Fri.Oct 21, 2022

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Crossover Health in talks with multiple major insurers to offer capitated primary care

Health Care Dive

Crossover has been working on extending its business model to payer clients for several years now, and will have more news to share by the end of the year.

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Liability for COVID-19 Vaccine Harms: We Need to Do Better

Bill Of Health

By Dorit Reiss. COVID-19 vaccines are extremely safe , and serious harms are rare. But rare does not mean the risk is zero; thus, we need a way to determine which people have plausible claims of harm from the vaccines, and we must then compensate them quickly and generously. However, the regular torts system is not a good option for adjudicating these claims.

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New York nurses union merges with NNU, U.S.’s largest nursing syndicate

Health Care Dive

The addition of 42,000 NYSNA members brings NNU’s total membership to about 225,000 registered nurses.

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Credentialing with confidence

CHQ Healthcare

So you need a locum. You know it. Your team knows it. But the approval process likely involves other decision makers. It is common for a practice to request locums support, only for directors to decline, preferring to have their full-time staff make do despite the shortage. You can improve your odds for success by working with the practice or service line to gather all the necessary justification for the position, such as budgets, schedules, and patient volume.

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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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DOJ requests more info on CVS, Signify deal

Health Care Dive

The second request, which CVS and Signify received on Wednesday, gives regulators another 30 days to review the transaction.

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California Passes First State Law Requiring Physicians to Disclose Open Payments Database to Patients

Sheppard Health Law

Effective January 1, 2024, the recently enacted California Assembly Bill 1278, [1] requires a physician and surgeon (defined as a physician and surgeon licensed pursuant to the Medical Practice Act or an osteopathic physician and surgeon licensed by the Osteopathic Medical Board of California under the Osteopathic Act, but not a physician or surgeon working in a hospital emergency room) to provide a written or electronic notice of the Open Payments database to a patient at the initial office vis

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When Advancing a Medical Device, Be A Partner First & Seller Second to Hospital Systems

HIT Consultant

Rolland Carlson, CEO of Immunexpress. US hospital systems validate the safety, clinical utility, and robustness of newly FDA-approved devices, 510(k) cleared, before adopting them into clinical practice. This work occurs alongside evaluating how to integrate the medical device into the hospital system’s diagnostic paradigms, including in relation to quality improvement programs.

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Advocate Aurora breach exposes health information of 3M patients

Health Care Dive

Information like dates and times of scheduled appointments may have been shared, as well as communications sent through the MyChart patient portal.

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VNS Health Brings Its Own Personal Care Analytics Tool To Market

Home Health Care

VNS Health has created its own data-driven tasking tool. The company believes it will be a game changer. The tool — officially called the VNS Health HELPS Tool — uses risk analytics and other data to generate health care plan recommendations automatically. At VNS Health, the tool has already administered over 70,000 recommendations since April 2020 when the service was created.

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HCA shares fall after COVID-19 admissions decline in Q3

Health Care Dive

A spike in COVID-19 cases due to the delta variant in 2021 contributed to the operator’s decline in Q3 admissions.

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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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As Labor Competition Heats Up In Health Care, Home Health Sector Left Behind

Home Health Care

Home health providers are dealing with a number of headwinds — inflation-induced financial challenges, labor shortages, pandemic pressures and more — that will only worsen if the proposed payment adjustments for 2023 become finalized. That’s the major takeaway from a recent labor cost study from the Partnership for Quality Home Healthcare (PQHH). The study was conducted by Dobson DaVanzo & Associates and examines the changes in the home health labor costs.

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When Strong Teams Struggle: Navigating Evolving Team Dynamics

Medi Leadership

A few years ago, I experienced a strange paradox. Despite our rich expertise as MEDI Leadership coaches, our internal team dynamics were suffering. To be clear, each team member was wonderful. And yet, our internal dynamics… not so much. Seeking a solution, I had to recognize we needed an external perspective — our own executive coach — to get unstuck.

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FDA’s AI Medical Device Approvals

Healthcare ECONOMIST

In recent years, FDA has approved a number of pieces of software that use artificial intelligence (AI) under its medical device approval system. FDA approved only 5 AI-power medical devices in 2015, but approved 115 of these in 2021 and likely will approve even more in 2022. Which companies are the ones with the most AI-power medical devices that were granted FDA approval this year (2022) so far?

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When Strong Teams Struggle: Navigating Evolving Team Dynamics

Medi Leadership

A few years ago, I experienced a strange paradox. Despite our rich expertise as MEDI Leadership coaches, our internal team dynamics were suffering. To be clear, each team member was wonderful. And yet, our internal dynamics… not so much. Seeking a solution, I had to recognize we needed an external perspective — our own executive coach — to get unstuck.

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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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Home Health Agencies Used Multiple Strategies to Respond to the COVID-19 Pandemic Although Some Challenges Persist

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The OIG posted its study of Home Health Agencies and their response to the COVID-19 pandemic on October 18, 2022. Key Takeaway : Home health agencies (HHAs) developed strategies to respond to challenges during the COVID-19 pandemic, including providing new incentives to maintain staff and seeking alternative sources of personal protective equipment.

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The Intelligence Community Doesn't Warn About All Attacks Against the U.S. Homeland. Why Not?

The Rand Blog

Targets for foreign threats against the United States increasingly include entities that are not part of the U.S. government or military. But too many of these potential victims are unaware of threats against them, are not warned with intelligence reporting about such threats, and lack information about options to protect themselves.

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CMS Posts Revisions to State Operation Manual (SOM) and Appendix PP Guidance to Surveyors for Long Term Care Facilities

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. Today, October 21, 2022, CMS posted R208SOMA : What follows, starting on page 2 of the 560-page transmittal, is the identification of the F-Tags within Appendix PP. Appendix PP begins on page 26 through page 538. Additional Exhibits (Chapter 9 – SOM) complete the rest of the 560 pages.

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California’s Senate Bill 1019 Seeks to Expand Access to Mental Health Benefits for Medicaid Enrollees

Triage Health Law

In an effort to expand access to mental health services, on September 30, 2022, California’s Governor approved Senate Bill 1019, which modifies the California Welfare & Institutions Code as it relates to Medi-Cal managed care plans (“MMCP”). No later than January 1, 2025, MMCPs must develop and implement an annual outreach and education plan for their enrollees regarding the mental health benefits covered by MMCPs.

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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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Revisions to Special Focus Facility (SFF) Program

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. Today, October 21, 2022, CMS posted QSO-23-01-NH with the same title as this blog. Background: Sections 1819(f)(8) and 1919(f)(10) of the Social Security Act require CMS to conduct a Special Focus Facility (SFF) program which focuses on nursing homes that have a persistent record of noncompliance leading to poor quality of care.

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Putin's Gambits, Xi Jinping, Machine Learning: RAND Weekly Recap

The Rand Blog

This weekly recap focuses on Putin's latest “desperate measures” in Ukraine, support for Xi Jinping, whether machine-learning tools can tell if you're lying, and more.

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CMS-CDC-NHSN Nursing Home COVID-19 Data for Week Ending October 9, 2022   

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS has posted the nursing home data for the week ending October 9, 2022. Comparing the October 2 nd data to the September 25 th data shows these changes: Resident primary vaccination completion rate again decreased by 0.1% from previous week. Residents up to date with vaccines decreased 9.1% from previous week.

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State Policies to Support Family Caregivers: Lessons Learned from Six States in the RAISE Act State Family Caregiving Institute

NASHP

State Policies to Support Family Caregivers: Lessons Learned from Six States in the RAISE Act State Family Caregiving Institute October 21, 2022 / by Luke Pluta-Ehlers, Salom Teshale , and Wendy Fox-Grage. Introduction. With the country’s aging population comes a reality for many family members: the role of caregiver, providing a range of often complex and time-consuming supports to a relative, friend, or neighbor.

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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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HQRP Quarterly Update for 3rd Quarter of 2022 Available 

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The Hospice Quarterly Update for the third quarter of 2022 is now available. This update includes Hospice Quality Reporting Program highlights from July to September 2022, events and engagement opportunities for the fourth quarter of 2022 (October-December 2022), and selected questions and answers from the Hospice Quality Help Desk.

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Payers Must Increasingly See The Consumer As The Customer

HIT Consultant

Seth Cohen, President at Cedar. Last year, the average annual premium for employer-sponsored family health coverage rose 4% to $22,221—including employer and worker contributions—according to the Kaiser Family Foundation. While employers are most often the ones selecting the health plan options and insurance for employees, the worker is the one who is left to navigate the healthcare continuum (including their true cost of care).