Fri.Feb 23, 2024

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UnitedHealth suspects ‘nation-state’ behind Change cyberattack

Health Care Dive

Pharmacies and providers nationwide are struggling to process prescriptions following the attack, while the American Hospital Association is urging hospitals to disconnect from UnitedHealth’s systems.

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Medicare Advantage fraud in DOJ's crosshairs after agency reports $2.7 billion in settlements

Fierce Healthcare

Under the False Claims Act, more than $1.8 billion in settlements and judgments was related to health-related matters in the last fiscal year, about two-thirds of the monetary fraud recoveries by t | Health fraud settlements under the False Claims Act exceeded $1.8 billion last year, according to the Department of Justice. The agency said it is still litigating Medicare Advantage cases against major insurers.

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CHS hit with Justice Department investigation

Health Care Dive

Federal regulators are seeking information about the for-profit hospital operator's inpatient admissions and dialysis processes and procedures.

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Walgreens' VIllageMD exits Florida market, shuttering remaining primary care clinics

Fierce Healthcare

Walgreens is closing its remaining VillageMD primary care clinics in Florida. | The announcement does not come as a total surprise, as Walgreens first disclosed its plans to close 60 underperforming VillageMD clinics and exit five markets last fall.

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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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HIMSSCast: Patient experience in 2024: What's next?

Healthcare It News

Hospital and health system C-suite executives and health IT leaders know the patient experience is crucial to ongoing success in healthcare. The question is: How to continually improve it? This week's podcast looks at what's on the horizon for the patient experience and seeks to answer that question. Our guest, from Press Ganey Associates, a patient experience consulting firm with 40 years of experience in the field, is Chrissy Daniels, chief experience officer.

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Despite sectorwide financial recovery, not all are hospitals are finding their footing

Fierce Healthcare

Broadly speaking, the hospital sector is a much stronger state financially than it was in 2022 or even early 2023 amid industry reports of higher medians and margin improvements being shared by sev | A review of hospitals' 2023 operating numbers show 40% are still losing money going into 2024 and that high-performing hospitals are "effectively pulling away from the pack," according to a recent Kaufman Hall analysis.

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Talkspace targets strong revenue growth in 2024 as it doubles down on payer, enterprise strategy

Fierce Healthcare

Online therapy company Talkspace is doubling down on its strategy to grow its business with payers and employers with a focus on providing services to teens and seniors. | Online therapy company Talkspace is doubling down on its strategy to grow its business with payers and employers with a focus on providing services to teens and seniors.

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7 Digital Transformation Mistakes Made In Healthcare

HIT Consultant

John Berndt, SVP Health for North America at Valtech The digital health market is projected to grow at a compound annual rate of approximately 25% from 2019 to 2025, according to NASDAQ. Needs for digital projects and initiatives have never been higher. However, investments in the sector, including in digital tech, have remained under tremendous scrutiny since the pandemic.

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North Carolina towns, counties' antitrust lawsuit against HCA's Mission Health may continue, federal judge rules

Fierce Healthcare

A federal judge has denied HCA Healthcare’s motion to dismiss antitrust litigation brought by North Carolina cities and counties related to the for-profit’s 2019 acquisition of Mission Health. | Local governments allege that HCA acquired Mission Health in 2019 to "exploit" its monopoly power, which they say has led to higher prices and budget cuts.

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As Contract Losses Hit Modivcare, Its Leaders Look Toward Home Care For Growth

Home Health Care

Though Modivcare Inc. (Nasdaq: MODV) achieved some wins last year, the company is still trying to navigate headwinds stemming from contract losses. “The root causes of these contract losses include a few MCO clients not securing their state contracts, a state health department’s decision to transition to a full broker model – favoring an incumbent competitor – and a client’s decision to diversify volume away from us due to legacy issues,” L.

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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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Waltz Health makes push into Medicare Advantage, inks partnership with SCAN

Fierce Healthcare

Just a few short months after making a push into the payer space, digital health company Waltz Health is stepping into the Medicare market. | Just a few short months after making a push into the payer space, digital health company Waltz Health is stepping into the Medicare market.

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Abridge Secures $150M to Expand GenAI, Partners with Yale New Haven Health System

HIT Consultant

What You Should Know: – Abridge , the leading force in generative AI for clinical documentation, announced today a staggering $150 million Series C funding round led by Lightspeed Venture Partners. The funding also includes participation from new and existing investors like Redpoint Ventures , IVP , Spark Capital , Union Square Ventures , Bessemer Venture Partners , Wittington Ventures , Mass General Brigham Artificial Intelligence and Digital Innovation Fund (AIDIF) , Kaiser Permanente Ve

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Protecting the protector: Discussing cybersecurity in healthcare

Fierce Healthcare

Healthcare is one of the most targeted industries when it comes to cybercrime. | How can healthcare institutions and the broader medical sector safeguard its own health when it comes to all things cyber?

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Only 37% of Medical Practices Receive Value-Based Care Payments, Black Book Survey Reveals

HIT Consultant

What You Should Know: – While the shift towards value-based care (VBC) is underway, a recent Black Book survey reveals that only 37% of medical practices are currently receiving payments from upside-risk arrangements and shared savings, while 12% receive payments from full risk. – This leaves a significant portion, over 50%, still relying on traditional Fee-For-Service models.

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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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Street medicine provider Healthcare in Action taps Curai for California unhoused's virtual care

Fierce Healthcare

Curai Health, a virtual clinic, is teaming up with California-based Healthcare in Action to serve individuals experiencing homelessness. | Healthcare in Action patients will have access to 24/7 virtual care using Curai’s app at no cost to the patient. Curai’s visits are primarily asynchronous, though it also supports phone or video visits.

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GPT-4 Matches Ophthalmologists in Glaucoma, Retina Management

Health IT Analytics

Mount Sinai researchers revealed that the large language model GPT-4 can match, and even outperform, human specialists in managing glaucoma or retina disease.

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Chutes & Ladders—AHCA president and CEO to retire

Fierce Healthcare

Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry.

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Let Go and Surrender: Considerations on MDMA Couples Therapy and Coercive Control

Bill Of Health

By Kayla Greenstien From 2016 – 2022, I worked in client-facing community support work, focusing on domestic abuse and sexual assault. Throughout this time, I regularly witnessed how the mental health system struggled to respond to non-physical violence in the form of coercive control — an insidious form of abuse that involves intimidation, threats, and manipulation to restrict the autonomy of another person.

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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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How A Home-Based Care Provider Weans Itself Off Fee-For-Service Reliance

Home Health Care

Not even two years ago, Alivia Care CEO Susan Ponder-Stansel was open and honest about the challenges her organization would face on its journey toward risk- and value-based care. Now, it’s still on that journey, but much further along. The company’s story is one of promise, one that shows home-based care providers can become risk-bearing entities that have a larger control of their financial futures.

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Interdependence and Its Discontents: Why Would Nations with Incentives to Avoid It Go to War?

The Rand Blog

It's tempting to think that interdependence between the United States and China has reached a level in which armed conflict between them is unthinkable. Unfortunately, history gives us little reason to be confident that peace is inevitable simply because the degree of interdependence is strong.

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Want an ROI on Training? Measure What Matters

Baird Group

U.S. corporations (including healthcare) spent $94 billion on training last year. The investment is significant, but are they getting their money’s worth and seeing an ROI on training? The ones that are getting the biggest bang for their buck are those that have clear metrics. The Case for ROI My husband and I just converted our home to solar. We want to decrease our carbon footprint, but we also want to cut back on our outrageous electric bills.

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Samsung and CrisisGo Launches Industry-First Smartwatch Panic Solution

HIT Consultant

staff assist alert What You Should Know: – CrisisGo , a leading provider of safety solutions, announced a strategic collaboration with Samsung Electronics America to launch an industry-first smartwatch panic solution. – This innovative partnership equips Samsung smartwatches with a powerful 2-way emergency communication application, revolutionizing safety for organizations like schools, healthcare facilities, and businesses.

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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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Quotation of the Day

Healthcare ECONOMIST

A great conversation is between two people who think the other is wrong. A bad conversation is between those who think something is wrong with you.

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A Foreign Government, Oprah, and Fires in Maui: The Impact of Misinformation on Community Resiliency

The Rand Blog

Crises and disasters are opportunities to undermine the national unity that forms in response to tragedy: U.S. adversaries may gain an advantage when there is discord among the American public. But even if information operations are cheap for foreign governments to execute, they also can be simple to counteract effectively through routine emergency management preparedness activities.

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SCAN Foundation, Dandelion Health Partner to Advance Algorithmic Equity for Older Adults

HIT Consultant

What You Should Know: The SCAN Foundation (TSF), an independent public foundation that catalyzes bold and equitable approaches to how older adults age in both home and community, today announced it has entered into a public-private partnership with technology innovator Dandelion Health to advance algorithmic equity for older adults, especially for historically marginalized populations.

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Dry Needling CPT Codes: An Ultimate Guide

Etactics

The US Bureau of Labor Statistics predicts a 15 percent growth in physical therapist employment opportunities from 2022 to 2032. This is a much faster growth projection than the average of most other occupations. The increasing demand for physical therapists comes from the need to replace workers exiting the practice combined with other factors including: Age-related physical therapy for baby boomers.

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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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Bridges Health Partners Highmark BCBS Form Commercial Value-Based Care Agreement

HIT Consultant

What You Should Know: Bridges Health Partners LLC (Bridges) , a Clinically Integrated Network, and Highmark Blue Cross Blue Shield (Highmark) entered into a multi-year Value-Based Agreement for Highmark’s Commercial membership in Western Pennsylvania. The agreement is designed to improve the health of Highmark’s members by providing accessible, high quality, cost effective, patient centered care through member collaboration and innovation.

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CPSI Rebrands as TruBridge, Unifying Solutions for a Streamlined Future in Healthcare

HIT Consultant

What You Should Know: – CPSI (NASDAQ: CPSI) announced a strategic rebranding, transitioning to TruBridge, Inc. (“TruBridge”) effective March 4, 2024. – The rebrand reflects a commitment to streamlining its offerings, strengthening its market presence, and driving future growth by creating a unified identity. A Unified Vision for Healthcare Solutions The new name, TruBridge, reflects the company’s commitment to building a bridge between efficient financial management