Thu.May 09, 2024

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Justice Department 'upping its game' on healthcare antitrust enforcement with new task force

Fierce Healthcare

The U.S. Department of Justice announced Thursday it has established a new task force to take on healthcare monopolies and collusion. | The U.S. Department of Justice announced Thursday it has established a new task force to take on healthcare monopolies and collusion.

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House committee advances bill that would extend telehealth flexibilities

Health Care Dive

The legislation would extend a number of Medicare flexibilities through 2026. Lawmakers have until year-end to take action before the pandemic-era rules will expire.

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A CPT code for prior authorization? Here’s how it could happen

Fierce Healthcare

One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—and the proposal could pass this week at an American Medical Association | A New York urologist believes prior auth CPT codes will realign incentives and better support patients and physicians.

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CMS proposes mandatory kidney care model with financial risk for hospitals

Health Care Dive

The model, if finalized, will test whether putting hospitals on the hook for kidney transplant access and quality might improve the nation’s shoddy system of organ procurement and transplantation.

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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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Medicare Advantage risk assessments driving billions in costs each year

Fierce Healthcare

Medicare Advantage plans have come under fire for upcoding that can increase the payouts they receive, and regulators point to health risk assessments as a likely culprit in this increase in coding | Medicare Advantage plans have come under fire for upcoding that can increase the payouts they receive, and regulators point to health risk assessments as a likely culprit in this increase in coding intensity.

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Ascension hit by cybersecurity incident affecting clinical operations

Health Care Dive

The major nonprofit health system detected “unusual activity” on some network systems Wednesday.

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Steward’s landlord Medical Properties Trust posts $736M loss in Q1 as hospitals flounder

Health Care Dive

The real estate investment trust reported nearly $700 million in impairments related to Steward. However, executives said rental agreements are not what drove the troubled health system to bankruptcy.

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Community Health Systems adds another antitrust lawsuit to MultiPlan's collection

Fierce Healthcare

Community Health Systems (CHS) is the latest health system to allege that MultiPlan’s data-driven claims repricing business meets the bar for antitrust violation. | CHS is the third health system to allege that MultiPlan's claims repricing business and deals with major payers are anticompetitive.

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The Vitamin Shoppe launches telehealth service

Health Care Dive

Whole Health Rx connects users with licensed healthcare providers in real time and will initially focus on weight management solutions.

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Where participation in clinical trials for cancer lacks, Triomics could step in

Fierce Healthcare

Triomics, an oncology-focused artificial intelligence company, raised $15 million to help automate cancer providers’ workflows. | Triomics raised $15 million for its oncology-focused generative AI. Academic literature supports the model's accuracy and efficacy in matching oncology patients with a ranked list of clinical trials.

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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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2024 MedTech Breakthrough Award Winners Announced

HIT Consultant

What You Should Know: – MedTech Breakthrough , a market intelligence organization focused on healthcare technology, today revealed the winners of its prestigious 8th annual awards program. – These awards recognize the most innovative and impactful companies, technologies, and products shaping the future of digital health and medical technology globally.

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Fierce Healthcare layoff tracker—Highmark axes 200 jobs since March; Kaiser Permanente plans to lay off 76

Fierce Healthcare

Last year, the Fierce Healthcare team compiled a running tally of lay | Stick with this tracker for the latest layoff and workforce updates from across healthcare.

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64% of Women Want to Talk More About Their Health, Report Finds

HIT Consultant

What You Should Know: – A new report by Solera Health , a digital health platform, highlights a critical gap in communication surrounding women’s health. The Women’s Health report, titled “ Human Centered Design: A Women’s Health Case Study ,” was developed through a comprehensive research effort. – The survey of over 2,300 women across all adult life stages reveals a strong desire for more open conversations but also identifies factors that prevent women from

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A deep dive into health system and health plan Q1 earnings

Fierce Healthcare

In this week’s episode of "Podnosis," you'll hear from Paige Minemyer and Dave Muoio, two journalists from the Fierce Healthcare team. | In this week’s episode of "Podnosis," Paige Minemyer and Dave Muoio, two journalists from the Fierce Healthcare team, dive into first-quarter earnings updates from some of the largest health plans and health systems, sharing their key insights and the trends they've identified.

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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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Harnessing Clinical Intelligence to Advance Health Plan Member Education

HIT Consultant

Tim Price, Chief Product Officer at Infermedica In an era where accessing health information is easier than ever, determining what is reliable poses increasing difficulty for health plan members. The complexity of modern health plans and their myriad of services further compounds confusion, creating a paradox of choice. This is where clinical intelligence tools prove transformative by revolutionizing how members access, comprehend, and leverage health data to make informed care decisions.

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When AI Gets It Wrong, Will It Be Held Accountable?

The Rand Blog

RAND researchers fielded their survey to provide the first nationally representative look at what people will actually do when faced with an unfair AI outcome.

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Limited English Proficiency Patients Face Challenges with Telehealth Visits

HIT Consultant

What You Should Know: – A new study led by Brigham and Women’s Hospital, a member of the Mass General Brigham healthcare system, reveals that patients with limited English proficiency (LEP) have a less positive experience with virtual healthcare visits compared to English-proficient patients. – This study highlights the importance of designing inclusive telehealth solutions.

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Why Enhabit’s Strategic Review Did Not End With A Transaction

Home Health Care

Enhabit Inc. (NYSE: EHAB) announced Wednesday the result of its strategic review. It was not a sale or a merger, but instead a commitment to the path forward as an independent public company. On Thursday, company leaders explained the rationale behind that decision, which was made unanimously by the board. Part of it is tied to external factors that make a large-scale transaction difficult right now, and part of it is tied to the success Enhabit has had in changing its business model.

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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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Spotting medical provider burnout: A call to action

Meditech

A couple of weeks ago I published a post on LinkedIn that seemed to strike a chord with my followers. It wasn’t just the topic. We all know that the healthcare industry as a whole has been struggling with the issue of clinician burnout for at least a decade. It was my 5-point list of recommendations that seemed to resonate with people.

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Telehealth Legislation Passes Ways & Means, As GLP-1s Are Fast-Meshing with Telemedicine in the Marketplace

Health Populi

Yesterday, the U.S. House Committee on Ways and Means passed six pieces of legislation that would bolster telehealth in the U.S. for the next two years, assuring several aspects of access for health citizens across the country. “One of our top priorities on this Committee is helping every American access health care in the community where they live, work, and raise a family,” Committee Chairman Jason Smith (R-Mo.) explained in his introductory statement.

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EPtalk by Dr. Jayne 5/9/24

HIStalk

The American Medical Informatics Association is working with the Patient.

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‘Our Business Is Demonstrating Signs Of Recovery’: Aveanna Making Progress On Turnaround Goals, Led By Private-Duty Services Business

Home Health Care

Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH) continues to chip away at its turnaround goals, with the Atlanta-based company’s leadership team seeing particular progress on its preferred-payer strategy and the industry-wide labor landscape. Contextually, 2024 marks Year 2 of the home health, hospice and private-duty services company’s strategic transformation initiative.

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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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Humanaut Health Secures $8.7M to Expand Premium Longevity Clinics Nationwide

HIT Consultant

Humanaut Health senior leaders (from top left): Ernie Navarro, Tony Cheng, Nicholas Bernhardt-Lanier, Luke Pezet, Trey Owen, Jenny Espey, Tabor Pittman, Jim Donnelly, Amy Killen, Nikki Case, Claire Siegel, Elliot Karathanasis, P. Jeffrey Smith, Harry Adelson, Kerri Williams, and Paul A. Pagnato. What You Should Know: – Humanaut Health , a high-end health optimization clinic focused on extending healthy lifespans, today announced securing $8.7M in seed funding. – The Kabech Fund led

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Mathematica and NASHP: Using the NASHP Hospital Cost Tool to Examine National Hospital Direct Patient Labor Costs and Other Indicators

NASHP

Mathematica and NASHP prepared a labor cost data brief using the NASHP Hospital Cost Tool (HCT). The brief examines the national trends of hospital revenue, profit, and labor cost from 2011 to 2022, which highlight the impact of federal and state COVID-19 relief funds and more. State officials interested in specific hospital direct care labor cost trends and profit margins can check out the visual dashboards within the HCT and even use the downloadable data set.

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Triomics Secures $15M to Automate Oncology Workflows with GenAI

HIT Consultant

Triomics co-founders: Sarim Khan and Hrituraj Singh What You Should Know: – Triomics , a company leveraging generative AI to revolutionize cancer care, today announced securing $15 million in funding led by prominent Silicon Valley firms like Lightspeed , Nexus Venture Partners , General Catalyst, and Y Combinator. – Triomics partners with leading academic cancer centers and researchers to develop generative AI performance and safety benchmarks and best practices.

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13 Excellent Ethics Training Examples

Etactics

An LRN survey reports that 82% of employees would receive less compensation for a more ethical work environment. We all make moral choices every day, and the workplace is not exempt from this. From this survey, we can observe that strong ethics in the business place is very important to employees. The old saying, “It’s not personal, it’s just business” no longer flies in today’s ever-changing political environment.

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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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Ascension Investigating Cybersecurity Event Potentially Affecting Clinical Operations

HIT Consultant

What You Should Know: – Ascension , one of the nation’s largest nonprofit and Catholic health systems, announced today they are investigating a potential cybersecurity event detected on Wednesday, May 8th. – According to a statement released by Ascension, unusual activity was identified on specific technology network systems. The nature of this activity suggests a potential cyberattack, though the investigation is ongoing.

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Interview with Mindful Care CEO Dr. Tamir Aldad

Health Business Group

In this episode, Dr. Tamir Aldad , founder and CEO of Mindful Care , joins me to discuss strategies for addressing the challenges in mental health accessibility and costs. Dr. Aldad brings a unique blend of medical insight and business expertise, advocating for and implementing a model that integrates social impact with economic viability. He shares a tragic experience from his residency that exposed significant shortcomings in our mental healthcare system, which motivated the creation of Mindfu

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News 5/10/24

HIStalk

Top News Ascension’s 140 hospitals and 2,600 healthcare sites in.

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Scaling Statewide Credit for Industry Credentials: Lessons Learned from Ohio

The Rand Blog

For decades, community colleges and universities have awarded credit for learning that takes place outside of the classroom. Lessons from Ohio offer a roadmap as states scale programs that give college credit for industry credentials.

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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.