Home Health Care

APRIL 11, 2025

The Centers for Medicare & Medicaid Services (CMS) announced Thursday that it would no longer approve funding for some services previously covered by state section 1115 demonstrations, including some in-home non-medical services. In a letter addressed to state Medicaid directors, CMS stated that the organization did not anticipate approving new federal funding for designated state health programs (DSHP) and designated state investment programs (DSIP) under section 1115 demonstration authorit

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Medicaid Medicare Medical Services Nursing 107

HIT Consultant

APRIL 11, 2025

What You Should Know: – A recent report KLAS report has shed light on the ongoing cybersecurity challenges facing the healthcare industry, emphasizing the ripple effects of breaches like the 2024 Change Healthcare incident. – The new KLAS study, the “ Healthcare Cybersecurity Benchmarking Study 2025 , ” has analyzed the self-reported cybersecurity practices of 69 healthcare and payer organizations, revealing both progress and persistent vulnerabilities in the industry. &#

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Healthcare Hospitals 107

Fierce Healthcare

APRIL 11, 2025

In a letter sent to states, designated state health program requests with a healthcare-adjacent focus are unlikely to be approved, CMS announced. Here's what that means.

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Healthcare 247

Healthcare It News

APRIL 11, 2025

Sara Luisa Mintrone, chief marketing officer for the Dedalus Group, believes that, since the pandemic, patients want to participate in their own care rather than passively waiting for treatment decisions to be made for them.

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Healthcare 225

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

Healthcare

Fierce Healthcare

APRIL 11, 2025

The American Medical Association is seeking answers from Optum after reports from physicians indicated that the company pressuring them to repay loans issued following the cyberattack on Change Healthcare.

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Healthcare 204

Home Health Care

APRIL 11, 2025

Right at Home finished Q1 with 12 franchise territory transactions, including five new franchises and seven resales, signaling a robust start to 2025 while maintaining 2024s robust momentum. While franchise growth continues across the country, Right at Home is adopting a geo-targeted strategy in 2025, focusing on Ohio, Wisconsin, Minnesota, Illinois and North Carolina regions with high demand and availability.

Home Care 69

Home Care 69

HIT Consultant

APRIL 11, 2025

Image by freepik What You Should Know: – ATA Action , the advocacy arm of the American Telemedicine Association launches its new Virtual Foodcare Coalition. – The advocacy group is dedicated to promoting policies that integrate virtual care with food and nutritional support to improve health outcomes, prevent disease, and manage chronic conditions.

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Integration Telemedicine Prevention Medicare 59

Fierce Healthcare

APRIL 11, 2025

All told, CMS said it expects the proposed updates will raise hospitals total payments by $4 billion, a tally that includes a $1.5 billion projected increase in Medicare uncompensated care payments to disproportionate share hospitals. The proposed hospital pay rule for also looks at reducing regulatory burden, updating quality measurement and furthering MAHA goals.

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Medicare Hospitals 150

HIT Consultant

APRIL 11, 2025

What You Should Know: – Thoughtful.ai, a company specializing in artificial intelligence (AI)-powered revenue cycle automation has received a strategic investment from New Mountain Capital , a growth-oriented investment firm with over $55B in assets under management. The investment aims to support Thoughtful.ais continued growth and accelerate the adoption of automation and AI solutions to address the complex challenges faced by healthcare providers.

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Integration Healthcare Providers Healthcare 59

Fierce Healthcare

APRIL 11, 2025

Internet connectivity, staff and funding are just some of the constraints clinics face in trying to implement an AI scribe. Jennifer Cortes, M.D., shares an on-the-ground account of AI implementation at North Country Healthcare in rural Arizona.

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Accountability Healthcare 146

Speaker: Jennifer Hill

Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.

Regulations

HIT Consultant

APRIL 11, 2025

What You Should Know: – Endeavor Health , a Chicagoland-based integrated health system announced the development of a groundbreaking, fully cloud-based digital pathology platform in collaboration with Google Cloud, establishing a novel model poised to reshape the future of this critical medical field. – Endeavor Health’s pioneering model represents a significant leap forward from previous industry efforts to explore digital pathology.

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Integration Healthcare 52

Fierce Healthcare

APRIL 11, 2025

A better consumer experience has implications for clinical improvements, according to a new report from CVS Health.

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Nordic

APRIL 11, 2025

Nordic recently partnered with Modern Healthcare to survey U.S. healthcare executives on their readiness in foundational preparations for AI implementation. The findings provide valuable insights into AI governance, infrastructure, and training priorities at healthcare organizations of all sizes. Healthcare leaders should recognize opportunities for improvement in technology infrastructure and data capabilities to realize long-term success in AI.

Healthcare 52

Healthcare 52

Fierce Healthcare

APRIL 11, 2025

Health insurance premiums and related costs are a significant burden for small businesses, and a new study from banking giant JPMorgan Chase finds that many dropped coverage from one year to the next to mitigate the expense.

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Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

Patient Experience

HIT Consultant

APRIL 11, 2025

What You Should Know: – The Workgroup for Electronic Data Interchange (WEDI) has published the results of its baseline survey, assessing the healthcare industry’s preparedness to meet the requirements of the Centers for Medicare & Medicaid Services (CMS) Advancing Interoperability and Improving Prior Authorization Final Rule (CMS-0057-F). – This rule introduces new provisions aimed at increasing data sharing, including Patient Access, Provider Access, Payer-to-Payer, and Pr

Medicaid 40

Medicaid Medicare Healthcare 40

Fierce Healthcare

APRIL 11, 2025

Many people in the industry feel that once we activate FHIR, everything is solved. But the reality is that this first round of testing has resulted in several key lessons that are essential to realize the future of seamless patient access and nationwide interoperability.

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Sequence Health

APRIL 11, 2025

A healthcare marketing plan is essential for organizations looking to reach their target audience, build trust, and grow their services. Whether you’re a hospital, clinic, or private practice, having a clear strategy helps you stand out in a competitive industry. In this blog, we’ll dive into what a healthcare marketing plan is, why it’s important, and share expert tips and strategies to create one that drives results.

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Healthcare Private Practices Integration Healthcare Providers 52

Fierce Healthcare

APRIL 11, 2025

SCAN Group and Sutter Health are teaming up for a long-term partnership in which they will build new, joint Medicare Advantage products in Northern California.

Medicare 117

Medicare 117

Speaker: Kaitlin Ruby Carroll

Retaining top talent in 2025 means rethinking benefits. In a competitive job market, fertility benefits are more than just offerings - they are a commitment to your team’s well-being. Gain critical insights into the latest fertility benefits strategies that can help position your organization as an industry leader. Our expert will explore the unique advantages and challenges of each model, share success stories from top organizations, and offer practical strategies to make benefits decisions tha

Home Health Care

APRIL 11, 2025

This article is a part of your HHCN+ Membership Payment rates for at-home care providers have been a major theme of the past week, with the arrival of a final Medicare Advantage (MA) rule from the Centers for Medicare & Medicaid Services (CMS), and Medicaid remaining in the crosshairs of federal budget action. We also tackled building margin and financial resilience in our latest HHCN+ TALKS.

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Medicaid Medicare Home Care Nursing 73

Fierce Healthcare

APRIL 11, 2025

Canada's Competition Bureau has opened an antitrust investigation into Cigna's Express Scripts unit, seeking to probe its business practices in the pharmacy sector.

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Home Health Care

APRIL 11, 2025

Home-based care providers that also offer hospice services face a proposed 2.4% increase in per diem payments a figure likely insufficient to meet rising operational costs and growing patient demand. The U.S. Centers for Medicare & Medicaid Services (CMS) on Friday announced its proposed hospice payment rule featuring the payment increase, which was lower than the 2.9% hike the agency approved in its 2025 final rule.

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Hospice Care Regulations Medicare Medicaid 88

Fierce Healthcare

APRIL 11, 2025

Secretary Robert F. Kennedy Jr. clarified a Biden-era final rule that will ensure gender dysphoria treatment is not covered by disability protections.

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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.

Etactics

APRIL 11, 2025

Did you know that since OSHAs establishment in 1970, its regulations have reduced workplace fatalities by 60% ? However, in 2023, nearly 6,000 workers still died due to job-related injuries. These striking statistics show the importance of workplace safety, it is also a good reminder that while a lot of progress has been made there is more work that needs to be done.

Regulations 52

Regulations Prevention 52

Bill Of Health

APRIL 11, 2025

Artificial Intelligence Informed Consent, Redefined: How AI and Big Data Are Changing the Rules Is informed consent still meaningful in the age of AI? Once the gold standard of medical ethics, it now risks becoming symbolic a checkbox, rather than a safeguard. Published April 11, 2025 Author Emma Kondrup Share Share on LinkedIn Share on X Share on Facebook Share on Reddit Is informed consent still meaningful in the age of AI?

Regulations 52

Regulations Accountability Integration Healthcare 52

Health Populi

APRIL 11, 2025

With potential down-sizing of Medicaid on the short-term U.S. political horizon, a fascinating poll found that most people identifying as Republican would not favor cuts to Medicaid. What fascinates me about this survey, published earlier this week, is that it was conducted by FabrizioWard , a polling firm that has often been used by President Trump.

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Medicaid Medicare Nursing Primary Care 62