Thu.Aug 29, 2024

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PBM executives threatened with fines and jail time for alleged perjury in House hearing

Health Care Dive

Testimony from the heads of Express Scripts, Optum Rx and Caremark in July defending pharmacy benefit managers’ business practices could be coming back to bite them.

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Rep. Comer threatens PBM execs with fines, jail time over 'fraudulent' hearing testimony

Fierce Healthcare

A key legislator is accusing the leaders of the three largest pharmacy benefit managers of making fraudulent statements during a hearing last month on the industry. | A key legislator is accusing the leaders of the three largest pharmacy benefit managers of making fraudulent statements during a hearing last month on the industry.

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Hospitals boost operating margins in July: report

Health Care Dive

Increased demand for services helped offset high expenses for hospitals during July, according to analytic solutions firm Strata.

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Elation Health rolls out AI scribing tool embedded in its EHR for primary care docs

Fierce Healthcare

As artificial intelligence tools make their way into hospitals and doctor's offices, Elation Health saw a big opportunity to leverage its expertise in building clinical-first tech to roll out AI pu | As artificial intelligence tools make their way into hospitals and doctor's offices, Elation Health saw a big opportunity to leverage its expertise in building clinical-first tech to roll out AI purpose-built for primary care doctors.

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From Payroll Pains to Growth Gains: Streamlining Payroll & HR for Success

Speaker: Joe Sharpe and James Carlson

In the world of small business management, the challenge of managing payroll & HR efficiently while scaling operations can be overwhelming. Yet, with the right strategies in place, these challenges can become opportunities for growth and innovation. In this session, Joe Sharpe, Senior Director of Managed Payroll Services at IRIS, will reveal practical methods and expert insights for outsourcing and streamlining payroll processes, resulting in substantial time and resource savings.

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Customer Service Revolution with Knowledge-Backed Gen AI: Trends and Healthcare Success Story

Healthcare It News

Sponsor: eGain Primary topic: Artificial Intelligence Topic: Artificial Intelligence Patient Engagement Resource Central: Upcoming Webinars External url: [link] Thumbnail: Body: Enterprise Taxonomy: AI Analytics Data and Information Short Headline: Customer Service Revolution with Knowledge-Backed Gen AI: Trends and Healthcare Success Story Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed

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HHS reverses course, will no longer appeal federal court's hospital web tracker decision

Fierce Healthcare

The Department of Health and Human Services (HHS) is dropping its appeal of a June U.S. | The department's white flag came 10 days after the administration had filed its appeal of the June decision to the Fifth Circuit.

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Exec appointments at HL7 Australia, ADHA and more briefs

Healthcare It News

New chair at HL7 Australia HL7 Australia has appointed David Rowlands as its new chair, replacing Dr Isobel Frean after three years. It has also named Dr Andy Bond to its board. Rowlands served the board of the Australasian Institute of Digital Health, to which he is also a fellow and honorary life member. He is also certified in health informatics by the Certified Health Informatician Australasia program.

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Mounting insurance expenses, restructuring drag UPMC to $313M H1 operating loss

Fierce Healthcare

Pittsburgh-based UPMC’s operations are $313 million in the red (-2.2% operating margin) halfway through 2024, the integrated nonprofit system reported in a Thursday filing. | Higher volumes, rates and pharmaceutical expenses have so far spelled a tough 2024 for UPMC's insurance division.

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Risant Health plans to invest over $1B into Cone Health post-acquisition

Health Care Dive

The Kaiser Permanente-backed nonprofit health system will invest in facility upgrades and health equity initiatives after it cinches its second acquisition.

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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Highmark Health posts $223M Q2 net income as Allegheny Health notches higher patient volumes

Fierce Healthcare

Pennsylvania-based insurer and care delivery network Highmark Health recorded $7.4 billion in revenue and $223 million in net income during the second quarter. | Highmark Health has brought in $7.4 billion of revenue this year, while Allegheny Health Network is experiencing an uptick in ER visits.

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Penalizing Hospitals Won’t Stop Ransomware: Why Collaboration, Not Fines, is Key to Healthcare Cybersecurity

HIT Consultant

Chris Bowen, Founder and CISO, ClearDATA The recent $50 million initiative announced by the Advanced Research Projects Agency for Health (ARPA-H) can’t hurt in the ongoing battle against ransomware in the healthcare sector. This investment is aimed at strengthening the cybersecurity defenses of hospitals nationwide, protecting sensitive patient data, and enhancing the resilience of healthcare systems against cyber threats.

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Social Media Manipulation in the Era of AI

The Rand Blog

AI has opened a potential propaganda gold mine. Large language models like ChatGPT can learn to mimic human speech. They can respond to jokes and cultural references and engage users in debates. Social media platforms should redouble their efforts to identify, attribute, and remove fake accounts.

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The Role of Virtual Care in Reducing Physician Burnout: Strategies for Success

HIT Consultant

Amy Miller, the Regional Director of Growth at AMD Global Telemedicine The burnout rate among physicians and medical teams is soaring, but it’s possible to deflate many healthcare stressors by embracing telehealth solutions. Beating back burnout has become one of the hottest topics in medicine. Just how bad is burnout in healthcare settings? A recently released survey from the American Medical Association (AMA) revealed that nearly two-thirds (62%) of emergency medicine doctors said they w

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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‘Opportunity Is Still Out There’: AI, Regional Payers And The Other Factors Exciting Home Health Leaders

Home Health Care

This article is a part of your HHCN+ Membership Top home health leaders maintain that they’re operating in a space filled with “tons of opportunity.” Payment uncertainty and other contemporary operating dynamics can muddy the waters, but there’s a way through those challenges, those leaders believe. “I’m going to sound delusional,” Pinnacle Home Care CEO Shane Donaldson told me on stage last week at Home Health Care News’ FUTURE conference.

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Curative Expands Health Plan to Georgia with $0 Copay, $0 Deductible

HIT Consultant

What You Should Know: – Curative Insurance Company , a healthcare services innovator, is pleased to announce the expansion of its revolutionary health plan to Georgia. – This marks a significant step forward as Curative brings its $0 copay, $0 deductible solution to businesses headquartered in the Peach State. Prioritizing Affordability and Well-being Curative’s health plan is designed to remove barriers to care and prioritize member well-being.

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SDoH-Related Unhealthy Days Lead To Higher Health Care Costs For Medicare Advantage Plans

Home Health Care

When examining a Medicare Advantage (MA) population, one unhealthy day was enough to increase 30-day medical costs, a new study found. The study sought to examine the connection between self-reported physically and mentally unhealthy days and health care costs among an MA population. One of the driving forces behind the study was Papa, a company that has a number of wide-ranging partnerships with MA plans.

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PathAI’s AISight Dx Receives CE Mark for Primary Diagnosis

HIT Consultant

What You Should Know: – PathAI , a pioneer in AI-powered digital pathology, has achieved a significant milestone with the CE mark certification of its AISight Dx Image Management System (IMS) for primary diagnosis. – The certification paves the way for PathAI’s expansion into the European diagnostic pathology market, offering pathologists a powerful tool to enhance their interpretations and improve laboratory efficiency.

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Creating a Company Culture of Care: Integrating Mental Health, Wellbeing, and DEI in Benefits

Speaker: Sean Raible

Picture a workplace where physiological safety is not just an aim but a reality, driven by thoughtful employee benefits that prioritize mental health, wellbeing, and DEI. 🤔 ✨ Achieving this vision requires more than just occasional training sessions and employee assistance programs. Moving beyond the basics, this vision calls for a holistic approach that integrates these elements into your company culture as well as your HR and benefits strategy.

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Dark Web Monitoring for Business: Everything You Need to Know

Etactics

Recently, news of a security breach resulting in the leak of potentially millions of United States social security numbers hit the media. A group of hackers stole billions of records from National Public Data. Which is a background check company. That leaked data then found itself on a free hacking forum on the dark web. This obviously resulted in the compromised sensitive data of millions of Americans.

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AI Holds Promise for Improving Patient Experience, Survey Finds

HIT Consultant

What You Should Know: – A new survey conducted by Talkdesk has revealed the growing optimism among consumers about the potential of artificial intelligence (AI) to improve the healthcare experience. – While AI is still in its early stages of adoption in healthcare, patients are hopeful that it can streamline processes, reduce administrative burdens, and improve access to care.

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Interview with PatientPay CEO Tom Furr on the ClearGage merger

Health Business Group

PatientPay and ClearGage are merging. I interviewed CEO Tom Furr to get his take. The combined offering is intended to deliver a comprehensive billing and payment platform that includes estimation and eligibility along with streamlined patient payments. Doctors offices are generally set up to bill insurance, but patients are now responsible for a lot more of the bill.

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Gen Z Falling Behind on Cancer Screenings: Phone Anxiety and Lack of Awareness Cited

HIT Consultant

What You Should Know: – A recent survey by the Prevent Cancer Foundation reveals a concerning trend among Gen Z (ages 21-27) – they are significantly lagging behind older generations in getting routine cancer screenings. – This lag can potentially have serious health consequences, as early detection is crucial for successful cancer treatment.

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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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EPtalk by Dr. Jayne 8/29/24

HIStalk

I’ve written previously about telehealth and the math that is.

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CommonWell Health Alliance Launches New TEFCA-Enabled Platform

HIT Consultant

What You Should Know: – CommonWell Health Alliance, a healthcare interoperability organization, has announced significant advancements in its platform and membership. – The new platform, developed in collaboration with ELLKAY , a healthcare data interoperability expert, is designed to facilitate smoother and more reliable data exchange among healthcare providers.

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News 8/30/24

HIStalk

Top News PatientPay completes its acquisition of billing, statement, and.

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AI’s Advantages to Overcoming Revenue Cycle Management Challenges for Providers

HIT Consultant

Jeff Carmichael SVP of Engineering and Analytics XiFin, Inc. Healthcare providers face staffing shortages, increasing regulatory requirements, and pressure to reduce costs while delivering effective care. Compounding provider problems are payor policy, behavior changes and ongoing fee schedule cuts that compress revenue, as well as mounting denials and additional documentation requests from payors.

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Bridging the Gap: The Intersection of DEI Initiatives and Employee Benefits

Speaker: Jaye Johnson, CBP

Unlock the secrets to transforming your organization’s employee benefits into a strategic tool for Diversity, Equity, and Inclusion (DEI). During this informative session, we will discuss common pitfalls in traditional benefits and then delve into the essence of DEI in employee-centric benefit offerings. This involves not only defining DEI in the workplace but also understanding the pivotal role that employee benefits play in fostering a diverse and inclusive environment.

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Stuck in the Middle with You: Licensing Reforms for Cross-State Telehealth

Bill Of Health

This post launches a Digital Symposium on The Future of Telehealth Regulation, edited by Carmel Shachar, Assistant Clinical Professor of Law and Faculty Director of the Health Law and Policy Clinic at the Center for Health Law and Policy Innovation. The symposium continues the conversation from a working group held in June 2023 titled “Achieving Telehealth’s Potential”, out of which a Consensus Statement for two feasible policy paths forward emerged.

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The Future of RCM: Leveraging AI to Combat Healthcare Providers

HIT Consultant

Jeff Carmichael SVP of Engineering and Analytics XiFin, Inc. Healthcare providers face staffing shortages, increasing regulatory requirements, and pressure to reduce costs while delivering effective care. Compounding provider problems are payor policy, behavior changes and ongoing fee schedule cuts that compress revenue, as well as mounting denials and additional documentation requests from payors.

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Forecasting Like a Pro: Q&A with Jordan Despanie

The Rand Blog

Jordan Despanie is a technology and security policy fellow at RAND with interests spanning biosecurity, artificial intelligence, open-source intelligence, and foreign policy. The RAND Forecasting Initiative asked him to share insights on how he achieved top-tier forecaster status to inform its approach toward recruiting and training forecasters across RAND.

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