Wed.Jul 12, 2023

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CVS Caremark, GoodRx team up on prescription discounts

Fierce Healthcare

CVS Caremark is teaming with GoodRx to provide pharmacy discounts to commercial plan customers. | CVS Caremark is teaming with GoodRx to provide pharmacy discounts to commercial plan customers.

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CVS Caremark, GoodRx partner on automatic drug discounts for commercially insured

Health Care Dive

The program will be a source of revenue for GoodRx, and might also open a new fee stream for CVS’ pharmacy benefit manager as the drug middlemen face increased scrutiny for complex pricing models.

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LGBTQ+ founders reflect on the struggles of fundraising, seeking allies and pleasing investors

Fierce Healthcare

LGBTQ+ founders have created 36% more jobs, 114% more patents and 44% more exits than the average founder, according to a research index by StartOut, a nonp | “It’s still hard when you’re pitching across the table to people that just see the world very differently," said David Stein, CEO and co-founder of Ash Wellness. On the heels of Pride Month, LGTBQ+ founders reflect on the struggle of building a startup and fundraising in the U.S. while maintaining their identity.

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Johns Hopkins hit with class action suit following data breach

Health Care Dive

The health system failed to implement safeguards to secure patients’ health information and provided insufficient details about the stolen data, the suit alleges.

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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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'Podnosis': How big data can inform public policy, AI for healthcare

Fierce Healthcare

Private sector data companies like Komodo Health work with healthcare stakeholders, including governments, to help identify gaps in care, inequities and then interventions to improve outcomes. | This week on "Podnosis," we talk about how big data can inform policy. Also under discussion is the role of AI in healthcare.

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Technology helps patients manage medical debt

Healthcare It News

Digital patient engagement and payment tools provide price transparency and convenience for consumers and allow them to better manage care expenses, say Ryne Natzke, Sphere chief revenue officer, and John Welch, chief product officer.

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First connected health service in Malaysia launched

Healthcare It News

Private tertiary hospital Subang Jaya Medical Centre has launched what could be the first connected health service in Malaysia. WHAT IT'S ABOUT The 400-bed hospital joint venture by Ramsay Health Care Australia and Sime Darby Malaysia seeks to "revolutionise" healthcare delivery through its latest service called Connected Care. Based on a press release, it offers services in six areas of care, which initially include: HomeConnect - nursing service at home; TeleConnect - telemedicin

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Octave nabs $52M, eyes expansion of in-network therapy services to all 50 states in 2024

Fierce Healthcare

High-quality therapy can be expensive for a lot of individuals and it's estimated that one-third of therapists don't accept insurance at all. | The new funding will accelerate Octave’s expansion to more regions later this year and all 50 states in 2024.

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CMS faces poor data quality in payment model health equity push

Health Care Dive

Variable race and ethnicity data is making it difficult to determine whether CMS Innovation Center models are reaching, enrolling and helping underserved beneficiaries, according to a new white paper from the agency.

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Aspirus Health, St. Luke's Duluth unveil plans to form 19-hospital Midwest nonprofit system

Fierce Healthcare

St. | The Wisconsin and Minnesota nonprofits' announcement is the latest in a string of large-scale health system mergers brewing in the Midwest.

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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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Milestone in MIPS journey: You can Access MIPS 2022 Final Score Preview Now!

p3care

As an eligible clinician, you pour your heart and soul into participating in the MIPS program. Throughout the reporting phase, you ensure the submission of accurate data for selected measures. Therefore, you dedicate countless hours, to burning the midnight oil, to meet data completeness requirements. Your commitment doesn’t stop there; you also strive to implement best practices for future years.

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HonorHealth buys out remaining stake of 26 FastMed urgent cares in Arizona

Fierce Healthcare

Urgent care center chain FastMed has signed another deal handing off many of its Southwest locations to a health system buyer. | Word that FastMed is selling off 26 Arizona urgent cares to partner HonorHealth comes just months after the chain sold 41 of its Texas locations to HCA Healthcare.

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The Largest Insurance Expansion in History

Healthcare ECONOMIST

That is the title of an important paper by Jonathan Gruber, Mengyun Lin & Junjian Yi. The abstract is below: The New Cooperative Medical Scheme (NCMS) rolled out in China from 2003-2008 provided insurance to 800 million rural Chinese. We combine aggregate mortality data with individual survey data, and identify the impact of the NCMS from program rollout and heterogeneity across areas in their rural share.

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Beyond The Cuts: What Else Home Health Providers Need To Know About CMS’ Proposed Rule

Home Health Care

This article is a part of your HHCN+ Membership When the U.S. Centers for Medicare & Medicaid Services (CMS) published its FY 2024 home health proposed payment rule, the 2.2% cut immediately became the focus. But the nearly 300-page rule included dozens of other notable, proposed changes to home health care. Sign up for HHCN+ to read this exclusive content.

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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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Machine Learning Model Predicts PTSD Following Military Deployment

Health IT Analytics

One-third of US veterans flagged as high risk for PTSD by a machine learning model in a recent study accounted for 62.4 percent of cases of the condition.

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After $29M Fundraising Round, CarePredict Looks To Partner With Home-Based Care Providers

Home Health Care

The health care tech startup CarePredict – which partners with top home care brands across the country – has raised $29 million. The Series A-3 investment was co-led by SV Health Investors’ Medtech Convergence Fund and Aspire Healthtech Partners. One of the company’s largest goals after the funding round is to connect with more home-based care providers.

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Prenosis Awarded $4.8M in NIH Grants to Enable Precision Medicine for Sepsis

HIT Consultant

What You Should Know: Prenosis, Inc. , a Chicago, IL-based AI company enabling precision medicine in acute care, announced today that it has been awarded two Phase 2 SBIR grants totaling $4.8M in funding by the National Institute of General Medical Sciences (NIGMS), a division of the National Institute of Health (NIH). The grants will study the use of Prenosis’s Immunix™ Artificial Intelligence platform for acute immune states.

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Patient Engagement: A Two-Way Relationship with Lonnie Hirsch | E. 77

Vie Healthcare

Episode Introduction Lonnie shares the ‘’three lacks’’ that get in the way of effective patient engagement, why patients must be empowered to take ownership of their own health journeys, and reminds us that, while healthcare is episodic, health is a constant. He also explains why patient engagement is not a marketing issue, why its highest purpose is outcomes, and the need for hospitals to ‘’care for the people who care for their patients.

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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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Fold Health Lands $6M for Optimization Platform for VBC Primary Care

HIT Consultant

What You Should Know: – Fold Health ,a San Francisco, CA-based platform supporting value-based primary care raises $6M in funding from Iron Pillar and global angel investors. – Fold partners with leading value-based primary care groups, ACOs, health systems, health plans and digital health companies, to 10x the reach and effectiveness of collaborative care teams in their mission to radically improve outcomes.

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Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Quarter Notification for FY 2023

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Transmittal 12123 was posted July 11, 2023. Note the Effective/Implementation Date is July 17, 2023. I. GENERAL INFORMATION A. Background: Medicare Regulation 42 CFR section 405.378 provides for the assessment of interest at the higher of the current value of funds rate (one percent for calendar year 2023) or the private consumer rate as fixed by the Department of the Treasury.

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Affect Therapeutics Secures $16M to Expand App for Drug and Alcohol Addiction

HIT Consultant

What You Should Know: Today, Affect Therapeutics – a McLean, VA-based company reimagining alcohol and drug addiction treatment with smartphone apps that put an integrated treatment program into the pocket of its members raises $16M in Series A funding led by ARTIS Ventures. The funding also included additional participation from previous investors AlleyCorp and CityLight , as well as new investments from LifeArc Ventures, Samsung Next , and What If Ventures.

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National Association for Home Care and Hospice (NAHC) Files Lawsuit to Block Medicare Rate Cuts

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare NAHC filed a lawsuit against the Secretary of the United States Department of Health and Human Services last week (July 5, 2023) to block CMS from cutting Medicare rates that are expected to total over $18 billion over the next 10 years. The 30-page complaint can be viewed here. The General allegations begin on page 7 of the Complaint.

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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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Why PV Signal Teams Must Leverage RWD & Advanced Cognitive Computing

HIT Consultant

Art Brown, Director of Product Marketing, LifeSphere Clinical, ArisGlobal Signal detection — one of the most critical activities within pharmacovigilance (PV) — is the process of searching for and identifying safety signals from a variety of data sources. PV teams typically monitor safety signals for post-market products by reviewing scientific and medical literature, data obtained from clinical studies, and individual case safety reports (ICSRs).

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New York State Medicaid Case Mix: No OSA – Transitioning to PDPM

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare DOH unveils intent to freeze case mix, aspiration to transition from RUGs to PDPM case mix methodology. In a meeting with LeadingAge NY and other associations earlier today (July 11th) on nursing home Medicaid issues, Department of Health (DOH) Bureau of Long Term Care Rate Setting staff shared the State’s intent to move away from a Resource Utilization Group (RUG)-based case mix adjustment and shift to a methodology mor

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Digital Health Funding Reaches $6.1B in First Half of 2023

HIT Consultant

What You Should Know: Digital health funding in H1 2023 shows fewer deals, lower check sizes, and a smaller cohort of sector investors. Founders, investors, and healthcare innovators are adjusting to the new status quo, with some startups pursuing unlabelled raises, seasoned investors looking for the next big startups, and companies making decisions to sunset their businesses while their assets may continue as acquisitions or relaunched products.

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3 Ways to Increase Patients & Profits While Dropping Costs 

Clearwave Inc

Reading Time: 2 minutes By Blakely Roth | July 12, 2023 With a competitive healthcare market and economic uncertainty, practices are finding cost-effective ways to increase patients and profits. In partnership with SocialClimb, the healthcare marketing platform, Clearwave launched a mini-series, “Patients, Profits, Practices” all about how you can drop patient acquisition costs, increase revenue and compete in our ever-changing healthcare environment.

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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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Healthcare AI News 7/12/23

HIStalk

News Lovelace Health System in New Mexico implements CareHarmony’s AI-powered.

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Exploring Managed Medicaid Challenges In Home-Based Care

Home Health Care

Home-based care providers working with Medicaid managed care plans have to navigate an operating environment that is more administratively complex. That’s one of the key takeaways from a recent webinar hosted by the National Association for Home Care & Hospice (NAHC). Since 2020, states like North Carolina, Oklahoma and Idaho have implemented managed care programs.

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Readers Write: Leveraging a Digital Ecosystem to Simplify Specialty Medication Onboarding

HIStalk

Leveraging a Digital Ecosystem to Simplify Specialty Medication OnboardingBy Julia.

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Digital Health Apps Can Legally Sell Your Health Data

HIT Consultant

What You Should Know: ClearDATA®, the first and most comprehensive provider of healthcare-specific managed cloud, compliance and defense services, recently announced the results of its Digital Health and Data Privacy Survey. The survey, conducted online by The Harris Poll on behalf of ClearDATA, polled over 2,000 U.S. adults aged 18 and older, revealing the relationship Americans have with digital health services, including their digital care preferences and how concerned they are about health

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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.