Fierce Healthcare
OCTOBER 2, 2023
Cigna will pay $172 million to settle allegations brought by a whistleblower and the U.S. | Cigna will pay $172 million to settle allegations brought by the U.S. government that it submitted false and inaccurate Medicare Advantage diagnostic codes in a bid to boost its reimbursement.
Health Care Dive
OCTOBER 2, 2023
The agreement settles a whistleblower lawsuit against Cigna that the Department of Justice joined last year, and requires the payer to undergo annual auditing from an independent entity.
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Fierce Healthcare
OCTOBER 2, 2023
Digital health founders and investors continue to face a tighter funding cycle with fewer deals and lower check sizes. | In Q3 2023, U.S. digital health startups raised $2.5 billion across 119 deals, the second-lowest quarter by funding total since the fourth quarter of 2019, Rock Health reports.
Health Care Dive
OCTOBER 2, 2023
The hospital lobby argued recent guidance limiting third-party tracking technology prevents providers from sharing reliable healthcare information.
Advertiser: HealthCar
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Fierce Healthcare
OCTOBER 2, 2023
The Center for Medicare and Medicaid Innovation (CMMI), once expected to save money and deliver healthcare at a lower cost, is increasing federal spending after all. | CMMI was designed to reduce federal healthcare spending, but a new CBO reports shows its had the opposite effect. Some say this is the necessary outcome of embracing value-based care.
Health Care Dive
OCTOBER 2, 2023
The company has brought in seasoned exec Neal Sample to make "near-term" technology decisions, according to an email sent to employees.
Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.
Healthcare It News
OCTOBER 2, 2023
The generative AI technology will supply patients with answers to healthcare-related questions and scheduling services and offer employees HR-related information.
Fierce Healthcare
OCTOBER 2, 2023
Independence Blue Cross unveiled Medicare Advantage (MA) packages that the company said will greatly enhance benefits for its MA members, including a bigger allowance for vision, dental, hearing an | The MA enhancements touted by Independence Blue Cross include reducing premiums for its Personal Choice 65 PPO while including a Part B giveback and a bigger allowance for vision, dental, hearing and over-the-counter items.
Health Care Dive
OCTOBER 2, 2023
Funding and deal count has fallen significantly compared to pandemic boom times, but trends have stabilized for several quarters in a new normal for the digital health sector, according to Rock Health.
Fierce Healthcare
OCTOBER 2, 2023
SCAN Health Plan, a nonprofit health insurer specializing in Medicare Advantage (MA) offerings, is choosing to move faster than the government’s drug price negotiation timetable and is also offerin | SCAN Health Plan is launching a Medicare Advantage plan geared toward women and cutting 13 name-brand drug prices starting in 2024.
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Health Care Dive
OCTOBER 2, 2023
The pharmacy giant is considering handing the reins to former Express Scripts and Evernorth CEO Tim Wentworth, according to Bloomberg, as Walgreens searches for a chief executive with deep healthcare experience.
Fierce Healthcare
OCTOBER 2, 2023
An “early glimpse” into the work of hospital equity officers outlines a combination of internal and external roadblocks, including systemic racism, this new cadre of health system leaders face as t | Responses from hundreds of health systems' equity leaders outline a consensus that "racism, today, is a public health issue that cannot be adequately addressed in the vacuum of healthcare," but that hasn't stopped executives from trying.
Health Care Dive
OCTOBER 2, 2023
Eladio Gil takes the reins as interim chief financial officer as the struggling primary care chain searches to replace Brian Koppy.
Fierce Healthcare
OCTOBER 2, 2023
Hospitals nationwide saw their operating margins inch upward in August thanks to an uptick in revenue and a dip in contract labor utilization, according to the latest monthly check-in from Kaufman | Hospitals logged an 8% month-over-month jump in daily net operating revenue while total expense per adjusted discharge dropped by 5%, according to the healthcare consulting firm's latest monthly report.
Advertiser: HealthCar
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.
Health Care Dive
OCTOBER 2, 2023
The new contract puts to bed four years of tense network disputes between the Catholic health system and the Elevance subsidiary.
Bill Of Health
OCTOBER 2, 2023
By Dom Kelly There’s a lot to say about the nonprofit sector and how it so often burns out, underpays, and devalues the humans who do the labor. There’s a pervasive narrative that this should just be accepted as a cost of doing good in the world. But for marginalized people who find themselves in this work for reasons that are connected to their identities, this kind of thinking ultimately pushes us out of the sector altogether.
NASHP
OCTOBER 2, 2023
As the U.S. faces a housing crisis, states across the nation are leveraging Medicaid to support housing and housing-related services for Medicaid beneficiaries. States can use a variety of Medicaid authorities to cover these services, including state plans, waivers, and managed care arrangements. This toolkit provides state officials with details on state supportive housing programs, including payment approaches, Medicaid authorities, and a crosswalk of housing programs in 18 states.
Home Health Care
OCTOBER 2, 2023
Laura Tortorella had her first day as AccentCare CEO Monday. And, in just about a month, the Centers for Medicare & Medicaid Services (CMS) will drop its final home health payment rule. In the meantime, she will be learning as much as she can about a new industry. A health system veteran, she previously served as the COO of Steward Health Care. “I think you’re always learning – every day is another learning opportunity,” Tortorella told Home Health Care News.
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NASHP
OCTOBER 2, 2023
States can leverage a variety of Medicaid authorities, including through their state plans, waivers, and managed care arrangements, to cover housing-related services for Medicaid beneficiaries.[1] States considering creating or amending covered housing-related services can draw from numerous approaches. This crosswalk provides an overview of 18 states’ supportive housing programs under Medicaid, including the Medicaid authority/mechanisms used, the target population(s), in-depth information on i
HIT Consultant
OCTOBER 2, 2023
Lindsay Oberleitner, PhD, Education Director at SimplePractice In the current digital landscape, the impact of social media on youth mental health is becoming an increasingly pressing concern. Dr. Vivek Murthy, the U.S. Surgeon General, recently issued a call to action , urging tech companies and lawmakers to take immediate steps to safeguard the mental well-being of our children and adolescents.
NASHP
OCTOBER 2, 2023
The workforce remains a challenge for states across multiple health and public sector professions. NASHP’s 2023 Annual Conference offered an opportunity to take a step back and understand the national trends in the labor market broadly and for the health care workforce. The plenary included discussion of key challenges and promising strategies. For this session, NASHP Executive Director Hemi Tewarson was joined by: Stuart Andreason , Managing Director, Workforce Innovation, the Burning Glass Ins
Home Health Care
OCTOBER 2, 2023
This article is a part of your HHCN+ Membership Over the years, payer innovation has become a larger part of the overall strategy at home health companies. As such, the leaders that are in charge of innovating have become more visible. Companies like Enhabit Inc. (NYSE: EHAB), Bayada Home Health Care and VNS Health are just a few of the home health organizations that have made payer innovation a priority.
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.
NASHP
OCTOBER 2, 2023
Are you interested in learning more about current state experiences in exploring and implementing global hospital budgets? Have you heard about the Center for Medicare and Medicaid Innovation’s (the Innovation Center) States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, which includes hospital global budgets and investments in primary care?
Health IT Analytics
OCTOBER 2, 2023
A genetic tool developed by researchers to predict patient risk for various addictions may be valuable for forecasting bariatric surgery outcomes.
NASHP
OCTOBER 2, 2023
States can leverage a variety of Medicaid authorities to cover housing-related services for Medicaid beneficiaries, including state plans, waivers, and managed care arrangements.[1] States considering creating or amending covered housing-related services can draw from numerous approaches. The table below provides an overview of 18 states’ supportive housing programs under Medicaid, including the Medicaid authority/mechanisms used, the target population(s), in-depth information on included servic
Healthcare ECONOMIST
OCTOBER 2, 2023
The 2023 Nobel Prize in Physiology or Medicine went to Katalin Karikó and Drew Weissman. The prizewinner’s work lead to the development of COVID-19 vaccines which averted millions of deaths worldwide. The Nobel Prize press release describes the scientific breakthrough in more detail: Karikó and Weissman noticed that dendritic cells recognize in vitro transcribed mRNA as a foreign substance, which leads to their activation and the release of inflammatory signaling molecules.
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.
NASHP
OCTOBER 2, 2023
The health care workforce shortage continues to be a top concern for state policymakers. While increasing wages and creating safe working environments in health settings remain key to building the health care workforce, many other policy levers — such as building a workforce that matches states’ demographics, addressing pipeline challenges and developing clear pathways for individuals to access health professional education — can strengthen the development and retention of a qualified, adequate
HIT Consultant
OCTOBER 2, 2023
What You Should Know: – Hospital financial performance has stabilized in 2023 compared to last year, according to the latest National Hospital Flash Report from Kaufman Hall. – The latest Hospital Flash Report finds the median calendar year-to-date (CYTD) operating margin index for hospitals was 1.1% in August, up from 0.9% in July. Margins are still below historical levels, though positive margins are becoming more frequent in 2023.
NASHP
OCTOBER 2, 2023
To address the housing needs of Medicaid beneficiaries, states can leverage a variety of Medicaid authorities, including through the state plan, a variety of waivers, and managed care arrangements, to cover housing-related services under state Medicaid programs. This brief provides a high-level summary of some of the most frequently used Medicaid authorities, including the associated eligibility requirements, services that may be covered, and additional considerations that may inform a states’ d
HIStalk
OCTOBER 2, 2023
Accelerating Redetermination: Social Drivers of Health and 1115 WaiversBy Jaffer.
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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