Mon.Jan 29, 2024

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No Surprises Act prevented 10M surprise bills in first nine months of 2023, insurer groups say

Health Care Dive

AHIP and BCBSA also took aim at providers for allegedly abusing the billing dispute resolution process set up by No Surprises in the latest salvo over the polarizing law.

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Steward Health Care's dire finances have government leaders worried about shutdowns

Fierce Healthcare

Financial troubles and a flurry of planned hospital divestitures have landed for-profit Steward Health Care squarely in the public and lawmakers’ crosshairs. | Millions in unpaid rent and other signs of financial distress have led the for-profit to explore divestitures and other potential strategies in Massachusetts and Texas. Leaders in the former have raised alarms that potential closures could overwhelm other providers.

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The AI-powered solution to the medical coding worker shortage

Health Care Dive

Discover how AI-driven platforms are revolutionizing health IT, alleviating the critical shortage of medical coders and significantly boosting efficiency and revenue in healthcare systems.

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MACPAC suggests changes to Medicaid appeals process

Fierce Healthcare

The Medicaid and Chip Payment and Access Commission (MACPAC) voted in favor of seven recommendations during a meeting Jan. 26 that would reshape how beneficiaries are able to appeal for care. | Medicaid advisers want to overhaul the denials and appeals process, partly by implementing a clinician-led independent review.

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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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Penn Medicine ends plans to buy hospital from Tower Health

Health Care Dive

Tower — which reported a nearly $193 million operating loss for its fiscal year 2023 — has recently sold other facilities.

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Moody's: Why Medicare Advantage's profitability may be on the decline

Fierce Healthcare

Medicare Advantage (MA) continues to grow, but there are signs that its profitability is on the decline, according to a new report from Moody's Investors Service. | Medicare Advantage continues to grow, but there are signs that its profitability is on the decline, according to a new report from Moody's Investors Service.

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More Trending

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Will there be new baselines for nonprofit hospitals’ financial metrics? Fitch weighs in

Fierce Healthcare

Several nonprofit hospitals have found their operations and balance sheets settling into new ranges following a tough couple years, though that doesn’t necessarily mean that credit ratings will div | Whether or not nonprofit hospitals' operating margins will "reset" from 3%+ to 1%-2% due to sustained cost pressures is "the biggest question long term for ratings agencies," Fitch analysts write in a new outlook report.

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Healthcare labor churn increased through 2021, study finds

Health Care Dive

To keep up with elevated COVID-19 turnover, healthcare organizations hired more workers who were unemployed or hadn't previously worked in the industry, according to a study published in JAMA.

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ACOs to receive $20M in advance investment payments

Fierce Healthcare

In 2024, 50 accountable care organizations are new to the Medicare Shared Savings Program and 71 ACOs renewed participation, according to new numbers released by Centers for Medicare & Medicaid | CMS released new data Monday showing ACO participation in the Medicare Shared Savings Program, with 19 ACOs set to participate in a new payment option,

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Television screens in dental offices transform patient engagement and give patients something to smile about

Health Care Dive

Jefferson Dental uses UPshow CONNECT to eliminate stressful content, improve the patient experience, offer seamless branded messaging and turn screens into revenue-generating tools.

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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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MultiCare allegedly allowed neurosurgeon to perform, bill for unnecessary surgeries despite warnings

Fierce Healthcare

MultiCare has been hit with a False Claims Act complaint by federal law enforcement and its home state of Washington over allegations that it is “knowingly endangering patients” by allowing a neuro | A complaint filed Friday by federal and state officials alleged that the 12-hospital nonprofit set aside "serious concerns" to receive "millions of dollars in revenue, while unknowing patients were endangered and harmed.

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Introductory Editorial — Critical Psychedelic Studies: Correcting the Hype

Bill Of Health

By Neşe Devenot Since the 2022 publication of “ Preparing for the Bursting of the Psychedelic Hype Bubble ,” a JAMA Psychiatry Viewpoint by David Yaden and colleagues, a wave of scholarship and commentaries has emphasized the ethical importance of nuanced science communication about the still-nascent field of psychedelic medicine. As the journalist Katie MacBride recently described in The Daily Beast , there is now a “growing minority” of scholars and activists in the psychedelics field who are

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HCSC unveils effort to link cancer patients with specialists from around the country

Fierce Healthcare

Health Care Service Corporation recently unveiled a new effort to improve outcomes and reduce the cost of caring for cancer patients. | Fighting cancer costs the United States $208.9 billion dollars a year, and Health Care Service Corporation recently unveiled a new effort to improve outcomes and reduce those expenses.

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Five Home Care Leaders To Watch, According To Other Home Care Leaders

Home Health Care

Home care leaders are not just operating in their own individual bubbles. These leaders are part of a larger ecosystem of organizations that make up the home-based care space. In a sea of providers, the best leaders are the ones who are able to recognize which of their home-based care peers are standouts. The ability to identify what works, and why, is evidence of a keen understanding of the business.

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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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Humana's CenterWell charts course for latest expansion

Fierce Healthcare

Humana's primary care business, CenterWell, has unveiled its latest expansion plans. | The company will open centers in three new metro areas and will add further locations across eight municipalities, Humana announced on Tuesday.

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Layoffs Hit At-Home Care Innovator DispatchHealth

Home Health Care

DispatchHealth — one of the most successful startups in the home-based care space over the last decade — has reportedly laid off 88 employees. The company itself would not confirm the number of employees laid off. “We are focused on supporting our patients and our mission to deliver trusted, compassionate care in the comfort of home,” a company spokesperson wrote to Home Health Care News in a statement.

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An Infinite Game: How Vituity Tackles the Just Cause of Improving Lives

Fierce Healthcare

In July 2023, the healthcare landscape was shaken when the private-equity-backed provider group, American Physician Partners (APP), unexpectedly ceased operations immediately and without warning, c | Read how healthcare leaders can work together to create a system that delivers health, joy, and quality of life to communities one patient at a time.

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National Cancer Prevention Month and Its Significance

Healthcare Highways

National Cancer Prevention Month is a poignant reminder that taking proactive steps toward a healthier lifestyle can significantly reduce the risk of cancer. This annual observance encourages individuals, communities, and healthcare professionals to join forces in raising awareness and promoting behaviors that contribute to cancer prevention.

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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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ObjectiveHealth Secures Growth Investment to Expand Innovative Clinical Research Model

HIT Consultant

What You Should Know: ObjectiveHealth , a pioneer in integrated specialty research, today announced a strategic investment from Vitruvian Partners, a renowned global growth equity firm. – This strategic investment will fuel ObjectiveHealth’s expansion and its mission to revolutionize clinical research by seamlessly integrating trials into the practices of community-based physicians.

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Data Augmentation May Improve LLM Generalization on Clinical Notes

Health IT Analytics

Using large language models in a healthcare domain-informed manner could address dataset shifts and enhance generalizability in AI-driven medical note analysis.

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53% of Psychologists Are Concerned About The Use of AI

HIT Consultant

What You Should Know: – As artificial intelligence (AI) creeps into every corner of life, psychology faces a critical juncture, according to a new study by PsychologyJobs.com reveals a complex and often conflicted landscape among psychologists regarding AI’s potential and perils in their practice. – The study surveyed 100 psychologists across 12 different fields, and the findings paint a fascinating picture.

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Who you are and where you live shouldn’t determine your ability to survive cancer

Healthy Debate

Let us commit to a future in which all people have the resources and support to prevent and treat cancer so that no one is left behind.

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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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State of Digital Health 2023: From Gold Rush to Consolidation in a Cooling Market

HIT Consultant

What You Should Know: The year 2023 marked a stark shift for digital health, transitioning from the heady days of record-breaking funding to a harsh reality of tightening belts and consolidation, according to a new report from CB Insights. – The CB Insights report, State of Digital Health 2023 , reveals that while the pandemic initially fueled a gold rush of innovation, the tide has turned, leaving a landscape of both challenges and opportunities.

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Impact of physician gender on disability evaluations

Healthcare ECONOMIST

Interesting paper by Cabral and Dillender (2024). The randomization of gender assignment occurs since the Texas workers compensation insurance relies on random assignment of doctors to patients through their dispute resolution process. The abstract is below: Little is known about what drives gender disparities in health care and related social insurance benefits.

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5 questions to ask when you're at a crossroads in your EHR strategy

Nordic

Healthcare providers are looking for ways to save time, reduce administrative burden, and decrease costs. When an organization is at a crossroads in determining whether to optimize its current electronic health record (EHR) platform or implement new technology, decisions must be made at the start, as this is the ideal time to establish the best means of achieving goals and objectives.

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The End of “Chevron” or Its Rebirth?

Triage Health Law

Fishermen in the small town of Cape May, New Jersey, are at the epicenter of a legal challenge that could reshape the landscape of agency authority. The fishermen are challenging the entrenched “ Chevron ” doctrine, which for years has afforded deference to government agencies with respect to reasonable interpretation of ambiguous statutes. Once again, the US Supreme Court is in the spotlight as it hears pivotal cases – Relentless v.

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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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Complaining, Resisting Change, or Speaking up?

Baird Group

In our fast-paced culture, change is a way of life. One thing I know for certain is that when making changes to systems, processes, and workflows , you must listen first and engage stakeholders. Without stakeholder input at every step of change, you run the risk of alienating the very people who must ultimately own the work. I recently conducted a series of focus groups with physicians and practice managers to gain insight into operational issues that could be hindering appointment access.

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Simple Ways to Align with the 2024 Joint Commission National Patient Safety Goals

PDC Healthcare

Caregivers know that preserving patient safety is instrumental in every hospital. As we enter 2024, new challenges and events in the constantly changing world of healthcare mean that hospital staff must stay up to date with patient safety standards. To start off the new year, the Joint Commission has updated its National Patient Safety Goals®. […] The post Simple Ways to Align with the 2024 Joint Commission National Patient Safety Goals appeared first on connectID - PDC Healthcare Blog.

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Holland & Knight Health Dose: January 30, 2024

HKLaw

Holland & Knight Health Dose is an in-depth weekly dose of legislative and regulatory insights to keep stakeholders abreast of happenings in Washington, D.C., impacting the health sector.

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Swift Medical Secures $8M to Power AI-Driven Wound Care

HIT Consultant

What You Should Know: – Swift Medical , a digital health leader in AI-powered wound care, has announced a successful $8M funding round co-led by BDC Capital’s Women in Technology Venture Fund and funds managed by Virgo Investment Group. – The strategic investment will fuel the company’s mission to revolutionize chronic and acute wound care through advanced technology and artificial intelligence.

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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.