, Saint Peter’s Healthcare System look to merge

Health Care Dive

The letter of intent comes about a year and half after a proposed deal between Saint Peter’s and RWJBarnabas Health fell apart following regulatory scrutiny.

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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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Tenet Healthcare shares M&A updates, projects above-guidance 2023 earnings

Fierce Healthcare

Tenet Healthcare has disclosed a pair of new and completed hospital transactions alongside projections that next week’s 2023 financial report “will be above the high end” of its guidance. | The for-profit disclosed a new $1 billion deal to sell four California hospitals to UCI Health and said it has wrapped a previously announced $2.4 billion sale of three South Carolina hospitals to Novant Health.

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Healthcare execs must consider workforce, consumer concerns about generative AI: survey

Health Care Dive

Leaders were most likely to rate data quality, availability and reliability as their greatest concerns. Deloitte researchers urge a broader focus.

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Medicare Advantage plans could see rates dip slightly in 2025

Health Care Dive

The CMS proposed a 0.2% dip in MA rates. However, analysts said regulators will likely improve the payment rate in the final notice.

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Talkspace, Bicycle Health partner to expand therapeutic offerings

Healthcare It News

Bicycle Health patients can connect to therapists outside the realm of opioid use disorder, and Talkspace patients will have access to opioid use disorder specialty care.

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Tenet to sell 4 California hospitals to UCI Health for $975M

Health Care Dive

It's Tenet's latest hospital sale as the operator looks to pare down its debt.

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Hospitals end 2023 with year-high margins, shortened average stays

Fierce Healthcare

Hospitals and health systems closed out the year on a high note with margins up more than 15% from 2022, according to Kaufman Hall. | Year-to-date, average length of stay has dropped 4% from the end of 2022 to 2023—just one sign of hospitals' improving operations, Kaufman Hall wrote in a new report.

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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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Pharma & Influencer Marketing: Can They Coexist Ethically?

HIT Consultant

Mike Szczesny, Owner & VP of EDCO Awards & Specialties Influencer marketing in the pharmaceutical industry is a complex issue with reasonable arguments on multiple sides. On the one hand, leveraging individual patients’ personal experiences and narratives may help bring an authentic voice to product messaging. This could increase trust and resonance for some audiences skeptical of more traditional promotional content.

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Morgan Health: How employers can take the lead in addressing health equity

Fierce Healthcare

There are significant health disparities among people with employer coverage, but plan sponsors still have work to do to fully address those issues, according to a new analysis. | There are significant health disparities among people with employer coverage, but plan sponsors still have work to do to fully address those issues, according to a new analysis.

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Doctors Get a Voice-Activated Assistant: Fujifilm Sonosite Launches Hands-Free Ultrasound Control

HIT Consultant

What You Should Know: – FUJIFILM Sonosite Inc., the leader in point-of-care ultrasound (POCUS) solutions, has unveiled a game-changer for healthcare professionals: Sonosite Voice Assist. – The innovative feature allows doctors to control their Sonosite PX and Sonosite LX ultrasound systems using voice commands, freeing their hands for critical procedures.

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Screenings for all adults, especially racial and ethnic minorities, lag pre-pandemic levels: study

Fierce Healthcare

Screenings for diseases such as heart failure and cancer had not returned to pre-pandemic levels by 2022, and that could present a huge challenge in the coming years, a challenge that may be more a | Adults were more likely to delay getting care or not receive care at all in 2022 compared to 2019 because of cost.

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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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Pharmacists Step Up in 2023: Increasing Immunization Rates and Closing Healthcare Gaps

HIT Consultant

What You Should Know: – XiFin’s pharmacy division, OmniSYS , released its 2023 CareALERTS™ data, highlighting how pharmacists are playing a crucial role in closing healthcare gaps and improving adult immunization rates. – The data, unveiled on National Pharmacist Day, underscores the need for all U.S. states to recognize pharmacists as providers of clinical services.

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Chutes & Ladders–Health policy orgs appoint new leaders, Cedars-Sinai CEO retires

Fierce Healthcare

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

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Cardinal Health Acquires Specialty Networks for $1.2B, Deepens Focus on Specialty Pharma

HIT Consultant

What You Should Know: – Cardinal Health (NYSE: CAH) announced a strategic move to bolster its Specialty business with the acquisition of Specialty Networks , a multi-specialty group purchasing and practice enhancement organization, for $1.2 billion in cash. – The acquisition signifies Cardinal Health’s commitment to investing in key therapeutic areas and providing innovative solutions to independent specialty providers.

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Home Health Industry’s Technology Partners Continue Racing Toward AI

Home Health Care

Artificial intelligence is likely to be a hot topic in home-based care over the next few years. With that in mind, most companies in the space are already adjusting. Post-acute technology company WellSky, for instance, has partnered with Google Cloud to leverage its artificial intelligence (AI) platform, Vertex AI. The partnership also includes Google Cloud’s secure cloud technologies, advanced data analytics tools and machine learning capabilities.

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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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History Rhymes with the Psychedelic Boom

Bill Of Health

By David Herzberg As a historian of psychoactive pharmaceuticals in the 20 th century U.S., I see history rhyming in potentially dangerous ways in the current psychedelic boom. After decades of being associated with insanity, violence, and social disorder, psychedelics are now being embraced as potential wonder drugs. What appears to be a radical, 180-degree shift in reputation, however, masks an underlying similarity: both of these mirror-image stories belong to the mythologies of the consumer

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Facing The Future: Home Health Providers Gear Up For 2024’s Value-Based Care, M&A Landscapes

Home Health Care

This article is a part of your HHCN+ Membership Home-based care providers have faced many headwinds over the past few years. They’ll continue to do so in 2024. But uncertainty has also plagued providers, and there may be less of that this year. Providers know the threat of fee-for-service Medicare cuts. They know Medicare Advantage (MA) penetration is an unstoppable force.

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Changes to the FDA Advisory Committee process

Healthcare ECONOMIST

It appears changes are coming to the FDA Advisory Committee process for evaluating new drugs. The FDA is planning significant reforms to its advisory committee process, as announced by Commissioner Rob Califf. While specifics are scarce, these changes are spearheaded by Namandjé Bumpus, the FDA’s chief scientist, and newly appointed deputy commissioner.

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EPtalk by Dr. Jayne 2/1/24

HIStalk

Physicians who care for children — including pediatricians, family medicine.

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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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ArteraAI Raises $20M to Personalize Cancer Therapy With Multimodal AI

HIT Consultant

What You Should Know: – ArteraAI , a pioneer in multi-modal artificial intelligence (MMAI) for cancer treatment personalization, announced today an additional $20M in funding. – This latest round, backed by prominent investors like Prosperity7 Ventures , EDBI , and Wilson Sonsini Goodrich & Rosati , brings the company’s total funding to $110M since its inception less than a year ago.

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‘A Monumental Shift’: Home Health Providers Believe Review Choice Demonstration Is Here To Stay

Home Health Care

The Centers for Medicare & Medicaid Services (CMS) has been tight-lipped about its Review Choice Demonstration (RCD) plans beyond May 2024. However, industry leaders believe RCD will be extended across the country on a more permanent basis — a development that agency leaders should recognize as a momentum shifting change. “We’re seeing a monumental shift in home health care and how we actually operate,” Kim Gaffey, founder and CEO of Gaffey Home Nursing and Hospice, said during a webin

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U.S. Tax Court: Limited Partner SECA Exception Requires Functional Analysis

HKLaw

U.S. Tax Court recently issued an opinion holding that the limited partner exception to the Self-Employed Contributions Act requires an analysis into the functions and roles of the limited partner.

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National Heart Health Month Shines Spotlight on Cardiovascular Wellness for Women

Healthcare Highways

February is more than just about celebrating love. I t's National Heart Health Month, a dedicated time to raise awareness about cardiovascular health and encourage everyone, especially women, to prioritize their heart well-being.

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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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WellSky Taps Google Cloud to Build Gen AI Tools for Providers

HIT Consultant

What You Should Know: – WellSky , a health and community care technology company, and Google Cloud have announced a strategic partnership to leverage cutting-edge cloud technologies and artificial intelligence (AI) to transform healthcare delivery across the continuum. – The strategic collaboration aims to provide care providers with smarter tools, automate repetitive tasks, and ultimately, improve patient outcomes.

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Interview with ResultsCX CEO Rajesh Subramaniam

Health Business Group

Rajesh Subramaniam has always been the "numbers guy." He leveraged his early aptitude into professional success, currently as CEO of ResultsCX. The discussion delves into the challenges and advancements in customer experience within the healthcare sector. Emphasizing the industry's shift towards a more consumer-centric model, we explore critical topics such as customer retention, the integration of omnichannel strategies, and balancing digital and personal customer interactions.

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Valendo Health Launches with $4M for Value-Based Endocrinology to Improve Diabetes Care

HIT Consultant

What You Should Know: Valendo Health, a value-based endocrinology company, officially launched today with a mission to empower endocrinologists to shape the future of diabetes care. The company launches with two provider partners already onboard, including Cecelia Health, a recognized national virtual specialty care provider for chronic care management, and Advanced Metabolic Care & Research (AMCR), one of the leading endocrinology centers in Southern California serving thousands of patients

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News 2/2/24

HIStalk

Top News A Stat review says that digital therapeutics is.

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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.