Thu.Feb 08, 2024

article thumbnail

Oscar Health execs weigh in on future of ACA subsidies, signal 2024 profitability

Fierce Healthcare

Enrollment in individual market plans continues to grow, with a record high of 21.3 million people signing up for plans during the most recent open enrollment period. | CEO Mark Bertolini told investors that Oscar “closed out 2023 with another strong quarter, driving financial performance for the full year.

293
293
article thumbnail

Senate finance committee weighs healthcare AI oversight

Health Care Dive

Lawmakers considered how to prevent artificial intelligence technologies from worsening bias or improperly denying insurance coverage at a hearing on Thursday.

Insiders

Sign Up for our Newsletter

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

article thumbnail

Everside Health, Marathon Health merge to enhance advanced primary care access

Fierce Healthcare

Everside Health and Marathon Health announced the closing of their merger to enhance access to advanced primary care in a value-based model. | The two companies serve employer and union-sponsored clients with primary care, mental health, occupational health, musculoskeletal and pharmacy services. Their combined reach is 2.5 million eligible patients through more than 680 health centers across 41 states and virtually in all 50 states.

article thumbnail

Walgreens replaces healthcare unit lead in latest executive shakeup

Health Care Dive

Mary Langowski, who previously worked on CVS' healthcare services strategy, will replace John Driscoll as president of Walgreens’ U.S. Healthcare segment.

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

Metabolic health startup Calibrate taps new CEO as it eyes expansion in employer, payer market

Fierce Healthcare

Digital metabolic health company Calibrate tapped Rob MacNaughton, a healthcare technology executive, as its new CEO as it pivots to grow its enterprise business. | Digital metabolic health company Calibrate tapped Rob MacNaughton, a healthcare technology executive, as its new CEO as it pivots to grow its enterprise business.

article thumbnail

Molina’s redeterminations losses reach 500K members

Health Care Dive

As for Medicare Advantage, the insurer said it expects proposed 2025 rates other payers have slammed as a cut would actually boost its benchmark rate.

Medicare 167

More Trending

article thumbnail

Tenet says its upcoming ‘new era’ will be fueled by ambulatory surgeries

Health Care Dive

The Dallas-based provider told investors on Thursday that ambulatory surgeries would drive a greater portion of its profits moving forward.

157
157
article thumbnail

UnitedHealth Group COO Dirk McMahon set to retire

Fierce Healthcare

Dirk McMahon, chief operating officer at UnitedHealth Group, will retire on April 1, the company disclosed in a financial filing.

167
167
article thumbnail

Pharma CEOs, pressed by Senate panel, refuse to commit to price cuts

Health Care Dive

Forced into testifying by Senate HELP chair Bernie Sanders, the heads of Bristol Myers Squibb, J&J and Merck largely avoided major missteps.

144
144
article thumbnail

Tenet's investments in acute care assets paying off as health systems willing to pay top dollar, CEO says

Fierce Healthcare

Tenet Healthcare’s push to flesh out acute care hospitals with higher acuity services and in-market support has yielded a secondary benefit for the company—nonprofit health systems willing to pay t | Riding the high of an "exceptional" Q4 and full-year earnings report, CEO Saum Sutaria, M.D., explained to investors Thursday how Tenet was able to secure high bids from its nonprofit peers for hospitals and other assets in South Carolina and California.

Hospitals 129
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

In Rapidly Changing Value-Based Care Landscape, Home-Based Care Providers Facing Crunchtime

Home Health Care

This article is a part of your HHCN+ Membership Home-based care providers avoiding the shift to value-based care are running out of time and excuses. The Centers for Medicare & Medicaid Services (CMS) wants 100% of traditional Medicare beneficiaries and the “vast majority of Medicaid beneficiaries” in accountable care relationships by 2030. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) Model, which is, by definition, a value-based care model.

Medicare 109
article thumbnail

Solera Health’s CEO Steps Down, Assumes Chairman Role

HIT Consultant

Mary Langowski, Chairman of the Board at Solera Health What You Should Know: – Solera Health , a leading platform connecting people with effective health solutions, announced today that Mary Langowski, is stepping down as Chief Executive Officer and transitioning to the role of Chairman of the Board. An interim CEO will be named soon. -The Board expressed its deep appreciation to Langowski for her transformative leadership.

98
article thumbnail

Amedisys Bets On Rapid Testing To Boost Outcomes, Free Staff Time

Home Health Care

As a way to improve the quality of infection testing and to achieve better patient outcomes, Amedisys Inc. (Nasdaq: AMED) is now offering advanced molecular testing across its care centers nationwide. To do this, the company has partnered with Patient Choice Laboratories to better identify respiratory issues, wound infections and other ailments for its at-home patients.

article thumbnail

Ambient AI Scribes Reduce Clinician Burden, TPMG Pilot Reveals

HIT Consultant

What You Should Know: – Ambient artificial intelligence (AI) scribes show early promise in reducing clinicians’ burden, according to a recent The Permanente Medical Group (TPMG) pilot. – Published in NEJM Catalyst, TPMG recently implemented ambient AI scribes for 10,000 physicians and staff. Ambient AI Scribes Ambient AI scribes represent a cutting-edge technological solution designed to mitigate the documentation workload faced by physicians.

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

Home Instead Set To Hit Gas Pedal On Recruitment Efforts

Home Health Care

After finding that one in five Americans saw a notable decline in an aging family member’s well-being during the holidays, Home Instead has announced that it’s looking to hire 30,000 care professionals nationwide. It is common for Home Instead to see a spike in care service inquiries soon after the holidays, according to Lakelyn Hogan Eichenberger, gerontologist and caregiver advocate for Home Instead.

article thumbnail

Mile Bluff Medical Center Goes Live on MEDITECH’s AI-Powered Expanse EHR, Powered by Google Health

HIT Consultant

Clinicians experience the immediate impact of this AI-powered solution in improving workflow What You Should Know: – Mile Bluff Medical Center has taken a major step towards reducing clinician burden and improving patient care by implementing MEDITECH’s new AI-powered Expanse search and summarization capabilities powered by Google Health. – The new functionality leverages natural language processing (NLP) to seamlessly pull information from both structured and unstructured data

article thumbnail

UnitedHealth COO Dirk McMahon to retire

Health Care Dive

McMahon is leaving after two decades at the massive healthcare company.

article thumbnail

Nabla Appoints Dr. Ed Lee as Chief Medical Officer

HIT Consultant

Dr. Ed Lee, MD, MPH, Chief Medical Officer at Nabla What You Should Know: – Nabla , the leading ambient AI assistant for healthcare professionals, announced the appointment of Dr. Ed Lee, MD, MPH , as Chief Medical Officer. – As Chief Medical Officer, Dr. Lee will shape Nabla’s clinical strategy and product roadmap. He will contribute to feature enhancements, advocate for Nabla at industry events, and provide valuable insights on clinical informatics trends.

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

AI Provides Personalized Treatment Strategies for Esophageal Cancer

Health IT Analytics

New pharmacokinetic model recommends personalized treatment by analyzing differences among the signaling pathways in esophageal cancer.

99
article thumbnail

Persistent Systems Launches Generative AI-Powered Population Health Solution

HIT Consultant

What You Should Know: – Persistent Systems , a leading digital engineering and enterprise modernization company, and Microsoft today announced the launch of an innovative Generative AI-powered Population Health Management (PHM) Solution. This collaborative effort aims to revolutionize healthcare delivery by identifying patients’ at risk and providing personalized care interventions, ultimately improving patient outcomes and reducing costs.

article thumbnail

Valuing treatments for rare disease

Healthcare ECONOMIST

That is the topic of a recent white paper from the Innovation and Value Initiative titled “ Valuing Rare Disease Treatments in Healthcare: Real Experience, Real Impact “ The report notes a number of challenges in assessing treatment value in rare disease (see my white paper “ Challenges in Preserving Access to Orphan Drugs Under an HTA Framework ” for a more detailed discussion of this topic).

article thumbnail

Unlearn Raises $50M to Accelerate AI-Powered Clinical Trials with Digital Twins

HIT Consultant

What You Should Know: – Unlearn®, a leading AI company using digital twins to revolutionize clinical trials, announced today a $50M Series C funding round led by Altimeter Capital. This investment, bringing Unlearn’s total funding to over $130M, will fuel its mission to eliminate trial and error in medicine through faster, smaller, and more ethical clinical trials. – Unlearn collaborates with pharmaceutical companies, biotechs, and academic institutions to optimize and streamli

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

Four NATO Defense Priorities for the Upcoming Washington Summit

The Rand Blog

The upcoming NATO Summit in Washington, D.C., offers an opportunity for the alliance to prioritize new and transformational capabilities. With them, NATO can continue to provide deterrence and defense for its member state populations into the future, just as it has done for the past seventy-five years.

83
article thumbnail

News 2/9/24

HIStalk

Top News CMS approves the use of HIPAA-compliant secure texting.

95
article thumbnail

The Good and the Bad for Biden in Southeast Asia

The Rand Blog

Since entering office in 2021, one of the Biden administration's foreign-policy priorities has been a more effective Indo-Pacific strategy to compete with China, especially in Southeast Asia. Three years on, the administration's policy has bright spots, but still lacks a clear strategy for the region.

73
article thumbnail

HIStalk Interviews Larry Kaiser, Chief Marketing Officer, Optimum Healthcare IT

HIStalk

Larry Kaiser is chief marketing officer of Optimum Healthcare IT.

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

Crafting the Heart of Patient Care: 4 Key Essentials for a Healthcare-Centric Call Center

Sequence Health

In today’s fast-paced healthcare landscape, the call center serves as the heartbeat of patient interaction. It’s where first impressions are made and lasting relationships are built. This interaction goes beyond mere conversation—it’s about creating a seamless, supportive, and understanding environment for every patient who reaches out. As healthcare providers, recognizing the essentials of a customer-centric call center is not just beneficial but imperative for fostering trust and ensuring pati

article thumbnail

CentralReach Acquires Social-Emotional Learning Provider SILAS to Expand Education Suite

HIT Consultant

What You Should Know: – CentralReach , a leading provider of Autism and Intellectual and Developmental Disabilities (IDD) software, announced the acquisition of SILAS , a company specializing in social and emotional learning (SEL) and behavior solutions for PreK-12 education. – By combining SILAS’s expertise in SEL and behavior with CentralReach’s existing strengths in Autism and IDD support, the company is well-positioned to empower schools and educators in nurturing wel

article thumbnail

Behavioral Health Networks: What We Know Now

NCQA

Improving Accountability for Behavioral Health Care Access is our latest white paper summarizing savvy measurement of behavioral health networks. Developed in consultation with The Sozosei Foundation , the 26-page report is a handbook for assessing whether behavioral health networks are up to the challenge of tackling America’s mental health and substance abuse crises.

article thumbnail

Calibrate Appoints Rob MacNaughton as New CEO

HIT Consultant

Rob MacNaughhton, CEO at Calibrate What You Should Know: – Calibrate , the leading clinician-guided and value-based obesity treatment program, today announced the appointment of Rob MacNaughton as its new Chief Executive Officer. – Calibrate’s strategic direction under MacNaughton’s leadership and the OptumRx partnership position the company for significant growth and a positive impact on both individual and corporate healthcare landscapes.

Nursing 52
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.