Thu.Sep 12, 2024

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PBM executives decline to revise controversial testimony to House committee

Health Care Dive

The leaders of Caremark, Optum Rx and Express Scripts had until Wednesday to walk back statements they made in July — or face potential legal action. However, the executives are sticking to their guns.

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Lehigh Valley Health Network agrees to $65M settlement over ransomware attack that leaked nude photos

Fierce Healthcare

Lehigh Valley Health Network has come to a $65 million class-action lawsuit settlement stemming from a 2023 ransomware attack that led to hundreds of patients’ nude medical record photos being post | After the nonprofit system refused to meet a ransomware gang's demands, over 600 patients' nude medical record photos were posted online. The plaintiffs' legal representation described the settlement as the largest of its kind.

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AHA’s new deputy cyber advisor: Hospitals need to think regionally about cyberattacks

Health Care Dive

Hospitals are primed for natural disasters like earthquakes and hurricanes, but many haven’t thought about the domino effect cyberattacks can have locally, said Scott Gee, who joined AHA last month.

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Iris Telehealth launches Virtual Clinic with AI insights for behavioral health

Fierce Healthcare

Iris Telehealth, a virtual-first behavioral health company, has launched two new technology-driven solutions, its new Virtual Clinic and back-end AI assistant, Iris Insights. | Iris Telehealth, a virtual-first behavioral healthcare managed services organization, unveiled two new technology offerings for health systems and community clinics to increase the efficiency of their behavior health practices.

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Fertility Benefits Playbook: How HR Leaders Are Delivering Value in 2025

Speaker: Kaitlin Ruby Carroll

Fertility benefits have become a crucial component of employee well-being and retention strategies. In today’s competitive landscape, creating a fertility benefits program that aligns with both employee needs and organizational goals can be more complex than it seems. From cycle-based to flat-dollar and telehealth models, each solution offers unique advantages and challenges that directly affect employee satisfaction and financial well-being.

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Steward inks deal to slash debt, keep most remaining hospitals open

Health Care Dive

The sweeping deal between Steward, its creditors and landlord Medical Properties Trust at times appeared impossible.

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More Trending

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Queensland begins telestroke pilot and more briefs

Healthcare It News

Queensland to pilot telestroke service at Hervey Bay Hospital The Queensland government has designated Hervey Bay Hospital as the pilot site for the upcoming statewide telestroke service. Based on a media release, doctors and nurses at Hervey Bay Hospital are being prepared for the Queensland Telestroke Service pilot happening in the coming weeks. Queensland is the remaining Australian state to launch a telestroke service.

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Why the largest PBMs may be focusing on specific markets: study

Fierce Healthcare

A new study suggests that major pharmacy benefit managers may be focusing on specific payer segments in a bid to maintain strong market share. | A new study suggests that major pharmacy benefit managers may be focusing on specific payer segments in a bid to maintain strong market share.

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California’s data exchange framework proves government can do big things

Health Care Dive

The secretary of California HHS argues that the state’s new data exchange improves health equity and streamlines information.

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Alignment Healthcare predicts membership surge, targeting 1M enrollees

Fierce Healthcare

Alignment Healthcare CEO John Kao gave strategic insights into how the insurer is thinking about market expansion and star ratings during the Baird Global Healthcare Conference on Wednesday. | Alignment Healthcare downplayed recent concerns surrounding star ratings cut points and stressed sizable long-term membership growth.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

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Fathom Autonomous Medical Coding Available in Epic Toolbox

HIT Consultant

What You Should Know: – Fathom , a pioneer in autonomous medical coding, announced today that its technology has been added to Epic’s Toolbox program within the Fully Autonomous Coding category. – By being part of Toolbox, Fathom can reach a wider audience of healthcare providers and demonstrate its compatibility with Epic’s systems.

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Elevance Health to acquire IU Health Plans

Fierce Healthcare

Elevance Health has entered into a deal to acquire Indiana University Health Plans, the company's Anthem Blue Cross unit announced this week. | Elevance Health has entered into a deal to acquire Indiana University Health Plans, the company's Anthem Blue Cross unit announced this week.

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‘Only The Beginning’: Signify Health Dives Into Condition-Focused Home Visits

Home Health Care

Signify Health has launched condition focused visits, a new service that provides screening and preventive care tailored around various complex chronic conditions. These services are delivered in the home. “Condition focused visits are really giving the member, and the provider who is with them in their home, more dedicated time to do some customized care planning and education about that particular condition,” Dr.

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Innovaccer Launches AI-Powered Care Management Copilot

HIT Consultant

What You Should Know: – Innovaccer Inc. , a leading healthcare AI company, announced the launch of its Care Management Copilot. – This new solution brings Innovaccer’s healthcare-native AI model, Sara, into its industry-leading care management solution, reducing the documentation burden on care managers, saving them over ten hours per week, and enabling them to engage 30-40% more patients.

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

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Love and Liberalism in Surrogate Decision-Making

Bill Of Health

by James Toomey If you are supposed to make a legally binding decision on behalf of someone incapacitated by dementia, chances are the law will tell you to apply the “substituted judgment” standard—you will be asked to make the decision the person for whom you are deciding would have made, if they had capacity. But why? You might think that the decision they would have made is a very bad one.

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Noom Launches $149 GLP-1 Weight Loss Program with Sustainable Approach

HIT Consultant

What You Should Know: – Noom , a digital healthcare company, is shaking up the weight loss industry with the launch of Noom GLP-1Rx , an innovative program offers affordable, accessible, and sustainable weight loss by combining compounded GLP-1 injections with Noom’s proven behavioral change program. – Noom GLP-1 Rx delivers highly efficacious medications to the door within seven days starting at $149 and pairs those powerful medications with Noom GLP-1 Companion with Muscle De

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More Home Health Providers Sunset Relationships With Largest Medicare Advantage Payers

Home Health Care

This article is a part of your HHCN+ Membership Essentia Health – a regional, nonprofit health system with a substantial home health arm – announced this week that it will no longer serve as an in-network provider for UnitedHealth Group (NYSE: UNH) and Humana Inc. (NYSE: HUM) Medicare Advantage (MA) plans. It is the latest example of home-focused health care providers drawing a line in the sand with certain payers.

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AI-Enabled Medical Concierge WhiteGlove Launches to Help Immigrants Care for Family Living Abroad

HIT Consultant

What You Should Know: – WhiteGlove , the first full-service healthcare concierge for international care coordination, was unveiled today under the leadership of Dropbox, LinkedIn, and IIT Bombay alum, Anand Prakash. – WhiteGlove’s mission is to provide a streamlined approach to managing healthcare for loved ones living outside of the United States, with an initial focus on India.

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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The Economy, Jobs, and Inflation: What Americans Need to Know

The Rand Blog

From the grocery store to the job market, Americans are feeling the pulse of a changing economy. Particularly after the upheaval of the pandemic, some might be questioning long-held assumptions about prosperity, work, and the future. We asked two RAND experts to size up the economic landscape in this election year.

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The CISO Connector: Bridging Business Goals, Operations, and Security in Healthcare

HIT Consultant

Ferdinand Hamada, Managing Director and Pharma Life Sciences Industry Lead Partner at MorganFranklin Consulting The role of the Chief Information Security Officer (CISO) has evolved far beyond traditional cybersecurity responsibilities, especially in healthcare organizations. Today, a CISO must be positioned as a vital connector, aligning business goals, operational efficiency, and security needs.

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Obesity is a Public Health Epidemic in the U.S. — The Case for GLP-1 Coverage, Affordability and Equity

Health Populi

“If the U.S. were sensible, weight management would be treated as a public health issue,” David Cutler writes in the JAMA Health Forum dated August 15, 2024. Dr. Cutler, distinguished economics professor at Harvard, talks about “the pathology of U.S. health care” citing the example of weight loss medications — in short, the uptake of GLP-1 drugs to address Type 2 diabetes first, and subsequently obesity.

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Iris Telehealth Launches Virtual Clinic and Iris Insights

HIT Consultant

What You Should Know: – Iris Telehealth , a leader in transformative behavioral health services, announced today the launch of its Virtual Clinic and Iris Insights platforms. – The innovative suite of solutions aims to address the critical need for increased access to quality mental health services by seamlessly integrating behavioral healthcare into existing patient journeys.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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Links

Healthcare ECONOMIST

AI use in cancer pathology workflow. Minnesota Starvation Experiment. Does it pay to complain about medical bills ? Government to implement Aged Care Taskforce recommendations. KFF compares Presidential candidates’ health policy positions.

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A culture of "make it about we" at Nordic

Nordic

At Nordic, our passion for connecting people doesn’t end when the workday does. Whether it’s spending time with loved ones, participating in favorite hobbies, or volunteering, living the Nordic maxim , “Make It About We,” has no limitations. That’s why we embrace opportunities to collaborate with our local communities around the globe. Meet a few Nordic team members who are actively making a difference in their communities and demonstrating support for several of our giveback focus areas includi

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Sheba Medical, Paradigm Health Partner to Optimize Clinical Trials

HIT Consultant

What You Should Know: – Sheba Medical Center, Israel’s largest hospital, and ARC Innovation , the innovation arm of Sheba , has announced a strategic partnership with Paradigm Health to establish a global network for clinical research. – This collaboration aims to revolutionize the way clinical trials are conducted, making them more accessible, efficient, and patient-centered.

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Future Leader: Courtny Brooks, Director Of Home Health, Lutheran Senior Services

Home Health Care

The Future Leaders Awards program is brought to you in partnership with Homecare Homebase. The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. To see this year’s Future Leaders, visit [link]. Courtny Brooks, director of home health for the St.

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Creating a Company Culture of Care: Integrating Mental Health, Wellbeing, and DEI in Benefits

Speaker: Sean Raible

Picture a workplace where physiological safety is not just an aim but a reality, driven by thoughtful employee benefits that prioritize mental health, wellbeing, and DEI. 🤔 ✨ Achieving this vision requires more than just occasional training sessions and employee assistance programs. Moving beyond the basics, this vision calls for a holistic approach that integrates these elements into your company culture as well as your HR and benefits strategy.

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Defining Outcomes That Matter for People With IDD

NCQA

People with intellectual and/or developmental disabilities (IDD) are often overlooked by the health care system, and can experience health disparities because clinicians are not adequately trained or comfortable providing appropriate care. One in 20 Americans has an IDD. A person with an IDD is 4 times more likely to be inadequately or inappropriately treated by health care professionals than a person without one. 30% of people with IDD experience adverse events during hospital visits.

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Putting an end to polycystic kidney disease. Interview with Richard Kellner

Health Business Group

Richard Kellner is on a mission to end polycystic kidney disease (PKD), a leading cause of kidney failure in younger people. The key is combining pre-implantation genetic testing with in vitro fertilization to prevent the disease from being passed from parent to child. The PKD Outreach Foundation , run by Richard is raising awareness so that physicians and parents-to-be know about this option.

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News 9/13/24

HIStalk

Top News Revenue cycle automation vendor Candid Health raises $29.

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