Wed.Oct 25, 2023

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Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver?

Health Care Dive

Big questions hang over the California health insurer's bold experiment — having five vendors carry out PBM functions previously performed by one — that could threaten BSCA's expected savings.

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Ayble Health unveils mind-gut program with behavioral therapy techniques to ease GI symptoms

Fierce Healthcare

Ayble Health, a digital health platform focused on chronic gastrointestinal conditions, has unveiled a mind-gut program. | The program integrates with Ayble’s baseline nutrition program and offers evidence-based brain-gut behavioral therapy techniques including cognitive behavioral therapy, acceptance and commitment therapy and gut-directed hypnosis.

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Calling healthcare burnout a crisis is an ‘understatement,’ CDC says

Health Care Dive

The Centers for Disease Control and Prevention is sounding the alarm on increasing levels of burnout and harassment in the healthcare industry.

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States accelerated bills focused on health equity from 2020 to 2023, Chartis analysis finds

Fierce Healthcare

States have accelerated legislation intended to promote health equity in the last few years, with a special focus on several key areas like bias training and maternal health,

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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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6 Best KPIs Medical Billing Companies in USA Should Be Tracking

p3care

Medical billing companies in USA have strong competition for the services they sell. We can’t trust blindly one when many companies claim to be the best in their medical billing services. We have a common saying that all those glitters are not gold. So, healthcare practices have to look for a certain point of distinction to pick on for them. As one of the professional medical billing companies in USA, you have to make yourself different.

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Walmart expands doula services benefit nationwide following pilot in 4 states

Fierce Healthcare

Walmart is expanding doula services for its employees nationwide. | The decision is a reflection of Walmart’s desire to support maternity care and family building services, the company said in its announcement.

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More Trending

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Over twice as many healthcare workers report harassment in 2022 than 2018, CDC finds

Fierce Healthcare

New survey data from the Centers for Disease Control and Prevention (CDC) is reinforcing doctors’ warnings that the medical field is crumbling under a largely unaddressed mental health crisis and a | Survey data outlining healthcare workers' worsening mental health and workplace difficulties comes alongside new calls for action from the CDC and AMA.

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Built at Redesign Health, Harmonic Health launches for dementia care delivery

Healthcare It News

The care-management platform also announced a partnership with a large family medicine practice with offices in Pennsylvania, Delaware and Maryland.

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Universal Health Services beats estimates with $167M profit in Q3 2023

Fierce Healthcare

Universal Health Services (UHS) came out slightly ahead of analyst estimates with a $167 million profit ($2.55 per diluted share) for the third quarter. | Acute and behavioral care chain Universal Health Services has enjoyed sequential quarters of rising volumes across both of its business segments.

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Global digital health funding hits lowest level since 2016, report finds

Health Care Dive

Digital health funding is flagging this year, with investments in the sector reaching only 40% of last year’s totals, according to CB Insights.

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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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UnitedHealth invests in Enable Ventures to drive improvements for people with disabilities

Fierce Healthcare

UnitedHealth Group is making a $5 million investment in Enable Ventures, a fund that aims to improve the lives of people with disabilities. | UnitedHealth Group is making a $5 million investment in Enable Ventures, a fund that aims to improve the lives of people with disabilities.

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Teladoc kicks off ‘operational review’ to boost bottom line

Health Care Dive

The virtual care giant reported mixed results Tuesday, missing Wall Street expectations on revenue but beating on earnings per share.

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'Podnosis': Cultivating cultural competency in the healthcare workforce

Fierce Healthcare

In this week's episode of “Podnosis,” we look at the major health disparities facing Native Americans and explore what can be done to make meaningful improvements. | In this week's episode of “Podnosis,” we look at the major health disparities facing Native Americans and explore what can be done to make meaningful improvements.

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UPMC, Washington ink definitive merger agreement

Health Care Dive

The Pennsylvania-based nonprofits are one step closer to completing their merger, despite pushback from local unions.

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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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WebMD taps Freshpaint to step up data privacy compliance with web tracking technologies

Fierce Healthcare

Hospitals and healthcare organizations have come under fire for their use of third-party web tracking technologies and analytics software like Facebook parent company Meta’s Pixel tracker. | With the aim of bringing a "privacy-first" approach to healthcare marketing, WebMD Ignite, a division of WebMD and Internet Brands, is teaming up with privacy platform Freshpaint to help healthcare organizations stay in compliance with privacy regulations.

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RadiantGraph Launches with $5M to Bring AI Personalization to Health Plans

HIT Consultant

What You Should Know: – RadiantGraph , a platform using machine learning and artificial intelligence to drive consumer engagement for health plans, today announced its launch today after raising $5 million in Seed funding in a round led by True Ventures and XYZ Ventures , with participation from Remus Capital. – The company plans to use the funding to accelerate growth, which includes partnering with new healthcare organizations and advancing their enterprise health and health plan p

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Community Health Systems stays in the red in Q3 with $91M loss

Fierce Healthcare

Community Health Systems' leadership pointed to strong volume growth in patient admissions and clinic appointments in the third quarter as key improvements but the for-profit health system ultimate | Community Health Systems' leadership pointed to strong volume growth in patient admissions and clinic appointments in the third quarter as key improvements but the for-profit health system ultimately stayed in the red for another quarter.

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‘I want to finally start living my life’: Added residency year for family practice draws criticism

Healthy Debate

The post ‘I want to finally start living my life’: Added residency year for family practice draws criticism appeared first on Healthy Debate.

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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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Standardizing Excellence: 5 Pillars for Reducing Unwarranted Care Variation

Fierce Healthcare

As health systems continue to navigate several interrelated challenges — from rising costs to shifting reimbursement models — many are leveraging innovative strategies that positively impact clinic | A data-driven approach to managing care variation allows for targeted improvement efforts that yield significant cost savings without compromising the quality of care.

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Missouri Hospital Taps RapidAI to Enhance Rural Stroke Care

HIT Consultant

What You Should Know: – Texas County Memorial Hospital , a hospital in rural Missouri has selected RapidAI to deploy its core stroke imaging and workflow products. – As a Level III stroke center, TCMH’s closest Level I facility is over 90 miles away, posing a significant barrier to timely treatment for stroke patients in the community. – With Rapid’s technology, TCMH will now be able to analyze high-res CT scans in real-time, detect suspected ICH and LVO more effectively and ma

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Option Care Health CEO John Rademacher: ‘Not All Home Health Assets Are Created Equal’

Home Health Care

Option Care Health (Nasdaq: OPCH) came out on the losing end of a bidding process for Amedisys Inc. (Nasdaq: AMED) earlier this year. The winner of that process, of course, was UnitedHealth Group’s (NYSE: UNH) Optum. That transaction is still pending, but will likely be finalized in the first half of 2024. Before Optum came into the picture, Option Care Health leaders painted the picture of an end-end health care continuum in the home.

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Talkspace Appoints New Chief Medical Officer

HIT Consultant

Nikole Benders-Hadi, MD, Chief Medical Officer at Talkspace What You Should Know: – Talkspace , an online behavioral health company, announced the appointment of Nikole Benders-Hadi, MD, as Chief Medical Officer. – As CMO, Dr. Benders-Hadi will lead Talkspace’s clinical practice, partnering with providers to deliver the highest quality digital mental health care as Talkspace continues to grow and scale. – She will be pivotal in elevating the company’s clinical offer

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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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Cedars-Sinai Deep Learning Tool Accurately Predicts Atrial Fibrillation

Health IT Analytics

New AI model uses routinely acquired outpatient 12-lead electrocardiograms to help clinicians identify abnormal heart rhythms in patients not yet showing symptoms.

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The Corporatization of Independent Hospitals

Healthcare ECONOMIST

That is the title from an interesting paper by Andreyeva et al. (2023). The abstract is below: Between 2000 and 2020, the share of US hospital bed capacity under multi-unit firms (systems) increased from 58% to 81% – a rapid corporatization of a sector with $1.3 trillion in annual spend. However, little is known about how system ownership affects hospital profitability and quality.

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The ‘Strategic Trade-Offs’ Private-Pay Home Care Providers Are Making To Grow

Home Health Care

As billing costs rise, private-pay home care leaders are trying to find ways to continue caring for as many seniors as possible. To do so, they are embracing new – and sometimes unique – strategies. At 24 Hour Home Care, there has been a move towards funded programs, as that cost of care has continued to increase. “The cost of labor is through the roof, which means the cost of care is really challenging for us,” Ryan Iwamoto, president and co-founder of 24 Hour Home Care, said during a panel dis

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A Pseudo-Nonprofit Model for Psychedelic Clinical Trial Funding

Bill Of Health

By Vincent Joralemon A $70 million deal struck between a venture capital firm and a prominent psychedelic advocacy organization suggests that funding for psychedelic research may increasingly rely on nonprofit and commercial partnerships. As the commercial appeal of these substances grows , this might serve as a promising model to channel the resources of for-profit entities toward this field.

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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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Applied Behavioral Analysis. Interview with RethinkFirst CEO Daniel Etra

Health Business Group

Applied Behavioral Analysis therapy is paid for by most insurance companies for the treatment of autism. Yet the industry is still in the dark ages when it comes to evidence-based decision making and uniform standards for outcomes. Access is a major issue, too. Today’s guest, Daniel Etra is co-founder and CEO of RethinkFirst , which leverages technology to train caregivers to deliver treatment.

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How A Smaller Home Health Provider Goes Big On Value- And Risk-Based Contracting

Home Health Care

This article is a part of your HHCN+ Membership Small- and mid-sized home health providers are aware of the disadvantages they face compared to their larger peers. They’re also recognizing, however, that they can use the flexibilities they do have to their advantage. Take value-based care as an example. Sign up for HHCN+ to read this exclusive content.

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Inside Health Care #117: Live from NCQA’s Second Health Innovation Summit

NCQA

In this episode, we hear clips from four interviews recorded live at NCQA’s 2 nd annual Health Innovation Summit. Parker Holcomb Parker Holcomb is Chief AI Engineer at Elevance Health. At NCQA’s 2023 Health Innovation Summit, he participated in a session titled “Building Trust in Clinical Data for Value-Based Care”. Parker stands at the forefront of data quality, constantly seeking to perfect data quality standards, all towards closing gaps in health equity.

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Family Physicians with Value-Based Payment Models Relieve Burnout

HIT Consultant

What You Should Know: – Independent research reveals family physicians with 75% revenue derived from value-based payment models decrease burnout symptoms, according to a new study from Elation Health , and American Academy of Family Physicians (AAFP) Innovation Lab. – The goal of the study, conducted by surveying 10 primary care practices of varying sizes, was to identify specific barriers and innovations required for mainstream adoption of value-based payment (VBP) models and their

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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.