Fri.Jul 29, 2022

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CVS names first chief psychiatric officer

Health Care Dive

Taft Parsons, who previously worked for Molina Healthcare and Henry Ford Health System, will be tasked with focusing on mental well-being for patients and leading the Aetna Medical Affairs Behavioral Health organization.

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PatientBond, Vizient team up for digital behavior change tools

Healthcare It News

Patient engagement SaaS provider PatientBond and healthcare performance improvement and analytics company Vizient are partnering up to provide Vizient member healthcare organizations with digital patient engagement and behavior change programs. WHY IT MATTERS. PatientBond's digital engagement workflows can be personalized with psychographic insights, with the aim of activating patient behaviors and driving improved patient engagement and outcomes.

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Senate Dems reach draft deal to extend ACA premiums, lower drug costs

Health Care Dive

The bill, part of a more than $300 billion package, extends enhanced ACA premiums and allows Medicare to negotiate select prescription drug prices starting in 2026.

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Might Russia Turn to Terror Bombing Civilians in Ukraine?

The Rand Blog

Recent Russian missile attacks against civilian targets in cities far away from the front lines have killed scores of Ukrainians, leading to widespread outrage. These events raise the question of whether the war in Ukraine is entering a new phase in which terror attacks might become common.

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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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Molina’s profit rises to $248M on higher Q2 membership

Health Care Dive

The insurer’s premium revenue increased 18% in the second quarter compared with the prior-year period as the payer saw membership increase 9%.

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Engaging Tribal Populations to Improve Oral Health Care Access in Arizona

NASHP

Engaging Tribal Populations to Improve Oral Health Care Access in Arizona July 29, 2022/by Ella Roth and Allie Atkeson. Improving access to oral health care is important for Indigenous populations who face stark inequities in care and outcomes. A 2021 report by the U.S. Department of Health and Human Services, “ Oral Health In America: Advances and Challenges ,” explains that American Indian and Alaska Native (AI/AN) populations face the following barriers to dental care: Geographic isolation.

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Fall Risk Continues To Be An Aging-In-Place Barrier, Government Watchdog Reports

Home Health Care

There is a significant need for federal programs that aim to prevent older adults from falling to work together and share information. Doing so, government watchdogs say, will make the home a safer place to age in place. That was one of the key takeaways from a recent report published by the U.S. Government Accountability Office (GAO) , which took a closer look at fall prevention and home modification programs on the federal level.

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Latest NH COVID-19 Data from CMS, CDC & NHSN

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS has posted the nursing home data for the week ending July 17, 2022. Comparing the July 10 th data to the previous July 3 rd data shows these changes: Resident primary vaccination completion rate increased 0.1% from the previous week Residents with booster doses increased 0.2% (same as previous 2 weeks) Staff primary vaccination completion rate remained the same (same as previous 4 weeks) Staff with booster doses increased

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Legislation To Extend PHE Telehealth Flexibilities Passes In Near-Unanimous House Vote

Home Health Care

A bill that would extend telehealth waivers until the end of 2024 has been passed by the U.S. House of Representatives. The news is notable because it means that these pandemic-relief telehealth flexibilities could be untied from the public health emergency (PHE). Currently, the PHE is set to expire in October, but could receive another extension. On Tuesday, the House Rules Committee advanced the Advancing Telehealth Beyond COVID-19 Act in an almost unanimous vote.

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The Retail Health Battle Royale, Day 5 – Consumer Demands For a Health/Care Ecosystem (and What We Can Learn from Costco’s $1.50 Hot Dog)

Health Populi

In another factor to add into the retail health landscape, Dollar General (DG) the 80-year old retailer known for selling low-priced fast-moving consumer goods in peoples’ neighborhoods appointed a healthcare advisory panel this week. DG has been exploring its health-and-wellness offerings and has enlisted four physicians to advise the company’s strategy.

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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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Disrupt Podcast #59: Rich Tinsley, Chief Development Officer, Help At Home

Home Health Care

The 59th episode of our podcast, Disrupt, is now available! For this episode of Disrupt, Home Health Care News sat down with Rich Tinsley, the chief development officer of Help at Home, to chat about why he decided to join Help At Home, the company’s growth strategy and why he’s bullish on the future of its payer sources. Listen to this episode of Disrupt to learn about: – What sort of ideology is behind Help At Home’s expansion across the U.S. – Why Tinsley believes the rate s

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CMS Posts Updated Datasets

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS has posted these NH + Rehab Services datasets (CSV format), updated July 27, 2022: Provider Information General information on currently active nursing homes, including number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.

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Links

Healthcare ECONOMIST

Rare disease burden 10x standard disease. The value of empathy. ACA and political adverse selection Are HDHPs obsolete ? Are too many antibiotics prescribed due to fear of malpractice ?

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Talking to Russia, Racial Bias, Mine-Hunting Dolphins: RAND Weekly Recap

The Rand Blog

This weekly recap focuses on preventing escalation of the war in Ukraine, how racial bias compounds over time, why the Navy should stick with its mine-hunting dolphins, and more.

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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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Happy Anniversary Medicare and Medicaid

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. On July 30, 1965, President Lyndon B. Johnson signed the Social Security Act Amendments, thus establishing Medicare and Medicaid, the health insurance programs for Americans. For over 57 years, these two medical support programs have been the foundation that ensures affordable healthcare for all Americans over sixty-five years of age and low-income families.

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Improving Access to Oral Health Care for Tribal Populations in Oklahoma

NASHP

Improving Access to Oral Health Care for Tribal Populations in Oklahoma July 29, 2022/by Allie Atkeson. Improving access to oral health care is important for Indigenous populations who face stark inequities in care and outcomes. The United States Government has a legal obligation to provide American Indian and Alaska Native tribes (AI/AN) health care services due to historical policy decisions that limited tribes’ access to resources including health care.

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Eighth Circuit: In False Claims Act Cases Based On Kickback Violations, the Kickback Violation Must Be the “But For” Cause of the Items and Services Subject to the Claim

Sheppard Health Law

The Eighth Circuit Court of Appeals recently tossed a $5.5 million jury verdict finding that a physician violated the False Claims Act (“FCA”) by submitting claims for items and services ordered subsequent to a violation of the Federal health care program anti-kickback statute (“AKS”). According to the appellate court, the trial court’s jury instruction “brushed aside causation” and “misinterpreted” a 2010 amendment to the AKS.

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Five-Star Quality Rating System: Technical Users’ Guide State-Level Health Inspection Cut Point Table 

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS has posted the July 2022 State-Level Health Inspection Cut Point Table. The Centers for Medicare & Medicaid Services (CMS) has enhanced its Nursing Home Compare public reporting site to include a set of quality ratings for each nursing home that participates in Medicare or Medicaid.

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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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[ANSWERED] How Do I Know if My Claim Was Approved?

Etactics

Imagine, you just started your dream office manager job with a new provider and the time to submit a claim has finally come. You’re pretty sure that there’s nothing wrong with what you submitted to a payer. The information you gave, the time frame in which you submitted was correct, and so you expect a relatively quick return. A few days go by and you still haven’t heard back about the status of that claim.