Thu.Jun 08, 2023

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CMS launches new pilot program to test out value-based primary care in 8 states

Fierce Healthcare

The Centers for Medicare and Medicaid Services aims to advance value-based primary care, especially in rural areas and among underserved populations, with a new pilot project. | The Centers for Medicare and Medicaid Services aims to advance value-based primary care, especially in rural areas and among underserved populations, with a new pilot project.

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Study predicts widespread use of digital twins in healthcare but warns about privacy, cybersecurity risks

Health Care Dive

More than half of respondents to a survey from Tata Consultancy Services saw wide implementation of digital twins in life sciences and healthcare in the next three years.

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For providers, consolidation may be key to staying afloat, experts tell Senators

Fierce Healthcare

Consolidation has been the norm across healthcare for some time, and for those in the industry that want to stay independent, watching their peers unite can be intimidating. | Consolidation has been the norm across healthcare for some time, and for those in the industry that want to stay independent, watching their peers unite can be intimidating.

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Health systems monitor air quality as wildfire smoke covers Northeastern US

Health Care Dive

Most health systems contacted by Healthcare Dive did not report significant spikes in patient volumes, but they urged residents to stay indoors as much as possible, especially those in vulnerable groups.

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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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AHA: Administrative burdens and payer rates—not hospitals—are to blame for fewer independent physician practices

Fierce Healthcare

Hospital acquisitions of physician practices are primarily being fueled by burdensome administrative requirements, rising expenses and insufficient commercial and public reimbursement rates, the in | The American Hospital Association released a report outlining the workload and expenses they say are driving physicians under their wing. The hospital industry lobbyist also floated major acquisitions by CVS Health and UnitedHealth Group's Optum as more deserving targets for policymakers'

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Cue Health wins first non-emergency authorization for COVID test

Health Care Dive

The FDA’s marketing authorization for Cue’s COVID-19 molecular test could boost consumer access, but the company faces strong competition from more established diagnostic firms.

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New Senate Bill Could Make Offering Palliative Care Easier For Home Health Agencies

Home Health Care

A group of lawmakers have rolled out a new Senate bill that would direct the Center for Medicare & Medicaid Innovation (CMMI) to develop a palliative care-specific payment model demonstration. The bill is dubbed the Expanding Access to Palliative Care Act. Sens. Jacky Rosen (D-Nev.), John Barrasso (R-Wy.), Tammy Baldwin (D-Wisc.) and Deb Fischer (R-Neb.) are sponsoring the legislation.

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Equality Health rolls out in-home care to address medical, social needs of underserved patients

Fierce Healthcare

There are many patients who struggle to navigate the traditional healthcare system and end up falling through the cracks. | Equality Health, a company that aims to improve access to value-based care for underserved populations, launched a new program to provide in-person and virtual care to patients facing complex medical issues in the convenience of their homes.

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AI Algorithms Outperform Standard Models in Cancer Prediction

Health IT Analytics

New research indicates that artificial intelligence algorithms were more accurate in predicting breast cancer compared to the standard BCSC risk model.

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Value-based pregnancy care provider Pomelo launches from stealth with $33M in funding

Fierce Healthcare

Pomelo Care, a virtual, value-based provider focused on maternity care, has emerged from stealth fueled by $33 million in seed and series A funding. | The startup’s multispecialty team focuses on medical, social and behavioral care for mothers and infants.

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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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Countries Buy Defective Chinese Military Equipment. Why?

The Rand Blog

China's defense industry has exported malfunctioning and defective military equipment in recent years—leaving countries short of what's needed for their security while also draining military budgets. So why do countries continue to order military equipment from China?

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Morgan Health unveils policy platform, pushes for value-based care in employer market

Fierce Healthcare

Over the past two years, Morgan Health has unveiled a slew of investments in companies it believes can improve employer healthcare. | The cornerstone of the platform unveiled on Thursday: Policymakers need to continue pushing for value-based care to ensure that employer health catches up.

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Amazon HealthLake Adds 3 New FHIR API Capabilities to Offerings

HIT Consultant

What You Should Know: AWS announced the addition of three new capabilities to Amazon HealthLake’s managed FHIR API offerings. The launch of these three new capabilities benefits EHR system providers, ISVs, SIs, and IT teams working with healthcare organizations, by allowing them to simply leverage managed FHIR APIs to build interoperability applications or systems that conform to ONC and CMS patient access rules, reducing the burden of building and managing the underlying FHIR APIs and data stor

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Bon Secours Mercy Health, Anthem BCBS feud over contract negotiations

Fierce Healthcare

Bon Secours Mercy Health is sparring with Anthem Blue Cross and Blue Shield over reimbursement, the latest acrimonious contract negotiation to go public. | Bon Secours Mercy Health is sparring with Anthem Blue Cross and Blue Shield over reimbursement, the latest acrimonious contract negotiation to go public.

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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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Insights on the evolution and implications of healthcare workforce challenges [White Paper]

Meditech

Download the white paper below As a nurse myself, I have seen firsthand some of the many challenges our clinical workforce has faced for years. I recall challenging days when I felt rushed and unable to devote the time necessary for the kind of deep patient engagement and education that drew me to the profession. Even as pandemic pressures have begun to subside, levels of stress and burnout among clinicians remain unsustainably high, amplified by ongoing staffing shortages, challenging patient l

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Nevada officials question how Friday Health Plans reported its financial status

Fierce Healthcare

Nevada placed troubled insurtech Friday Health Plans into receivership last week amid questions about the health plans' financial stability and capital surplus reports. | Nevada insurance officials placed troubled insurtech Friday Health Plans into receivership be-cause of questions about inconsistent financial figures and the insurtech’s failure to meet reporting deadlines.

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Notable Changes from the FDA Mammogram Standards Announcement

PDC Healthcare

In March of 2023, the U.S. Food and Drug Administration (FDA) published updates to their mammography regulations to facilitate better reporting of information and an improved experience for patients. The announcement means change is imminent for many healthcare providers, who will need to adjust policies and make updates to equipment to be compliant.

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Chutes & Ladders—Tufts names psychiatrist-in-chief in time for behavioral health overhaul

Fierce Healthcare

Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry.

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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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Optum’s Play For Amedisys Underscores Demand For Home Health Assets, Could Create Unexpected Bidding War

Home Health Care

This article is a part of your HHCN+ Membership Option Care Health (Nasdaq: OPCH) announced its plans to acquire Amedisys Inc. (Nasdaq: AMED) at the beginning of May. In early June, competition arrived, as UnitedHealth Group’s (NYSE: UNH) Optum put in its own bid to acquire Amedisys. For Option Care Health, the deal was its way to create an end-to-end health care continuum in the home, layering Amedisys’ capabilities onto its home-based infusion services.

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Links

Healthcare ECONOMIST

Merck sues to stop IRA , as many predicted. 4 ways to improve IRA price negotiations. FDA proposes new drug label for patients. Bayes Theorem explained. Stricter disability insurance impact on work and UI.

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Home Health Care A ‘Perfect Storm’ Of Complexity For Dealing With ACA Compliance

Home Health Care

Within all of health care, home health agencies are among the most likely to be audited by the IRS for non-compliance with the Affordable Care Act (ACA). That’s true, in part, because of the number of hourly employees and data collection issues in the industry. To avoid scrutiny, agencies need to rigorously check their compliance records and understand what is being asked of them by the federal government, according to compliance experts.

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Supreme Court Clarifies Knowledge Requirement for False Claims Act Liability

Triage Health Law

In April, we previewed two significant False Claims Act (FCA) cases before the U.S. Supreme Court, United States ex. rel. Schutte v. SuperValu, Inc. , No. 21-1326 (“ SuperValu ”), and United States ex. Rel. Proctor v. Safeway, Inc. , No. 22-111 (“ Safeway ”). The FCA provides that “any person who knowingly presents, or causes to be presented, a false or fraudulent claim” to the United States, or who engages in other related activity as set forth in the statute, is liable to the United Sta

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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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The Case For A Governance-First U.S. Security Policy In The Sahel

The Rand Blog

Both terrorism and coups are on the rise in the Sahel. To reverse this troubling trend, the United states could ramp up support aimed at improving security governance, professionalizing militaries, and strongly sanctioning all forms of military takeovers in the region. This would require a real shift from the current U.S. security approach in the region.

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How HIPAA Compliance Works In Health Call Centers

Sequence Health

When it comes to healthcare call centers, compliance is of the utmost importance. Whether a company you work with provides call forwarding, answering a service’s appointment setting or more, then you need to adhere to all laws and regulations. The final omnibus rule of HIPAA stated that all service providers that work with protected health information (PHI) directly or indirectly are liable for data breaches.

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Carta Healthcare Raises $25M for AI-Powered Clinical Data Abstraction

HIT Consultant

What You Should Know: What You Should Know: Carta Healthcare® , a company whose mission is to improve patient care by harnessing the value of clinical data, announced today the final closing of its $25 million series B financing, thanks to additional investments from leading health systems Memorial Hermann Health System and UnityPoint Health. These additional investments follow the initial $20 million series B financing announced in November 2022, which included investors such as Paramark Ventur

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Interview with Virb CEO Garrett Walker

Health Business Group

What happens when a veteran HR leader sets out to revolutionize the clinical trial staffing industry? Meet Garrett Walker , founder of Virb a people-centric clinical trial ecosystem designed to provide top talent for pharma companies and clinical research organizations. In this HealthBiz Podcast interview, we explore Garrett's background, his career journey from working in his father's lab to leading talent management at big-name organizations like Verizon, IBM, and Quintiles, and the challenges

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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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DL Approach Enables Interpretations of Electrocardiograms as Language

Health IT Analytics

A deep learning approach for electrocardiogram analysis may allow for the interpretation of ECGs as language, improving the accuracy of diagnoses.

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News 6/9/23

HIStalk

Top News Primary and urgent care chain Carbon Health launches.

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The Joint Commission’s new emergency management guidelines: What they mean for your organization 

Spok Inc

Spok breaks down The Joint Commission’s new and revised emergency management guidelines, effective July 2022, and how they impact your healthcare organization. The post The Joint Commission’s new emergency management guidelines: What they mean for your organization appeared first on Spok Inc.

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EPtalk by Dr. Jayne 6/8/23

HIStalk

When I certified, one of the major components 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.