Tue.Nov 26, 2024

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CMS finalizes 6-year kidney transplant model with concessions to hospital lobby after critiques

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) finalized a six-year mandatory model to increase access to kidney transplants, the agency announced Nov. 26. | CMS made some concessions to hospitals who strongly criticized the kidney transplant model proposed rule in May.

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HIPAA audits not effective at improving cybersecurity: OIG

Health Care Dive

The HHS’ Office for Civil Rights’ audit program was too narrow in scope to effectively assess data protections and reduce cyber risks in the healthcare sector, according to the report.

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Biden proposes Medicare, Medicaid cover anti-obesity drugs

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) is attempting to cover anti-obesity medications under Medicare Part D and Medicaid, the agency announced Nov. 26. | With time running out before leaving office, the Biden administration is proposing a rule to have Medicare and Medicaid cover anti-obesity medications and bolster guardrails for AI, among the changes.

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How Medical Billing Teams Handle Denied & Rejected Claims?

p3care

Healthcare providers often face underpayments due to claim denials or rejections that affect the disposal of effective medical billing services. Before we discuss the solutions, it is important to understand the nuances between denied and rejected claims. What is a claim rejection? When a billing claim fails to match the standards of an insurance company or government organization like X12, or ASC X12 EDI (Accredited Standards Committee X12, Electronic Data Interchange), it is rejected.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

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Cambridge Health Alliance taps Abridge's AI medical scribe to support multilingual patients

Fierce Healthcare

Providers are rapidly adopting generative AI-based clinical documentation tools to aid clinicians and make digital paperwork more efficient. | Cambridge Health Alliance, the only public academic health system in Massachusetts, is deploying Abridge's AI-based medical note-taking tool across its 600 clinicians after a successful pilot.

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Sanofi joins J&J, Eli Lilly in proposing 340B rebate model

Health Care Dive

Sanofi plans to phase in its own rebate model for 25 drugs — including anti-inflammatory injectable Dupixent, one of the top 10 drugs in global sales — early next year. It’s unclear how regulators will react.

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5 Cybersecurity Strategies for Remote Patient Monitoring Systems

HIT Consultant

Zac Amos, Features Editor at ReHack Remote patient monitoring systems have unlocked new standards of care. They can reduce lines in hospital waiting rooms, streamline checkups and enable fast, personalized treatments for improved health outcomes. However, they also present a growing cybersecurity risk. Cyberattacks against health care are an increasingly frequent problem — 2023 saw the highest number of data breaches and the most leaked information on record.

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Providence logs $208M operating loss in Q3 dragged down by higher labor, supply costs

Fierce Healthcare

Providence was on track for its first positive operating year since the pandemic through the first six months of 2024, but a $208 million operating loss in the third quarter dragged down its perfor | Providence was on track for its first positive operating year since the pandemic through the first six months of 2024, but a $208 million operating loss in the third quarter dragged down its performance.

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CHS to sell Florida-based ShorePoint Health System

Health Care Dive

The $265 million deal with Advent Health is expected to close early next year.

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Highmark posts $22.1B in revenue through first 3 quarters of 2024

Fierce Healthcare

Pittsburgh-based health insurer and provider Highmark Health has brought in $529 million in net income through the first three quarters of the year, according to its latest financial details releas | Highmark Health has brought in $529 million in net income through the first three quarters of the year, according to its latest financial details.

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How to Make The Best Benefits Decisions for 2025's Workforce: An HR and Total Rewards Guide

Speaker: Kaitlin Ruby Carroll

Retaining top talent in 2025 means rethinking benefits. In a competitive job market, fertility benefits are more than just offerings - they are a commitment to your team’s well-being. Gain critical insights into the latest fertility benefits strategies that can help position your organization as an industry leader. Our expert will explore the unique advantages and challenges of each model, share success stories from top organizations, and offer practical strategies to make benefits decisions tha

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News 11/27/24

HIStalk

Top News England’s three-hospital Wirral University Teaching Hospitals NHS Trust.

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Trustwise and Partners Develop MedAssist GPT: AI-Powered Medical Education Platform

HIT Consultant

What You Should Know: – Trustwise , an innovator in AI performance and risk management, has collaborated with Health Innovation Kent Surrey Sussex (Health Innovation KSS), Hitachi Digital Services, and Further to co-develop MedAssist GPT, a generative AI application for medical education that leverages NVIDIA NIM microservices. – The application equips UK medical students with real-time, personalized evidence-based clinical guidance.

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A Holistic Approach to Maternal Child Health From a Wellness Expert

GoMoHealth

By Jess Bevilacqua CEO, Founder & Lead Instructor, Opal Moon Yoga & Wellness A primary pillar of holistic maternal-child health engagement is treating the whole person by providing easy access to personalized wellness resources. In maternal health, supporting mothers through their journey—from prenatal to postpartum and into early childhood—is essential for improving health outcomes.

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Philips, AWS Expand Partnership to Bring Integrated Diagnostics to the Cloud

HIT Consultant

– Philips announced it is expanding its strategic collaboration with Amazon Web Services (AWS) to offer its integrated diagnostics portfolio in the cloud. – The strategic partnership aims to unify diagnostic workflows, improve access to critical insights, and drive better outcomes across clinical specialties. Cloud-Powered Diagnostic Solutions Philips is leveraging AWS’s cloud infrastructure to deliver scalable and reliable healthcare informatics solutions.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

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The International Community Held Russia to Account for Not Abiding by Chemical Weapons Treaty

The Rand Blog

This week Russia sought to reclaim its seat on the Executive Council of the Organization for the Prohibition of Chemical Weapons. Given the irrefutable evidence that Russian forces used a chemical grenade against Ukrainian border guards, Russia's candidacy was denied.

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GE HealthCare Unveils Mammography System to Improve Patient-Centered Breast Care

HIT Consultant

What You Should Know: – GE HealthCare has announced the launch of its new Pristina Via™ mammography system , designed to improve the screening experience for both technologists and patients. This innovative system, debuting at the Radiological Society of North America’s 2024 Annual Meeting, addresses the growing need for efficient workflows and personalized care in breast imaging. – GE HealthCare developed Pristina Via™ based on extensive feedback from mammography technologists

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Transactions: Elevance Health’s Home-Based Care Bet; Eden Health, Mission Health Expand Hospice Footprints

Home Health Care

This article is a part of your HHCN+ Membership Elevance Health to acquire CareBridge Elevance Health (NYSE: ELV) is emerging as another “payvider.” It announced last month that it has agreed to acquire the home-based care company CareBridge. The deal is reportedly worth $2.7 billion. CareBridge is a value-based solutions platform for home- and community-based services.

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Abridge, Cambridge Health Alliance Partner to Enhance Multilingual Care with AI

HIT Consultant

What You Should Know: – Abridge , a provider of generative AI for healthcare, has partnered with Cambridge Health Alliance (CHA) to improve clinical documentation and enhance communication with diverse patient populations. – The collaboration will empower CHA’s clinicians with Abridge’s AI-powered platform, which offers industry-leading multilingual capabilities.

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

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Russia Is Leveraging Gold and Working with China to Bypass Western Sanctions

The Rand Blog

Russia's evolving trade tactics, including the use of gold and informal networks, highlight the Kremlin's resourcefulness in circumventing Western sanctions. And China is playing a key role in its economic workarounds.

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Interwell Health Launches Nephrology Rounds App with Epic EHR Integration

HIT Consultant

What You Should Know: – Interwell Health, a value-based kidney care management company, has unveiled Acumen Rounder, a nephrology rounding application that seamlessly integrates with Epic’s electronic health record (EHR) system. – The innovation is set to transform how nephrologists manage patient workflows and deliver value-based care. Enhancing Nephrology Workflows Acumen Rounder offers a comprehensive suite of features designed to improve efficiency, accuracy, and the user experie

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Are Your Standards Expectations, or Merely Suggestions?

Baird Group

Literally all of the healthcare systems we work with have policies to protect the safety and wellbeing of patients and employees. Things like consistent hand washing when entering and leaving a patient room are non-negotiable expectations. By putting them in place, you can expect adherence to them and can audit for compliance. Surprisingly, only about 50% of healthcare organizations have clear, behavior-based standards in place to create a consistent patient and employee experience.

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TailorMed Secures $40 Million to Improve Medication Access and Affordability

HIT Consultant

What You Should Know: – TailorMed , a leading innovator in healthcare technology, announced a $40 million financing round combining equity and debt. This investment positions the company to advance its bold vision of transforming medication access, adherence, and affordability across the United States. – Windham Capital Partners led the round, alongside Citi Impact Fund , Samsung Next, and BrightEdge , and the investment arms of some of the nation’s top health systems: Providence Ve

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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Recent Research Sheds Light on the Impact of NAD+ on Aging and Healthspan

Home Health Care

Overland Park, Kansas — Nicotinamide adenine dinucleotide (NAD+) has become a focal point in recent medical research due to its potential to promote health and extend lifespan. Recent studies indicate that boosting this critical molecule could offer significant benefits for age-related conditions, improve cellular health, and potentially delay the onset of degenerative diseases.

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CDPAP Fiscal Intermediary Takes Aim at DOH's Competitive Bidding Process

HKLaw

Another day, another legal challenge to New York's overhaul of the Consumer Directed Personal Assistance Program (CDPAP).

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Neoplas Med Secures $18M Investment to Advance Cold Plasma Wound Care Tech

HIT Consultant

What You Should Know: – Neoplas Med GmbH , a Greifswald-based medical technology company, has secured an $18M investment from Niterra Ventures Company to further develop and expand its innovative cold plasma wound care technology. – The latest investment brings Niterra’s total investment in Neoplas Med to $25M, following previous funding rounds in 2022 and 2023.

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Morning Headlines 11/27/24

HIStalk

Another ‘major cyber incident’ at a UK hospital, outpatients asked.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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How ePaper Digital Whiteboards are Improving the Patient Experience

HIT Consultant

John Marchesano, Strategic Partnerships Manager, Healthcare at E Ink The link between patient experience and health outcomes is well-established: positive interactions enhance communication, adherence, and reduce readmissions, ultimately leading to improved results and greater provider profitability, according to a 2023 report from the National Library of Medicine.

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CMS Takes Aim At Prior Authorization Requirements In Medicare Advantage

Home Health Care

The Centers for Medicare & Medicaid Services (CMS) is proposing new limits on Medicare Advantage (MA) plans regarding prior authorization , utilization management, coverage decisions and the use of artificial intelligence (AI). These proposed changes aim to address the barriers to accessing care identified by CMS. Data reported to CMS by MA plans show that, on average, these plans overturn 80% of their claim denial decisions when appealed.

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Food is Medicine: Thrive Global and Blue Shield of California’s Cookbook Initiative

HIT Consultant

What You Should Know: – Just in time for the holiday season, Arianna Huffington’s Thrive Global will be releasing a new budget friendly, healthy-eating cookbook tomorrow, Tuesday, Nov. 26, in partnership with Blue Shield of California Promise Health Plan. – At a time when rates of chronic diseases including obesity and diabetes are rising , and many people struggle to afford and access healthy food, the Thrive Global Cookbook does more than just share recipes- i

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Biden administration proposes Medicare, Medicaid coverage of pricey weight loss drugs

Health Care Dive

About 7.4 million Americans with obesity could have insurance coverage for drugs like Wegovy if the Trump administration allows the rule to go into effect — at the cost of $40 billion to federal and state governments.

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Creating a Company Culture of Care: Integrating Mental Health, Wellbeing, and DEI in Benefits

Speaker: Sean Raible

Picture a workplace where physiological safety is not just an aim but a reality, driven by thoughtful employee benefits that prioritize mental health, wellbeing, and DEI. 🤔 ✨ Achieving this vision requires more than just occasional training sessions and employee assistance programs. Moving beyond the basics, this vision calls for a holistic approach that integrates these elements into your company culture as well as your HR and benefits strategy.