Mon.Apr 24, 2023

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Home care industry touts bipartisan bill to expand Medicare in-home benefits, reimbursement

Fierce Healthcare

Home care industry touts bipartisan bill to expand Medicare in-home benefits, reimbursement dmuoio Mon, 04/24/2023 - 14:08

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Transformative AI to revamp prior authorizations

Health Care Dive

With the right payment integrity approach and finely tuned focus, payers will find the exceptional service execution required to thrive in today’s environment.

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As generative AI makes headway in healthcare, executive leaders still struggle to scale up breakthrough tech

Fierce Healthcare

As generative AI makes headway in healthcare, executive leaders still struggle to scale up breakthrough tech aburky Mon, 04/24/2023 - 13:23

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DOJ charges 18 in COVID healthcare frauds totaling $490M

Health Care Dive

It's the largest enforcement action against COVID-19 healthcare fraud schemes to date, according to regulators.

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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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AppliedVR's latest partnership expands covered access to VR therapeutics for veterans, active military

Fierce Healthcare

AppliedVR's latest partnership expands covered access to VR therapeutics for veterans, active military hlandi Mon, 04/24/2023 - 10:46

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HCA boosts full-year guidance on Q1 increase in net income, revenue

Health Care Dive

The operator logged an increase in admissions and a decrease in contract labor spending during the first quarter.

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Public Health Product Hops

Bill Of Health

By Michael S. Sinha, Edna Besic, and Melissa Mann Members of Congress have been focused on drug pricing for the last several years, culminating recently in new drug pricing provisions within the Inflation Reduction Act of 2022. One reason for our drug pricing problem is that we allow manufacturers to charge whatever the market will bear for a new therapeutic.

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Clover Health's stock could be delisted from the Nasdaq, company says

Fierce Healthcare

Clover Health's stock could be delisted from the Nasdaq, company says pminemyer Mon, 04/24/2023 - 14:04

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Digital therapeutics should work 'like magic' to succeed in clinical care

Healthcare It News

Enterprise Taxonomy: Node settings: Exclude from Accelerate RSS feed

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Health spending rebounded in 2021 after pandemic-driven declines: HCCI

Fierce Healthcare

Health spending rebounded in 2021 after pandemic-driven declines: HCCI pminemyer Mon, 04/24/2023 - 12:48

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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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A Civilian U.S. 'Joint Chiefs' for Economic Competition with China?

The Rand Blog

China's aggressive activities are presenting the greatest sustained challenge to the rules-based international order since the end of World War II. To posture for success in this new era, the United States could create a civilian equivalent to the Joint Chiefs of Staff with a mandate to manage the expanding role of U.S. civilian departments in geopolitical and economic competition.

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Humana’s CenterWell To Acquire Trilogy Home Health

Home Health Care

CenterWell Home Health – a subsidiary of Humana Inc. (NYSE: HUM) – has agreed to acquire Trilogy Home Health. Based in West Palm Beach, Trilogy has 11 locations across the state of Florida. The company provides home health care, personal care and care coordination services. Trilogy’s employees were notified about the deal on Monday, a source told Home Health Care News.

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Chiefy Raises $4.2M to Build a Culture of Trust in Surgery

HIT Consultant

What You Should Know: – Chiefy , a NYC-based cloud platform that helps surgical teams seamlessly embed quality and communication best practices, today announced it has raised $4.2M in seed funding led by LionBird , with participation from Nina Capital and Emerge Ventures. – The company plans to use the seed funding to accelerate and expand product development and customer acquisition.

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Breaking Down The Disconnect Between Home-Based Primary Care Providers, Home Health Agencies

Home Health Care

Given their shared goals of closing care gaps, home-based primary care providers should be home health providers’ natural ally. While that has been the case for some organizations, it hasn’t been for others. Emily Cook, the CEO of Welcome Health — SCAN Group’s home-based primary care medical group — believes that the fragmented nature of the health care sector is making it more difficult for providers to form fruitful relationships.

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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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‘There’s always a way forward’: Mentors help students deal with devastating Match Day results

Healthy Debate

The post ‘There’s always a way forward’: Mentors help students deal with devastating Match Day results appeared first on Healthy Debate.

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How Technology Can Help Make ‘Better Use’ Of Home-Based Care Workforce

Home Health Care

There are only two options when dealing with a staffing shortage: getting more people or making better use of current people. Lee Teslik, the founder and CEO of Reverence, is particularly interested in the second option. “Making better use of your existing people is a combination of deploying people in the most thoughtful possible way and also making it feel good for them,” Teslik said at Home Health Care News’ Capital + Strategy event.

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Curbside Consult with Dr. Jayne 4/24/23

HIStalk

As a primary care physician at heart, I know.

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Enhancing Patient-Doctor Communication with Texting and Telehealth: A Conversation with Ethan Bechtel, CEO of OhMD

Health Business Group

Communication between patients and doctors has always been a challenge, particularly in the increasingly digital age. In a recent episode of the HealthBiz podcast, host David E. Williams sat down with Ethan Bechtel , CEO and Co-Founder of OhMD , a HIPAA compliant texting and telehealth platform, to discuss the benefits of texting in healthcare and the journey towards building a sustainable business in this space.

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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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ClaimsXten Rebrands as Lyric, Appoints Raj Ronanki as CEO

HIT Consultant

What You Should Know: – ClaimsXten Portfolio , a claims editing software business owned by TPG Capital, today announced it has rebranded as Lyric. – In addition, the company announced the appointment of Raj Ronanki as Chief Executive Officer. Ronanki most recently served as Senior Vice President of Elevance Health and President of Carelon Digital Platforms.

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Latest CMS, CDC and NHSN Nursing Home COVID-19 Data

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS posted nursing home COVID-19 data for the week ending April 9, 2023. Comparing the April 9, 2023 data to the April 2, 2023 data shows these changes: Resident primary vaccination completion rate decreased 0.2% this past week; Residents up to date with vaccines remained the same this past week; Staff primary vaccination completion rate decreased 0.1% this past week; Staff up to date remained increased 0.2% this past week; An

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Children’s Mercy Kansas City Launches Patient Progression Hub

HIT Consultant

What You Should Know: – Children’s Mercy Kansas City launches its Patient Progression Hub – a hospital operations center that uses artificial intelligence (AI), predictive analytics and real-time information to optimize care progression and coordination from the time a patient’s admission is requested until discharged. – The Patient Progression Hub is part of a strategic collaboration with GE Healthcare to improve access, streamline the flow of patients, enhance discharge

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SNF PPS PDPM Claims Processing Updates to Current Editing

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare April 21, 2023, CMS posted Transmittal 11988 with same title as this blog. An accompanying MLN Matters Number: MM13149 was also posted.

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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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6 Ways Health Payors Can Leverage Intelligent Document Processing for Cost Savings

HIT Consultant

Tom McCann, Growth Strategy & Business Development, Instabase The prevailing global economic conditions are negatively impacting the healthcare industry. Continuing staff shortages, endemic COVID-19, high inflation rates, and supply chain disruptions continue to drive medical costs higher, worsening what is already a persistent challenge for health insurers.

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Optional State Assessment (OSA) Item Set and OSA Manual Released

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare April 24, 2023 NOW AVAILABLE: Optional State Assessment (OSA) Item Set and OSA Manual The Optional State Assessment (OSA) Item Set, OSA Manual, and OSA Change History table are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page.

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Georgia Extends Medicaid Postpartum Coverage for Pregnant Women

NASHP

Rates of maternal mortality in the U.S. remain consistently high , with most deaths occurring postpartum. There are significant racial disparities among those affected by maternal mortality. Non-Hispanic Black women disproportionately face adverse maternal health outcomes. Pregnancy-related mortality rates among Black women are two to three times the rate for women of other races.

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Insights from Leading CNS Players

Health Advances

This is the fourth and final installment of our ongoing 2022 CNS year in review. See below for our the other blogs in the series: CNS Year in Review: Introduction and Large CNS Diseases CNS Year in Review: Going Digital CNS Year in Review: Novel Modalities Johnson and Johnson (Janssen), Roche, Biogen, Novartis and AbbVie are the leading biopharma players in the CNS space, with collective CNS sales in excess of $30B and active pipelines spanning neurodegeneration, psychiatry, and neurodevelopment

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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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Increasing Access to Behavioral Health Services: Opportunities at the State and Federal Level

NASHP

States play an essential role in providing and overseeing behavioral health care, and many states have longstanding strategies to increase access to high quality, behavioral health interventions. State innovations in Medicaid (now the largest public payer of behavioral health care) along with strategic deployment of federal grants have provided a foundation for the behavioral health safety net.

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CMS Releases Notice of Benefit and Payment Parameters for 2024 Final Rule

Sheppard Health Law

On April 17, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Department of Health and Human Services (“HHS”) Notice of Benefit and Payment Parameters for 2024 Final Rule (the “Notice”) that includes standards for issuers and Marketplaces, and requirements for agents, brokers, web-brokers and others. The Notice implements various changes previously proposed by CMS, including (i) requiring provider networks to comply with network adequacy standards and delaying th

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Transitional Care: How Can We Make it Better for Patients?

Healthcare Leadership

Last month on HCLDR we discussed the ideal patient discharge experience (patient separation for those in the EU and Australia). It got me thinking about another aspect of the patient journey that does not get attention – patient transfers and transitions between healthcare organizations. Last week at the annual HIMSS Conference (HIMSS23) I had the chance to talk about patient transfers with several attendees and the general consensus was that we should be doing more because (a) it’s an uns

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Researchers Leverage Generative AI to Improve Cancer Treatment Targets

Health IT Analytics

Researchers from the… read more

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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.