Tue.Feb 07, 2023

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Judge’s ruling on surprise billing threatens to disrupt arbitration process

Health Care Dive

The ruling tosses out portions of a final rule and raises questions about the arbitration process providers and payers are currently using to resolve payment disputes related to out-of-network care.

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Memorial Healthcare System grows its telehealth offering to 61 programs

Healthcare It News

Before the widespread adoption of telemedicine technology, there were several problems that hindered the delivery of healthcare services for most healthcare organizations. THE PROBLEM One of the main problems was access to healthcare, particularly with working families and those with chronic conditions. Many people lacked convenient access to medical care and providers, making it difficult for them to receive the care they needed.

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Hive takedown puts ‘small dent’ in ransomware problem

Health Care Dive

Experts don’t expect that, or any isolated event, to ultimately diminish the persistent threat and forces that propel ransomware activity.

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Payers' price transparency data still not user-friendly, say researchers

Fierce Healthcare

Payers' price transparency data still not user-friendly, say researchers fdiamond Tue, 02/07/2023 - 15:14

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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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MA enrollment grew 337% from 2006 through 2022, study finds

Health Care Dive

Traditional Medicare lost 1 million enrollees over the same period, according to new research published in Health Affairs.

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State of the Union expected to lay out priorities for telehealth, insurer pay parity

Fierce Healthcare

State of the Union expected to lay out priorities for telehealth, insurer pay parity rking Tue, 02/07/2023 - 15:36

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More Trending

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An Inflection Point for Healthcare

Fierce Healthcare

An Inflection Point for Healthcare mteefey Tue, 02/07/2023 - 15:27

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Dementia Patients Receive Less Home Health, Hospice Care Near End Of Life

Home Health Care

A new study found that people with dementia receive less home health and hospice care in the final months of their lives. The study suggests that – despite appearing similar to those with other terminally ill diseases on a functionality basis – dementia patients may receive less home-based care because it is more difficult to identify when they are within six months of death.

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Judge hands providers another win by striking down surprise billing arbitration process

Fierce Healthcare

Judge hands providers another win by striking down surprise billing arbitration process rking Tue, 02/07/2023 - 10:48

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51% Of Home-Based Care Organizations Plan To Dive Into Higher-Acuity Care Models

Home Health Care

Many people still consider home health and home care as sectors completely separate from hospital-at-home care. Increasingly, however, that is not the case. As more care comes into the home, home-based care organizations are finding ways to become involved – whether through partnerships or proprietary programs. In 2023, over half of home-based care organizations plan to pursue higher-acuity care in the home for the first time, specifically meaning hospital-at-home or SNF-at-home care.

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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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Senators probe Cerebral, other telehealth players over sharing user information with Facebook, Google

Fierce Healthcare

Senators probe Cerebral, other telehealth players over sharing user information with Facebook, Google aburky Tue, 02/07/2023 - 13:26

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KLAS Report Reveals Key Challenges from Provider Organizations

HIT Consultant

What You Should Know: – In September 2022, KLAS hosted the sixth annual Digital Health Investment Symposium (DHIS). Executives from healthcare provider organizations, HIT companies, investors, and innovators came together to collaborate on important developments in healthcare technology. – Drawing on insights from a pre-summit survey as well as insights shared at the summit in small-group discussions, KLAS published a white paper highlighting core challenges identified by summit part

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'Podnosis': What it takes for providers to care for the Latino population and how payers can stay competitive with ACA's growth

Fierce Healthcare

'Podnosis': What it takes for providers to care for the Latino population and how payers can stay competitive with ACA's growth tcarey Tue, 02/07/2023 - 13:48

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Memora Health & Virtua Health Partner to Streamline Patient Experience

HIT Consultant

What You Should Know: – Memora Health , an intelligent platform for virtual care delivery and complex care management partners with Virtua Health , the largest health system in South Jersey, to streamline care delivery and improve the patient experience. – The partnership will leverage Memora’s clinical intelligence platform across specialties to automate clinicians’ routine care tasks and streamline care management operations with the goal of removing unnecessary barriers and making

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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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Centene posts $213M loss even as revenue grows in Q4

Fierce Healthcare

Centene posts $213M loss even as revenue grows in Q4 pminemyer Tue, 02/07/2023 - 07:40

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TytoCare and Overlake Partner to Expand Virtual Care Offerings

HIT Consultant

What You Should Know: – Virtual care company TytoCare has partnered with Overlake Medical Center & Clinics , a nonprofit regional medical center offering a full range of advanced medical services to the Puget Sound region, to enhance their virtual care offerings. – Overlake Clinics is introducing the TytoHome device into its Concierge Care medical service to enhance the care providers’ ability to diagnose and treat patients with comprehensive physical exams during virtual visits.

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CHG Healthcare empowers women to grow in their careers

CHQ Healthcare

The CHG Healthcare story began in 1979 when a University of Utah physician developed the concept of locum tenens (traveling physicians) as a way to deliver much-needed medical care to rural areas across the country. More than 40 years later, CHG has become one of the leading healthcare staffing companies in the nation, providing temporary and permanent placement of physicians, allied health professionals, and nurses to healthcare facilities around the world.

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Why Researchers Should Explore New Apps of Machine Learning

HIT Consultant

Michael Munsell, Director of Research at Panalgo As the amount of real-world data (RWD) in the pharmaceutical industry continues to grow, so does the usage of machine learning (ML) to analyze that data and gain insights. In fact, in a recent survey, 95% of life sciences executives said they expect to utilize ML in the next few years to generate real-world evidence (RWE) from this data.

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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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7 Questions about Commercial Health Care Prices

Healthcare ECONOMIST

According to a 2022 CBO report , healthcare spending per person is much higher for commercially insured individuals than those insured by Medicare and this difference is largely drive by price differentials. [link] Why are the outstanding research questions related to the prices commercial insurers pay providers? That is the topic of a recent Health Affairs article by Chernew and Berquist.

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Blue Shield of California, Virta Health Partners to Reverse Type 2 Diabetes in California

HIT Consultant

What You Should Know: – Blue Shield of California has expanded its partnership with Virta Health to help reverse the human and financial impact of type 2 diabetes in the state. – The partnership marks Blue Shield as the first health plan in California to implement a digital diabetes reversal solution across multiple lines of business. Blue Shield is first health plan in California to implement digital diabetes reversal solution across multiple lines of business.

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HHCN Home Care Conference: The Smart Way to Invest in Personal Care & Support

Home Health Care

This article is sponsored by The Joint Commission. This article is based on a Home Health Care News discussion with Gary Bachrach, Executive Director of Business Development, Home Care Services at The Joint Commission and Vicki Hoak, Chief Executive Officer at HCAOA. The discussion took place on November 16, 2022, during the HHCN Home Care Conference in Chicago.

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FTC’s Proposed Non-Compete Rule: A Step in the Right Direction for Health Care and Biotechnology

Bill Of Health

By Aparajita Lath In January, the Federal Trade Commission (FTC) released a new draft rule that would categorically ban non-compete clauses — contractual terms between an employer and an employee that prevent subsequent employment at a competing firm — across the country. Banning non-compete clauses may help to promote competition and innovation in biotechnology and health 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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Key Learnings From The First Month Of OASIS-E In Home Health Care

Home Health Care

This article is a part of your HHCN+ Membership After much anticipation, OASIS-E finally went live at the start of January. So far, home health providers’ experiences have been a mixed bag. Broadly, OASIS-E was implemented on Jan. 1, 2023, and lines up with the nationwide expansion of the Home Health Value-Based Purchasing (HHVBP) Model. Sign up for HHCN + to read this exclusive content.

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Canada does not have a health-care system

Healthy Debate

The post Canada does not have a health-care system appeared first on Healthy Debate.

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District Court Declares Portion of Regulations Governing NSA’s Dispute Resolution Process Invalid

Triage Health Law

On February 6, 2023, Judge Kernodle of the Eastern District of Texas once again vacated certain provisions of an agency rule as inconsistent with the No Surprises Act (the “NSA”). Almost a year ago, Judge Kernodle issued a similar decision, which we blogged about. Both decisions concerned the independent dispute resolution (“IDR”) process the NSA creates.

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Predictive Analytics Tools Accurately Detect Pediatric Autism

Health IT Analytics

A study published last week… read more

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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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Intermountain Health Taps Qualtrics to Help Advance Patient, Consumer and Employee Experience Management

HIT Consultant

What You Should Know: – Intermountain Health has chosen Qualtrics (Nasdaq: XM), the leader and creator of the experience management category, to create world-class experiences for its patients, caregivers and all populations who interact with and consume Intermountain’s services by helping improve how it listens, understands and acts on experience data. – Intermountain is a nonprofit health system headquartered in Salt Lake City with 60,000 caregivers serving millions of patien

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GAO: CMS Should Make (Nursing Home) Ownership Information More Transparent for Consumers

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The GAO publicly released this 39-page report on February 2, 2023. The accessible version (44 pages) is found here. “CMS provides oversight of the nation’s over 15,000 nursing homes that participate in the Medicare and Medicaid programs. This includes ensuring that homes have met certain quality standards.

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NASHP Launches Year Three of the Emerging Leaders of Color Fellowship

NASHP

Washington, DC — Today, the National Academy for State Health Policy (NASHP) announced six new fellows from over 140 applications who were selected for the 2023 Emerging Leaders of Color (ELC) Fellowship Program. The goal of the ELC Fellowship is to create an accessible pathway for emerging and aspiring state leaders of color — particularly those from communities most impacted by health inequities — to enter and ultimately lead the development and administration of state health policy informed b

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Is it a Cold, the Flu or COVID-19?

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Starting this weekend, I wished I had invested in Kleenex years ago. I was certain that I had a cold, but did I? Was it something else – the flu? COVID-19 again (I had COVID in August last year)? It didn’t feel like COVID, but I wasn’t entirely sure. I remembered a chart I’d seen awhile back and referenced that to help me decide.

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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.