Wed.Feb 01, 2023

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FTC orders GoodRx to stop sharing users’ health data with advertisers, issues $1.5M fine

Health Care Dive

FTC officials said they are putting the market on watch with the enforcement against GoodRx. The digital health company allegedly collected data, including patient medications, and shared it without user consent.

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CMS proposes small hike to Medicare Advantage, Part D plan payments in 2024 amid risk adjustment changes

Fierce Healthcare

CMS proposes small hike to Medicare Advantage, Part D plan payments in 2024 amid risk adjustment changes rking Wed, 02/01/2023 - 17:35

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Consolidated systems charge more for ‘marginally’ better care, study finds

Health Care Dive

Care delivered by physicians in health systems costs between 12% and 26% higher than care delivered by independent physicians, according to a study published in JAMA Network.

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Researchers looking for long COVID symptoms find only 7

Fierce Healthcare

Researchers looking for long COVID symptoms find only 7 fdiamond Wed, 02/01/2023 - 14:59

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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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Texas Medical Association files fourth suit challenging surprise billing ban

Health Care Dive

The latest lawsuit focuses on boosted fees that both parties must pay for arbitration to solve billing disputes between providers and payers.

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Healthcare Dealmakers—Elevance to acquire BCBSLA; Regulators' request for Sanford and Fairview and more

Fierce Healthcare

Healthcare Dealmakers—Elevance to acquire BCBSLA; Regulators' request for Sanford and Fairview and more dmuoio Wed, 02/01/2023 - 14:41

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Humana taps leader for CenterWell arm, posts $15M loss in Q4

Fierce Healthcare

Humana taps leader for CenterWell arm, posts $15M loss in Q4 pminemyer Wed, 02/01/2023 - 07:33

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Ascension names new president

Health Care Dive

Eduardo Conrado will assume the role from Joseph Impicciche, Ascension’s current chief executive officer.

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FTC slaps GoodRx with $1.5M fine for sharing users' health data with Facebook, Google

Fierce Healthcare

FTC slaps GoodRx with $1.

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CMS Issues Long-Awaited Medicare Advantage RADV Final Rule

Sheppard Health Law

On January 30, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). CMS promotes the Final Rule as improving program integrity and payment accuracy as well as transparency and certainty. One thing that is certain, CMS can expect further challenges to its RADV audit methodology.

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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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Insurers slam CMS' proposed limit on nonstandardized ACA plans sold on HealthCare.gov

Fierce Healthcare

Insurers slam CMS' proposed limit on nonstandardized ACA plans sold on HealthCare.

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Stepping into my Power as a First Generation American

Center for Health Progress

Growing up as the daughter of Cuban immigrants, I was taught to always be grateful for what I had, no matter how bad things were. While this made me very humble, it kept me from critiquing many of the systems in the US, even when they didn’t work for me. I became uninsured at the age of 18 when I lost pediatric coverage through the state and my parents couldn’t afford to add me to their employer-based insurance plan.

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How employers try to foster better mental healthcare for workers

Fierce Healthcare

How employers try to foster better mental healthcare for workers fdiamond Wed, 02/01/2023 - 07:50

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How Digital Health Technology Can Combat Elderly Abuse

HIT Consultant

One of the most difficult types of abuse to identify has always been elderly abuse. This is the segment of the population that is the most segregated because many just aren’t as mobile as they once were. So very many elderly people don’t drive anymore or have developed mobility issues that prevent them from venturing out in public much. For whatever reason, they aren’t as social as other segments of the population, and thus, it becomes extremely difficult to identify elderly abuse.

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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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The mpox public health emergency is over, but infectious disease groups say there's still plenty to learn

Fierce Healthcare

The mpox public health emergency is over, but infectious disease groups say there's still plenty to learn dmuoio Wed, 02/01/2023 - 11:42

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Inclement Weather Update 2/1/2023

Healthcare Associates

Due to weather and our ongoing concern for the safety of our team and patients, all Healthcare Associates of Texas clinics will continue to see only virtual video appointments through Thursday, Feb. 2, morning. Pending weather, we plan to reopen for face-to-face appointments at 1 p.m. Thursday. All patients who have an appointment scheduled and who will be affected by the weather-related closure will be contacted.

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Humana weighing challenge to MA risk adjustment rule, CEO says

Fierce Healthcare

Humana weighing challenge to MA risk adjustment rule, CEO says pminemyer Wed, 02/01/2023 - 12:37

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5 Must-Have Features for AI Platforms in RCM

HIT Consultant

Emily Bonham, SVP of Product Management, AGS Health A healthy, stable revenue cycle is crucial to every healthcare organization’s success. However, managing the revenue cycle takes experienced coders, complete documentation, and timely resolution of denials. Administrative processes account for about 30% of U.S. healthcare costs, which means that all areas of a patient encounter, from check-in to billing and claims, are potential targets to obtain greater efficiency.

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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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Managing changes in primary care as an ICB

Health Care Leader News

The current pressures on the NHS are well documented, and in South East London ICB we’re very similar to the rest of the country in that we are seeing real pressure in general practice. Everything that we are asking of them puts them in a unique position. They are often seen as the first port of call for many people in the community; they still have a high level of competence and trust.

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Metaverse Operating Room Simulates Surgery on Cleft Lip & Palate

HIT Consultant

What You Should Know: – Smile Train and BioDigital launched the first-ever cleft surgery virtual reality (VR) platform experience at the IMSH Conference in Orlando, Florida. – The platform utilizes a “metaverse operating room” to simulate surgery on cleft lip and palate , a common birth condition that occurs when a baby’s lip or mouth does not form properly during pregnancy.

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Research Shows How Communities Are Prioritizing Health Equity

The Rand Blog

In partnership with RAND, the Robert Wood Johnson Foundation is tracking how communities are evolving their approaches to building a Culture of Health and advancing health equity. The research offers insights on how and why inequities develop, and more importantly, how communities change course and move towards health equity.

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Comfort Keepers, HCP Announce New CEOs; PocketRN Adds Home Care Vet

Home Health Care

Comfort Keepers names new CEO The Irvin, California-based Comfort Keepers has named Ramzi Abdine as its new CEO. Abdine will replace Carl McManus, who had led the company in that role since 2017. “I am honored to be selected to lead Comfort Keepers as CEO and am excited about our company’s future,” Abdine said in a statement. “Carl has been an incredible leader and I will be highly focused on ensuring Comfort Keepers continues to lead the industry in innovation and uplifting, quality care.

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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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Preparing for Strategic Competition: The Need for Irregular Warfare Professional Military Education

The Rand Blog

The Department of Defense does not provide the irregular warfare professional military education necessary for success in competition and conflict in the 21st century. This is a not a new problem, but it is one that may deserve new attention from Congress and the Pentagon.

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Signs It’s Time for Your ASC to Upgrade Its Patient ID Solution

PDC Healthcare

Every patient, procedure, and staff member an Ambulatory Surgery Center relies on accurate patient identification. Patient identification wristbands are crucial to ensuring patient safety as they provide a critical link between the patient’s identity, electronic medical record, and treatment. With the high volumes ambulatory surgery centers have to handle, it’s critical to stay updated with […] The post Signs It’s Time for Your ASC to Upgrade Its Patient ID Solution appeared first on

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New York’s Mandated Home Care Wage Increases ‘Haven’t Actually Addressed The Issue’

Home Health Care

Before other states start to consider minimum wage increases for home care workers, it would be beneficial for them to understand what has – and hasn’t – gone well in New York. In the spring of 2022, New York legislators passed a law that gave home care workers an extra $1 per hour above the state’s $15 minimum wage. Another $2 per hour will kick in for those workers in Oct. 2023.

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Do narrow networks save money?

Healthcare ECONOMIST

According to a recent paper by Wallace (2023) , the answer is ‘yes’, but it does so in a highly inefficient manner. Using 2008-2012 Medicaid data from the New York State Department of Health, the author find that: Leveraging the random assignment of over 50,000 Medicaid enrollees in New York, I present causal evidence that narrower networks are a blunt instrument for reducing health care spending.

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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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Stepping into my Power as a First Generation American

Center for Health Progress

Growing up as the daughter of Cuban immigrants, I was taught to always be grateful for what I had, no matter how bad things were. While this made me very humble, it kept me from critiquing many of the systems in the US, even when they didn’t work for me. I became uninsured at the age of 18 when I lost pediatric coverage through the state and my parents couldn’t afford to add me to their employer-based insurance plan.

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Trailblazer Challenge: Pill Passport

Osf Healthcare

OSF Innovation is developing hospital-based Innovation Hubs where anyone across the Ministry can learn to engage in improvement, creative thinking and executing solutions. The first hub launched at OSF HealthCare Saint Paul Medical Center in Mendota, Illinois.

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Succession Planning for Sustained Growth

Medi Leadership

By Debra Harrison and Gina Schneider Executive turnover in healthcare is not new. Nearly all issues of Becker’s Hospital Review report on executive moves and departures. The American College of Healthcare Executives ( ACHE ) has tracked hospital CEO turnover for many years, reporting a rate of 16% in 2021 — a persisting trend that’s ranged from 13% to 20% since the early 80s.

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Newsletter, January 2023

Patient Safety Movement

DOCTOR DELIVERS LETHAL EPIDURAL AT BROOKLYN HOSPITAL An article last week in The New York Times told the story of an anesthesiologist at a Brooklyn public hospital, with a history of making life-threatening errors in administering epidurals, who made a fatal mistake in July 2020. A state medical review board later found in that tragic instance that Sha-Asia Semple, a pregnant 26-year-old woman in labor at Woodhull Medical Center, had the catheter that delivered the anesthesia threaded more tha

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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.