Health Care Dive
DECEMBER 8, 2023
The American Hospital Association and the Federation of American Hospitals sent letters to Congress this week opposing a bill that would equalize payments for drugs administered in outpatient clinics.
Fierce Healthcare
DECEMBER 8, 2023
A House vote on transparency regulations in healthcare could occur next week, potentially having substantial ramifications on how PBMs and hospitals operate. | Bipartisan anticipation is in the air for a potential vote in the House this week that would bring transparency to PBMs and ban spread pricing in Medicaid, but hospital groups are firmly opposed to provisions enacting site-neutral payment.
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Health Care Dive
DECEMBER 8, 2023
The inquiry comes as the White House this week said it would investigate private equity investment in healthcare as federal scrutiny of firms ramps up.
Fierce Healthcare
DECEMBER 8, 2023
The role of primary care physician has been evolving – along with our understanding of medicine and the social drivers of whole health. | From reactive to proactive, and symptom-focused to holistic, primary care physicians are engaging more deeply with patients in four key ways.
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HIT Consultant
DECEMBER 8, 2023
Jeff Fox, Operating Partner at Chicago Pacific Founders Chronic Kidney Disease (CKD) remains a widespread health concern, affecting more than one in seven US adults and posing a substantial burden on healthcare systems worldwide. Fortunately, the convergence of innovative technologies offers promising solutions to address this pressing issue. Such advancements stand to revolutionize how healthcare entities treat, prevent, and better understand this nuanced condition.
Fierce Healthcare
DECEMBER 8, 2023
Healthcare technology giant Epic is leveraging its massive clinical research database, with data on 226 million patients, to develop a next-generation decision support tool for clinicians. | While sharing the stage at the Forbes event, Elevance Health CEO Gail Boudreaux and Judy Faulkner, the CEO of Epic, shared how the two organizations are using data and technology, including AI, to create "hyperconnectivity" in healthcare and bring data to providers' fingertips.
Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.
Fierce Healthcare
DECEMBER 8, 2023
Humana is aiming to make a significant dent in its greenhouse gas emissions within the next decade. | Humana is aiming to make a significant dent in its greenhouse gas emissions within the next decade.
HIT Consultant
DECEMBER 8, 2023
What You Should Know: – Smileyscope™, a pioneer in virtual reality (VR) therapeutic solutions, has received Class II clearance from the U.S. Food and Drug Administration (FDA) for its Smileyscope™ Therapy system. – The FDA clearance marks Smileyscope as the first and only VR Analgesic™ available in the US. Digital Therapeutics Leadership Smileyscope’s FDA clearance underscores its leadership in Digital Therapeutics, a category defined as delivering medical interventions directl
Fierce Healthcare
DECEMBER 8, 2023
Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry.
Home Health Care
DECEMBER 8, 2023
Building and sustaining a home-based care workforce is vital. It’s also exhausting for providers. Having a well-thought-out strategy can alleviate some of that pressure, however. “The real elephant in the room for all of us is that I think most of us in this space are really trying to recruit our way out of a retention problem,” Kevin Kirkland, a senior business strategist with MissionCare Collective, said during a National Association for Home Care & Hospice (NAHC) webinar Thursday.
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The Rand Blog
DECEMBER 8, 2023
As 2023 draws to a close, U.S. alliances and partnerships in the Indo-Pacific are just about the deepest and most robust they have been in all their history. The United States will likely continue to bolster and expand its network to complicate and deter future actions that China and North Korea might take to threaten, undermine, or otherwise undo the Indo-Pacific order.
HIT Consultant
DECEMBER 8, 2023
What You Should Know: – Veradigm Inc. announced significant leadership changes and an ongoing investigation into the company’s financial reporting. The Audit Committee is conducting an independent investigation relating to the company’s financial reporting, internal controls, and disclosure controls. The potential impact on previously reported financial statements is under review. – The Board of Directors has initiated a search process for a permanent CEO and CFO.
NASHP
DECEMBER 8, 2023
The Centers for Medicare & Medicaid Services (CMS) recently released its latest total cost of care model, the Advancing All-Payer Health Equity Approaches and Development (AHEAD) model with the goals of slowing growth in health care costs, improving population health, and advancing health equity. With the release of the Notice of Funding Opportunity , states need to consider the model’s multiple components and requirements to prepare for application and potential implementation activities.
NCQA
DECEMBER 8, 2023
A December 12 webinar featuring NCQA researchers and our partners from Reproductive Health Impact (RH Impact) highlights our newest ideas on a vital quality topic: birth equity. Why This Matters Inequities pervade maternal health. Those inequities make maternal health is a quality priority. After all, there can be no quality without equity. Significant gaps exist in perinatal health outcomes across different groups.
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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.
NASHP
DECEMBER 8, 2023
See state legislative action focused on payment and care delivery reforms in the chart below. NASHP tracked state legislative activity in 2023 that sought to support systematic changes to transform their health systems, to improve health outcomes and health equity by leveraging payment and delivery reforms across payers in consideration of rising health care costs.
Sheppard Health Law
DECEMBER 8, 2023
Sheppard Mullin’s Healthcare Team has launched “ Health-e Law ”, a new podcast dedicated to the interaction between technology and health. Each episode will cover innovations that impact health care in bite-sized, 15-minute episodes, that will keep listeners updated on the fascinating health-tech topics and trends of the day. Our Digital Health Team, alongside experts and thought leaders, will share how innovations can solve some of health care’s (and maybe the world’s) biggest problems, if prop
Bill Of Health
DECEMBER 8, 2023
Amgen v. Sanofi is an important case, but it won’t transform patent law on its own. By Timothy Bonis Last April, the Supreme Court ruled in Amgen v. Sanofi , a closely watched patent case where the justices upheld the invalidation of two monoclonal antibody patents for lack of enablement. The ruling has attracted significant interest for two reasons.
Healthcare ECONOMIST
DECEMBER 8, 2023
Generative AI for economic research. Food = medicine ? Drug importation stalling in Colorado. Facts about the economy.
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Home Health Care
DECEMBER 8, 2023
Home health services are a vital component of care continuity. But nurses are less likely to give Black patients, compared to white patients, home health referrals when being discharged from a hospital stay, a new University of Michigan study found. Specifically, researchers found that roughly 22% of Black patients were receiving home health referrals by discharge nurses, compared to 27% of white patients.
Fierce Healthcare
DECEMBER 8, 2023
A bipartisan group of representatives has introduced a bill into the House that would undo a 2024 physician pay cut finalized last month by the Biden administration. | Provider groups have argued that the scheduled 3.4% cut would come as medical practice costs are set to rise 4.6%, potentially threatening Medicare patients' access to care. The bipartisan bill was quickly applauded by the AMA.
Etactics
DECEMBER 8, 2023
In a study conducted by AKASA, approximately 50% of providers in 2023 report seeing an overall increase in claim denials compared to the previous year. Such a high number of denials across the industry should raise alarms, especially for those hoping to grow financially. But what is it that still causes such a high percentage of denials from payers?
Fierce Healthcare
DECEMBER 8, 2023
Several patient advocacy organizations are urging the Biden administration to look into allegedly misleading marketing from UnitedHealthcare about its Medicare Advantage plans. | Several patient advocacy organizations are urging the Biden administration to look into allegedly misleading marketing from UnitedHealthcare about its Medicare Advantage plans.
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NASHP
DECEMBER 8, 2023
The National Academy for State Health Policy tracked 35 bills on care delivery and payment transformation (introduced and enacted) across 17 states during their 2023 legislative sessions. These state legislative efforts focused on the goals of improving access and equity, reducing costs for patients, improving health outcomes, and using state levers to drive multi-payer or all-payer alignment.
HIT Consultant
DECEMBER 8, 2023
What You Should Know: – Ensemble Health Partners , a provider of revenue cycle management services , has released its 2024 Healthcare Business Trends Report , revealing a shift in priorities among healthcare executives. – The report, based on a survey of over 100 senior executives, highlights a growing focus on outsourcing revenue cycle management and leveraging external expertise to drive performance, improve financial health, and achieve long-term growth. 4 Trends Driving the Next
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