Wed.Oct 18, 2023

article thumbnail

Medicare Advantage marketing practices draw ire from senators

Fierce Healthcare

Seniors are forced to navigate a convoluted Medicare Advantage (MA) landscape for healthcare coverage, often only to be denied care, experts told legislators during a Senate Finance Committee heari | Senators and experts agreed Wednesday that marketing practices from Medicare Advantage plans are often overwhelming for seniors.

Medicare 347
article thumbnail

Elevance could see $500M quality bonus revenue hit in 2025 from MA star ratings drop

Health Care Dive

The insurer is actively seeking ways to mitigate the financial impact of its star ratings drop, Elevance CEO Gail Boudreaux said during the insurer’s third-quarter earnings call.

246
246
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Henry Ford Health, Ascension Michigan unveil plans to form $10.5B joint venture

Fierce Healthcare

Henry Ford Health is coming together with several of Ascension Michigan’s hospitals and other facilities to form a joint venture with over $10.5 billion in annual operating revenue, the organizatio | Should the deal close, the resulting organization would span 13 acute care hospitals and over 550 sites of care. The nonprofits stressed that the arrangement is not a merger and that "no cash transaction" would take place.

Hospitals 307
article thumbnail

Walgreens, Alignment partner on co-branded MA plans

Health Care Dive

The zero-dollar premium plans will be available in 10 counties in Arizona, California, Florida and Texas starting next year.

282
282
article thumbnail

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.

article thumbnail

CalOptima awards $52.3M to local nonprofits to spur creation of more affordable housing in Southern California

Fierce Healthcare

CalOptima Health, the Medi-Cal managed care plan for Orange County, is awarding $52.3 million in grants to accelerate the creation of affordable and permanent housing. | The grants will go to 15 grantees to acquire, construct and upgrade a total of 706 housing units to support people experiencing homelessness.

294
294
article thumbnail

Innovation trends require education for users to keep up

Healthcare It News

According to dHealth Foundation director and cofounder Quy Vo-Reinhard, for regulators and users to keep up with emerging technologies like blockchain and smart contracts there needs to be an emphasis on education.

More Trending

article thumbnail

Cybersecurity incident prompts Henry Schein to take systems offline, disrupting operations

Health Care Dive

The incident affected a portion of the company’s manufacturing and distribution businesses.

130
130
article thumbnail

Elevance Health boosts guidance as it posts $1.3B in Q3 profit

Fierce Healthcare

Elevance Health reported $1.3 billion in profit for the third quarter, beating the Street but falling short of the prior-year quarter's haul. | Elevance Health reported $1.3 billion in profit for the third quarter, beating the Street but falling short of the prior-year quarter's haul.

278
278
article thumbnail

Ethiopian Hospitals Use Infection Prevention and Control Practices to Combat Antimicrobial Resistance

CDC

Two hospitals in Addis Ababa, Ethiopia, are demonstrating that even when access to resources is limited, commitment to infection prevention and control (IPC) practices makes combating antimicrobial resistance (AR) possible. Antimicrobial-resistant bacteria can cause severe, hard-to-treat infections. They were associated with almost 5 million deaths worldwide in 2019.

article thumbnail

Healthcare payments tech company Waystar plans to go public. Is the IPO freeze thawing out?

Fierce Healthcare

Healthcare payment software maker Waystar filed for an initial public offering, signaling a potential end to the dry spell in the health tech IPO market. | Healthcare payment software maker Waystar filed for an initial public offering, signaling a potential end to the dry spell in the health tech IPO market.

article thumbnail

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

article thumbnail

Why Avoiding Costly Coding Mistakes Is More Critical Than Ever

HIT Consultant

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. His crime: performing unnecessary vein ablation procedures on patients, and using incorrect billing codes to receive larger reimbursements. He received $4.5 million in reimbursements from Medicare over a three-year period.

article thumbnail

Conquering 5 Common Healthcare Marketing Challenges

Fierce Healthcare

Conquering 5 Common Healthcare Marketing Challenges | Healthcare marketing is tough. Learn about 5 common healthcare marketing challenges and how health education content helps you face them head-on.

article thumbnail

Why Advocate Health Is Ripe For Home-Based Care Innovation

Home Health Care

While many health systems offloaded ancillary service lines following the pandemic, Advocate Aurora Health and Atrium Health doubled down on home-based care. Those companies merging, and creating “Advocate Health,” has created one of the largest health systems in the U.S. But the merger has also formed an organization with a strong and wide commitment to home-based care.

Hospitals 104
article thumbnail

Bicycle Health, Override Health team up on chronic pain, OUD care referrals

Fierce Healthcare

Bicycle Health, a virtual provider of opioid use disorder (OUD) care, is teaming up with Override Health, a virtual chronic pain management clinic, for a bidirectional patient referral relationship | Bicycle will refer patients to Override for chronic pain care, while Override will refer patients in need of OUD treatment to Bicycle. The partners’ goal is to increase access to chronic pain care and OUD treatment, two areas they say have a lot of patients in common.

222
222
article thumbnail

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.

article thumbnail

California’s Reproductive Freedom Efforts Should Meaningfully Include People With Disabilities

Bill Of Health

By Joelle Boxer Last month, California Governor Gavin Newsom signed a package of nine reproductive health care bills , following the passage of fifteen such bills in 2022. While the state should be lauded for its efforts, it has come up short. Recent legislation largely excludes up to 25% of the adult population: Californians with disabilities. People with disabilities in the U.S. experience wide disparities in accessing reproductive health care, rooted in a long history of oppressive reproducti

Nursing 99
article thumbnail

Memorial Hermann, Midi Health team up to expand access to menopause care in Houston

Fierce Healthcare

On Wednesday, World Menopause Day, two healthcare partners unveiled their collaboration to help patients going through midlife hormonal transitions. | Patients will be able to access Midi’s telehealth services directly through Midi or by getting a referral from their Memorial Hermann-affiliated physician. All services are covered by insurance in Texas under major PPO plans.

article thumbnail

How To Fight Candida Auris/Fungal Infections In Hospitals

HIT Consultant

Jason Kang, Co-founder & Chief Innovation Officer at Kinnos Concerns about deadly fungal infections are growing nearly as fast as the outbreaks themselves. From popular television shows to recent articles in the Wall Street Journal and Fast Company , the attention has been swift and breathless. Unfortunately, lost in the scramble to highlight their potency and develop a cure has been any agreement on an effective strategy for cutting into their spread.

article thumbnail

Waymark scores $42M in fresh funding, including investment from CVS

Fierce Healthcare

Waymark, a Medicare-focused provider enablement company, has secured $42 million in fresh funding that it plans to use to continue scaling its offering. | Waymark, a Medicare-focused provider enablement company, has secured $42 million in fresh funding that it plans to use to continue scaling its offering.

Medicare 190
article thumbnail

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!

article thumbnail

InfoBionic Secures Funding to Expand Virtual Telemetry Solution

HIT Consultant

What You Should Know: – InfoBionic , a digital health company focused on virtual telemetry and cardiac remote patient monitoring closes its Series D financing round. The series D funding round includes participation by Security International Investments (SII), Mayo Clinic and Excel Venture Management while distinguished existing investors like Blue Cross Blue Shield of MA (Zaffre Investments), Blue Cross Blue Shield of Kansas and Safeguard Scientifics remain actively involved. – The

Doctors 93
article thumbnail

Family premiums in employer plans set to rise 7%: KFF survey

Fierce Healthcare

Family premiums for employer plans are set to rise by 7% on average this year, one year after virtually no growth, according to a

205
205
article thumbnail

Innovation Key to Tackling Medicaid Redetermination Challenge

HIT Consultant

Chris Oskuie, VP, State & Local Government &Education Sales at Software AG Government Solutions As a result of the Families First Coronavirus Response Act (FFCRA), Medicaid programs were required to keep citizens continuously enrolled through the COVID-19 public health emergency (PHE). These continuous enrollments ended on March 31, 2023, resulting in what many call the unwinding of Medicaid.

article thumbnail

AI Pain Recognition Tool Detects Pain Before, During and After Surgery

Health IT Analytics

An automated, AI-based pain recognition system may provide an unbiased approach to assess patients’ pain and decrease hospital length of stay.

article thumbnail

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.

article thumbnail

Home-Based Care Provider WellBe Senior Medical Continues Nationwide Expansion

Home Health Care

WellBe Senior Medical is expanding its footprint, this time through an entrance into Oregon. “We’re working on additional expansions, likely to come in 2024, that will bring us into Washington, and a couple other states out in the Pacific Northwest,” Mike Stuart, chief growth officer at WellBe, told Home Health Care News. “We’re excited to get started in Oregon.

article thumbnail

We must change our mindset about our health-care system

Healthy Debate

No system can cover all the health needs of every person all the time. It's time for difficult conversations about our health-care system.

89
article thumbnail

The CBO Report and Lessons for CMMI’s Future

Healthcare Leadership Council

After over a decade of projecting that the models initiated by the Center for Medicare and Medicaid Innovation (CMMI) would reduce Medicare spending, eyebrows were raised in health policy circles when the Congressional Budget Office (CBO) issued a recent report estimating that in its first decade of operation, CMMI’s efforts had actually elevated federal spending by $5.4 billion between 2011 and 2020.

article thumbnail

Healthcare AI News 10/18/23

HIStalk

News OpenAI adds voice capabilities to the ChatGPT mobile app,

article thumbnail

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.

article thumbnail

Impact of Semaglutide 2.4 mg on Reducing Health Inequality in the US: A Modeling Study

Healthcare ECONOMIST

That is the title of a study presented this week at the Obesity Week conference. This is work used a distributional cost effectiveness analysis approach for measuring the value of semaglutide 2.4 mg for the treatment of patients with obesity and overweight. It was conducted with co-authors Joshua Toliver, Mads Faurby, Jaehong Kim, Sanjana Muthukrishnan and Sean D.

63
article thumbnail

Avidex and Artisight Partner to Transform Virtual Care in Hospitals

HIT Consultant

What You Should Know: – Avidex , a provider of audiovisual and interactive patient care solutions, and Artisight , an AI-powered smart hospital platform announced a strategic partnership. – Avidex and Artisight will harness the strengths of both companies to provide a turnkey virtual care solution. Avidex will take on the role of the in-room technology integrator, leveraging its expertise to install and support the solution’s essential AV equipment and platform integration of i

article thumbnail

Rebate Management in Healthcare with Tony Garcia & Jonas Langvad | E. 90

Vie Healthcare

Episode Introduction Tony & Jonas explain why 100% of rebates go straight to the bottom line, share the 3 Ms of rebate management, and highlight how Rebate Insight’s SaaS solution is increasing hospital rebates by 26% or more. They also explain how ‘’dark data’’ blurs visibility into rebate management and celebrate being part of SpendMend. Show Topics Rebate management should be a priority in healthcare Manual processes make it difficult to track rebates The 3 M’s of rebate management Dark

article thumbnail

Inovalon & HealthVerity Partner to Advance Real-World Evidence

HIT Consultant

What You Should Know: – Inovalon , a provider of cloud-based software solutions empowering data-driven healthcare, today announced the establishment of a Preferred Data Partner Program. – The program aims to work with a select number of leading organizations that are committed to the thoughtful application of data towards the improvement of economics and outcomes across the healthcare ecosystem.

article thumbnail

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.