Thu.Jul 20, 2023

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These factors could lead ACA plan premiums to rise next year: report

Fierce Healthcare

As the industry gears up for open enrollment to begin this fall, a new report offers a look into the major factors that could impact premium changes in the individual and small group markets. | As the industry gears up for open enrollment to begin this fall, a new report offers a look into the major factors that could impact premium changes in the individual and small group markets.

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Prior authorization denials could limit access in Medicaid managed care, OIG reports

Health Care Dive

Medicaid managed care organizations studied by the HHS’ Office of the Inspector General denied one out of every eight requests for prior authorization in 2019, and most states don’t regularly monitor whether denials are appropriate.

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OIG raises concern about prior authorization denials in Medicaid managed care

Fierce Healthcare

The Office of Inspector General (OIG) is urging the feds and states to take on greater oversight of prior authorization denials in Medicaid managed care. | The Office of Inspector General is urging the feds and states to take on greater oversight of prior authorization denials in Medicaid managed care.

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Primary care providers say field is ‘crumbling’

Health Care Dive

Three years after the onset of the pandemic, providers remain overwhelmed, burned out and pessimistic about the future, according to a new report.

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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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CMS gives California, Kentucky the OK to offer mobile crisis intervention teams for Medicaid

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) has approved proposals from California and Kentucky for community-based mobile crisis intervention teams to provide Medicaid crisis services.< | Medicaid crisis service will be offered to residents in California and Kentucky under the federal American Rescue Plan, joining four other states.

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TPG acquires health IT company Nextech for $1.4B

Health Care Dive

Through the acquisition, TPG will gain access to Nextech’s network of more than 11,000 physicians and over 60,000 clinics.

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CMS pausing Medicaid redeterminations in states noncompliant with renewal requirements

Health Care Dive

Since April, the CMS has halted Medicaid eligibility checks in 12 states to address issues causing procedural disenrollments, according to officials.

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TPG strikes $1.4B deal to buy EHR, practice management software firm Nextech

Fierce Healthcare

Asset management firm TPG is buying healthcare IT company Nextech from Thomas H. Lee Partners for $1.4 billion, the company announced Wednesday. | Asset management firm TPG is buying healthcare IT company Nextech from Thomas H. Lee Partners for $1.4 billion, the company announced Wednesday.

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Ambient energy usage readings can support remote patient monitoring

Healthcare It News

The Cleveland-based Eaton Corporation, a power management company, announced that it developed an ambient monitoring API for use, on a subscription basis, for its sensor-based smart circuit breaker. The readings can flag anomalies, like a spike in night-time bathroom visits, as part of patient remote health monitoring, the company said. WHY IT MATTERS In its announcement Wednesday, Eaton said the algorithm's accuracy is as effective as home health and wellbeing monitoring from connected heal

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Blue Cross NC invests $4.3M in improve foster care in the state

Fierce Healthcare

Blue Cross and Blue Shield of North Carolina announced that it's invested more than $4.3 million to help low-income children and youngsters in foster care. | Blue Cross NC says that it steered the $4.3 million it invested to help children in foster care with the help of its strong ties with communities.

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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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Barbie in Health Care – Joining the Barbie Zeitgeist

Health Populi

Barbie is having a moment, marketers agree. This weekend, many of us will buy movie tickets (yes, to see “real” movies in “real” brick-and-mortar cinemas) to see both the new film Oppenheimer along with the Barbie movie. So many movie-goers will be making it a double-feature experience that started as a meme, the portmanteau “Barbenheimer,” to mark the cultural-phenomenon moment.

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Summus launches peer-to-peer platform connecting primary care docs to specialists

Fierce Healthcare

Summus, a virtual specialty care company, has launched a new tool connecting providers with specialists for eConsults. | Integrating peer-to-peer communication enhances value-based care models and optimizes patient care, the company argues, reducing costly referrals.

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Aging and the New Home Health, Tech-Enabled – Learning from Nature

Health Populi

“Digital technologies offer tremendous potential for shifting from traditional medical routines to remote medicine,” with the role of wearables playing a growing role in the new home care for healthy aging. But what are the challenges of deploying this promising tech with older people keen to be independent at home? We learn a lot about prospects and challenges in Digital health for aging populations, a Perspective report in Nature Medicine ‘s July 2023 issue.

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Chutes & Ladders—Noom taps tech exec as new CEO; Emory picks up chief transformation officer

Fierce Healthcare

Chutes & Ladders—Noom taps tech exec as new CEO; Emory picks up chief transformation officer aburky Thu, 07/20/2023 - 17:16

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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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Fighting in Sudan Is Creating a Rift Among U.S. Security Partners

The Rand Blog

While the national security community often focuses on strategic competition between the United States and its near-peer adversaries, the conflict in Sudan is a good reminder that regional powers are also engaged in competition for influence and resources.

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Market Density, Payer Agnosticism Help Mid-Sized Home Health Providers Punch Above Their Weight

Home Health Care

This article is a part of your HHCN+ Membership At the National Association for Home Care & Hospice’s (NAHC) Financial Management Conference this week, I did not get the sense that home health providers are collectively discouraged about their futures. Instead, I got the sense that they are becoming more action-driven. Even smaller providers are finding ways to adjust their businesses as a means for “survival.

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ChatGPT Is Creating New Risks for National Security

The Rand Blog

Large language models like ChatGPT and Claude offer a wide range of beneficial applications. But there are significant risks associated with their use that demand a coordinated effort among partner nations to forge a solid, integrated defense against the threat of malign information operations.

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Aevice Health Secures FDA Clearance for Smart Stethoscope Wearable for Respiratory Monitoring

HIT Consultant

What You Should Know: – Aevice Health , a Singapore-based provider of remote respiratory monitoring solutions today announced that its AI-powered, smart stethoscope wearable, the AeviceMD, has received clearance from the U.S. Food and Drug Administration (FDA) as a Class II medical device under the 510(k) route. – This clearance empowers the company to market and provide their novel remote monitoring platform to health systems across the country, expanding access to a hassle-free and

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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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DocGo Teams Up With HealthCare Partners NY To Close Care Gaps In The Home

Home Health Care

Last year, DocGo Inc. (Nasdaq: DCGO) and HealthCare Partners NY completed a successful pilot centered around closing care gaps by delivering care in the home. On Thursday, DocGo announced that it was building on the success of this pilot by forming an expanded partnership with HealthCare Partners NY to offer care to patients in New York. “Care gap closure is what this particular relationship was really based around,” DocGo CEO Anthony Capone told Home Health Care News.

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A Patient’s Right to Masked Health Care Providers

Bill Of Health

By Katherine A. Macfarlane In May 2023, Mass General Brigham instructed its patients that they “cannot ask staff members to wear a mask because our policies no longer require it.” Following patient protests, the hospital updated its policies with an imperfect fix, announcing that “ patients can ask, but providers determine when and if masking in a particular situation is clinically necessary.

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Proposed Minimum Wage Hike For Health Care Workers Could Have Adverse Effects On Home-Based Care Providers

Home Health Care

New legislation that would establish the first minimum wage requirement for health care workers advanced in the California State Assembly earlier this month. Although the news will be greeted warmly by caregivers in the Golden State, experts in the home-based care space are worried the minimum wage increase will have adverse effects on providers. “It certainly seems like it’s set up backward,” Angelo Spinola, the home health, home care, and hospice chair at the law firm Polsinelli, told Ho

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3 ways a strategic partner can strengthen your IT staffing operations

Nordic

Is your healthcare organization feeling the strain of doing more with less? Across the industry, healthcare technology leaders are trying to staff their teams while facing ever-tightening budgets and a lack of qualified talent. Being understaffed and overcapacity can create a vicious cycle as remaining team members and their managers get pulled into fighting fires and managing more day-to-day operations.

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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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PE Firm Invests in Pyx Health

HIT Consultant

What You Should Know: Pyx Health , a tech-enabled services company that provides health plans and their members an innovative, scalable solution that uniquely reduces loneliness and social isolation, today announced a majority growth investment from TT Capital Partners (TTCP). The company’s innovative app-based technology, paired with timely human interventions, improves patient and member outcomes in vulnerable populations, reduces financial burdens on the health care system, and promotes healt

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Quality Reporting Program: PAC Non-Compliance Letters for FY 2024 APU

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS is providing notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2022, which will affect their FY 2024 Annual Payment Update (APU). Non-compliance notifications are being distributed by the Medicare Administrative Contractors (MACs) and were placed into facilities’ CASPER folders in QIES, for Hospices and into facilities’ My Reports folders in iQ

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Boys & Girls Clubs of America Taps Unite Us To Enhance Youth Mental Health

HIT Consultant

What You Should Know: Boys & Girls Clubs of America , one of the nation’s largest youth-serving organizations, and Unite Us, the nation’s leading software company enabling cross-sector collaboration, are partnering to address the unmet mental health needs of young people, their families and communities across the nation. With more than 5,000 Clubs across the nation, Boys & Girls Clubs of America provides supportive spaces, caring mentors, and life-enhancing programs to over 3.6 million y

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Five-Star Preview Reports Available

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Five Star Preview Reports will be available on or around July 19, 2023. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the ‘Folders’ button, then select ‘My Inbox’ or the Inbox beginning with ‘LTC’ and the state abbreviation followed by a facility ID.

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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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New Study Evaluates Virtual Reality to Reduce Scanxiety in Brain Tumor Patients

HIT Consultant

What You Should Know: AppliedVR , an immersive therapeutics (ITx) pioneer advancing a novel approach to medicine, today announced interim analysis results of a phase 2 clinical trial study performed in collaboration with the National Cancer Institute (NCI), part of the National Institutes of Health (NIH). The phase 2 clinical trial explored whether virtual reality (VR) could be an intervention for primary brain tumor (PBT) patients who experience distress and anxiety prior to their clinical eval

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ProPublica Updates Nursing Home Inspect Database

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare “ProPublica has updated “ Nursing Home Inspect ,” our database that helps you find problems that inspectors identified in more than 15,000 U.S. nursing homes, to make it easier to search government reports and browse serious issues. We’ve added new data, a redesigned user interface and advanced search features.

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Interview with Cognivue CEO Tom O’Neill

Health Business Group

Memory loss, dementia, Alzheimer’s. It’s not something most people want to think about happening to them, yet it’s all too common. Treatments haven’t been available anyway, so it seems like a lot of worry for nothing. But Cognivue CEO, Tom O'Neill has a different perspective. He's focused on empowering patients and caregivers in Alzheimer’s prevention through cognitive health promotion and early detection to enhance patient outcomes in mild cognitive impairment and Alzheimer’s disease.

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Home Health Care Compare Quarterly Refresh – July 2023

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The July 2023 quarterly refresh for the Home Health Quality Reporting Program is now available on Care Compare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. For additional information on the COVID-19 public health emergency’s impact on public reporting, please see the HH QRP COVID-19 Public Reporting Tip Sheet in the downloads section of the

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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.