Mon.Dec 04, 2023

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A Cigna-Humana merger could face a long regulatory delay. But it might get approved.

Health Care Dive

As rumors swirl that the two major health insurers are inching toward a merger, experts say antitrust agencies have grounds to block a deal — but may not be successful.

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Maia Oncology picks up $4.25M to build out virtual primary care clinic for cancer patients

Fierce Healthcare

Five years ago, Liya Shuster-Bier entered cancer as an otherwise healthy 29-year-old. | Maia Oncology raised $4.25 million in seed funding to hone its go-to-market strategy, hire more talent and launch its first pilot in partnership with a cancer center and health insurance company.

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Government expects to recover more than $3B from healthcare fraud, misspent funds in fiscal year 2023

Health Care Dive

The HHS’ Office of the Inspector General’s report tallied 707 criminal enforcement actions and 746 civil actions for fraud and misspent funds in programs like Medicare and Medicaid.

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Northwell, NYC Children's Services, foster agencies team up to help young adults transition from foster care

Fierce Healthcare

Northwell Health has teamed up with New York City organizations to launch a new pilot program that aims to improve healthcare services for young adults transitioning out of foster care. | Working with the Administration for Children's Services and the Center for Fair Futures’ coaches, the program will enroll 50 to 100 transition-age adults, pairing them with Northwell’s patient navigation services.

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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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Striking nurses reach tentative deal with RWJUH after months on picket line

Health Care Dive

More than 1,700 nurses in New Jersey have been on the picket line since August. On Friday, the union and hospital system announced a tentative deal.

Nursing 261
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Joint Commission's new voluntary certification helps hospitals ensure 'responsible' use of patient data

Fierce Healthcare

The Joint Commission is launching a voluntary certification program for hospitals and critical access hospitals to demonstrate their responsible use of patient’s health data for non-clinical purpos | The accreditation giant wants its Responsible Use of Health Data Certification program to serve as an objective evaluation of whether a hospital is following best practices around secondary use of data.

Hospitals 272

More Trending

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Blue Shield of California discloses data breach, number of members impacted unclear

Fierce Healthcare

Data on Blue Shield of California members may have been exposed due to a vulnerability in the MOVEit file transfer platform. | Data on Blue Shield of California members may have been exposed due to a vulnerability in the MOVEit file transfer platform.

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Enhanced human potential: How customer service technology increases empathy

Health Care Dive

Elevance Health’s Geeta Wilson talks about improving operational efficiencies while enhancing member and associate satisfaction.

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New Jersey's RWJUH, nurses' union strike tentative deal to end contentious 4-month strike

Fierce Healthcare

New Jersey’s largest academic medical center has reached a tentative agreement with a union representing about 1,700 of its nurses to end a four-month strike. | The labor dispute over pay and staffing held about 1,700 nurses without pay or benefits and drew the attention of top U.S. health policy legislators.

Nursing 261
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The next era of hospital, healthtech and outsourced provider partnerships

Health Care Dive

Engaged patients, employees and communities are crucial to building a stronger foundation of access, affordability and equality in care delivery.

Hospitals 240
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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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CVS Health rebrands healthcare services business as it plots long-term growth strategy

Fierce Healthcare

After spending nearly $20 billion to pick up Signify Health and Oak Street Health this year, CVS rebranded its health services business to "CVS Healthspire" as it plots its long-term growth strateg | After spending nearly $20 billion to pick up Signify Health and Oak Street Health this year, CVS rebranded its health services business to "CVS Healthspire" as it plots its long-term growth strategy.

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Mass General Brigham cuts workers in its tech division

Health Care Dive

The cuts will impact fewer than 20 employees, the system confirmed on Monday.

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Elevance Health's CarelonRx rolling out new digital pharmacy

Fierce Healthcare

Elevance Health's pharmacy benefit manager is launching a new digital pharmacy that aims to make it easier for members to track their prescriptions. | CarelonRx Pharmacy will launch on Jan. 1, and members will be able to connect with pharmacists via text, chat or phone around the clock.

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Lifepoint Health and Ascension Saint Thomas announce joint venture

Health Care Dive

The health systems will jointly operate four-hospital Highpoint Health in Tennessee, though Lifepoint will retain majority ownership.

Hospitals 167
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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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Texas court orders Bright Health into liquidation, blocks claims enforcement

Fierce Healthcare

A judge in Travis County, Texas has given permission to the Texas Department of Insurance to seize Bright Health Group’s Texas subsidiary, putting the entity in receivership and liquidation. | A court order out of Texas will stop enforcement of a risk adjustment repayment agreement, though motivations behind the decision are unclear.

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Cleveland Clinic posts slimmer operating losses in Q3

Health Care Dive

The Ohio-based health system struggled financially during its fiscal year 2022. However, rising patient demand has since cut the nonprofit’s operating losses.

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Clover Health will exit the ACO REACH program as it focuses on profitability

Fierce Healthcare

Clover Health is leaving the ACO REACH program at the end of the 2023 performance year, the company recently announced. | This will be Clover Health's final year in the ACO Reach program, as the insurer said it no longer sees a path to profitability using the model.

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New Analysis Shows How Unaffordable Home Care Is Becoming For American Seniors

Home Health Care

Most Americans will need some sort of in-home care support as they age. The issue is that many of them cannot afford it. To age in place, seniors either need to be completely independent or have some sort of personal care afforded to them. If they qualify for Medicaid, home- and community-based services are an option. But waitlists for HCBS in some states can be quite long.

Home Care 104
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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 do different countries negotiate drug prices?

Healthcare ECONOMIST

This question is particularly relevant with the passage of the Inflation Reduction Act (IRA) and the requirement that CMS negotiate a ‘maximum fair price’ for drugs with the biggest impact on Medicare’s bottom line. A Health Affairs Forefront paper by Lin et al. (2023) compares how drug price negotiation differs between Canada, France, Germany and the US.

Medicare 104
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How tango Is Working To Fix Home Health Care’s Convener Problem

Home Health Care

The prickly relationship between home health providers and conveners is the industry’s worst kept secret. While some conveners are taking steps to improve these relationships, tango is trying to follow a completely different model to reach its goals. The company, which once dubbed itself the “anti-convener,” has now positioned itself an “enabler” rather than a convener.

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Apply Today to NASHP’s 2024 Emerging Leaders of Color Fellowship

NASHP

To apply , please submit your application by completing the ELC Fellowship 2024 Application online form and emailing your resume to elcstaff@nashp.org by Monday, January 8, 2024 at 11:59 p.m. ET. Please direct questions to Nicole Evans at elcstaff@nashp.org. The National Academy for State Health Policy (NASHP) is accepting applications for its 2024 Emerging Leaders of Color (ELC) Fellowship designed to provide early-career individuals from communities of color an opportunity to: Learn about sta

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Intuitive Ventures Closes $150M Fund to Fuel Revolution in Minimally Invasive Care

HIT Consultant

What You Should Know: – Intuitive Ventures , an early-stage venture capital fund dedicated to reimagining minimally invasive care, announced the close of its second fund at $150M. – The funding signifies their unwavering commitment to supporting visionary founders who are transforming healthcare through precision diagnostics, secure digital ecosystems, and improved access to coordinated care.

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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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California Officially Raises Minimum Wage For Home Health Care Workers

Home Health Care

California’s home health workers are set to receive higher pay next year as a result of a minimum wage hike approved by the state legislature. In an effort to bolster workforce stability and tackle the health care personnel shortage in California, Gov. Gavin Newsom approved a bill this month that will raise the minimum wage for health care professionals.

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How Healthcare Can Take A Consumer-First Cue From Small Business

HIT Consultant

Oliver Kharraz, MD, Zocdoc founder & CEO “Bang Head Here.” This message was printed above a large black circle, push-pinned to a practice’s front desk the day Zocdoc’s user research team visited to better understand their patient engagement challenges. If this is not a representative sign of the state of America’s independent medical practices, I don’t know what is.

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The Consumerization of AI in Healthcare – The Early Days of AI-Trust

Health Populi

Most people in the U.S. are bullish on the role AI will play in health care in 2024, especially to lower access barriers to care and to diagnose and detect health conditions. Two new studies point to the consumerization of AI in healthcare, from Medtronic and Deloitte. This post weaves their findings together and suggests some planning points for 2024.

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Absci and AstraZeneca Sign $247M Partnership for AI-Powered Drug Discovery to Fight Cancer

HIT Consultant

What You Should Know: – Absci Corporation (ABSI), a pioneer in using generative AI to discover antibodies, and AstraZeneca , a global biopharmaceutical leader, announced a collaboration today to develop an AI-designed antibody for cancer. – This partnership combines Absci’s cutting-edge Integrated Drug Creation™ platform with AstraZeneca’s oncology expertise, aiming to accelerate the discovery of a potential new cancer treatment.

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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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NASHP Launches Hospital and Health System Financial Data Learning Collaborative

NASHP

The National Academy for State Health Policy (NASHP) just launched a hospital and health system financial data learning collaborative with 10 states, with the support of Arnold Ventures. State officials representing multiple offices and agencies, including departments of insurance, Medicaid, health care market oversight offices, and more from Connecticut, Indiana, Maine, Minnesota, New Jersey, North Carolina, North Dakota, Rhode Island, Vermont, and Washington are participating to learn and sh

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Opposing Endless Extensions of the 60-Day Seal Period in False Claims Act Cases

HKLaw

A federal appellate court ruled against the government and determined it requested too many extensions of the 60-day seal period under the False Claims Act.

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Cytovale Secures $84M for Transformative Sepsis Diagnostic Tool

HIT Consultant

What You Should Know: Cytovale®, a commercial-stage medical diagnostics company focused on advancing early detection technologies to diagnose fast-moving and immune-mediated diseases, today announced it has raised $84 million in Series C funding led by Norwest Venture Partners with participation by additional new investors Sands Capital and Global Health Investment Corporation (GHIC).

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2023 Emerging Leaders of Color Fellows

NASHP

NASHP’s Emerging Leaders of Color (ELC) Fellowship aims to empower emerging and aspiring state health policy leaders of color with the tools to enter state government and lead the development and administration of more equitable health policy informed by their own lived experiences. To learn more about the 2023 ELC fellows and advisors, explore this page or check out the materials below: Press release Bios for fellows and advisors (PDF) Program overview (PDF) Fellows To learn more about the 20

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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.