Fri.Oct 13, 2023

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AI’s health equity revolution

Health Care Dive

René Quashie, an executive at the Consumer Technoloy Association, argues that artificial intelligence could be pivotal for the healthcare industry — with regulation and guardrails.

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UnitedHealth posts $5.8B in profit, $92.4B in revenue on Q3 beat

Fierce Healthcare

UnitedHealth Group kicked off another round of quarterly earnings calls Friday morning, when it reported $5.8 billion in profit for the third quarter. | UnitedHealth Group kicked off another round of quarterly earnings calls on Friday morning, where it reported $5.8 billion in profit for the third quarter.

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GLP-1s for weight loss leave employers in a bind over coverage

Health Care Dive

Employers face a difficult decision over whether to cover pricey weight loss drugs that pits the health and wellbeing of their employees against the health of their bottom line.

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Medicare Advantage plan star ratings decline again in 2024

Fierce Healthcare

Approximately 42% of Medicare Advantage plans that offer prescription drug coverage will have a star rating of four or more in 2024, marking yet another substantial decrease from

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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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Share of MA, Part D plans earning top star ratings drops in 2024

Health Care Dive

About 42% of Medicare Advantage plans that offer prescription drug coverage in 2024 earned four or more stars, compared with just over half this year.

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CMS is removing PET scan restrictions for Alzheimer’s patients

Fierce Healthcare

The Centers for Medicare & Medicaid Services has decided to remove the national coverage determination (NCD) that limits patients’ ability to qualify for new drugs, giving people with Alzheimer | After CMS floated the idea in July, the agency decided to remove restrictions for brain scans that could help patients receive access to drugs like Leqembi.

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Children 5 and younger may be particularly vulnerable to flu and should be vaccinated: CDC study

Fierce Healthcare

Youngsters 5 to 17 years old need to get vaccinated against influenza as soon as possible. | Children and adolescents should receive the seasonal influenza vaccination by the end of October, according to the Centers for Disease Control and Prevention.

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After multiple 36-hour bargaining sessions, Kaiser Permanente and unions present a deal to workers

Health Care Dive

The health system and unions have been negotiating for seven months in pursuit of a new contract. On Friday, they announced a deal.

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HIMSSCast: Whole person care and data interoperability drivers

Healthcare It News

Social determinants of health – the food, shelter and security attributes of patients that exist outside of care settings – contribute disproportionate risks for disease, hospital readmissions and a lack of access to quality healthcare among vulnerable populations, including people on Medicare. Consider that medical care may only account for between 10% and 20% of health outcomes, while a patient's neighborhood and environment, economic stability and education, social and communi

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Metriport, maker of an open-source API for clinical data retrieval, unveils new provider customers

Fierce Healthcare

Metriport, a platform that helps facilitate data exchange between providers, has landed several customers since launching its open-source API platform last month. | The startup is now partnered with Circle Medical, LunaJoy and Hospice Match, the tech startup exclusively told Fierce Healthcare. The goal of Medical API, which Metriport says is the first open-source platform of its kind, is to securely retrieve comprehensive patient clinical histories from major EHRs.

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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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UnityPoint Health, Presbyterian Healthcare Services call off cross-market merger

Health Care Dive

Amid financial woes and the exit of key executives, Presbyterian Healthcare Services and UnityPoint Health have decided against pursuing a merger, which would have formed a system of nearly 50 hospitals.

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Navitus Health Solutions taps GoodRx on prescription savings

Fierce Healthcare

GoodRx has inked another partnership with a pharmacy benefit manager, bringing its services to Navitus Health Solutions' members. | GoodRx has inked another partnership with a pharmacy benefit manager, bringing its services to Navitus Health Solutions' members.

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UnitedHealth raises guidance, beats Q3 expectations on stabilizing MLR

Health Care Dive

The payer reported a lower medical cost ratio, but executives noted that costs could rise in the fourth quarter.

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Chutes & Ladders—Delta Dental of California promotes first female CEO

Fierce Healthcare

Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry.

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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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The State of Training in Home-Based Care: Key Takeaways

Home Health Care

As the home-based care industry adapt to an increasingly challenging workforce environment, many operators are focused on differentiating themselves from their competitors so that they can attract and retain talent. Training has quickly jumped to the forefront as a notable strategy for care providers to stand apart, especially as they look to other industries for talent they can recruit into care positions.

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FDA Forms Digital Health Advisory Committee

HIT Consultant

What You Should Know: – The U.S. Food and Drug Administration (FDA) has formed a new Digital Health Advisory Committee to help the agency explore the complex, scientific and technical issues related to digital health technologies (DHTs), such as artificial intelligence /machine learning (AI/ML), augmented reality, virtual reality, digital therapeutics, wearables, remote patient monitoring and software. – The Digital Health Advisory Committee will advise the FDA on issues related to D

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Train to Retain: How to Build a Strategy Around Training

Home Health Care

Recruitment and retention pose formidable challenges for home-based care operations, and every aspect of the employee experience — from onboarding to career pathing — offers new opportunities to mitigate the impact of today’s staffing crisis. Training is a key focal point, and with the pervasive integration of innovative technology across the industry, many providers are turning to training platforms as a way to drive tangible recruitment and retention results from day 1.

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GE HealthCare Inks $44M Contract with BARDA to Develop AI-Driven Ultrasound Tech

HIT Consultant

What You Should Know: GE HealthCare announced a $44M contract with the Biomedical Advanced Research and Development Authority (BARDA) —part of the Administration for Strategic Preparedness and Response (ASPR) within the U.S. Department of Health and Human Services (HHS)—to develop and obtain regulatory clearance for next-generation ultrasound technology with AI applications. – The goal of the technology will support clinicians of all skill levels in efficiently diagnosing and providing tre

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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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How Clover Health Is Making At-Home Care Benefits Work In Medicare Advantage

Home Health Care

For a health plan to have success investing in home-based care, it has to have sufficient coverage. It also has to think outside of the box for ways to support the people who need at-home care the most. That’s what Clover Health (Nasdaq: CLOV) believes, at least. Headquartered in Nashville, Tennessee, Clover Health is a technology-enabled Medicare Advantage (MA) insurer with its own in-house clinical capabilities.

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LG, Aceso Partner to Deliver Customizable Content to Digital Healthcare Displays

HIT Consultant

What You Should Know: – LG Business Solutions USA announced a collaboration with healthcare technology innovator Aceso Interactive to deliver customizable, personalized content to digital healthcare displays. – Aceso’s new Pane of Glass™ platform enables hospitals to use digital displays as blank canvases, allowing full control of the information displayed Customizable, Personalized Patient Experience Aceso’s patented platform consumes and presents data from various clinical, AI and

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Home-Based Care Remains Key Part Of UnitedHealth Group’s Value-Based Care Strategy

Home Health Care

UnitedHealth Group (NYSE: UNH) is making value-based care the centerpiece of its long-term strategy, and home-based care is a key piece of that puzzle. “[Value-based care] delivers on the promise of high-quality clinical outcomes and experiences at lower cost than traditional models,” UnitedHealth Group CEO Andrew Witty said during the company’s third-quarter earnings call Friday.

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How Healthcare and Patients Can Benefit From a “Simplicity Premium”

Health Populi

“Simplicity is the ultimate sophistication,” Leonardo DaVinci wrote through his lens on innovation. Simplicity can be a transformational cornerstone of health/care innovation, we learn from Siegel+Gale’s report on the World’s Simplest Brands Tenth Edition (WSBX). Siegel+Gale found the most consumers are willing to pay more for simpler brand experiences and are more likely to recommend a brand for those simpler experiences, as well.

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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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What Home Health Providers Are Learning From HHVBP’s First Full Year

Home Health Care

This article is a part of your HHCN+ Membership In the midst of the first full performance year for the expanded Home Health Value-Based Purchasing (HHVBP) model, providers are figuring out where they are succeeding and where there is room for improvement. HHVBP continues to save hundreds of millions of dollars each year , according to the U.S. Centers for Medicare & Medicaid Services (CMS).

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Dental Medical Loss Ratios: Understanding the Landscape in Massachusetts and Beyond

NASHP

The Affordable Care Act (ACA) requires health insurance plans to spend at least 80 to 85 percent (for large group plans) of an enrollee’s premium dollars on medical care and quality improvement rather than on administrative costs and profits. This is known as the Medical Loss Ratio (MLR). When the minimum standards are not met, an issuer must provide customers a rebate or refund of excess premium spending.

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Future Leader: Maria Warren, Vice President, McBee

Home Health Care

The Future Leaders Awards program is brought to you in partnership with Homecare Homebase. The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. To see this year’s Future Leaders, visit [link]. Maria Warren, the vice president of McBee, has been named a 2023 Future Leader by Home Health Care News.

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Links

Healthcare ECONOMIST

Chemotherapy shortages …and a solution ? FTI Healthcare Q3 in review. Walgreens dives into telehealth. Who profits most from America’s baffling health-care system? Showtime !

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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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Why Does My Stomach Hurt When I Wake Up?

Healthcare Associates

Why Does My Stomach Hurt When I Wake Up? Starting your day off with stomach pain can leave you not only uncomfortable but confused. If you’ve wondered, “Why does my stomach hurt when I wake up early?” you may have found yourself concerned. Luckily, most of the common causes of stomach pain when waking up are not serious. However, it’s important to understand these causes and keep a watchful eye for more serious stomach pains that require medical attention.

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October is National Depression Awareness Month

Briggs Healthcare

Each year, October is recognized as Depression Awareness Month to increase understanding and provide education about depression and other mental health issues and their impact. According to the NIH – National Institutes on Aging: “Depression in older adults may be difficult to recognize because older people may have different symptoms than younger people.

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What the Law and Bioethics Tell Us About Synthetic Human Embryos

Bill Of Health

By Barbara Pfeffer Billauer A synthetic embryo can now be constructed from very early pre-embryonic cells – without the need for an egg or sperm. These were initially created in mice. In April, researchers in China published about their creation of synthetic monkey embryos. In June, it was reported that the first synthetic human models were apparently created.

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M&A: OptimizeRx to Acquire Medicx Health for $95M

HIT Consultant

What You Should Know: OptimizeRx , a provider of healthcare technology solutions announced it has signed an agreement to acquire Scottsdale, Arizona-based Healthy Offers, Inc., dba Medicx Health , a healthcare consumer-focused omnichannel marketing and analytics company. – OptimizeRx will acquire Medicx for $95M, and certain members of Medicx’s management plan to invest approximately $10.5M of their proceeds into the Company’s common stock.

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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.