Fri.Feb 25, 2022

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FTC seeks public comments on pharmacy benefit managers' impact on patients, pharmacies

Health Care Dive

After a failed bid to launch a formal inquiry into PBMs, the FTC now says it wants to collect comments from the public to study a wide array of PBM practices.

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Telehealth revenue could hit $20B in five years, say analysts

Healthcare It News

A new report released this week from Bloomberg Intelligence predicted that the telehealth sector could bring in $20 billion in U.S. revenue by 2027. The Digital Reshaping the Health Care Ecosystem publication said that virtual care is set to "become a staple" of healthcare delivery. "The COVID-19 pandemic has accelerated the adoption of telehealth by years, providing safe and convenient access to telehealth services," said Duane Wright, senior research analyst at Bloomberg In

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DOJ moves forward with suit to block UnitedHealth's acquisition of Change

Health Care Dive

The lawsuit alleges that if UnitedHealth acquired Change, the payer would be able to gain a competitive advantage by seeing "very competitively sensitive" data from other insurers.

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Vaccine credentials enabling wider progress on public health interoperability

Healthcare It News

First announced in January 2021, the Vaccine Credential Initiative – co-founded by MITRE Corporation and others including Cerner, Change Healthcare, Epic, Mayo Clinic, Microsoft, Oracle, Salesforce and others – has made big progress over the past year-plus on new approaches to interoperable record-keeping. The public and private partnership collaborated on developing a standard model for "trustworthy, traceable, verifiable, and universally recognized digital record of vaccinatio

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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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Moderna bets on booster demand, advancing new 'bivalent' COVID-19 shot

Health Care Dive

The biotech will start trials in the U.S. and U.K. of a vaccine that targets both the original coronavirus strain and the omicron variant.

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The Lives of Veterans Experiencing Homelessness

The Rand Blog

The United States pledged in 2009 to end veteran homelessness. The numbers have fallen by nearly half since then, but there are still more than 37,000 veterans living in their cars, in temporary shelters, or in makeshift camps. Researchers followed 26 of them for one year to see how they live and what keeps them on the streets.

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More Trending

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Continuity of Government in Ukraine

The Rand Blog

On February 23 Russia launched a war on Ukraine. Ukraine's president Volodymyr Zelensky and its parliament might accelerate steps to ensure the continuity of government, a need made more urgent because of the risk that Kyiv could soon fall.

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7 Causes Of Waking Up With Chest Pain

Healthcare Associates

Chest pain happens to everyone from time to time, especially when it’s caused by indigestion or stress. However, chest pain may indicate you have a more serious problem if it’s waking you up in the middle of the night or if it happens every morning. Here are seven reasons you may be waking up with heart pain, and how to know when it’s time to see a doctor for treatment. 7 Reasons You Are Waking Up With Chest Pain.

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Definitive Healthcare Acquires Analytical Wizards, Healthcare Analytics Platform

HIT Consultant

What You Should Know: – This week, Definite Healthcare announced the acquisition of Analytical Wizards , an advanced analytics company revolutionizing analytics in healthcare by combining our AI/ML-powered technology, domain expertise, and high-touch relationship model. Financial details of the acquisition were not disclosed. – Founded in 2015, Analytical Wizards automates complex analytic models using tools that expedite efficient big data mining using artificial intelligence (AI) a

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Addus Steadfast on Growing Home Health Segment, Hit Hard By Labor Pressures

Home Health Care

Addus HomeCare Corporation (Nasdaq: ADUS) is the latest publicly traded home-based care company to disclose just how hard it was hit by workforce-related issues during the Omicron surge. LHC Group Inc. (Nasdaq: LHCG) executives revealed Thursday that cost constraints due to labor issues cost the company approximately 2,500 admissions and a loss of $13.8 million in revenue in the fourth quarter.

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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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Webinar: A Discussion with States on Medicaid Unwinding

NASHP

Webinar: A Discussion with States on Medicaid Unwinding. Friday, March 11, 2022, 2–3 p.m. ET. REGISTER NOW. As required by federal law, during the COVID-19 federal public health emergency (PHE) states have suspended disenrollments for Medicaid enrollees to provide coverage stability for millions. During this time, due to the unpredictable economy and changing employment market, Medicaid enrollment has increased significantly.

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Weekender 2/25/22

HIStalk

Weekly News Recap Teladoc Health’s Q4 results beat expectations,

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Additional and New Resources: COVID-19 Vaccines and Boosters

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. Earlier this week, I provided a couple of resources from the TMF QIN Networks – one of which was Fuel Versus Friction Tip Sheet designed to offer interventions for increasing vaccine uptake. In this blog, I am providing access to the on-demand recording of the TMF QIN webinar with the same title as the Tip Sheet.

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Modivcare Maps Out Strategic Priorities for New Home Division

Home Health Care

When Modivcare Inc. (Nasdaq: MODV) reorganized its home-based services under the business division Modivcare Home, it was part of a larger strategy to lean into value-based care initiatives. A month after Modivcare’s operational realignment announcement , the company is beginning to see its plan come to fruition. “Consolidating our home-based services under Modivcare Home puts us in a position to accelerate our value-based care initiatives,” Daniel Greenleaf, president and CEO of Modivcare, said

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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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Updated COVID-19 Treatment Guidelines

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The National Institutes of Health (NIH) has updated the Coronavirus Disease 2019 (COVID-19) Treatment Guidelines website as of February 24, 2022. Here’s what you’ll see on the landing page: The What’s New in the Guidelines information is located here. It includes: Therapeutic Management of Hospitalized Adults With COVID-19 Therapeutic Management of Hospitalized Pediatric Patients With Multisystem Inflammatory Syndrome in Chil

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CVS Health Releases Drug Trend Report

HIT Consultant

What You Should Know: – CVS Health released their Drug Trend Report , examining the drivers of overall and specialty drug trend through the first three quarters of 2021. Data were calculated on a cohort of 1,014 PBM clients—employers and health plans—covering approximately 22 million lives. – The report details how CVS Health delivered an overall drug trend of 2.4% for commercial PBM clients, with 35.9% having a negative trend.

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Strategies to Overcome Challenges in Commercializing Treatments for Rare Diseases

Health Advances

By Kelly Cockerill, Vice President, Marsha Pelletier, Director, Philippe De Gaiffier, Consultant, and Carrie Jones, Partner. Rare Disease Day serves as a reminder of the ongoing collaborative effort in the healthcare industry to bring valuable new treatments for the over 300MM global rare disease patients. Despite the rapidly advancing science and established unmet need for patients, rare disease drug manufacturers face several unique challenges when commercializing new products.

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Amino Launches its Healthcare Guidance Platform in Spanish

HIT Consultant

What You Should Know: – Amino , the leading employer-sponsored healthcare guidance platform, is adding Spanish Language capabilities and Mental Health providers. This will allow employees to easily find in-network mental health providers in either English or Spanish. – By guiding members to top mental health providers, Amino expands and accelerates access to high-quality, cost-effective mental health services, which can be difficult to find.

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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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Judge Strikes Down Part Of Administration’s Surprise Billing Rules In Win For Physicians

Triage Health Law

The Biden Administration’s Interim Final Rule implementing provisions of the No Surprises Act suffered its first major legal setback yesterday. Judge Kernodle of the Eastern District of Texas issued a decision vacating portions of the Rule relating to the independent dispute resolution (“IDR”) process that the Act creates. As we’ve previously reported , the No Surprises Act tasks IDR entities with resolving disputes between providers and insurers over the appropriate rate of reimbursement for o

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GuideWell Becomes First U.S. Payer to Automate Prior Authorizations

HIT Consultant

What You Should Know: – GuideWell , one of the 10 largest health insurance providers in the U.S., became the first U.S. payer to automate prior authorization approvals through AI-powered clinical reviews from Olive , resulting in faster care for patients — up to 10 days faster — and greater provider satisfaction. – After launching a pilot with Olive in Florida, GuideWell saw its time to decision reduced by 10 days when immediate responses were available, decreased unnecessary prior a

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Responding to Russia, Sex Trafficking, Anti-Bias Education: RAND Weekly Recap

The Rand Blog

This weekly recap focuses on the false choice between responding to Russia or deterring China, how substance use and sex trafficking are connected, providing anti-bias education in U.S. schools, and more.

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Viz.ai Awarded 510(k) Clearance for AI-Powered Cerebral Aneurysm Detection Solution

HIT Consultant

What You Should Know: – Viz.ai , a San Francisco-based provider of AI-powered intelligent care coordination for stroke, has received FDA 510(k) clearance for Viz ANEURYSM (formerly Viz ANX), the first and only AI-powered cerebral aneurysm detection solution designed to facilitate population screening and enhanced care management. – The new algorithm uses AI to detect suspected cerebral aneurysms, enabling hospital systems to ensure that once detected, patients are captured and the an

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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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Accenture & Astellas Pharma Create Next-Generation Cloud-Based IT Core Platform

HIT Consultant

What You Should Know: – Accenture announced it helped Astellas Pharma Inc. create a cloud-based core IT platform that serves as the foundation for an advanced, data-driven management model for the company’s global operations, which has been rolled out in the Americas, EMEA and Japan, with plans for further deployments. – The new platform will help Astellas to rapidly incorporate new and emerging technologies; accommodate business expansions, such as mergers and acquisitions; accelera

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Ventilator Consumables Market Analysis: COVID-19 Pandemic Repercussions

HIT Consultant

Consumables are often associated with low-cost, standardized products. This has often been the case with breathing system solutions used in ventilation. However, the COVID-19 pandemic has highlighted the importance of sufficient infection control in the hospital environment, subsequently uplifting demand for solutions that reduce infection risk. Vendors of all calibers grabbed this opportunity to expand market share, but questions remain on whether they will keep up in a crowded and price-sensit