Thu.Nov 02, 2023

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CMS has finalized its remedy for 340B payments, and hospitals are not happy

Fierce Healthcare

The Centers for Medicare & Medicaid Services has dropped the final rule to remedy the invalidated 340B-acquired drug payment policy for calendar years 2018 to 2022. | In a statement, American Hospital Association president and CEO Rick Pollack commended the coming repayment to 340B hospitals, but condemned HHS' choice to cut Medicare rates.

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North Carolina AG threatens lawsuit against HCA

Health Care Dive

The massive for-profit operator has allegedly shuttered services at Mission Health, the hospital system it acquired in 2019, violating the terms of its purchase agreement.

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EBRI: How employer-sponsored coverage has evolved under the ACA

Fierce Healthcare

When the Affordable Care Act was passed, some feared its changes could lead many employers to drop health coverage altogether. | When the Affordable Care Act was passed, some feared its changes could lead many employers to drop health coverage altogether.

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Walmart inks partnerships with health system, insurer in Florida

Health Care Dive

The partnerships aim to improve care coordination and referrals from Walmart’s 23 health centers in the state.

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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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September's diving volumes slash hospital margins, Kaufman Hall reports

Fierce Healthcare

Hospitals’ financials dipped in September as volumes dipped “across the board” and labor expenses inched upward, according to Kaufman Hall’s monthly sector report. | Reduced month-over-month volume metrics and a bump in labor expenses chipped at the hospital sector's operating margins, according to the healthcare consulting firm.

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Physicians spend more time after hours on EHR tasks post-COVID, report finds

Health Care Dive

The switch to virtual care has increased documentation burden for physicians, according to a new report published in JAMA.

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More Trending

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Amwell reports widening net loss, including $79M impairment charge

Health Care Dive

But the telehealth vendor’s new contract with the Defense Health Agency could support its path to profitability, management said.

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Alignment Healthcare reports $35M loss but eyes long-term market expansion

Fierce Healthcare

Alignment Healthcare is still yet to turn a profit, as the company has recorded a net loss of $35 million in the third quarter, but executives are not sweating just yet. | Alignment Healthcare alluded to future market expansion during a third-quarter earnings call while also highlighting outperformance in membership and adjusted gross profit.

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Cigna raises 2023 membership outlook amid healthier economy

Health Care Dive

An expected economic downturn has yet to materialize, leading Cigna to say Thursday it plans to add at least 1.6 million members this year, up from previous forecasts.

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Amwell scores major deal with Defense Health Agency, but stock slides as losses grow

Fierce Healthcare

Telehealth giant Amwell (formerly American Well) inked a major contract with the Defense Health Agency to expands its reach into the government and public sectors. | Telehealth giant Amwell (formerly American Well) inked a major contract with the Defense Health Agency to expands its reach into the government and public sectors. But the virtual care company saw its revenue decline year over year and its net loss widen during the quarter.

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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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Walgreens appoints new CIO as leadership transition continues

Health Care Dive

Neal Sample, first appointed in an adviser capacity in October, will report to CEO Tim Wentworth as EVP and CIO.

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Cigna boosts guidance as it posts $1.4B in profit for Q3

Fierce Healthcare

The Cigna Group is raising its guidance on the back of $1.4 billion in profit and $49 billion in revenue for the third quarter. | The Cigna Group is raising its guidance on the back of $1.4 billion in profit and $49 billion in revenue for the third quarter.

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Non-State Actors and Public Health Emergencies

Bill Of Health

By Rossella De Falco Strong, well-coordinated and resilient public health care services play a vital role in preventing and responding to public health crises. Under international human rights law, States have a positive, primary obligation to ensure that such health care services are of the highest possible quality and accessible to everyone, everywhere, and without discrimination.

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Antibiotic Stewardship when an Allergy Label is Present Improves Our Antibiotic Care and Treatment Outcomes

CDC

Did You Know? Although 10% of the population in the U.S. reports a penicillin allergy, less than 1% of the population is truly penicillin allergic. Broad-spectrum antibiotics are often used as an alternative to penicillins. The use of broad-spectrum antibiotics in patients labeled “penicillin-allergic” is associated with higher healthcare costs, increased risk for antimicrobial resistance, and suboptimal antibiotic therapy.1,2,3 Is it a “true” penicillin allergy?

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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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Healthcare Staffing Shortages Take Toll on Revenue Cycle Management & Patient Engagement

HIT Consultant

What You Should Know: – 100 percent of hospital and health system respondents stated that staffing shortages have significantly affected revenue cycle management (RCM) and patient engagement efforts, according to a new survey by Experian Health. – A significant 69 percent of the surveyed healthcare executives responsible for RCM staffing foresee ongoing challenges in the long term.

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CMS Keeps Home Health Providers In Payment Purgatory With 2024 Final Rule, Strikes Contentious Tone With Industry

Home Health Care

This article is a part of your HHCN+ Membership After the U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2024 final payment rule Wednesday , home health providers found themselves in a position they know all too well. Is a 0.8% aggregate payment increase better than the 2.2% decrease that was proposed? Of course. Was the rule, in its totality, effective in easing the payment concerns of providers moving forward?

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Redox CEO Steps Down, Appoints Trip Hofer as New CEO

HIT Consultant

Trip Hofer, CEO at Redox What You Should Know: – Redox CEO and Co-Founder, Luke Bonney announced that he is stepping down as CEO and appointing Trip Hofer as the new CEO of Redox to lead the new phase of growth. Prior to joining Redox, Hofer most recently served as CEO of OptumHealth Behavioral Health Solutions and is the former CEO at AbleTo Inc. – Bonney stated that the next phase of Redox would be better served by a new CEO with experience in the next stage of the company scaling.

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6 Key Takeaways from the 3rd Annual RPM Summit

Health Recovery

The 2023 Remote Patient Monitoring Summit & Technology Showcase hosted by Business Research & Intelligence Network examined key and emerging trends in remote patient monitoring (RPM) to improve patient outcomes through transformed home care management, healthcare delivery and accessibility, policy and reimbursement updates, patient engagement , and reduced spending costs.

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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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How innovation takes root through fellowship, MEDITECH leaders and ACHDM fellows weigh in

Meditech

If you’re like me, you’re amazed by how quickly the healthcare landscape has shifted over these last few years. There is no doubt that these are challenging times as healthcare organizations grapple with workforce shortages, declining reimbursement, and countless other obstacles. But one thing I’ve always appreciated about this industry is that we, as healthcare professionals, always find a means to rise above our challenges.

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How Home Health Providers Can Play A Greater Role In Reducing ED Visits

Home Health Care

In order to reduce emergency department visits, home health care providers should be honing in on relationships with primary care providers and patients. That is the thesis of a new wide-ranging study conducted by researchers and clinicians at the University of Virginia Health. “The increasing number of home health referrals after ED use in order to improve the transition from hospital to home points to the role that home health care providers can and should play in communicating with PCPs,” Cat

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News 11/3/23

HIStalk

Top News The American Hospital Association, Texas Hospital Association, Texas.

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The Case For Home Care Providers To Double Down On Dementia Care

Home Health Care

As the number of individuals living with dementia continues to rise, it’s a given that those working in the home care space will end up serving seniors who are living with the condition. Pansy Homecare, however, has made delivering non-medical support for seniors living with memory damage the main focus of its business in recent years. “Assistance with activities of daily living is what any home care agency does,” Jonah Francis, co-owner of Pansy Homecare, told Home Health Care News.

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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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Labor Remains Top Challenges for Hospitals/Health System Exec, Report Finds

HIT Consultant

What You Should Know: – Hospitals’ financial performance declined slightly in September compared to the previous month, according to the latest National Hospital Flash Report from Kaufman Hall. Across the board, there was a decrease in patient volume during this period compared to 2022. – The latest Physician Flash Report reveals the need for organizations to be more strategic about how they utilize and retain providers and support staff.

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EPtalk by Dr. Jayne 11/2/23

HIStalk

The state of public health in the US continues to.

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Generative AI Revolutionizing Digital Health Investment Strategies

HIT Consultant

What You Should Know: – A significant 87% of digital health investors stated that generative AI solutions have influenced their investment strategies, with nearly 1 out of 5 respondents indicating that it is significantly affecting their strategy, according to the results of an online survey from GSR Ventures. – GSR Ventures, an early-stage digital health investment firm with over $3.5B in assets under management, conducted an online poll in September 2023 with over 40 participants f

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State-Only Webinar: State Strategies for Setting Upper Payment Limits for Costly Prescription Drugs

NASHP

Setting upper payment limits (UPLs), which establish a maximum amount that a payer can reimburse for the purchase of certain prescription drugs in a state, is a powerful tool for addressing high prescription drug costs. NASHP has released several legislative models that enable states to set UPLs, including through prescription drug affordability boards, international reference rates, and Medicare reference rates.

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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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Vivante Health Inks National Distribution Contract with UnitedHealthcare: Expanding Access to Digestive Health Solutions

HIT Consultant

What You Should Know: – Vivante Health , the provider of GIThrive digital digestive health solution, has entered into a national distribution contract with United Healthcare (UHC) , the largest health insurance company in the United States. – The national distribution partnership allows Vivante Health to offer its digestive health solution to UHC customers, including large self-funded employers aiming to enhance their benefits programs. – The agreement marks GIThrive as the fir

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Webinar: Building a Modernized and Connected Public Health System through Multi-Sector Partnerships

NASHP

As policymakers look beyond the COVID-19 pandemic, strengthening partnerships with both communities and health system partners is critical to a modernized public health system that is robust, interconnected, and capable of promoting the health of all communities. Working in partnership with state health and human service agencies, public health leaders can play a critical role in bringing together health care delivery system, human and social service partners, and community leaders to drive info

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What Is Considered a False Claim?

HIT Consultant

Even the most honest organizations with good-intentioned owners can inadvertently run afoul of the False Claims Act, often due to employee actions or a misinterpretation of government contract obligations. Regardless of the innocence of the mistake, such allegations can tarnish your company’s image. They can also expose you and your enterprise to suspension and debarment, escalating expenses, and pose the risk of civil and criminal penalties.

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Set your clocks and check your stocks: tips for emergency stockpiles!

Michele Late

Daylight saving time is coming to an end. That means it’s time to change your clocks and check your emergency stockpile! Pushing your clock back one hour is a great reminder to check in on your emergency supplies. This will help make sure all your tools are ready to be used in case of an emergency. Get Ready has a checklist and helpful tips to follow when making your emergency stockpile.

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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.