Tue.Jun 04, 2024

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‘We’re always running out of money’: Steward seeks new DIP financier ahead of June 14 to keep operations afloat

Health Care Dive

Attorneys for the Dallas-based health system said Steward isn’t interested in another quick-fix loan. This time, Steward is seeking a lender that can provide $225 million, which will hopefully be enough to carry the system through the full Chapter 11 process.

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Judge sides with SCAN Health Plan in dispute with CMS over Medicare Advantage star ratings

Fierce Healthcare

SCAN Health Plan secured a court victory Monday when a federal judge agreed that the Centers for Medicare & Medicaid Services (CMS) inappropriately calculated its star ratings for the 2024 plan | SCAN Health Plan secured a court victory Monday when a federal judge agreed that the Centers for Medicare & Medicaid Services inappropriately calculated its star ratings for the 2024 plan year.

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Scan Health Plan wins Medicare Advantage star ratings lawsuit

Health Care Dive

The insurer argued the CMS didn’t follow its stated methodology for calculating the quality scores, causing its rating to drop and risking millions of dollars in payments.

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How 3 digital health companies built sustainable partnerships with employers and health plans

Fierce Healthcare

NEW YORK CITY— Health plans and employers are flooded with pitches from digital health solutions. | Health plans and employers are flooded with pitches from digital health solutions. Executives at FarmboxRx, Summer Health and Bold share how they got their foot in the door and what it takes to build a successful enterprise-startup partnership.

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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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State healthcare cost caps could further pressure hospital operating margins: report

Health Care Dive

Policies in several states have limited provider rates and levels of reimbursement, as well as constrained operating flexibility, according to Fitch Ratings.

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Sword Health rolls out new AI tech, banks financing round that boosts valuation to $3B

Fierce Healthcare

Sword Health, a virtual provider of musculoskeletal care, banked a financing round of $130 million in a mix of primary and secondary sale, boosting its valuation to a reported $3 billion. | Sword Health, a virtual provider of musculoskeletal care, banked a financing round of $130 million in a mix of primary and secondary sale, boosting its valuation to a reported $3 billion.

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House lawmakers weigh suggestions to fix 340B drug discount program

Fierce Healthcare

Legislators from both sides of the aisle appear to agree that the controversial 340B drug discount program needs refinement rather than upheaval, and broadly welcomed suggestions for greater transp | Policy researchers and providers encouraged lawmakers Tuesday to embrace transparency and statutory clarifications for the embattled drug discount program.

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How The Independent Horizon Care Services Is Zagging In A ‘Ruthless’ Florida Home Care Market

Home Health Care

In a day and age where more private-pay home care providers are trying to lock in up-front payments and longer commitments from clients, Horizon Care Services is trying to double its revenue through more flexibility, not less. More flexibility, both for itself and for clients. Andrea Albertini, the CEO of Horizon Care Services, started the company two decades ago in Florida’s Palm Beach County.

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Ascension Restores EHR Access Florida, Alabama, Austin Markets After Cyberattack

HIT Consultant

What You Should Know: – Ascension announced it has restored EHR access in Florida, Alabama, and Austin markets affected by a recent cyberattack. – Ascension anticipates completing EHR access across its entire network by June 14th. This will allow clinicians to access patient records seamlessly, mirroring the pre-attack workflow. – Ascension Rx retail, home delivery, and specialty pharmacy sites are now fully operational.

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Home Health Care Solutions Names New CEO; Care Advantage Adds To Board

Home Health Care

Home Health Care Solutions has new CEO Brad Harris has been appointed CEO of Home Health Care Solutions. Part of Miller’s Health System, Home Health Care Solutions is a diversified in-home care provider that delivers services across the majority of Indiana. The company’s offerings include traditional home health services, along with behavioral health care, telehealth monitoring and more.

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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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Meta Llama 3 on NVIDIA Boosts Healthcare Innovation with Open-Source AI

HIT Consultant

What You Should Know: – Meta’s open-source large language model, Meta Llama 3, is making significant waves in the healthcare and life sciences sectors. This cutting-edge technology, trained and optimized using NVIDIA’s accelerated computing, is empowering researchers, developers, and companies to create innovative applications aimed at improving patient lives. – With Meta Llama 3’s open-source accessibility and NVIDIA’s powerful computing platform, the possibi

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The ROI on Patient Experience = Loyalty, Trust and Revenue – Listening to Accenture

Health Populi

When health care providers and payers make patients’ lives easier, there’s a multiplying factor for loyalty and revenue growth, according to Accenture’s latest look into the value of experience in The Power of Trust: Unlocking patient loyalty in healthcare. Accenture conducted two surveys for this research, assessing nearly 16,000 U.S. adult consumers’ views on healthcare providers and health insurance plans.

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How AI Can Increase the Success of Clinical Denials Appeals

HIT Consultant

Steve Albert, EVP and Chief Product Officer, R1 It’s a perfect storm of financial pressures facing healthcare provider organizations – from rising costs to labor shortages to constrained capacity – that stymies revenue growth. Growing challenges with payer payments only exacerbate these issues. According to a Kaufman Hall report , 73% of leaders surveyed said claims denials, which was the top revenue cycle issue in 2022, had increased in 2023.

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Designing for Health: Interview with Kit Delgado, MD [Podcast]

Nordic

In a clinical setting, designing with the user in mind is often an overlooked, yet vital step towards better health outcomes. Using principles of behavioral economics to align the right choice with the easy choice is paramount to ensuring a successful experience for clinicians and patients alike. Deriving insights and experiences from other industries can enhance every logistical and medical pathway in a health system.

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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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Philips Unveils AI Ultrasound Platform to Improve Cardiac Care

HIT Consultant

What You Should Know: – Philips , a leader in health technology, today announced its next-generation AI-powered cardiovascular ultrasound platform. – The new platform aims to revolutionize cardiac ultrasound analysis by leveraging artificial intelligence (AI) to improve efficiency and accuracy in echocardiography labs. Addressing the Burden of Heart Disease: Heart failure is a global health crisis, affecting an estimated 64 million people worldwide.

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Deep learning model personalizes adaptive therapy for prostate cancer

Health IT Analytics

A deep reinforcement learning model designed to tailor adaptive treatment schedules could double the time to progression for prostate cancer patients.

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Suki Launches SDK to Power Voice AI Experiences with Bond Vet

HIT Consultant

What You Should Know: – Suki , the leader in voice artificial intelligence (AI) technology for healthcare, today announced the launch of extended capabilities of Suki Platform, its suite of developer tools. – Suki Platform enables healthcare technology solutions like electronic health record systems (EHRs) to incorporate Suki’s AI and voice experiences within their solutions.

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News 6/5/24

HIStalk

Top News Ascension says in a June 4 cyberattack update.

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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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Evolent Acquires Machinify’s AI-Driven Medical Authorization Solution

HIT Consultant

– Evolent Health, Inc. (NYSE: EVH), a leader in improving health outcomes for patients with complex conditions, announced today an agreement to acquire key assets from Machinify , including the exclusive license to their AI-powered platform , Machinify Auth. – Additionally, certain Machinify employees will join Evolent. Both companies plan to establish a long-term services agreement to ensure smooth integration and ongoing platform development.

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NATO Space Enterprise: Throttle Up or Fall Short

The Rand Blog

NATO has made slow, steady progress on space policy for just over a decade. This summer's NATO summit in Washington presents a key opportunity to build on the alliance's nascent space policy and structure at an inflection point for NATO and space power.

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Keragon Launches Out of Stealth with $3M for AI-Powered Automation Platform

HIT Consultant

What You Should Know: – Keragon , an AI-powered HIPAA-compliant automation platform for healthcare, is officially launching out of stealth. It is the first no-code workflow automation platform designed specifically for the US healthcare industry. – Currently, it is used by practices and clinics, fast-growing digital health startups, all the way up to hospitals & NASDAQ-listed companies, across the 50 states.

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Understanding the Long-Term Impacts of Combat: Genital Injury in UK Male Military Veterans

The Rand Blog

Greater discussion and support are needed not only during rehabilitation, but over the long term to address the enduring psychosocial and sexual impact of combat-genital injury.

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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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Secure Digital Signage for Healthcare: Igel & LG Partner on Large Displays

HIT Consultant

What You Should Know: – Igel , a leading provider of secure endpoint operating systems, announced today an expanded partnership with LG Business Solutions. – Igel’s cloud-based software solution caters specifically to the healthcare market, providing users with a user-friendly platform to access and manage various cloud-based solutions designed for LG digital signage, interactive displays, and video walls.

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Morning Headlines 6/5/24

HIStalk

Sword Health Introduces Phoenix, the First AI Care Specialist and.

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Improving the health of healthcare: Charting the path to patient-centered communications

Healthcare It News

Ask anybody who’s interacted with the U.S. healthcare system about their relationship with healthcare, and they’ll probably describe themself as a recipient of care. Why is it that patients don’t feel as though they’re owners of their care journey? What if we could empower and enable them so they do, instead of viewing themselves as passive recipients of care, a single patient among countless others?

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NAHC President Bill Dombi Reflects On Tenure: We Went ‘To War’ On Behalf Of Our Providers

Home Health Care

For more than 40 years, William A. Dombi has been one of home-based care’s fiercest advocates. He became the National Association for Home Care & Hospice’s (NAHC) vice president for law in 1987, and has been a key player in many of the advancements and milestones that have moved the industry forward. Those include the growth of the home health benefit under Medicare, the implementation of the home health prospective payment system in 2000 and much, much more.

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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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Latest Update on NCQA Kidney Health Evaluation for Patients With Diabetes (KED) Measure Specification: Conformant Tests

NCQA

In August 2023 NCQA removed a LOINC code for semi-quantitative testing from the Kidney Health Evaluation for Patients With Diabetes (KED) HEDIS ® measure specifications starting in Measure Year 2024. We have received questions about removing the LOINC code. This page contains the latest information on appropriate urine albumin-creatinine ratio (uACR) testing for the KED HEDIS measure.

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Sword Health Secures $130M, Unveils AI Care Specialist “Phoenix”

HIT Consultant

What You Should Know: – Sword Health , a pioneer in AI-powered h ealthcare delivery, announced a $130M financing round today bringing Sword’s total funding to $340M and propelling the company’s valuation to a staggering $3B– a 50% increase since its Series D round. – This funding round, coupled with Sword’s near-tripled revenue growth in the past year, unlocks exciting possibilities for the future.