Thu.Feb 24, 2022

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Texas judge throws out piece of surprise billing rule in win for providers

Health Care Dive

The ruling tosses out the part of the rule that instructs arbiters must begin with the presumption that the qualifying payment amount, or median in-network rate, is the appropriate out-of-network amount to be paid to providers.

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Do you know your end-of-life treatment preferences? Your loved ones may not

Healthcare It News

The COVID-19 crisis has made it more clear than ever that a medical emergency can strike at any time – sometimes, with dire consequences. And in situations when a patient can't communicate their preferences around end-of-life or emergency treatment, their family members and other stakeholders would ideally have easy access to those decisions to share them with their medical team on their behalf.

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Rhode Island's largest health systems abandon merger after FTC sues to block union

Health Care Dive

Lifespan and Care New England's boards decided "not to pursue litigation," according to a joint statement released Wednesday.

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Microsoft brings leading healthcare solutions to HIMSS 2022

Cloud Blogs

Microsoft is certainly no stranger to transforming industries, from retail and financial services to manufacturing, and government, we are focused on empowering every person and every organization on the planet to achieve more. That's why it's the perfect time to join our customers and partners while we all take stock of where we are and what we've learnedand set a course to reimagine healthcare.

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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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One Medical partnering with Connecticut health system, but stock drags on high MLR

Health Care Dive

CEO Amir Dan Rubin told analysts in a call Wednesday that COVID-19 headwinds continue, including staffing shortages, a lag in return to care and reduced revenue from testing.

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Force Therapeutics and Xealth Integrate to Drive Remote Care Management

HIT Consultant

What You Should Know: – Today, Force Therapeutics and Xealth are partnering to bring remote management of postoperative recovery and care plans into clinicians’ EHR workflows. – The Force platform delivers provider-prescribed digital education and video content for patients recovering from injury or surgery at home. The partnership integrates the Force platform with a provider’s electronic health record, enabling care teams to view clinically relevant metrics within the patient’s ch

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Current Health and Zoom Partner to Enable Equitable Care in the Home

HIT Consultant

What You Should Know: – Current Health – a care-at-home technology platform that was recently acquired by Best Buy – announced a new integration with Zoom , which will allow patients to more easily connect with their care teams, regardless of bandwidth connectivity or language barriers. – As part of the partnership, Zoom will provide Current Health customers with enhanced video communications platform capabilities that expand their ability to deliver safe and effective virtual care s

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A Test of How Effective Sanctions Are

The Rand Blog

The threat of severe sanctions failed to stop a Russian invasion of Ukraine. But if and when harsher economic punishment is handed down to Moscow, what effect might it have?

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Links

Healthcare ECONOMIST

AHIP: Hospital price hikes. PBM prices for brand vs. generics. Accuracy of Medicare vs. Medicaid claims data. Progress on hospital interoperable data sharing. HDHP and delays in hernia surgery. HPV vaccination rates fall during pandemic. footBayes R package. Selection bias from delayed study entry in clinical genomic studies.

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3 Ways to Ensure Your SDOH Initiative Will Thrive

Lexis Nexis

Starting an initiative based on social determinants of health (SDOH) in order to improve health outcomes may seem like the hard work. You must address strategy in many areas like workflows, evaluation and ROI assessments. If you want an SDOH initiative to grow and thrive for many years to come, you may need to consider some areas you might not have thought of.

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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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NeuroFlow Secures Deal with Aflac, Targets Growth in Employee Benefits Space

HIT Consultant

What You Should Know: – This week, NeuroFlow announced a long-term deal with Aflac to provide the supplemental insurer’s employers with the technology platform. – NeuroFlow’s app will be offered for self-care, providing tailored educational content, resources, and a ‘Response Services’ team if users are deemed at-risk.

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Senior Living Company AlerisLife Reinforces Home Care Interest

Home Health Care

Earlier this year, Five Star Senior Living changed its name to AlerisLife (Nasdaq: ALR) to reflect its significant organizational restructuring over the past two years. And as the company transforms from a primarily senior living owner and operator to a more diversified aging services provider, it will continue to explore opportunities to expand its lifestyle segment.

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Story Health Secures $22.6M for AI-Driven Virtual Specialty Care Platform Across Cardiology

HIT Consultant

What You Should Know: – Story Health , a health technology and services company that extends specialty care into patient’s homes raises $22.6M in Series A funding co-led by Northpond Ventures and B Capital Group. The round also included participation from new investor LRVHealth and existing investors Define Ventures and General Catalyst , bringing the company’s total funding to approximately $27M. – The Story Health platform empowers specialists through intelligent embedded clinical

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Capacity Constraints Prove Costly for LHC Group

Home Health Care

LHC Group Inc. (Nasdaq: LHCG) executives believe that almost all of the company’s problems are short term in nature. Nonetheless, those problems cost the business significantly in the fourth quarter and in early 2022. Capacity constraints and high labor costs were major headwinds for LHC Group, as they were for most of the other large home health players.

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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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Omada Health Raises $192M to Expand Digital Therapeutics for Chronic Disease

HIT Consultant

What You Should Know: – Omada Health , a chronic care integrated healthcare provider, today announced its $192M in Series E funding round led by Fidelity Management & Research Company with participation from aMoon , existing investors Perceptive Advisors , Wellington Management , Civilization Ventures , and others. – Omada Health will utilize the funding to accelerate hiring at all levels to meet growing customer demands, a technological roadmap for care and coaching personalizat

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Amedisys Touts Contessa’s Profitable JVs, Technology Investments

Home Health Care

Amedisys Inc. (Nasdaq: AMED) Chairman and CEO Paul Kusserow has officially passed the baton. “It’s been a life-changing journey to serve our patients and employees,” Kusserow said Thursday during the company’s fourth-quarter 2021 earnings call. “I believe the best time to transition leadership is when a company has a clear idea of where it’s going and a great strategy to get there.

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Benchling Acquires Overwatch Research to Accelerate Breakthroughs for Biopharma Companies

HIT Consultant

What You Should Know: – Today, R&D Cloud pioneer Benchling announced it has acquired Overwatch Research to accelerate in vivo research. – The acquisition will create the industry’s first comprehensive, cloud-native in vivo solution – a critical component of drug discovery and development – drastically accelerating the time it takes biopharma companies to bring products to market.

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A Timely Opportunity for the U.S. Coast Guard to Teach a Man to Protect His Fish

The Rand Blog

The U.S. Coast Guard has made strong statements suggesting it would be increasing its effort to deter illegal, unreported, and unregulated fishing activity. As it does so, the Coast Guard might also consider enhancing its role as a trainer of other nations.

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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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Bridging Gaps in Preoperative Preparation with Coordinated Outreach

Twistle

Improving Preoperative Optimization . Optimizing a patient’s medical condition and addressing modifiable risks prior to surgery can improve outcomes and patient satisfaction. Significant gaps, however, persist in preoperative patient management and risk mitigation. In addition, the incidence of comorbidities in the US population (frailty, obesity, diabetes, cardiovascular disease, etc.) has resulted in more than one-third of all inpatient surgical procedures being performed on patients with con

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Healthcare Is A Cyber Criminal’s Dream, But It Doesn’t Have To Be This Way

HIT Consultant

Vidya Murthy, Chief Operating Officer at MedCrypt. Healthcare is a cyber criminal’s dream. It presents the intersection of a data treasure trove, weak security posture, limited resources, complicated supply chain, and patient care delivery. When faced with having to pick a priority to optimize for, healthcare will, of course, always pick delivering healthcare.

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All Aboard! Eight Best Practices for Onboarding

Etactics

The first experience that a new employee has with a company is the onboarding process. When people hear the word “onboarding,” they might imagine some of the following… Completing paperwork Sitting through training Quickly meeting every coworker Touring the workspace Of course, each of these can be unpleasant. It’s overwhelming to get greeted with stacks of paperwork and hours of training on the first day.

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3 Ways to Ensure Your SDOH Initiative Will Thrive

Lexis Nexis

Starting an initiative based on social determinants of health (SDOH) in order to improve health outcomes may seem like the hard work. You must address strategy in many areas like workflows, evaluation and ROI assessments. If you want an SDOH initiative to grow and thrive for many years to come, you may need to consider some areas you might not have thought of.

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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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News 2/25/22

HIStalk

Top News Teladoc Health reports Q4 results: revenue up 45%,

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Home Health Preview and Star Rating Preview Reports for April 2022 Refresh:   NOW AVAILABLE IN iQIES

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measure scores are based on the standard number of quarters. The April 2022 refresh will add new OASIS-based measures for public reporting in alignment with the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 : Percent of Residents Experiencing One or More Falls with Major Injury Application of Percent of Long-Term Care Ho

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EPtalk by Dr. Jayne 2/24/22

HIStalk

Lots of activity on the HIMSS22 preparation front as people.

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The Patient Experience and Social Determinants of Health | Ep.35

Vie Healthcare

In Episode 35 of The Healthcare Leadership Experience , Lisa is joined by Justin Skerbetz, Chief Marketing and Communications Officer of Parkland Community Health Plan. Together they explore the patient experience and the impact of Social Determinants of Health (SDOH ) on local health communities. . As Lisa observes, ‘’The ROI (on SDOH) needs to be defined in several different ways, not always financially…You can’t expect people that don’t have food, shelter, or security to make sure they’re 

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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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Morning Headlines 2/25/22

HIStalk

Teladoc Health Reports Fourth Quarter and Full Year 2021 Results.

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Scan Here: Why You NEED QR Codes for Payment

Etactics

If you watched Super Bowl LVI, one commercial that may have stood out to you involved nothing but a bouncing QR code. In the final second of the commercial, the square ended up perfectly in the corner of the screen like a desktop computer screensaver. Thanks, Coinbase, for the nostalgia. The creative genius behind this commercial deserves a raise because it gained so much attention that the site crashed.

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HHS Distributing $560 Million in Provider Relief Fund Payments to Health Care Providers Affected by the COVID-19 Pandemic

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), is making more than $560 million in Provider Relief Fund (PRF) Phase 4 General Distribution payments to more than 4,100 providers across the country this week.

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CMS Announces Changes to Direct Contracting for 2023, Unveils the ‘ACO REACH’ Model

Home Health Care

The U.S. Centers for Medicare & Medicaid Services (CMS) made an announcement late Thursday that some providers and associations have been waiting for. It’s one that offers a glimpse into how the agency will operate during the remainder of President Biden’s term – and one that will have an immediate impact on some home-focused care providers. The Global and Professional Direct Contracting Models (GPDC) have not been completely overhauled, but instead fine-tuned.

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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.