Tue.Sep 05, 2023

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'Revolving door' of HHS appointees leaving for industry raises concerns of objectivity

Fierce Healthcare

Individuals appointed to positions in the Department of Health and Human Services (HHS) across the past three administrations often came from or departed for positions in the private sector, a tren | Offices like the CDC and CMS see many more appointees of different career backgrounds leaving for the private sector, a trend that researchers say deserves greater scrutiny to ensure agency decision-making is not being compromised.

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Humana sues HHS over Medicare Advantage audits

Health Care Dive

The payer, which brings in the bulk of its revenue from Medicare, is fighting back against a rule finalized earlier this year to claw back overpayments in the increasingly popular MA program.

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Blue Cross NC removes HIV drugs from costly price tiers

Fierce Healthcare

Following a discrimination lawsuit in December against Blue Cross and Blue Shield of North Carolina, the state’s largest insurer has removed 48 drugs from its costliest drug tiers. | A lawsuit against Blue Cross and Blue Shield of North Carolina appears to have prompted the insurer to backtrack and remove 48 HIV drugs from its costliest drug tiers.

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Behavioral health patients lack choice on telehealth vs. in-person care, study finds

Health Care Dive

The study from nonprofit Rand found that 45% of behavioral health patients did not believe their clinicians considered their preferences for virtual or in-person care. The findings come after telehealth use skyrocketed during the COVID-19 pandemic.

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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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Self-insured employers pay more for medical procedures than fully insured employers: study

Fierce Healthcare

Self-insured employers pay more for a host of medical procedures than fully insured employers, and just why should be investigated by policymakers, according to a

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Patients ‘steered’ toward health systems, more costly treatment after vertical consolidation, study finds

Health Care Dive

Consolidation between primary care physicians and large health systems led to increased costs per patient, according to a new study published in JAMA.

More Trending

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5 sessions to look out for at HIMSS23 APAC

Healthcare It News

HIMSS23 APAC is happening in two weeks. For the second year in a row, the event is taking place in Indonesia – and if you haven't heard, there’s a little bit of a digital revolution happening in the country's healthcare sector. And with healthcare organisations mandated to have an EMR implemented by the end of the year, it's an exciting time to be in health IT in Indonesia.

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Newly integrated PCPs 'steer' patients toward systems, driving higher utilization, spending: study

Fierce Healthcare

Primary care physicians who become associated with health systems more often steer their patients toward the organization’s services, increasing both utilization and care spending, according to a s | Recent study data outline physicians' tendency to point patients toward their associated health system's specialists, EDs and hospitals after joining up.

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Full coverage: HIMSS23 APAC Health Conference

Healthcare It News

HIMSS23 APAC Healthcare thought leaders, disruptors, and changemakers across Asia-Pacific will convene once again in Indonesia – this time in the country's capital, Jakarta – from 18 to 21 September 2023. Our reporters will be on the ground to cover the exciting discussions on healthcare analytics, new models of care, and more. Get all the coverage from this event on this page.

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How has the Affordable Care Act Transformed Healthcare Billing Services?

p3care

The Affordable Care Act marks a significant movement in US healthcare history. First appearing as a comprehensive reform, the act was signed into law later. The great president of America, President Barack Obama, did so in March 2010, so we call it ‘Obamacare’ as well. Now what does the law do? Well, this law encloses a list of healthcare policies to be expanded in the coming future.

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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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Texas Children's Hospital's innovation includes tech platforms embedded at bedsides

Healthcare It News

HIMSS Davies Award winner Texas Children's Hospital’s assistant VPs Tarra Kerr and Ashok Kurian discuss their patient-centered coordinated care, enabled by a partnership between quality and safety departments, clinical operations and IT systems.

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Addressing Point-of-Care Ultrasound’s Shadow IT Problem

HIT Consultant

Point-of-care ultrasound (POCUS) is taking hold across healthcare, and for good reason. By administering ultrasound technology at the point of care, whether that be the patient’s bedside or an ambulance, POCUS prevents patients from being sent to another facility for imaging or waiting for a radiologist. That, in turn, enables more efficient workflows and faster diagnoses and treatment.

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How Amedisys, Walgreens And Intermountain Healthcare Are Building 360-Degree Home-Based Care Models

Home Health Care

Home health providers, health systems and large health care-focused retailers are moving away from being one-dimensional companies. With home-based care as the starting point, many of these organizations are embracing 360-degree home-based care delivery models. One company that exemplifies this is the home-based care provider Amedisys Inc. (Nasdaq: AMED).

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Diabetes Management in 2023 and Beyond: A Tech-Enabled Partnership Between Patient and Doctor

HIT Consultant

Lucienne Marie Ide, M.D., PH.D., is the Founder & CEO of Rimidi While the pandemic has slowed, there appears to be no end in sight to the diabetes epidemic. The number of individuals diagnosed is projected to keep growing over the next decade. What’s more concerning is that 75% of patients don’t meet guideline-based goals for A1C, blood pressure, and cholesterol control.

Doctors 101
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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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Measuring the novelty of new drugs

Healthcare ECONOMIST

All of us want new, improved medicines. Drugs that provide incremental benefits (often called “me too” drugs) are good, but truly revolutionary therapies are even better. However, how does one separate how “novel” a treatment is? Is there a way to quantify this? In fact there is. One way to do this is based on the treatment’s molecular structure.

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FIGS & Eko Health Launches New Digital Stethoscope

HIT Consultant

What You Should Know: FIGS, Inc. (NYSE: FIGS), the direct-to-consumer healthcare apparel and lifestyle brand, and Eko Health , Inc. (“Eko”), a leading innovator in digital health technology for heart and lung disease detection, today announced the launch of the FIGS | Eko CORE 500TM Digital Stethoscope. The collaboration unites two companies that have reinvented two healthcare professionals’ mainstays — scrubs and stethoscopes — through new technology, modern design, and authentic connections wi

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What Humana’s ‘Clawback’ Lawsuit Against HHS Means For Home-Based Care Providers

Home Health Care

Humana Inc. (NYSE: HUM) is suing the U.S. Department of Health and Human Services (HHS) due to its attempt to claw back billions of perceived overpayments from Medicare Advantage (MA) plans. The Centers for Medicare & Medicaid Services (CMS), which is a part of HHS, finalized a rule in January that would allow the agency to recoup overpayments through Risk Adjustment Data Validation (RADV).

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Designing for Health: Interview with CT Lin, MD, Liz Salmi, and Bryan Steitz, PhD [Podcast]

Nordic

Conventional wisdom once held that a long wait for test results was acceptable, provided that the results were eventually provided by the primary care physician. That long-held belief is now changing, as emerging research shows that patients want faster results and more transparency. This research, combined with updated federal regulations, is leading to more patient autonomy.

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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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Medicare Drug Price Negotiations Create Opportunities for States to Lower Drug Costs across Payers

NASHP

On August 29, the Centers for Medicare & Medicaid Services (CMS) announced the first 10 prescription drugs that will be subject to negotiation for Medicare under the Inflation Reduction Act (IRA). This milestone, and the steps that will follow, present an opportunity for states to leverage Medicare negotiated prices through reference pricing, a strategy outlined in model legislation that NASHP published in 2022.

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TeleVox Acquires Odeza Patient Engagement Business from Ensemble Health Partners

HIT Consultant

What You Should Know: – TeleVox announced it has acquired the Odeza patient engagement business from Ensemble Health Partners (Ensemble) , a revenue cycle management company for hospitals, health systems and physician practices. Financial terms of the acquisition were not disclosed. – The acquisition will make TeleVox’s technology available to Ensemble’s customers, offering healthcare providers a comprehensive solution from patient acquisition to discharge and beyond.

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News 9/6/23

HIStalk

Top News UPMC will replace Oracle Health / Cerner and.

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Voices: Julieann Esper Rainville, Chief Executive Officer, Viventium

Home Health Care

This article is sponsored by Viventium. In this Voices Interview, Home Health Care News sits down with Julieann Esper Rainville, Chief Executive Officer, Viventium, to talk about the key trends, challenges, and opportunities providers should be watching in the home-based care space. She delves into the regulatory compliance challenges in particular and offers solutions that providers can leverage to navigate this changing landscape, and she also explains how Viventium can help.

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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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Create a Better Member Experience with Data

Lexis Nexis

Create a Better Member Experience with Data Payer portals are an integral part of the tools available to members. Payer websites are often the first channel many members use to try to get help with their plan and typically provide members access to benefit information, provider directories, medical records, and digital health improvement tools. Payers rely on portals to reduce operational service costs and want their members to use online tools to improve their health.

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The Solution to Telemedicine Prescribing of Buprenorphine Seems Clear to Everyone but DEA

The Rand Blog

For more than a decade, Congress, clinicians, and policymakers have been requesting implementation of a special registration pathway that would allow registered clinicians to prescribe buprenorphine without an in-person visit requirement. It's clear to us that the time to implement the pathway is now.

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Create a Better Member Experience with Data

Lexis Nexis

Create a Better Member Experience with Data Payer portals are an integral part of the tools available to members. Payer websites are often the first channel many members use to try to get help with their plan and typically provide members access to benefit information, provider directories, medical records, and digital health improvement tools. Payers rely on portals to reduce operational service costs and want their members to use online tools to improve their health.

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Integral Secures $6.9M to Expand Real-Time Compliance for Life Sciences

HIT Consultant

What You Should Know: – Integral , an innovator in safeguarding privacy and maximizing data quality raises $6.9M in seed funding to protect sensitive health data and provide automated expert certification software that enables health and life sciences companies access to compliant, rich, de-identified data in hours, rather than months. – The seed round was led by Haystack , The General Partnership , and Virtue Ventures , with additional support from Also Capital , Array Ventures , Ca

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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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Morning Headlines 9/6/23

HIStalk

UPMC is preparing for a massive transfer of medical records.

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M&A: Accenture Acquires UK Digital Health Firm Nautilus

HIT Consultant

What You Should Know: – Accenture announced it has acquired Nautilus Consulting , a digital healthcare consultant firm in the U.K. that specializes in Electronic Patient Record (EPR) solutions. Financial terms of the acquisition were not disclosed. – The acquisition will enhance Accenture’s digital transformation, implementation, and optimization capabilities across the U.K. and global healthcare space.

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Orion Health launches new healthcare AI-enabled patient navigation services

Healthcare It News

Orion Health this week announced the launch of new digital front door services that are already being used by 15 million people in Ontario, and will soon be more generally available. The tools are designed to streamline care and tasks for overburdened healthcare workers and reduce reliance on emergency departments, the company says. WHY IT MATTERS The platform, called Virtuoso, is a multi-channel interface where patients have a single point of contact with the health system, according to Orion.

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What Does The New Tracking Guidance from HHS Mean for Digital Marketers’ Technology Decisions?

HIT Consultant

John Berndt, SVP of Health North America, Valtech Also known as the Kennedy–Kassebaum Act, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) defines and regulates individuals’ medical records and other individually identifiable health information, collectively known as patient healthcare information (PHI). HIPAA aims to protect patient privacy, safeguarding their entire medical history, information about medical services and treatments they may seek, and other related data.

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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.