Thu.Apr 06, 2023

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CMS cracks down on MA coverage denials and misleading ads in final rule

Health Care Dive

Both hospital and payer groups came out in support of the rule finalized Wednesday, finding common ground in the need to streamline prior authorization.

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New bipartisan bill aims to tie doc pay to inflation amid industry concerns

Fierce Healthcare

New bipartisan bill aims to tie doc pay to inflation amid industry concerns rking Thu, 04/06/2023 - 16:13

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‘Turbulent waters’: The rocky digital health funding market post SVB collapse

Health Care Dive

If funding in the next three quarters matches the average funding in the prior three, 2023 is on pace to see the lowest level of digital health funding since 2019, a new report from Rock Health found.

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HHS quietly trims inaugural list of price capped Medicare drugs from 27 to 20

Fierce Healthcare

HHS quietly trims inaugural list of price capped Medicare drugs from 27 to 20 dmuoio Thu, 04/06/2023 - 15:23

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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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How Attending the HIMSS Conference is Helpful for Healthcare Providers?

p3care

Healthcare IT is leading health providers to make a smart shift to a value-based patient care model. So, the providers are now more focused on improving patient outcomes. Thereby, healthcare IT is accompanying them to find willing ways to get the desired results. Here, HIMSS (the Healthcare Information and Management Systems Society) makes a significant contribution.

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Chutes & Ladders—Providence health system names a medical director for national environmental stewardship

Fierce Healthcare

Chutes & Ladders—Providence health system names a medical director for national environmental stewardship aburky Thu, 04/06/2023 - 15:04

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Zocdoc expands search, appointment booking for federally qualified health centers as PHE expiration nears

Fierce Healthcare

Zocdoc expands search, appointment booking for federally qualified health centers as PHE expiration nears agliadkovskaya Thu, 04/06/2023 - 13:56

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Strategic Community Partnerships: Participatory Budgeting and Equity in Rhode Island

NASHP

Participatory budgeting is a strategy used by over 600 state and local governments * across the country to encourage community engagement by involving citizens directly in deciding how a portion of a public budget is allocated. In Rhode Island, community partnerships are a tool to empower communities to make budgeting decisions based on self-identified needs and are part of a broader suite of state investments (link downloads a PDF) to address health-related social needs and social drivers of h

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WTW expert: How employers can protect themselves against rising healthcare costs

Fierce Healthcare

WTW expert: How employers can protect themselves against rising healthcare costs fdiamond Thu, 04/06/2023 - 14:39

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Exec Hires: Clinical Trials Marketplace SubjectWell Appoints New CEO

HIT Consultant

What You Should Know: – SubjectWell , the largest engagement platform for matching patients with chronic health conditions to new care options, announced that clinical industry veteran Fred Martin has joined SubjectWell as CEO. – Fred will joins SubjectWell during a time of growth following the company’s Series B funding in November 2022, with the goal of accelerating technical solutions and building investor relations.

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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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Utilization lower, care quality higher in Medicare Advantage: study

Fierce Healthcare

Utilization lower, care quality higher in Medicare Advantage: study pminemyer Thu, 04/06/2023 - 14:12

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Biostage Raises $6M to Advance Clinical Trials

HIT Consultant

What You Should Know: Biostage, Inc., a cell-therapy biotechnology company with successful first-in-human experience in treating esophageal cancer and FDA approval to commence a clinical trial of the Biostage Esophageal Implant raises $6M from new and existing investors in a private placement of its shares of common stock. The funds will be used to accelerate the clinical development of Biostage’s lead product candidate, the Biostage Esophageal Implant, or BEI.

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‘Mindset Change’ Helping Home-Based Care Providers Work Through Staffing, Payer Struggles

Home Health Care

This article is a part of your HHCN+ Membership Top home-based care leaders from across the country gathered at the end of March in Washington, D.C. We got to hear from many of them at Home Health Care News’ Capital + Strategy event last Thursday. While they are advocating for a better regulatory environment – whether in personal home care or home health care – almost all of them are now operating with an understanding of the hand they’ve been dealt.

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PsychoGenics Launches AI Platform to Revolutionize Drug Discovery

HIT Consultant

What You Should Know: – PsychoGenics Inc., a provider of AI-enabled phenotypic drug discovery and preclinical CRO services launches eCube®, a novel pharmaco-electroencephalography (“pharmacoEEG”) platform. The platform supports phenotypic drug discovery, which unlike traditional target-based drug discovery, can identify novel treatments with multiple targets.

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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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Palliative pixie dust

Healthy Debate

The post Palliative pixie dust appeared first on Healthy Debate.

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HeartFlow Raises $215M for AI-Powered Cardiac Test

HIT Consultant

What You Should Know: – HeartFlow , Inc., a provider of precision heart care raises $215M in Series F funding round led by Bain Capital Life Sciences with participation from new investor Janus Henderson Investors, and existing investors including Baillie Gifford, Capricorn Investment Group , Hayfin Capital Management , HealthCor , Martis Capital , USVP and Wellington Management. – HeartFlow’s non-invasive personalized cardiac test provides unprecedented visualization of each patient’

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CareAcademy Hires 3 New Executives; Interim HealthCare CEO Joins RIHC Board

Home Health Care

CareAcademy makes new leadership hires A few months after making its first acquisition , the caregiver training platform CareAcademy is adding to its leadership team to support its next stage of growth. CareAcademy announced that Laura Bottino will serve as the company’s CFO; Kristin Relyea will serve as the vice president of product, design and engineering; and Tracy Huckabee will serve as the vice president of content and quality.

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Seizing the moment at MEDITECH’s 2023 Home Care Symposium

Meditech

Last week, MEDITECH invited industry leaders to attend our 2023 Home Care Symposium , an event curated to the specific needs of home health and hospice organizations. Our virtual conference provided three days of sessions featuring insights from thought leaders, customer success stories, and guidance on using our Home Care solution to its full capability.

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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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DispatchHealth, MedStar Georgetown Hospital, Resilient Execs Share Views On Crucial Home Health Partnerships

Home Health Care

Home health partnerships are more diverse – and perhaps more vital – than ever. This can mean home health providers teaming up with health systems or high-acuity care companies. This can even mean high-acuity home-based care companies helping health systems, and hospitals extending their brick-and-mortar capabilities into the home setting. With partnerships showing up in so many different ways, the question of what makes a good partnership is top of mind for many health care organizations.

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EPtalk by Dr. Jayne 4/6/23

HIStalk

As a clinical informaticist who has been around the block.

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Paying tribute to the good in our health-care system

Healthy Debate

The post Paying tribute to the good in our health-care system appeared first on Healthy Debate.

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Interview with Verantos CEO Dan Riskin

Health Business Group

Real world evidence or RWE is a promising way to answer questions about how therapies perform, going beyond the controlled confines of randomized clinical trials with narrow patient populations to analyze what happens in the so-called real world. But the first generation of RWE hasn’t always lived up to its promise. It is often incomplete, inaccurate or just not fit for purpose.

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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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CNS Year in Review: Going Digital

Health Advances

By Michael Davitian, Viren Makhijani, Shreya Saraf, Drew Attar This is the second installment of our ongoing 2022 CNS year in review. Please find our first blog here. 2022 saw growth in digital approaches to assess, treat, and manage CNS diseases. CNS commonly face challenges with respect to disease heterogeneity and a shortage of specialist providers; issues that are digital solutions are well-suited to address.

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Cognizant to Integrate TriZetto with Microsoft Cloud for Healthcare

HIT Consultant

What You Should Know: – Cognizant expands partnership with Microsoft to give healthcare payers and providers easy access to cutting-edge technology solutions, streamlined claims management, and improved interoperability to optimize business operations and deliver better patient and member experiences. – As part of the expansion, Cognizant and Microsoft will work together to build an integration roadmap between Cognizant’s TriZetto healthcare products with Microsoft Cloud for He

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Denial Code PR 31: What it is & How to Handle it

Etactics

When it comes to denial management in medical billing , the U.S. experiences large market sizes each year. In fact, according to the U.S. Healthcare Denial Management Markets , in 2021 denial management reached a value of $3.54 billion. And experts say that this could rise to almost $6 billion dollars by 2027! If you’re reading this and you’re in the medical billing field, I’m sure I don’t have to spell out why these numbers seem to be on the rise.

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CMS’ New Schizophrenia MDS Audits – What You Need to Know NOW

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare If you missed this webinar yesterday, you missed an excellent one – loaded with tons of helpful information about the recent CMS audits! It’s available for on-demand viewing here. You’ll be able to access the handout as well after you register but be sure to view/listen to the actual webinar.

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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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KLAS: Approaches to Moving Epic in the Cloud 2023

HIT Consultant

What You Should Know: The benefits of public cloud are promising, as many Amazon Web Services (AWS) and Microsoft customers (both provider organizations and vendors) have noted in previous KLAS research. The first health systems using a public hyperscale cloud provider (e.g., AWS, Google Cloud Platform, Microsoft Azure) to support their EHR environment in the cloud have begun to go live, and interest in this approach is gaining momentum, particularly among Epic organizations.

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Reducing Healthcare Staff Burden Through Virtual Visits

Health Recovery

In this article, originally featured in the Summer 2022 edition of Florida at Home magazine , HRS Chief Clinical Officer, Florence Kariuki, walks through the nursing benefits of a Virtual Visit Model (VVM) and the six steps to launching a VVM.

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Artificial Intelligence Shows Potential for Diagnosing Pancreatic Cancer

Health IT Analytics

Published in JMIR, new… read more

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Morning Headlines 4/7/23

HIStalk

VA’s new EHR ‘not ready’ for next go-live, extending pause.

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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.