Fri.Oct 01, 2021

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Centene reaches $72M settlement with Illinois, Arkansas for alleged Medicaid overcharges

Health Care Dive

The two states allege Centene failed to disclose relevant discounts and inflated dispensing fees. The latest settlements come months after similar agreements were reached in Ohio and Mississippi.

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Providers cry foul over new surprise billing rule's arbitration process

Fierce Healthcare

Providers cry foul over new surprise billing rule's arbitration process. rking. Fri, 10/01/2021 - 16:39.

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Over 2,000 workers at Catholic Health hospital in New York wage open-ended strike

Health Care Dive

Negotiations ran through early Friday morning but key issues, including minimum staffing ratios, remain unresolved.

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Optum launches provider education program on caring for LGBTQ patients

Fierce Healthcare

Optum launches provider education program on caring for LGBTQ patients. pminemyer. Fri, 10/01/2021 - 13:08.

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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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3 in 10 nurses want to leave their employers, survey shows

Health Care Dive

Nurses younger than 35 said they were most likely to leave their current job, a particularly troubling trend for providers already under staffing strains.

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Industry Voices—Transportation benefits are being underutilized. Here's how to better inform plans and providers

Fierce Healthcare

Industry Voices—Transportation benefits are being underutilized. Here's how to better inform plans and providers. pminemyer. Fri, 10/01/2021 - 09:50.

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Humana launching 72 new Medicare plans for 2022

Fierce Healthcare

Humana launching 72 new Medicare plans for 2022. pminemyer. Fri, 10/01/2021 - 11:09.

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MA premiums will dip as payers expand footprints

Health Care Dive

Cigna, UnitedHealth and Centene are all entering new areas for 2022, but analysts say benefit options show that bids from insurers are relatively conservative.

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Trinity Health credits payment rate increase, improved case mix for FY2021's $658M operating income

Fierce Healthcare

Trinity Health credits payment rate increase, improved case mix for FY2021's $658M operating income. dmuoio. Fri, 10/01/2021 - 16:06.

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MA premiums will dip as Cigna, UnitedHealth expand footprints

Health Care Dive

Analysts said that after reviewing benefits for the three largest plans from top insurers, it saw stability to modest improvements, indicating conservative bids among the uncertainty of the COVID-19 pandemic.

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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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Catholic Health Mercy Hospital workers take to the picket line, citing unsafe staffing, supplies

Fierce Healthcare

Catholic Health Mercy Hospital workers take to the picket line, citing unsafe staffing, supplies. dmuoio. Fri, 10/01/2021 - 11:27.

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Merck says antiviral pill effective against COVID-19, lifting hopes for first oral drug

Health Care Dive

The drugmaker, along with partner Ridgeback Biotherapeutics, plan to ask the FDA for emergency authorization "as soon as possible.

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Anthem MA Plans to Offer New In-Home Support Benefit in 2022

Home Health Care

Newer supplemental benefits like access to in-home support services or a personal care helper have helped Anthem Inc. (NYSE: ANTM) attract and retain Medicare Advantage (MA) members over the past couple of years. Perhaps it’s no surprise then that the Indianapolis-based Anthem and a number of its affiliated health plans are adding on to their benefits packages for the 2022 plan year.

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ADHD and Power

Center for Health Progress

Earlier this year, our entire staff went through power building training. In the first session, we had to explore our fears around standing in our power.For me, this meant challenging years of training that told me I was “too much.” In elementary school, my report cards almost always said something to the effect of “bright, but talks too much” and “disrupts other students with talking.

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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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Nurse Burnout and the Patient Experience: The COVID Crush

Susan E. Mazer, Ph.D

Pat Linton, the founding CEO of North Hawaii Community Hospital, categorically stated that “The only difference between the patient and the caregiver is acuity.” What does that mean? Well, it means that whoever is standing next to the hospital bed could easily be in the bed in short order. Covid-19 and its variants remind us that no one is truly immune or safe from illness.

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Addressing School Discipline Disparities Through the Health Justice Framework

Bill Of Health

By Alexis Etow and Thalia González *. As an interdisciplinary legal scholar and public health attorney studying how education policies fit into the broader antiracist health equity agenda, health justice serves as both a conceptual framework for reform for legal academics and an accessible roadmap for change for policymakers and public health law professionals.

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Supporting Undocumented and Asylum-Seeking Children, L.A. Housing, Veterans: RAND Weekly Recap

The Rand Blog

This weekly recap focuses on educating and supporting undocumented and asylum-seeking children in U.S. schools, what drives America's adversaries to use military forces, and measuring the compounding effects of racism.

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Buzzwords in Patient Safety: Some Preliminary Thoughts

Bill Of Health

By John Tingle and Amanda Cattini. Every profession, service, or industry maintains what can be termed, “buzzwords.” A “buzzword” can be defined as transient, flavor-of-the-month-type word, which describes a concept than can be seen to direct policy and practice until it becomes less topical and eventually fades away from general use.

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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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Clinician Burnout in the Age of COVID

Health Populi

My latest essay for Medecision’s Liberation site digs into the sobering statistics on clinical burnout across the medical professions. From doctors to nurses, physician assistants and other licensed allied health human capital, our health care providers are in a world of hurt. This was initiated with the emergence of the COVID-19 pandemic. But the public health crisis, Delta variant, and lack of universal precautions adopted by U.S. health citizens have exacerbated an already-challenging scenari

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October is Breast Cancer Awareness Month

Voyage Healthcare

See Pink in October! October marks a worldwide campaign dedicated to the awareness of breast cancer. Multiple organizations highlight the importance of education and research for breast cancer, as well as what to look for in an effort to increase early detection and develop better treatments. The earlier breast cancer is diagnosed, the better the chance of beating it.

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Friday Links

Healthcare ECONOMIST

Value of nurse practitioners for inpatient care. DTx and outcomes-based contracting. Is there a limit on human survival ? Back to normal in Madrid? (en español) “Not statistically significant” is not the same as zero and “ When Should Clinicians Act on Non–Statistically Significant Results From Clinical Trials? ”.

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CDC Spells Out Benefits of Getting the COVID-19 Vaccine

Solution Reach

The COVID-19 vaccine is being distributed and administered to people across the U.S. in a nationwide effort to vaccinate as many as possible as quickly as possible. Through public education campaigns, trusted authorities like the Centers for Disease Control and Prevention (CDC) have underscored the safety and efficacy of the vaccines. As a result, greater and greater numbers of Americans have become better informed about the vaccine and are anxiously awaiting their opportunity to receive it base

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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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Panel Discusses Biden Strategy of Diplomacy as Tool of First Resort in the Middle East

The Rand Blog

A distinguished panel of Middle East and national security experts expressed concerns about potential side effects of the U.S. withdrawal from Afghanistan on U.S. Middle East policy and encouraged the Biden administration to proactively engage allies in the future.

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Resurgence in Drug Development for Renal Diseases

Health Advances

. By Heather Loring, PhD, Senior Analyst; Balazs Felcsuti, Vice President; and Sheela Hegde, Partner and Managing Director. . Key Takeaways. Nephrology, a target for drug discovery and development is enjoying a renaissance, evidenced by growth in renal disease clinical trials, pipeline assets, and publications over the last five years. The current momentum in clinical activity in nephrology is driven by the increasing societal and economic burden of chronic kidney disease (CKD) and other rena

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CMS Posts NH COVID-19 Data for Week Ending September 19, 2021

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS has posted NH COVID-19 data for week ending September 19, 2021. This latest data set shows these changes from the September 12 th data set: Resident vaccination remains increased 0.4% from the previous week Staff vaccination increased 1.0% from the previous week Resident confirmed cases increased 5,641 from the previous week Staff confirmed cases increased 6,854 from the previous week An additional 651 resident deaths fr

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Climbing the Ladder: How Hospitalists Can Overcome Barriers in Academic Productivity

Hospital Medicine

This week, the Journal of Hospital Medicine returned from a summer hiatus with a #JHMChat about academic productivity and promotion. As recently discussed in our September issue by Drs. Andrew Sumarsono and Neil Keshvani, et al, the median number of publications for hospitalists at academic medical centers is zero. I’ll say that one more time: [.]. The post Climbing the Ladder: How Hospitalists Can Overcome Barriers in Academic Productivity appeared first on The Hospital Leader - The Official Bl

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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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Advancing Personalized Medicine For Ventricular Arrhythmias

Health IT Analytics

To better understand… read more

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Weekender 10/1/21

HIStalk

Weekly News Recap Microsoft invests in Truveta, the health.

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State Cross-Agency Collaboration during the COVID-19 Pandemic Response

NASHP

State Cross-Agency Collaboration during the COVID-19 Pandemic Response October 1, 2021/by Elinor Higgins and Rebecca Cooper. Executive Summary. State COVID-19 response relies on intensified cross-sector collaboration that supports timely, flexible, targeted action in the midst of quickly-changing circumstances. To provide insight into lessons learned at the state level, NASHP interviewed state officials from Illinois, Indiana, and Rhode Island about their states’ approaches to cross-agency COVID