Wed.Nov 08, 2023

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Senate votes to reform PBMs again, stop $16 billion in hospital cuts

Fierce Healthcare

Legislative spotlight was put back on pharmacy benefit manager reform and mental health in a comprehensive draft packaged presented by the Senate Finance Committee, which was passed Wednesday 26-0. | A comprehensive healthcare package garnered near unanimous approval on Wednesday, which could lead to big changes for PBMs down the road.

Hospitals 329
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Healthcare financial strain is ‘widespread’ in U.S., study finds

Health Care Dive

The analysis adds to a growing body of research highlighting the burden of healthcare costs in the U.S., even for families with higher incomes.

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Mass General Brigham taps Best Buy Health to scale up its at-home care services

Fierce Healthcare

Mass General Brigham tapped retailer Best Buy Health to scale up its Healthcare at Home services to meet growing demand for home-based care and address workforce shortages. | Mass General Brigham tapped retailer Best Buy Health to scale up its Healthcare at Home services to transition more medical care to patients' homes while also addressing workforce shortages.

Home Care 312
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Biggest takeaways from health insurers’ third-quarter earnings

Health Care Dive

Many payers beat Wall Street expectations in the quarter, despite ongoing utilization concerns. Other hot topics? Medicare Advantage stars, Medicaid redeterminations, individual exchange growth and GLP-1s.

Medicaid 270
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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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Nonprofit hospital sector to stabilize in 2024 amid rising reimbursement, volumes, Moody's predicts

Fierce Healthcare

Moody’s Investor Services is forecasting stronger financials across the nonprofit hospital sector in 2024 thanks to upticks in reimbursement rates and volumes that will outpace continued labor expe | The ratings agency said it anticipates a 10% to 20% increase in nonprofit providers' median operating cash flow during the coming year. Median operating revenue is projected to grow between 4% and 6% while median operating costs are forecasted between 3% to 5%.

Hospitals 273
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Amazon discounts One Medical membership for Prime customers to $9 a month

Health Care Dive

The move could further integrate the retail giant’s healthcare ambitions with its core e-commerce business.

More Trending

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How St. Joseph Hospital achieved a 420% increase in patient philanthropic aid

Healthcare It News

Covenant Health is a Massachusetts-based multistate health system with deep roots in the communities it serves. The organization currently has 100 physician practices and clinics, along with more than 5,000 employees and providers. THE PROBLEM St. Joseph Hospital, a member of Covenant Health, faced a significant challenge in connecting patients to much-needed financial aid.

Hospitals 202
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How the Leading Companion Care Platform is Unlocking a New Workforce to Address Unmet Social Needs

Fierce Healthcare

A Trust and Safety Q&A with Papa and The Purple Method | In this Q&A, Papa and The Purple Method discuss best-in-class trust and safety solutions for a new kind of caregiver changing how healthcare happens.

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FTC challenges patents held by nine big drugmakers, citing unfair competition

Health Care Dive

The agency claims intellectual property for emergency allergy shot EpiPen and asthma medication Advair was “improperly listed” in a Food and Drug Administration database.

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Prioritizing mental health: the management of depression

Fierce Healthcare

One out of every 5 adults in the United States experienced mental illness in 2021—that’s nearly 60 million people. However, most of those adults did not receive treatment for their mental illness. | With depression on the rise, now’s the time to prioritize mental health. Take action on serious mental health conditions.

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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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Best Buy inks third health system product development deal, with Mass General Brigham

Health Care Dive

The tech retailer notched similar partnerships to co-develop home care products with Geisinger and Atrium earlier this year.

Home Care 157
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Genomics data startup launches out of stealth with global partners to drive precision medicine for women

Fierce Healthcare

Cercle, a new AI company focused on advancing healthcare for women, launched out of stealth Wednesday. | Leveraging AI, Cercle collects billions of de-identified biomedical and genomics data points drawn securely from healthcare clinics and research labs around the world and converts them to insights for researchers and clinicians.

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Cercle Launches AI-Powered Biomedical Graph for Fertility & Women’s Healthcare

HIT Consultant

What You Should Know: Cercle, an AI technology company unlocking comprehensive and secure data insights for the healthcare industry, announced its launch today. Its technology platform, the Cercle™ Biomedical Graph, is the first and only of its kind, harnessing and connecting billions of anonymized biomedical and genomics data points drawn securely from healthcare clinics and research labs around the world.

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Bright Health Group bullish on future EBITDA profitability as it touts ACO performance

Fierce Healthcare

Bright Health Group posted a $462.8 million operating loss in the third quarter as it continues to wind down its Affordable Care Act (ACA) business and navigates the sale of its Medicare Advantage | Bright Health Group posted a $462.8 million operating loss in the third quarter as it continues to wind down its Affordable Care Act business and navigates the sale of its Medicare Advantage arm.

Medicare 144
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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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Alarming Wait Times and Persistent Inequities Obstructing Early Autism Diagnosis, Study Exposes

HIT Consultant

What You Should Know: Cognoa, a leading child development and behavioral health company, today published a new report, The State of Pediatric Autism Diagnosis in the U.S.: Gridlocks, Inequities and Missed Opportunities Persist, that underscores the longstanding waitlist crisis for children and their families seeking a diagnosis of developmental delays and autism evaluation.

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Water pollution may have bigger health impacts than previously thought

Healthcare ECONOMIST

At least that is according to an NBER working paper by DiSalvro and Hill (2023). The abstract is below: Previous research in the US has found negative health effects of contamination when it triggers regulatory violations. An important question is whether levels of contamination that do not trigger a health-based violation impact health. We study the impact of drinking water contamination in community water systems on birth outcomes using drinking water sampling results data in Pennsylvania.

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Creating Accessible Digital Signage in Healthcare

HIT Consultant

Rolando Irizarry, Product Manager – Healthcare at Spectrio I have heard the word “Inclusion” quite a bit lately, and I’ve noticed that people seem to be throwing the word around as though everyone knows what it means. Many organizations claim to be inclusive while doing little to actually prove it. This occurs in all industries, but the problem is particularly consequential in health care, where there’s a lot more on the line: patient outcomes and recovery rates.

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Enhabit Touts Improved Labor Numbers, New MA Contracts Amid Strategic Review

Home Health Care

Amid a strategic review that could end in a merger or sale , Enhabit Inc. (NYSE: EHAB) leaders are happy with the company’s progress, specifically on the labor and clinical outcome fronts. Enhabit CEO Barb Jacobsmeyer refrained from diving into much detail on the strategic review, but did say that “discussions with interested parties are ongoing.” She did get into third-quarter hiring numbers, however.

Medicare 101
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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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Virtual Reality Can Enhance Relationships Between Caregivers and Aging Population, Study Finds

HIT Consultant

What You Should Know: Virtual Reality (VR) technology is not just for the young. It’s paving the way for enhancing relationships between the aging population and their caregivers, as research from the Virtual Human Interaction Lab (VHIL) at Stanford University demonstrates. The study sought to understand older adults’ attitudes towards new technologies, including virtual reality, and how professional caregivers felt about facilitating VR experiences for older adults.

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For The Pennant Group, Home Health Final Rule Is Far From The Be-All, End-All

Home Health Care

The Pennant Group Inc. (Nasdaq: PNTG) leaders believe that they’re in the middle of a constantly changing home health market. They also believe it’s an environment the company can survive and thrive in based on its operating model. “Our model enables us to adapt and respond to changing circumstances and market needs on a macro and local level,” Pennant CEO Brent Guerisoli said Wednesday during the company’s third-quarter earnings call.

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KLAS: Impact Advisors, Guidehourse, Chartis Rates High for Financial Improvement Consulting Engagements

HIT Consultant

What You Should Know: Healthcare organizations are facing unprecedented financial pressure; several macroeconomic factors—including the COVID-19 pandemic, inflation, and staffing shortages—have forced organizations to work around decreased revenues and increased costs. At this critical time, organizations are looking to consulting firms to help improve their financial performance and circumnavigate obstacles.

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Best Buy Health Partners With Mass General Brigham, Enters Into Medicare-Certified Home Health Care

Home Health Care

Best Buy Health is teaming up with yet another health system to help augment home-based care services. What’s of note, however, is that in Best Buy Health’s partnership with Mass General Brigham, it will also be aiding in the Medicare-certified home health arena. The two organizations announced the collaboration Wednesday. In addition to a home health arm – which is the largest home health business in New England – Mass General Brigham already has a robust hospital-at-home program.

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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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Healthcare AI News 11/8/23

HIStalk

News OpenAI announces significant new ChatGPT features at its first.

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Generative AI Takes on Cardiology Care Gaps in Agamon Health and Mayo Clinic Collaboration

HIT Consultant

What You Should Know: – Agamon Health , a healthcare technology company, is collaborating with Mayo Clinic to use Generative AI and workflow automation to improve patient adherence to follow-up in cardiology. – Delayed or insufficient follow-up care for patients with valvular heart disease can have severe consequences, such as increased hospitalization, worsening heart failure, and death.

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Inside Health Care #118: Collaboration Is the Key to Interoperability and Equity for All

NCQA

In this episode, we explore a much-discussed Inside Health Care topic: interoperability. Within the process of health care digitalization, interoperability deals with the multi-lane, multi-directional transfer of electronic health records, or EHRs. But more and more, in that transfer process, companies discover data they hadn’t considered using, data needing refinement, and data that tells stories of patients being overlooked and left behind.

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KLAS: Impact Advisors, Guidehouse, Chartis Rates High for Financial Improvement Consulting Engagements

HIT Consultant

What You Should Know: Healthcare organizations are facing unprecedented financial pressure; several macroeconomic factors—including the COVID-19 pandemic, inflation, and staffing shortages—have forced organizations to work around decreased revenues and increased costs. At this critical time, organizations are looking to consulting firms to help improve their financial performance and circumnavigate obstacles.

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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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End of Life Care with Seung Eli Oh | E. 92

Vie Healthcare

Episode Introduction Seung explores the need for more medical training on end of life care, and why quality of life should be considered in patient treatment decisions. He also encourages all families and patients to have timely conversations about their wishes, discusses the importance of dignity in death, and welcomes the return of spiritual care for terminally ill patients.

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Corundum Neuroscience Launches Neuroscience Venture Builder & Fund

HIT Consultant

What You Should Know: – Corundum Neuroscience , formerly Joy Ventures launches a new neuroscience-focused venture builder and fund to spur neuroscience research and innovation. – The newly rebranded Corundum Neuroscience works with researchers and entrepreneurs with commercially applicable ideas to build and grow companies developing innovative solutions spanning a range of health and disease areas, including anxiety, depression, PTSD, chronic pain, sleep and neurodegenerative disord

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CMS Issues Final Rule Remedying Underpayments to 340B Covered Entities

HKLaw

The Centers for Medicare & Medicaid Services (CMS) released a final rule detailing how the agency will remedy underpayments from 2018 to 2022 for drugs acquired via the 340B Drug Pricing Program.

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Eleos Health Secures $40M for AI-Powered Behavioral Health

HIT Consultant

What You Should Know: – Eleos Health , a leader in AI for behavioral health, has secured $40M in a Series B funding round. Menlo Ventures led the funding round, with participation from F-Prime Capital, Eight Roads, Arkin Digital Health, SamsungNEXT, ION, aMoon, and lool ventures. This brings Eleos Health’s total funding to $68M. – The funding will accelerate Eleos Health’s product development, hiring efforts, reach, and strategic partnership development.

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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.