Health Care Dive
NOVEMBER 15, 2023
The lawsuit alleges UnitedHealth used nH Predict to deny claims for Medicare Advantage seniors, despite the algorithm’s determinations being overturned in more than 90% of appeals.
Fierce Healthcare
NOVEMBER 15, 2023
Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.< | Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.
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Health Care Dive
NOVEMBER 15, 2023
But witnesses noted Congress shouldn’t wait to enshrine pandemic-era accommodations for virtual care, arguing regulatory uncertainty is a danger to telehealth’s longevity.
Fierce Healthcare
NOVEMBER 15, 2023
UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage. | UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage.
Advertiser: HealthCar
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.
Health Care Dive
NOVEMBER 15, 2023
Witnesses at the hearing said system performance has improved, but lawmakers called the persistent outages “unacceptable.
Fierce Healthcare
NOVEMBER 15, 2023
Postmeds, doing business as Truepill, confirmed that hackers accessed the personal data of more than 2.3 million patients. | Postmeds, doing business as Truepill, confirmed that hackers accessed the personal data of more than 2.3 million patients.
Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.
Fierce Healthcare
NOVEMBER 15, 2023
Summer Health launched a year ago as a text-based service for parents to get answers to urgent needs from pediatricians. | There is a growing shortage of pediatric clinicians. To meet the demand for primary care services, Summer Health rolled out a new on-demand text message service for parents to connect with pediatricians, sleep coaches and lactation experts.
Health Care Dive
NOVEMBER 15, 2023
Current SVP Susan Smith will take the reins as the health insurer’s chief operating executive starting next year.
Healthcare It News
NOVEMBER 15, 2023
Felisha Norrington, director of academic assistance at GSU's College of Nursing and Health Professions, says while there is movement on health equity, social work and technology investments help ensure care resources are accessible to all people.
Fierce Healthcare
NOVEMBER 15, 2023
CommonSpirit Health marked the first quarter of its 2024 fiscal year with a $441 million operating loss (-5.1% operating margin) and $738 million net loss due to inflation-boosted expenses and stru | Noting the lessened year-over-year losses when normalizing for a yet-to-be-approved provider fee program, the Catholic giant acknowledged "significant industry and economic headwinds" but said it's made progress on financial stability.
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Health Care Dive
NOVEMBER 15, 2023
The primary care chain will serve as a virtual and in-person primary care provider for companies like Coca-Cola, Boeing and JPMorgan.
Fierce Healthcare
NOVEMBER 15, 2023
The Centers for Medicare & Medicaid Services (CMS) has finalized a rule that will require more transparency into nursing home ownership. | The Centers for Medicare & Medicaid Services has finalized a rule that will require more transparency into nursing home ownership.
p3care
NOVEMBER 15, 2023
[ Note: P3 Care, as a MIPS qualified registry, presents your series of blogs on MIPS final rule updates for CY 2023. So, this is ‘ Part III ’ of our CY 2024 MIPS policy changes.] MIPS reporting rules and policies may vary from one reporting option to another. The PFS final rule for MIPS 2024 addresses the changes for all three reporting options briefly.
Fierce Healthcare
NOVEMBER 15, 2023
The House of Representatives passed a “two-step” spending bill Tuesday that, along with delaying a government shutdown, bumps back pay cuts for hospitals and extends community health center and tra | The "two-step" spending bill, which has already picked up support from the Senate and White House, sets up a mid-January deadline for several healthcare funding priorities.
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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.
CDC
NOVEMBER 15, 2023
Argentina’s Ministry of Health is implementing the first legislation in South America using a One Health framework to combat antimicrobial resistance (AR), representing Argentina’s commitment to combating AR. Argentina is also participating in CDC’s Global Action in Healthcare Network (GAIHN) to strengthen the capacity to detect, prevent, and respond to AR.
Fierce Healthcare
NOVEMBER 15, 2023
Centene taps former Humana exec as new chief operating officer pminemyer Wed, 11/15/2023 - 14:45
Home Health Care
NOVEMBER 15, 2023
The final payment rule reaffirmed that, no matter the amount of on-the-ground testimonial or data the home health industry lays out, the U.S. Centers for Medicare & Medicaid Services (CMS) is going to continue gaslighting providers. CMS has a hard job, and protecting the Medicare trust fund is a noble cause. But with each proposed and final payment rule over the last few years, it has continued to deal blows of uncertainty and distress to a group of health care providers that can actually po
Healthcare ECONOMIST
NOVEMBER 15, 2023
How long does it take different countries/regions to approve new medications? The US is the fastest and Europe is the slowest among selected major pharmaceutical markets according to a report by EFPIA. Moreover, while a majority (7 out of 10) of therapies in the US rely on expedited approval, in Europe less than 1 in 10 are approved via these pathways.
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Home Health Care
NOVEMBER 15, 2023
Over the years, Humana Inc. (NYSE: HUM) has been vocal about prioritizing value-based care. On Wednesday, it released its annual “Value-Based Care Report,” which affirms why its been crucial to the company’s Medicare Advantage (MA) beneficiaries. Overall, MA members who are getting care through value-based arrangements received more time with their primary care physician.
Healthcare Highways
NOVEMBER 15, 2023
Since 1988 World AIDS Day has been on the 1st of December. Notated by the red ribbon, the international day is dedicated to raising awareness about the AIDS pandemic caused by the spread of HIV infection, showing support for people living with HIV, and remembering those who have died from an AIDS related illness.
Home Health Care
NOVEMBER 15, 2023
Ten years ago, Lisa Hoffman — the executive director of Pathstones by Phoebe — asked a room of 400 senior living executives and employees a question. She’s still shocked by the answers today. “How many of you,” Hoffman asked, “would move into your community?” Ten people raised their hands. “That was very revealing to me,” Hoffman said during a panel at LeadingAge’s annual conference this month.
HIT Consultant
NOVEMBER 15, 2023
Anis Trabelsi, CIO at Palomar Health As a CIO with experience working with various consultants, I understand the importance of finding the right partner, especially in the realm of cybersecurity. Many consultants prioritize financial gains over personalized solutions, making it crucial to seek out ethical, committed and knowledgeable experts. In this article, I will highlight the key factors that make a good consultant, emphasizing the need for trust, a personal touch and a focus on tailored sol
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.
CDC
NOVEMBER 15, 2023
Respiratory virus season is here. As a healthcare worker, you play a critical role in slowing and preventing the spread of viral respiratory infections, including flu and COVID-19. Like hand hygiene, personal protective equipment (PPE), and environmental cleaning and disinfection, vaccination is a critical tool in our infection control toolbox. Getting recommended vaccines in combination with implementation of these infection control best practices can help protect you and others in your healthc
HIT Consultant
NOVEMBER 15, 2023
What You Should Know: – KeyCare , the nation’s first Epic-based virtual care company, has partnered with Lee Health , a leading provider of healthcare in Florida, to deliver high-quality virtual urgent care with licensed providers (known as Virtualists). – Lee Health patients can now get 24×7 care across all 50 states via a virtual visit through Lee Health’s MyChart patient portal.
GoMoHealth
NOVEMBER 15, 2023
Deena Cohen, MPA, CADC, CTTS, WTS Director of Community Programs, GoMo Health In a world that is becoming increasingly aware of mental health disorders, one area still shrouded in darkness is the stigma surrounding substance use disorder (SUD). This stigma not only affects those struggling with addiction but also hampers efforts to provide effective support and treatment.
HIT Consultant
NOVEMBER 15, 2023
What You Should Know: Following the success of the groundbreaking Circular Ring Pro, Circular, pioneers of smart ring technology, is excited to unveil the Circular Ring Slim , the thinnest, and lightest, most intuitive smart ring in the world and the first to incorporate haptic navigation and alerts. Paired with Kira+, Circular’s powerful AI wellness assistant, the sleek Circular Ring Slim assesses 7 biometrics and 142 derived markers 24/7 to help people sleep better and live healthier liv
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.
GoMoHealth
NOVEMBER 15, 2023
FOR IMMEDIATE RELEASE: November 15, 2023 GoMo Health Shelley Schoenfeld, Chief Marketing Officer E-mail: sschoenfeld@gomohealth.com Phone: 732-484-9144 GoMo Health Welcomes Internationally Recognized Oral Health and Psychiatric Nursing Leader Judith Haber, PhD, APRN, FAAN to Advisory Board Asbury Park, NJ, November 15, 2023: New York University’s Rory Meyers College of Nursing’s Judith Haber, PhD, APRN, FAAN, Professor Emerita and Executive Director of the Oral health Nursing Education and Pract
Advanced Data Systems
NOVEMBER 15, 2023
The Centers for Medicare & Medicaid Services (CMS) recently released its 2024 physician fee schedule final rule. Why are you thinking this will be ominous and not good for you? Perhaps that old joke about, “We’re from the government and we’re here to help,” is in your head.
HIT Consultant
NOVEMBER 15, 2023
What You Should Know: Kyndryl, the world’s largest IT infrastructure services provider, today announced an agreement with Children’s National Hospital (Children’s National), one of the top five ranked children’s hospitals in the nation by U.S. News & World Report, to help support the technology experience for staff by reducing friction across all technical touch points.
HKLaw
NOVEMBER 15, 2023
The Centers for Medicare & Medicaid Services (CMS) Proposes Changes for Programs of All-Inclusive Care for the Elderly (PACE)
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.
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