Fri.Feb 03, 2023

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Cigna addresses MA overhaul, fresh off $6.7B in profit

Health Care Dive

CEO David Cordani addressed the CMS’ recent changes to the Medicare Advantage program, Cigna’s multibillion-dollar investment in VillageMD and more in the payer’s fourth-quarter earnings on Friday.

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Alabama hospitals' margin declines 'far more severe' than industrywide losses, prompting calls for more funds

Fierce Healthcare

Alabama hospitals' margin declines 'far more severe' than industrywide losses, prompting calls for more funds dmuoio Fri, 02/03/2023 - 17:05

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To improve employees’ health in 2023, employers must take a hard look at where and how employees receive care

Health Care Dive

Morgan Health CEO Dan Mendelson and partner Cheryl Pegus advocate for embracing value based care and using virtual tools available as a complement.

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DOJ withdraws 'outdated' and 'overly permissive' healthcare antitrust enforcement guidance

Fierce Healthcare

DOJ withdraws 'outdated' and 'overly permissive' healthcare antitrust enforcement guidance dmuoio Fri, 02/03/2023 - 14:37

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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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Healthcare added 58K jobs in January with ambulatory, nursing homes leading gains

Health Care Dive

The gains are slightly above last year’s average for the sector, which was 47,000 new jobs per month.

Nursing 278
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Virtual care enables BrightView Health to increase outpatient access

Healthcare It News

BrightView Health, a behavioral health facility that specializes in addiction treatment and substance abuse, already was using telehealth when the COVID-19 pandemic and associated response happened. The organization mostly was using telehealth between its various locations. THE PROBLEM However, BrightView did not have a secure communications platform to engage with patients either synchronously or asynchronously.

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More Trending

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The Pros, Cons And Future of Self-Directed Care

Home Health Care

Self-directed care undeniably has a place in the future of home-based care. How big that place is, however, is still up in the air. There are many benefits to offering self-directed or consumer-directed care, especially for patients who would rather be cared for by a caregiver of choice. States see it as a win-win because it lowers the cost of care and gives families their preferred option.

Medicaid 115
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Clinicians are taking on the onus of bridging the digital divide, survey finds

Fierce Healthcare

Clinicians are taking on the onus of bridging the digital divide, survey finds aburky Fri, 02/03/2023 - 17:01

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Medicaid Structured Family Caregiving Enables Caregivers to Make Caregiving Their Primary Focus

NASHP

Family caregivers play an important role in caring for Medicaid Home and Community Based (HCBS) waiver participants. Some states have moved to offer structured family caregiving (SFC) services within their Medicaid program to help HCBS waiver participants’ primary caregivers fulfill that role. SFC services include payment, individualized training based on the needs of the waiver participant, coaching, back-up or respite care, and other supports.

Medicaid 105
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VA dodges ivermectin prescriptions that cost payers millions: study

Fierce Healthcare

VA dodges ivermectin prescriptions that cost payers millions: study fdiamond Fri, 02/03/2023 - 13:15

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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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Inclement Weather Update 2/3/2023

Healthcare Associates

Certain HCAT clinics will be open for in-person visits today at 10:00 AM. Others will be closed or will open later. Refer to the list below to see the opening hours of your doctor’s clinic. All patients who have an appointment scheduled and who will be affected by the weather-related closure will be contacted. Their appointment will be moved to a virtual visit or other arrangements will be made.

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Express Scripts is gearing up for a busy 2023. Meet its new president

Fierce Healthcare

Express Scripts is gearing up for a busy 2023.

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Contessa Rolls Out Hospital-At-Home JV With Virginia Mason Franciscan Health

Home Health Care

Contessa Health, a subsidiary of Amedisys Inc. (Nasdaq: AMED), has teamed up with Virginia Mason Franciscan Health (VMFH) to launch VMFH Home Recovery Care at the Tacoma, Washington-based St. Joseph Medical Center. The Nashville, Tennessee-based Contessa specializes in shifting higher-acuity care into the home. On average, the company’s model lowers readmission rates by 44% and decreases the mean length of a hospital stay by 35%, according to data from Contessa.

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Women's health solutions company Wildflower launches maternity VBC initiative in New Jersey with collective of health systems

Fierce Healthcare

Women's health solutions company Wildflower launches maternity VBC initiative in New Jersey with collective of health systems agliadkovskaya Fri, 02/03/2023 - 14:54

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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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Solve.Care and EarthID Sign to Power Decentralized & Multi-faceted ID for Healthcare

HIT Consultant

What You Should Know: Solve.Care & EarthID have announced a collaboration to employ blockchain technology to decentralize ID data and provide verification of credentials to create a powerful ID management system to be put in the hand on individuals. The collaboration will enable individuals to aggregate all their multi-faceted data related to their identity for healthcare purposes, while maintaining complete control.

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MyndVR announces first-ever payer partnership, expanding VR therapy to seniors in New York

Fierce Healthcare

MyndVR announces first-ever payer partnership, expanding VR therapy to seniors in New York agliadkovskaya Fri, 02/03/2023 - 15:40

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TripleBlind Taps Mayo Clinic Platform To De-Identify Patient Data

HIT Consultant

What You Should Know: – TripleBlind , an automated, real-time data de-identification company has expanded its relationship with Mayo Clinic Platform. – For the first time in healthcare, the use of TripleBlind’s Privacy Builder software will enable healthcare systems, via Mayo Clinic Platform, to strategically collaborate on developing the next generation of digital healthcare solutions within secure environments.

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Level Ex study shows efficacy of game-based training for experienced dermatologists

Fierce Healthcare

Level Ex study shows efficacy of game-based training for experienced dermatologists agliadkovskaya Fri, 02/03/2023 - 13:28

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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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Why AccentCare Is Expanding Hospital Partnerships, Private-Pay Business in 2023

Home Health Care

This article is a part of your HHCN+ Membership AccentCare is one of the largest home health providers in the U.S. It has its main service lines – home health care, personal care and hospice – built out. The question is where a company with its size and diversification goes next. If you’re the CEO of AccentCare, Steve Rodgers, the answer to that question is lean into partnerships with large hospitals and health systems.

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Chutes & Ladders—St. Jude seats new oncology chair, hires first-ever chief business innovation officer to roll out $12.9B strategic plan

Fierce Healthcare

Chutes & Ladders—St. Jude seats new oncology chair, hires first-ever chief business innovation officer to roll out $12.

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The War in Ukraine, Software Supply Chain Risk, 'Hacking Equity': RAND Weekly Recap

The Rand Blog

This weekly recap focuses on lessons about defense strategy from the war in Ukraine, U.S.-France cooperation in the Indo-Pacific, software supply chain risk, and more.

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Cigna reports $1.2B in profit, $45.8B in revenue on Q4 beat

Fierce Healthcare

Cigna reports $1.2B in profit, $45.

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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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Medscape Diagnoses Worsening Burnout and Depression Among U.S. Physicians

Health Populi

In the organization’s annual study into physicians’ wellbeing, Medscape has diagnosed worsening burnout and depression among America’s doctors. Over one-half of U.S. physicians say they are burned out or depressed, the chart from the U.S. Physician Burnout & Depression Report for 2023 calls out. “I cry but not one cares,” is one of the represented color comments provided by one of the physicians included in the survey of 9,175 physicians polled online between Ju

Doctors 62
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Banner Health pays $1.25M over 'pervasive' HIPAA noncompliance following 2016 hack

Fierce Healthcare

Banner Health pays $1.

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988 Suicide and Crisis Lifeline

Icanotes

In 2020, a death by suicide occurred every 11 minutes in the United States. In 2021, this average increased by 4% , amounting to 47,646 deaths in total. With this increase, it's natural to assume many mental and behavioral health professionals may be concerned about the accessibility of suicide prevention for mental health crises. Fortunately, the Federal Communication Commission (FCC) has created a new number to reach the suicide prevention hotline.

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Most Recent Nursing Home COVID-19 Data Available 

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS has posted the nursing home COVID-19 data for the week ending January 22, 2023. Comparing the January 22, 2023 data to the January 15, 2023 data shows these changes: Resident primary vaccination completion rate decreased another 0.1% this again past week; Residents up to date with vaccines increased 0.5% during this past week; Staff primary vaccination completion rate remained the same – no change in past 5 weeks; Staff up

Nursing 52
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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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11 Key Steps Of A Successful Medical Billing Process

Best Medical Billing Company | Physicians Revenue Group, Inc.

prgseo February 3, 2023 11 Key Steps Of A Successful Medical Billing Process The medical billing process is a core step in a patient-doctor relationship. Medical billing services ensure payments for all services rendered go through. It also helps keep track of your accounts receivables and accounts payable. Successful physicians’ or medical biller earnings are appropriately based on the collected revenue.

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ICD-10 and Other Coding Revisions to National Coverage Determinations July 2023 Update

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Late afternoon of Thursday, February 2, 2023, CMS posted Transmittal 11832 – same title as this blog. This is a 6-page Transmittal. Be sure to review and share this Transmittal with your team, with special attention starting on page 2.

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Attention New York Medicaid Providers: It’s Time to Upgrade Your Compliance Program

Sheppard Health Law

On January 31, 2023, the New York State Office of the Medicaid Inspector General (OMIG) released three guidance documents to assist Medicaid providers in meeting the requirements of recently adopted regulations governing (i) the implementation and maintenance of an effective compliance program for certain providers; (ii) Medicaid managed care fraud, waste and abuse prevention programs; and (iii) OMIG’s Self-Disclosure Program for overpayments.

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Revisions to Appendix M – Hospice State Operations Manual (SOM)     

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare On January 27, 2023, I blogged about the Revisions to Hospice-Appendix M of the State Operations Manual and the Hospice Basic Surveyor Training. Late in the afternoon of February 2, 2023, CMS posted Transmittal 210 … Revisions to the State Operations Manual (SOM) Appendix M – Hospice (192 pages).

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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.