Health Care Dive

JULY 6, 2022

Of 230.9 million in-network claims reported, 42.3 million claims were denied, according to a Kaiser Family Foundation analysis of CMS data.

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Healthcare It News

JULY 6, 2022

Enterprise Taxonomy: Node settings: Exclude from Accelerate RSS feed

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Health Care Dive

JULY 6, 2022

Cases ranged from improper psychiatric treatment to providing false Medicare claims and illegal kickback schemes.

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Healthcare Medicare 332

NASHP

JULY 6, 2022

State Medicaid Approaches to Doula Service Benefits Updated July 6, 2022 / by Anoosha Hasan. Maternal mortality rates continue to increase in the United States, with significant racial, ethnic, and socioeconomic disparities in birth outcomes. States are using a variety of approaches to provide doula services within their Medicaid programs to address inequities.

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Health Care Dive

JULY 6, 2022

Telehealth use overall rose nationally and in every region following two months of decline, according to Fair Health’s monthly tracker.

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Briggs Healthcare

JULY 6, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The national Health Care Fraud and Abuse Control (HCFAC) Program is celebrating its 25th year of operation and continued success in identifying and prosecuting the most egregious instances of health care fraud, preventing future fraud and abuse, and protecting program beneficiaries.

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Medicaid Medicare Prevention Healthcare 105

HIT Consultant

JULY 6, 2022

Peter Bridges, Chief Commercial Officer at Transcarent. What You Should Know: – Transcarent , a new, different, and better health and care experience company for employees of self-insured employers and their families appoints Peter Bridges as its new Chief Commercial Officer. – As Chief Commercial Officer, Mr. Bridges will lead Transcarent’s sales, channel partnerships, provider relations, and consultant relations teams as Transcarent continues its rapid market expansion with the cou

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Primary Care Healthcare Providers Healthcare 98

Health Care Dive

JULY 6, 2022

For decades, the SLUCare Physician Group has provided medical services at a number of SSM Health hospitals. The system now has a range of resources it can offer, from community-based clinicians to academic specialists.

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Medical Services Hospitals 144

Home Health Care

JULY 6, 2022

Last month, UnitedHealth Group (NYSE: UNH) and LHC Group Inc. (Nasdaq: LHCG) each received a request from the Federal Trade Commission (FTC) for more information in regards to the former’s pending $5.4 billion acquisition of the latter. New details have emerged on what exactly the FTC is looking for in its probe. Broadly, under the Hart-Scott-Rodino Act, when one party of large scale attempts to acquire another of large scale, there must be a waiting period until the deal is finalized.

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Nursing Medicare Hospitals Healthcare 98

Briggs Healthcare

JULY 6, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. Just this morning (Wednesday, July 6, 2022), CMS posted QSO-22-20-Hospitals with the same title as this blog. On September 30, 2019, the Centers for Medicare & Medicaid Services (CMS) published the final rule Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction Final Rule , which included revisions for the hospital Conditions of Participation (CoP) for 42

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Prevention Hospitals Regulations Medicaid 98

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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

Healthcare

HIT Consultant

JULY 6, 2022

What You Should Know: – Medical Solutions , one of the nation’s largest providers of total workforce solutions serving the healthcare industry acquires Matchwell , a tech-enabled job marketplace that empowers healthcare organizations to access and manage a flexible workforce in the most efficient model in the industry. – Integrating Matchwell into the Medical Solutions family of service offerings will enable the company to provide even more opportunities and options for clinicians, i

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The Rand Blog

JULY 6, 2022

Misinformation could become a major barrier to individuals trying to navigate their way to safe, legal, and quality reproductive care. What might states, health insurers, and technology companies do to address this issue?

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Home Health Care

JULY 6, 2022

When it comes to expanding franchises in the health care space, this isn’t Jason Wiedder’s first rodeo. Wiedder has nearly two decades of experience in building brands, most of those years being in home care. He spent 10 years with Senior Helpers, helping the nationwide home care agency grow from zero to 300 franchises around the country. In December, Wiedder was brought on alongside CEO Tim Hadley to Executive Home Care, a home care provider with 20 locations spread across the Northeast and Flo

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Home Care 95

The Rand Blog

JULY 6, 2022

It's hoped that Microbiome research and development may lead to an increasing number of therapeutic and well-being breakthroughs. But regulating microbiota-related products poses a challenge that could require innovative approaches.

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Regulations 96

Advertiser: HealthCar

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HIT Consultant

JULY 6, 2022

Doug Duskin, CEO, Avel eCare. COVID has shown us that telemedicine is effective and easy to use. But why limit the use of virtual care to public health emergencies? With providers and clinicians under increasing strain from staffing gaps and other issues, telemedicine is a valuable solution. Telemedicine has been a crucial tool in the fight against COVID-19 , allowing patients and providers to stay connected even when quarantine rules keep them physically separated. .

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Home Health Care

JULY 6, 2022

The hospital-at-home movement has been a striking trend in the home-based care space over the last few years, but it hasn’t been driven by home-based care providers. Health systems and hospitals have been the ones benefiting from increased access to patients’ homes, sometimes partnering with home health or home care providers — and sometimes not.

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Hospitals Home Care Medicaid Nursing 80

Healthcare ECONOMIST

JULY 6, 2022

What role should digital therapeutics (DTx) play in our treatment landscape? What regulatory and access processes need to be established to be sure these treatments are safe, effective and high value? What evidence is needed to support claims of safety, efficacy and value? These questions and more were tackled as part of an AMCP Partnership Forum on DTx.

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Regulations 72

The Rand Blog

JULY 6, 2022

For healthcare innovations to have the fairest and broadest possible benefit to society, efforts could be made to attend to all stages of the innovation pathway to identify opportunities to mitigate biases through diversity, equality and inclusion.

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Healthcare Innovation Healthcare 59

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Hospitals

HIT Consultant

JULY 6, 2022

What You Should Know: – Today, Teladoc Health announced the expanded capabilities available to Primary360 users to remove barriers to access and offer comprehensive primary care that meets people where they are. – Primary360 members will now receive health plan in-network referrals and care coordination support; free, same-day medication delivery from Capsule , the leading national digital pharmacy; and in-home, on-demand phlebotomy with Scarlet Health.

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Primary Care Healthcare 52

Health Advances

JULY 6, 2022

By Heather S. Loring, PhD, Xinyu Huang, Balazs Felcsuti, and Sheela Hegde. Key Takeaways. As the waitlist for transplantable organs continues to grow, with only half on the waitlist receiving transplant within 5 years, there remains significant unmet need to increase the quantity of viable organs and extend patients’ lives. After years of technological advancements facilitated by genome editing, xenotransplantation holds the promise to be part of the solution to alleviate the severe organ shorta

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HIT Consultant

JULY 6, 2022

What You Should Know: – Today Innovaccer , the Health Cloud company, announced its Connected Digital Health solution, a new way for life sciences companies to rapidly deliver next-generation digital apps that surround therapeutics and devices with highly engaging patient experiences, improve clinical outcomes, and generate valuable real-world evidence (RWE). – The new solution will allow life sciences companies to realize the promise of digital health with holistic, “around-the-brand

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Briggs Healthcare

JULY 6, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The Hospice Care Index (HCI) Technical Report is now available. This report provides descriptive analyses and detailed contextual information about the new HCI quality measure. Please navigate to the Downloads section of the Current Measures webpage to access this report. The direct link to the 72-page report is here.

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Hospice Care Healthcare 52

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.

Healthcare

HIStalk

JULY 6, 2022

Kyle Kiser is CEO of Arrive Health of Denver, CO.

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Briggs Healthcare

JULY 6, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. COVID-19 was the third leading cause of death in the United States between March 2020 and October 2021, according to an analysis of national death certificate data by researchers at the National Cancer Institute, part of the National Institutes of Health. The study appears July 5 in JAMA Internal Medicine.

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HIStalk

JULY 6, 2022

CareConnectMD Announces $25 Million Investment from TT Capital Partners to.

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Briggs Healthcare

JULY 6, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS provided this notification just a few minutes ago (Wednesday, July 6, 2022): The OASIS Data Submission Specifications Version 3.00.1 are now available in the Downloads section of the Data Specifications webpage. This FINAL version applies to the OASIS-E item set, which is scheduled for implementation on January 1, 2023.

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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.

Healthcare

Healthcare It News

JULY 6, 2022

Timely access to mental healthcare, especially in rural areas, has long been a concern. There is not only a scarcity of providers as fewer people are going into the profession, but emergency departments in rural areas have limited expertise and experience in treating mental illness. THE PROBLEM. With the Joint Commission's recommendation that patient boarding times not exceed four hours in the interest of patient safety and quality of care, CommonSpirit Health, the nation's second larges

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Telemedicine Integration Patient Safety Hospitals 203

Bill Of Health

JULY 6, 2022

By Alicia Ely Yamin and María Natalia Echegoyemberry. The first thing that strikes you when you arrive in Argentina’s Villa Inflamable (literally “Inflammable Slum”) is the noxious sulfur smell of the air that mixes with other acrid chemicals, which makes it difficult to breathe deeply. When a breeze picks up, the sands that have been used to extract contaminated water from the nearby Riachuelo, one of the ten most highly contaminated rivers in the world, rain down on everyone, filling eyes and

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Regulations Prevention Integration 52