Fri.Jul 28, 2023

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AHA, BCBSA urge CMS to ditch 'conflicting' requirements in prior authorization reform proposal

Fierce Healthcare

Lobbying groups representing different camps of the healthcare industry have come together to urge the Centers for Medicare & Medicaid Service (CMS) to reconsider “conflicting regulatory propos | The American Hospital Association, American Medical Association and Blue Cross Blue Shield Association penned a joint letter highlighting "conflicting" prior authorization electronic standards and workflows they say will bring industry confusion and unnecessary burden.

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CMS says data of 612K Medicare beneficiaries affected in MoveIt breach

Health Care Dive

A data breach earlier this year has affected tens of millions of individuals to date, and also compromised the sensitive personal and medical information of Medicare seniors.

Medicare 246
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'The danger is great and growing': Healthcare experts call on industry to reduce the risks of nuclear war

Fierce Healthcare

The time is now 90 seconds to midnight, according to the Doomsday Clock, which scientists use to estimate how close humanity might be to blowing itself up with nuclear weapons. | The world hasn't been this close to nuclear war since the Cold War, say experts. Editors of prestigious medical journals sound a call to disarm.

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Walgreens hunts for healthcare experience in new CFO

Health Care Dive

The departure of CFO James Kehoe comes as recent financial results for Walgreens, which is working to transition from a pharmacy chain to a healthcare services company, have underperformed market expectations.

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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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AI, nurses protesting, another hospital shooting—Stakeholders debate how to make hospitals safe

Fierce Healthcare

This week, a visitor opened fire at Legacy Good Samaritan Medical Center in Portland, killing a security guard and injuring a nurse. | Following increases in both aggression towards nurses and mass shootings, stakeholders are debating whether new tech or old solutions can make a difference.

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FTC reaches proposed settlement with Surescripts in antitrust case

Health Care Dive

The lawsuit alleged the health IT vendor monopolized e-prescription drug markets for routing and eligibility through exclusivity agreements, threats and other exclusionary conduct.

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CMS releases April Medicaid unwinding data, bringing total disenrollments to 3.8M

Health Care Dive

The highly-anticipated data pegging the nation’s procedural disenrollment rate at 80% is higher than other, more recent estimates.

Medicaid 244
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Thammasat University Hospital taps NEC Thailand to digitise elderly care

Healthcare It News

Thammasat University Hospital is embarking on a digital transformation of its elderly care service. The hospital signed a memorandum of understanding with NEC Thailand for the development of a digital platform to digitise all records and treatment plans at Thammasat Thammarak Center. Based on a press release, NEC Thailand will be deploying IoT devices for detecting falls.

Hospitals 154
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Centene CEO says insurer's Medicaid redeterminations ‘consistent’ with forecasts

Fierce Healthcare

Centene executives report that Medicaid redeterminations are progressing as expected even as the payer lost nearly 263,000 Medicaid members in the second quarter amid ongoing eligibility checks.

Medicaid 130
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Sanford-Fairview merger dead, following significant stakeholder pressures

Health Care Dive

Sanford and Fairview explored all options to keep the merger viable, but ultimately were forced to end the process due to a lack of support in Minnesota, Sanford CEO Bill Gassen said.

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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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Zocdoc's Barbie-inspired initiative commits up to $10M to UCLA Mattel Children's Hospital

Fierce Healthcare

The multi-billion-dollar dream world of Barbie has reached healthcare. | The company will donate $25 to UCLA Mattel Children’s Hospital for every OBGYN appointment booked on its platform through August 21, up to $10 million total.

Hospitals 130
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Centene’s 2024 outlook hampered by Medicaid redeterminations

Health Care Dive

The payer lost 262,700 Medicaid members in the second quarter, dropping its total Medicaid lives to just over 16 million.

Medicaid 130
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Sanford Health, Fairview Health Services' 58-hospital merger deal is no more

Fierce Healthcare

Sanford Health and Fairview Health Services have called off their 58-hospital merger plans after multiple delays and opposition from “certain Minnesota stakeholders,” the former system announced Th | Sanford Health CEO Bill Gassen said the decision was in both nonprofits' best interest due to limited support from "certain Minnesota stakeholders.

Hospitals 130
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Does milk help heartburn?

Healthcare Associates

Does Milk Help Heartburn? Heartburn is highly common, as it affects an estimated 20% of people in the U.S. It is a symptom of acid reflux. Vomiting, coughing and difficulty swallowing are some of the many other symptoms you may experience with heartburn if you have acid reflux. For many years, it’s been a common belief that drinking milk can make heartburn go away.

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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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Chutes & Ladders—AHIP taps CMS Office of Minority Health director as chief health equity officer, & more

Fierce Healthcare

Chutes & Ladders—AHIP taps CMS Office of Minority Health director as chief health equity officer, & more aburky Fri, 07/28/2023 - 11:03

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Sustainability Matters – The Link Between Healthcare & Climate Change

HIT Consultant

Renée Jacobs, CHFM, CHC, FASHE, Healthcare Business Development Manager, Distech Controls Ken Watson, Director, Strategic Accounts, Atrius®, Acuity Brands The International Health Care Without Harm organization has stated: “Climate change is damaging human health today and will have a greater impact in the future.” In response to this growing challenge, the U.S.

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The Unexpected Benefits Of Telehealth, Remote Patient Monitoring In Home-Based Care

Home Health Care

Senior care leaders are increasingly utilizing telehealth and remote patient monitoring to improve clinical outcomes and create more touchpoints with patients. Providers have also capitalized on secondary and tertiary benefits of virtual care, like those that come with marketing and staff retention. “Our staff has really appreciated us investing in the tools for them,” Matthew Fenley, chief business development officer at the Allure Group, said during a Home Health Care News webinar Thursday.

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FDA Grants Clearance for UltraSight’s AI Cardiac Ultrasound

HIT Consultant

What You Should Know: UltraSight , a digital health pioneer transforming cardiac imaging through the power of artificial intelligence, announced that it has been granted FDA clearance for its AI-powered ultrasound guidance technology. The UltraSight real-time AI guidance software can assist medical professionals without sonography experience in acquiring cardiac ultrasound images at the point of care in multiple settings, allowing for more widespread detection of heart disease and providing pati

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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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Health Care Bankruptcies Are Skyrocketing, But Not Yet In Home-Based Care

Home Health Care

While health care bankruptcies are trending to triple the level seen in 2021, home-based care is – for now – seemingly immune to the surge of filings seen across the continuum. Overall, there have been 40 health care bankruptcies filed through June 2023, compared to 46 filings in 2022. In 2021 there were only 25 filings, and in 2020 there were 45, according to data from a recent Gibbins Advisors report.

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How do social determinants of health impact health outcomes?

Healthcare ECONOMIST

There are many studies that show that social determinants of health (SDOH) impact health outcomes. A more challenging question is how do SDOH impact health outcomes? Specifically, through what pathways or mechanisms do SDOH operate? A paper by Thimm-Kaiser (2023) identifies 8 mechanisms through which SDOH impact outcomes. These include: SDOH are underlying causes of health inequities SDOH shape health inequities through contextual influences SDOH contextual disadvantage is not deterministic SDOH

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Children’s Hospital Colorado Launches Precision Medicine Institute

Health IT Analytics

The launch of the Precision Medicine Institute at Children’s Colorado will advance treatment for cancer, neurodegenerative disease, and other conditions.

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Generating project certificates

Life Qi

Did you know that you can create customised certificates in Life QI? A growing number of organisations and users want to document and evidence the QI projects that they have run in Life QI and that sometimes, having a certificate of completion can serve as a great reward for staff to highlight learning, demonstrate success and support progression in their specific field.

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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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PCAST Recommendations on Transformational Effort on Patient Safety

Patient Safety Movement

The President’s Council of Advisors on Science and Technology (PCAST) consists of distinguished individuals from sectors outside of the Federal Government who advise the President on policy matters where the understanding of science, technology, and innovation is key. Patient safety is an urgent national public health issue. Following are 4 major recommendations that are offered to the President by PCAST working group for consideration.

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Appendix B – RAI User’s Manual Updated

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The July update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts.

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PCAST Recommendations on Transformational Effort on Patient Safety

Patient Safety Movement

The President’s Council of Advisors on Science and Technology (PCAST) consists of distinguished individuals from sectors outside of the Federal Government who advise the President on policy matters where the understanding of science, technology, and innovation is key. Patient safety is an urgent national public health issue. Following are 4 major recommendations that are offered to the President by PCAST working group for consideration.

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State-Only Webinar: Overview and Discussion of the Federal Trade Commission’s Proposed Merger Guidelines

NASHP

Consolidation across the health care market, whether among hospitals, other providers, health plans, pharmacy benefit managers, etc., is helping to increase costs and decrease transparency. The Federal Trade Commission (FTC) and the Department of Justice (DOJ) have released draft merger guidelines that describe federal agencies’ review of mergers and acquisitions to determine compliance with federal antitrust laws for the public comment (due by September 18, 2023).

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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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Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic was published in JAMA Network Open on July 27, 2023. You’ll find the link to open this publication as a PDF (easier to read) on this landing page. Key Points Question : Do nursing home administrator perspectives on staffing in US nursing homes during the COVID-19 pandemic provide context for conflicting staffing data reports?

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Hospital and Health System Financial Data Learning Collaborative: Call for Applications

NASHP

To apply to NASHP’s Hospital and Health System Financial Data Learning Collaborative, please complete this brief application. Informational webinar : August 23, 2023 at 2 p.m. ET. Learn more and register. Applications due : September 12, 2023 Selected states notified : Week of September 25, 2023 Learning collaborative begins : October 2023 The National Academy for State Health Policy (NASHP) in partnership with Arnold Ventures invites state applications for its 2023–2024 Hospital and Health Syst

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Medical Healthcare Marketing: An Ultimate Guide

Etactics

Almost 90% of Americans search for healthcare information on social media. Factors such as how quickly a patient can make an appointment, reviews of healthcare providers, and how healthcare marketing teams use social media drive buying decisions. Having a solid marketing strategy is key for any healthcare facility, no matter how big or small. Having a marketing plan can not only help you reach new clients, but also retain your current customers.

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Monthly Round-Up of What to Read on Pharma Law and Policy

Bill Of Health

By  Ameet Sarpatwari , Alexander Egilman , and   Aaron S. Kesselheim Each month, members of the Program On Regulation, Therapeutics, And Law (PORTAL) review the peer-reviewed medical literature to identify interesting empirical studies, policy analyses, and editorials on health law and policy issues. Below are the citations for papers identified from the month of June.

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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.