Thu.Jun 06, 2024

article thumbnail

Humana and CVS are downsizing their Medicare Advantage plans for 2025. Which insurers could benefit?

Health Care Dive

Hundreds of thousands of seniors could switch plans during next year’s open enrollment, depending on how drastically the MA market giants slash benefits in an attempt to improve profits.

Medicare 337
article thumbnail

Burdensome step therapy requirements could delay care for cancer patients: analysis

Fierce Healthcare

Restrictive health plan policies are increasingly relying on step therapy for cancer drugs, recent analysis from consulting firm Avalere shows. | Step therapy is embedded within prior auth requirements by health plans, potentially delaying critical access to care for cancer patients. In rare circumstances, patients must go through triple or quadruple step therapy.

217
217
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

FTC cannot block $320M Novant, CHS deal

Health Care Dive

A federal court struck a blow to antitrust regulators on Wednesday when it ruled that Novant’s purchase of two hospitals from CHS could go through, arguing the deal seems likely to promote competition in North Carolina.

article thumbnail

KFF: Insurers likely to pay out $1.1B in premium rebates this year

Fierce Healthcare

Insurers are likely to pay $1.1 billion in Affordable Care Act medical loss ratio rebates in 2024, according to a new analysis. | Insurers are likely to pay $1.1 billion in Affordable Care Act medical loss ratio rebates in 2024, according to a new analysis.

208
208
article thumbnail

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.

article thumbnail

Kaiser Permanente School of Medicine’s outgoing CEO on how technology aids student learning

Health Care Dive

Before his job as CEO ends this summer, Healthcare Dive spoke with Mark Schuster about the new medical school and how immersive technologies can aid instruction.

article thumbnail

Eyebot wants to make vision care more accessible through AI-powered kiosks. It just nabbed $6M to expand

Fierce Healthcare

Startup Eyebot aims to bring 21st-century innovation to vision care to make eye exams more accessible to people. | Startup Eyebot developed kiosks that provide automated, self-serve vision tests in as quickly as 90 seconds and can offer prescriptions for corrective eyewear.

197
197

More Trending

article thumbnail

Digital physical therapy solutions can improve patient outcomes, reduce healthcare spending, report finds

Fierce Healthcare

Two months after it released a scathing report on digital diabetes management solutions, the Peterson Health Technology Institute (PHTI) gave high marks to virtual physical therapy services for imp | Two months after it released a scathing report on digital diabetes management solutions, the Peterson Health Technology Institute gave high marks to virtual physical therapy services for improving patient outcomes and cutting healthcare costs.

article thumbnail

Transactions: Dover Health Expands Through Acquisition; Parkview Forms JV With CommonSpirit Health at Home

Home Health Care

Dover expands footprint Dover Health is expanding its footprint into Illinois. The company has acquired Centered Care Hospice and Palliative Care, and Cornerstone Home Health. Through the acquisitions, Dover Health will now serve Cook, DeKalb, DuPage, Grundy, Kane, Kankakee, Kendall, Lake and Will counties in Illinois. Dover Health is a health care organization that offers a variety of services, as well as home health, hospice and palliative care.

article thumbnail

Wyden: HHS' current cybersecurity approach is 'woefully inadequate'

Fierce Healthcare

In the wake of the cyberattack on Change Healthcare, a key senator is urging federal regulators to take immediate steps to require major healthcare companies to beef up their cybersecurity. | In the wake of the cyberattack on Change Healthcare, a key senator is urging federal regulators to take immediate steps to require major healthcare companies to beef up their cybersecurity.

article thumbnail

How Technology is Helping Combat Healthcare Fraud

HIT Consultant

Healthcare fraud is a significant issue in the U.S. and one that continues to grow in scale as fraudulent actors seek to exploit the healthcare system for their own financial gain. According to the U.S. Department of Justice (D.O.J.), the cost of healthcare fraud in the country is close to $100 billion a year. This figure encompasses a wide range of deceptive practices by healthcare providers, patients, and third parties which include billing for services not rendered, falsifying documents, offe

article thumbnail

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

article thumbnail

Digital Therapeutics Alliance to launch accreditation program to help DTx products gain uptake with payers

Fierce Healthcare

This story will be updated as details about the partnership unfold. | The Digital Therapeutics Alliance announced a partnership with DirectTrust to start an accreditation program for digital therapeutics products to help gain uptake with payers.

166
166
article thumbnail

The Long Run: High-Quality Employee Investments Boost Stock Performance

The Rand Blog

Companies that invest in their frontline workers could see a non-trivial uptick in their financials if they were clearer and more direct about what they were doing.

103
103
article thumbnail

White House enlists doctors and hospitals to combat gun violence

Fierce Healthcare

The White House is calling on hospital executives, doctors and other healthcare leaders to take bolder steps to prevent gun violence by gathering more data about gunshot injuries and routinely coun | In 1996, Congress cut federal funding for gun control research by the CDC, essentially shifting the responsibility for funding and conducting the research to the private sector and academia—and with a fraction of the previous budget.

Doctors 174
article thumbnail

Why Thermal Printing is Preferred by Pediatric Hospitals

PDC Healthcare

Printable patient identification wristbands with barcodes are standard in the healthcare industry, with thermal printing being the most efficient and effective print method. In pediatric hospitals, ensuring the safety and proper identification of young patients is paramount, with pediatric-sized wristbands being a critical tool in achieving this. Thermal printing technology has emerged as the preferred […] The post Why Thermal Printing is Preferred by Pediatric Hospitals appeared first on

article thumbnail

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.

article thumbnail

Digital Therapeutics Alliance conference, Day 2—'These were the kinds of moments that Google was born in'

Fierce Healthcare

During Day 2 of the Digital Therapeutics Alliance's annual conference in Washington, D.C., industry stakeholders addressed the reality of the digital therapeutics market and offered advice to DTx c | The Digital Therapeutics Alliance, a trade group representing companies that provide therapy through software, hosts its annual conference in Washington, D.C., to discuss movements and lessons from the industry.

158
158
article thumbnail

MEDITECH supports innovation and cultivates partnerships at MUSE Inspire 2024

Meditech

At the heart of the 2024 MUSE Inspire conference was a spirit of partnership and collaboration as MEDITECH users came together to share strategies, insights, and innovative ideas. For 41 consecutive years, this annual event has provided a space for MEDITECH customers to partake in an enriching experience offering educational and networking opportunities.

83
article thumbnail

How TheKey, Life Foundation Home Care Are Adapting To Changing Client, Caregiver Needs

Home Health Care

In order to provide more effective care, it’s imperative that home-based care providers tap into the individual needs of their clients. That was one key takeaway from a recent CareScout and Home Health Care News webinar. Life Foundation Home Care is one company that has prioritized identifying the unique needs of each client, as well as the needs of its caregivers.

article thumbnail

Friday Links

Healthcare ECONOMIST

Why is NIH funding small trials? (there’s a good reason!) First bird flu death in humans. Employee responses to CEO activism. How rich were the rich ? ‘ Hot hand ’ and fantasy baseball.

75
article thumbnail

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!

article thumbnail

LifeCare Home Health Family Finds Lands Investment From Zenyth Partners

Home Health Care

Investment activity in home-based care may be picking up. Zenyth Partners – a New York-based investment firm focused on growing health care companies from early-stage businesses into larger platforms – announced Thursday it has made an investment in LifeCare Home Health Family. Financial details around the investment were not disclosed. Based in Irving, Texas, LifeCare is an in-home care provider that delivers home health and private-duty home care services across 10 affiliated branches.

article thumbnail

Tribes: Act Now to Take Advantage of Supreme Court's Decision on Contract Support Costs

HKLaw

U.S. Supreme Court ruled that Indian Health Service must pay contract support costs for program income received by tribes that administer healthcare programs under a self-determination contract.

article thumbnail

Sware Secures $6M to Help Life Sciences Eliminate Validation Debt

HIT Consultant

What You Should Know – Sware has secured $6 million in Series B funding to enhance its software validation solution for life sciences companies. – The new funding will support research and development, AI-driven capabilities, and expansion of Sware’s sales team to address validation debt. Insights into Sware’s Growth and Innovation Sware, a leading provider of comprehensive software validation solutions for the life sciences industry, has announced a successful raise of $

article thumbnail

Benefits of Outsourcing Mental Health Billing Services

Icanotes

Benefits of Outsourcing Mental Health Billing Services As a mental health provider, you likely know how stressful and time-consuming it can be to spend hours on clinical paperwork. Human error, incorrect codes and regulatory changes can all impact your revenue and make reimbursement frustrating. Outsourcing your mental health billing services can help you maximize revenue and reduce denied claims, saving time and money.

Nursing 52
article thumbnail

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.

article thumbnail

Medication optimization. Interview with DecisionRx’s Travis Morgan

Health Business Group

Travis Morgan , President and CFO of DecisionRx touts medication optimization as the way to improve outcomes and reduce costs. In this episode, Travis shares his journey from an entrepreneurial upbringing to making waves in the life sciences and healthcare technology sectors. Learn how his experiences in public accounting and as a precision medicine company co-founder have shaped his unique approach to tackling one of the healthcare industry's most costly issues: ineffective medications.

article thumbnail

EPtalk by Dr. Jayne 6/6/24

HIStalk

ONC is seeking feedback on a recent white paper.

94
article thumbnail

News 6/7/24

HIStalk

Top News Endpoints News reports that Walmart lost $230 million.

80
article thumbnail

Morning Headlines 6/7/24

HIStalk

Healthcare software firm Waystar raises $968 mln million in IPO,

article thumbnail

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.