Wed.Aug 30, 2023

article thumbnail

Humana launches in-home primary care through CenterWell

Fierce Healthcare

Humana's senior-focused primary care business, CenterWell, is bringing its services into patients' homes. | Humana's senior-focused primary care business, CenterWell, is bringing its services into patients' homes.

article thumbnail

Employers should focus on provider quality to cut low-value care in plans, report finds

Health Care Dive

In the employer-sponsored insurer market, employers play a “critical” role when it comes to quality and outcomes, according to a report by Morgan Health and Embold Health.

293
293
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

CMS suspects auto-renewal process at fault for wrongful Medicaid disenrollments

Fierce Healthcare

In a letter sent to all states (PDF), the Centers for Medicare & Medicaid Services ( | As more Medicaid beneficiaries are wrongly kicked off the program, CMS is requiring states to reevaluate its eligibility systems and auto-renewal process.

Medicaid 329
article thumbnail

Humana launches in-home senior care program through CenterWell in Georgia, Louisiana

Health Care Dive

The program builds on Humana’s acquisition of home-based primary care provider Heal earlier this year, and could eventually expand to 10 additional southern and southwestern states.

article thumbnail

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.

article thumbnail

Providers can now see patients' insurance coverage in GoodRx's cost comparison tool

Fierce Healthcare

GoodRx has launched a new feature to allow healthcare professionals to see the cost of a patient’s prescription with their insurance. | The feature, embedded in GoodRx's provider solution, surfaces a patient’s coverage and benefits at the point of care with the goal of increasing price transparency and access to drugs.

article thumbnail

GoodRx adds patient insurance information to drug cost platform for providers

Health Care Dive

The addition of insurance pricing is a key differentiator for GoodRx’s medication comparison platform, an executive said. It should also increase the company’s revenue opportunities.

246
246

More Trending

article thumbnail

Digital streaming is a boost for patient education programs

Healthcare It News

Anjali Kataria, Mytonomy CEO and cofounder, says that content streaming and AI can empower patients at home and help hospitals and health systems improve their patient education materials as they reduce the time nurses spend answering questions.

Nursing 199
article thumbnail

As large employers back away from self-insurance, small- and medium-sized ones embrace it: EBRI

Fierce Healthcare

As large employers take a step back from self-insurance, small- and medium-sized employers are taking a step forward in embracing that coverage option, according to an issue brief by the Employee B | The share of large employers offering self-insurance options to employees steadily declined since the passage of the Affordable Care Act, with it dropping to 72% in 2022, the lowest it’s been since 2010, according to the EBRI.

274
274
article thumbnail

Intuition Robotics scores $25M to scale AI care companion for seniors

Healthcare It News

The company will use the funds to meet the growing demand for ElliQ, its conversational AI-powered robot that acts as a companion to seniors.

203
203
article thumbnail

Advocate Health in black in first H1 as combined system

Health Care Dive

The nonprofit hospital operator, which formed last year through the merger of Advocate Aurora Health and Atrium Health, reported an improved 0.6% operating margin.

Hospitals 184
article thumbnail

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

article thumbnail

Strive Health, Oak Street Health kick off multiyear partnership on kidney care

Fierce Healthcare

Kidney care startup Strive Health is teaming up with Oak Street Health, a primary care provider focused on Medicare, to deliver specialized care for people with chronic kidney disease. | The multiyear collaboration will target people with stage 4 chronic kidney disease through end-stage kidney disease across the 21 states in which Oak Street Health operates.

article thumbnail

Health tracking ring company Oura partners with teletherapy platform Talkspace

Healthcare It News

Users of Oura's ring will be able to share a report showing their sleep and movement data with Talkspace therapists.

185
185
article thumbnail

Nomi Health battling allegations it copied app licensed to support its COVID-19 testing business

Fierce Healthcare

A contract and copyright dispute over the development of a COVID-19 testing app has left Nomi Health with an order to pay more than $7 million in damages, which could potentially balloon into a hig | Nomi Health has already admitted to breaching its licensing contract with software developer OSGHD and was ordered to pay over $7 million in damages, a judgement the company said it disagrees with and intends to appeal.

130
130
article thumbnail

How to Report the Quality Category in MIPS 2023 with Ease?

p3care

MIPS 2023 is ongoing, and we’re almost in the middle of the performance year. It’s high time for the providers when they have to keep an eye on everything. It’s quite true that MIPS participants revise their reporting strategies at the start of the year. Anyhow, this is not sufficient since the CMS keeps modifying things with time. Also, things usually go a little differently from how we planned them.

article thumbnail

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.

article thumbnail

Rural Emergency Hospitals: Model Legislation and Considerations for States  

NASHP

To view the model act, visit Model Rural Emergency Hospital Act. Congress established a Rural Emergency Hospital (REH) Designation as part of the Consolidated Appropriations Act of 2021 for certain hospitals that meet requirements set out in 42 U.S.C. § 1395x(kkk)(2). The Centers for Medicare and Medicaid Services (CMS) promulgated final regulations for REHs at 87 Fed.Reg. 71748 (November 3, 2022) and 88 Fed.Reg. 58640 (August 28, 2023).

Hospitals 121
article thumbnail

From Reluctance to Resilience: Embracing Cloud Adoption in Healthcare

HIT Consultant

Doug McMillian, Healthcare Strategist at CDW While digital transformation has been on the rise across industries, results can be difficult to see and adoption can take time. Adopting digital solutions is innately important but doing so successfully requires identifying needs and adopting the right approach. Through all the technology transformation that drives innovation in the healthcare industry, the one that underpins it all is cloud adoption.

article thumbnail

Model Rural Emergency Hospital Act

NASHP

To learn more about this model act, check out our blog, Rural Emergency Hospitals: Model Legislation and Considerations for States. Section 1. Title This Act shall be known and may be cited as the Rural Emergency Hospital Act. Section 2. Purpose and Intent The purpose of this Act is to provide for the licensure and designation of Rural Emergency Hospitals in this state.

article thumbnail

Can Artificial Intelligence Replicate The Human Touch in Healthcare Provision?

HIT Consultant

Ivor Campbell, CEO of Snedden Campbell Anyone who recalls the ‘turbo’ trend of the 1980s will have a foreboding sense of déjà vu about the sudden ubiquity of artificial intelligence in every aspect of our lives. What began with the Swedish motor manufacturer, Saab, unveiling its 99 Turbo Coupé in 1977, suddenly had manufacturers scrambling for their own version of the latest technological buzzword in everything from alarm clocks to hairdryers.

article thumbnail

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!

article thumbnail

Deep Learning Model Automates Severe Heart Valve Disease Detection

Health IT Analytics

A novel deep learning approach can detect aortic stenosis using ultrasound scans of the heart, which could enable early detection and intervention.

103
103
article thumbnail

Regard Launches Chatbot + Clinical Workflow LLM, Powered by OpenAI’s ChatGPT-4

HIT Consultant

What You Should Know: Regard , a software company developing an artificial intelligence (AI) co-pilot for clinicians to help diagnose medical conditions, announced today that it has expanded its relationship with OpenAI , an AI research and development company. Through this relationship, Regard will release new core product functionalities and a new chatbot, Max, that is built on OpenAI’s large language model (LLM), GPT-4.

article thumbnail

The Evolution Of Caregiver-Client Matching In Home Care

Home Health Care

This article is a part of your HHCN+ Membership There are many factors that go into offering quality and effective home care. Of those factors, caregiver and client matching may be one of the most important. It’s also can be one of the most overlooked aspects of the hiring process for home care providers. Sign up for HHCN+ to read this exclusive content.

article thumbnail

AmerisourceBergen Rebrands as Cencora

HIT Consultant

What You Should Know: AmerisourceBergen Corporation (NYSE: ABC), announced the rebranding of its name and stock ticker change to Cencora, Inc. (NYSE: COR). Under the new name Cencora, the company unifies its 46,000 employees – across several global business segments – under one identity, propelled by a bold vision and purpose-driven approach to creating healthier futures.

article thumbnail

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.

article thumbnail

Top 5 reports for every improvement project

Life Qi

The importance of effective reporting In the world of improvement, buy-in and communication are critical. Whether you're leading a small-scale process improvement initiative or managing a large-scale transformation project, having all stakeholders onboard and vital decisions made in a timely fashion can make all the difference in achieving your goals.

article thumbnail

KLAS: Epic EHR Initiatives for Improving EHR Efficiency and User Satisfaction

HIT Consultant

What You Should Know: With limited budgets and resources, Arch Collaborative members frequently ask KLAS which of their EHR vendor’s education initiatives and system features are most effective at improving EHR efficiency and satisfaction. Because Epic users make up over 60% of respondents in the Arch Collaborative’s data sample, a new KLAS report evaluates several Epic-specific initiatives and features to help Epic customers determine whether they are worth the investment.

article thumbnail

Wound Care Consultants & Remote Patient Monitoring: How it Works

Health Recovery

The presence of wounds and the cost to care for them has become a growing problem, needing an urgent solution. HRS has partnered with wound experts to provide our customers a much-needed solution to this growing social and economic burden.

article thumbnail

Shared decision-making: The standard of care we need

Nordic

Back in the bad old times of medicine (defined by many of us as “before I was practicing medicine”), most physicians were easy to spot. They wore long white coats, had a stethoscope hanging around their neck, and carried a prescription pad in their pocket. Oh, and in the United States, they were virtually all White men. That last fact is important. Since the average American typically lacks the specific medical knowledge required to make important life decisions, we often ask our doctors: What w

Doctors 62
article thumbnail

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.

article thumbnail

Transactions: Community Based Care Buys Your Home Court Advantage; WellSky Acquires Experience Care

Home Health Care

This article is a part of your HHCN+ Membership Community Based Care purchases Your Home Court Advantage Community Based Care (CBC) recently acquired Your Home Court Advantage to expand its veteran-focused services lines and its footprint. “The transaction is a reflection of both the company and the marketplace,” Cory Mertz, managing partner at Mertz Taggart, told Home Health Care News in an email.

article thumbnail

Healthcare AI News 8/30/23

HIStalk

News OpenAI releases an enterprise version of ChatGPT that features.

article thumbnail

Rural Emergency Hospitals: Guide to Legislative and Regulatory Considerations for States

NASHP

To learn more about this model act, check out our blog post, Rural Emergency Hospitals: Legislative and Regulatory Considerations for States. Section 1. Title This Act shall be known and may be cited as the Rural Emergency Hospital Act. Section 2. Purpose and Intent The purpose of this Act is to provide for the licensure and designation of Rural Emergency Hospitals in this state.

article thumbnail

GoodRx Launches Real-Time Benefit Check in Provider Mode

HIT Consultant

What You Should Know: – GoodRx , a resource for healthcare savings and information launches its real-time benefit check (RTBC) in Provider Mode. – Developed in collaboration with AssistRx, the advanced therapy initiation and patient solutions provider, real-time benefit check gives healthcare professionals (HCPs) immediate access to eligible patients’ insurance coverage and greater visibility into the cost of brand and specialty drug prescriptions at the point of prescribing.

article thumbnail

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.