Wed.Sep 25, 2024

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J.D. Power: Consumer experience with telehealth a mixed bag

Fierce Healthcare

While consumers give telehealth high marks for convenience, overall experience is fairly mixed, according to a new report. | While consumers give telehealth high marks for convenience, overall experience is fairly mixed, according to a new report.

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Remote patient monitoring in Medicare needs more oversight: OIG

Health Care Dive

Regulators say Medicare needs more data and oversight to avoid fraud and misuse. Digital health advocates argue the service is still crucial for managing chronic conditions.

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Provider surveys, vendor benchmarking data underscore rising claims denial rates

Fierce Healthcare

Recent survey and system data are again suggesting that payers’ increasing claims denials are a pain point for healthcare providers. | A new revenue cycle leadership survey from Experian Health, monthly dashboard updates from Kodiak Solutions and other recent commentary paint a picture of more demanding payers.

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CMS holds accountable care organizations harmless for ‘highly suspect’ Medicare billing

Health Care Dive

Aberrant billing for urinary catheters last year could have made it harder for ACOs in Medicare to bring in shared savings. That’s no longer the case under a new final rule.

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Fertility Benefits Playbook: How HR Leaders Are Delivering Value in 2025

Speaker: Kaitlin Ruby Carroll

Fertility benefits have become a crucial component of employee well-being and retention strategies. In today’s competitive landscape, creating a fertility benefits program that aligns with both employee needs and organizational goals can be more complex than it seems. From cycle-based to flat-dollar and telehealth models, each solution offers unique advantages and challenges that directly affect employee satisfaction and financial well-being.

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Nonprofit hospitals received $37.4B in federal, local tax benefits in 2021, study finds

Fierce Healthcare

The nonprofit hospital sector’s tax exemptions provide billions in estimated benefits, but about half of those exemptions are enjoyed by just a couple hundred hospitals, according to a newly publis | The analysis, meant to serve as a guide for policymakers, noted that the tax breaks are "highly concentrated" and vary "substantially" from state to state.

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More than 400 female healthcare execs sign open letter endorsing Harris citing reproductive health, key policy issues

Fierce Healthcare

It's now 40 days until the Nov. | A group of women healthcare leaders banded together to form Women Healthcare Leaders for Progress to call attention to what they see as critical healthcare issues at stake and on the ballot, namely, women’s healthcare.

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Patients with sensitive health issues more comfortable making appointments with chatbots

Healthcare It News

Nearly two-thirds (66%) of U.S. patients with sensitive health issues are more comfortable making appointments with chatbots than with staff, according to the Talkdesk U.S. Consumer Healthcare Survey, conducted in August 2024 on the online platform Pollfish. Talkdesk received responses from 1,000 men and women aged 18 and over. Meanwhile, 62% of patients felt support provided by their healthcare organizations has either worsened or remained stagnant in the past year, the survey found.

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MA insurer Zing Health banks $140M to build out its special needs plan

Fierce Healthcare

Startup Medicare Advantage insurer Zing Health banked a $140 million funding round it intends to use to enhance its special needs plans. | Startup Medicare Advantage insurer Zing Health banked a $140 million funding round it intends to use to enhance its special needs plans.

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Hear how AI solutions are shaping the future of healthcare

Healthcare It News

Are you exploring how your organization can best leverage AI tools? If you weren’t able to attend this year’s HIMSS AI in Healthcare Forum, catch up on the highlights in this podcast. Join Chris Gervais, Chief Technology Officer at CodaMetrix, to hear about use cases for AI and to get insights into how companies can leverage these technologies to improve staff and patient experiences, enhance efficiency and drive long-lasting value.

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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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Novo CEO pressed by Senate to cut prices of obesity, diabetes drugs

Health Care Dive

CEO Lars Fruergaard Jørgensen told lawmakers the company would consider new talks with insurers about the list prices of Wegovy and Ozempic if they pledge to keep the medicines on their formularies.

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Accelerating solutions to cancer through impact investing

Fierce Healthcare

Certain cancer rates are on the rise, and outcome inequities remain a major public health | In this week's "Podnosis," Fierce Healthcare’s Anastassia Gliadkovskaya talks to BrightEdge’s Alice Pomponio about investing in cancer-fighting startups and measuring impact.

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HHS to invest nearly $75M in rural healthcare

Health Care Dive

The funds will go toward expanding substance use disorder treatment and maternal healthcare services, as well as helping rural hospitals keep their doors open.

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The Good, the Bad, the Ugly When Leveraging AI in Healthcare

HIT Consultant

MJ Stojak, Managing Director of the Data, Analytics and AI Practice for Pivot Point Consulting Much has been discussed about artificial intelligence (AI) and the impressive proliferation of Generative AI (GenAI) over the last several months. It is staggering. As I think about the potential changes and impacts of leveraging AI and GenAI within a healthcare organization, I can’t help but think about the good, the bad, and the ugly.

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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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Home care agency settles allegations it accommodated ‘race-based requests’ for aides

Health Care Dive

The home health aide provider allegedly terminated the assignments of Black and Hispanic aides to accommodate patients’ and family members’ racial preferences, the Equal Employment Opportunity Commission said.

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The Medicaid, Private-Pay Barriers That Could Slow Growth For Home Care Providers

Home Health Care

Having an eye towards growth also means being aware of potential roadblocks that could obstruct forward momentum. Home care leaders at companies like Comfort Keepers, Nova Leap and TheKey are navigating various barriers amid their efforts to further scale. At Comfort Keepers, the Ensuring Access to Medicaid Services rule is top of mind. Specifically, the rule’s 80-20 provision, which requires providers to earmark 80% of reimbursement for home- and community-based services (HCBS) to caregiver wag

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Mount Sinai and Noom Partner to Deliver Holistic Weight Loss Support

HIT Consultant

What You Should Know: – Mount Sinai Health System , a leading U.S. healthcare provider, and Noom , a pioneer in digital health and chronic disease prevention, have joined forces to offer patients a comprehensive approach to achieving and maintaining a healthy weight. – The partnership aims to bridge the gap between doctor visits by providing patients with continuous digital support for behavior change while keeping their physicians informed of their progress.

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Future Leader: Sarah Jacob, Chief Product Officer, MedBridge

Home Health Care

The Future Leaders Awards program is brought to you in partnership with Homecare Homebase. The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. To see this year’s Future Leaders, visit [link]. Sarah Jacob, chief product officer at MedBridge, has been named a 2024 Future Leader by Home Health Care News.

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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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Well-Being Burnout – Lululemon’s 4th Annual Study Into Our Pressured Lives

Health Populi

Lululemon has published the 2024 Global Well-Being Report , a study into peoples’ perspectives on their personal health from the company best known for athleisure wear and self-care. This year’s report is titled, The Pressure to Be Well. That pressure is coming from peoples’ experiencing “well-being burnout.” In the company’s fourth annual report on well-being, Lululemon learned that most people have tried to adopt personal strategies to bolster their health, and one-half of th

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What share of physicians are integrated within hospital systems?

Healthcare ECONOMIST

This questions may be harder to answer than it may seem. While some physicians are fully independent, and others are full employees, other physicians can be affiliated with hospitals, without being hospital-employed. There are various approaches for measuring whether a physician is integrated within a hospital system: Basic TIN-based measure. The standard approach to identifying whether a physician is integrated into a hospital is to examine whether that physicians billed exclusively or primaril

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Qure.ai Raises $65M to Expand Healthcare AI Solutions Globally

HIT Consultant

What You Should Know: – Qure.ai , a prominent global innovator in healthcare AI, has successfully closed a $65M in Series D funding round led by Lightspeed and 360 ONE Asset , with contributions from Merck Global Health Innovation Fund and Kae Capital. The round also included participation from existing investors, including Novo Holdings , HealthQuad , and TeamFund. – This substantial investment will accelerate the company’s expansion into the US market and other regions, boost

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3 MEDITECH ACHDM panelists share their strategies on what makes an intelligent EHR

Meditech

Today’s EHRs are more than just patient records. They are powerful and intelligent decision-making tools that clinicians rely on daily to make the best decisions for their patients and their healthcare organizations. But what makes an EHR intelligent?

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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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Zing Health Raises $140M to Expand Medicare Advantage Plans for Underserved Seniors

HIT Consultant

What You Should Know: – Zing Health , a trailblazing Medicare Advantage insurer, has announced a successful $140M funding round. The round includes participation from Health 2047 Capital Partners , CRG , and First Trust Capital Partners , alongside existing investors Newlight Partners , Town Hall Ventures , Health 2047 , and Leavitt Equity Partners. – The investment will fuel the expansion of Zing Health’s integrated, chronic special needs-focused plans to reach more beneficiar

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Where to focus your quality improvement efforts

Life Qi

In this article we're helping you to find out where to focus your quality improvement efforts showcase some real-life examples from leading organisations.

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Edifecs and HealthEdge Partner to Streamline Healthcare Data Exchange

HIT Consultant

What You Should Know: – Edifecs and HealthEdge , two leading healthcare technology companies, have announced a strategic partnership to natively integrate Edifecs’ EDI Gateway offerings with HealthEdge’s HealthRules Payer claims adjudication system. – This partnership will enable organizations to confidently navigate complex regulatory landscapes while also laying the foundation for future advancements in healthcare administration.

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Healthcare AI News 9/25/24

HIStalk

News The New York Times covers physician use of Epic’s.

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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.

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Pomelo Care Acquires The Doula Network to Offer Virtual & In-Person Care

HIT Consultant

What You Should Know: – Pomelo Care , a provider of evidence-based maternity care, has acquired The Doula Network , the largest network of credentialed, in-network doulas in the United States. – The acquisition expands Pomelo’s reach to over 15 million covered lives, including more than 1 in 6 Medicaid beneficiaries nationally. ​​ By integrating doula care into its evidence-based, hybrid care model, Pomelo is expanding access to high-quality care, improving outcomes for mothers

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A Disproportionate Share Payment Calculation Case in the Post-Chevron Era

Bill Of Health

By Zack Buck Yet another case that examines the authority of administrative agencies to interpret health care laws will make its way to the Supreme Court next term. And the case could have major implications for hospital financing as well. In June 2024, the U.S. Supreme Court granted cert in Advocate Christ Medical, et al. v. Becerra , a case that centers on the appropriate calculation of so-called disproportionate share hospital (DSH) payments, which are made to hospitals that treat a high perc

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Morning Headlines 9/26/24

HIStalk

Global healthcare AI innovator Qure.ai completes $65 million Series D.