Wed.Sep 20, 2023

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Traditional Medicare lags behind MA, commercial plans in utilization, efficacy: research

Fierce Healthcare

Traditional Medicare not only doesn’t measure up to Medicare Advantage (MA) when it comes to cutting back on utilization, it also falls short in many ways compared to commercial insurance for those | Researchers say Medicare Advantage enrollees have more than 50% fewer inpatient hospital stays than FFS Medicare enrollees and 22% fewer visits to emergency departments.

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Home health advocates raise alarm over payment cuts, access to care

Health Care Dive

A new payment model and reimbursement cuts are straining home health agencies, but more data may be needed to fully evaluate the model, advocates and researchers said during a Senate finance committee hearing.

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Lawmakers, payers and providers all air grievances with federal No Surprises Act implementation

Fierce Healthcare

Amid a flurry of partisan roadblocks rolling out across Capitol Hill, representatives on both sides of the aisle came together Tuesday to critique federal agencies’ rollout of the No Surprises Act | Members of the House's Ways and Means Committee were unified in their critiques of HHS' "flawed implementation" of their bipartisan consumer protection legislation.

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Nearly 80,000 Kaiser workers authorize potential strike as final bargaining session begins

Health Care Dive

Union and Kaiser Permanente representatives have one final negotiation left to work out contract terms. Otherwise, 80,000 workers will strike in what would be the largest work stoppage in the industry's history.

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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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Transparent PBMs form coalition to advance industry reforms

Fierce Healthcare

As pharmacy benefit managers and drug manufacturers once again sparred on the Hill, a group of transparent PBMs revealed that they had come together to form a coalition that drives industry reform. | As pharmacy benefit managers and drug manufacturers once again sparred on the Hill, a group of transparent PBMs revealed they had come together to form a coalition that drives industry reform.

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Cigna hit with second suit over claims automation software

Health Care Dive

The lawsuit was filed in Connecticut and seeks class action status to represent all consumers nationwide who had claims reviewed by PxDx.

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Frustration over surprise billing implementation builds in House hearing

Health Care Dive

Bipartisan lawmakers joined together to voice concerns about the implementation of the No Surprises Act, which critics say has created barriers to care.

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CardioOne picks up seed funding, inks new partnerships with independent cardiology practices

Fierce Healthcare

Cardiologists running independent practices face an increasingly complex operating environment with new payment models, fragmented technology, resource shortages and administrative burnout. | CardioOne is a care delivery enablement platform that works with independent cardiology practices to help them shift to value-based care. The startup inked new partnerships and nabbed $8 million in seed funding to fuel its growth.

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Disaster Recovery Creates Its Own Bubble

The Rand Blog

Shortages of workers and materials inevitably make rebuilding slower and more expensive after a natural disaster. In Maui, this is likely to be a problem for agencies like FEMA that provide public assistance. But it will also be a problem for individual households if private insurance payouts are insufficient to rebuild.

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Cambia Health Solutions, Abacus Insights say their data crunching effort will enhance patient experience

Fierce Healthcare

Making sense of mountains of data continues to be an often elusive goal for most of the healthcare system, but Cambia Health Solutions said it hopes its latest effort will allow it to better corral | Cambia Health Solutions, Abacus Insights launched a new data aggregating system that processes information for about 3.4 million members across four Blues plans.

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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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What the New York City Marathon Can Teach Us About Equitable Access to Vaccines

Bill Of Health

By Ana Santos Rutschman What can the New York City Marathon experience teach those reflecting on ways to increase equity in the transnational allocation of scarce vaccine doses? Quite a lot, it turns out. I explore this analogy in a recently published article in the Journal of Law, Medicine and Ethics ( JLME ), Increasing Equity in the Transnational Allocation of Vaccines Against Emerging Pathogens: A Multi-Modal Approach.

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OutCare Health partners with Veda to deliver LGBTQ+ affirming provider list to payers

Fierce Healthcare

Veda, a data automation startup serving payers, has partnered with OutCare Health to help patients and payers identify queer-affirming providers. | OutCare Health is known for its OutList, an extensive directory of LBGTQ+ affirming providers. Data automation company Veda will ingest that information and offer it to payer clients.

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Health Gorilla Launches Patient Access Solution Enabling Access to Health Data from Health Information Networks

HIT Consultant

What You Should Know: Health Gorilla , a privacy-focused health information network and interoperability solution provider, has announced the launch of its Patient Access solution , which allows healthcare organizations to access comprehensive health data by enabling consumers to submit queries to national health information networks under the Individual Access Services (IAS) purpose of use.

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New Day Healthcare Acquires AdvantageCare Home Health, Looks To Stay Active In Normalizing M&A Market

Home Health Care

New Day Healthcare may not be a household name in the at-home care space just yet. But that’s likely to soon change, as the multi-state provider looks to become a major player in an M&A market that’s normalizing back to pre-pandemic pricing. And even if those who follow the home health, home care and hospice industries aren’t already familiar with New Day Healthcare as a company, they’re probably familiar with its top executive.

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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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How Digital Health Tools Can Help Promote Vaccine Adherence

HIT Consultant

Kate Behan, MD, FACP, Chief Medical Officer, Arcadia A so-called “tripledemic” — the convergence of flu, RSV and COVID-19 — led to significant morbidity and mortality, and it also forced the cancellation or delay of numerous medical procedures at overwhelmed health systems. This year, there’s an RSV vaccine joining flu and COVID-19 vaccines, and it could help Americans avoid repeating history — but only if patients get recommended vaccines.

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The Healthcare Financial Experience is a Stressful One: the Convergence of our Medical, Retail, and Financial Lives

Health Populi

One in two consumers in the U.S. feel their well-being or healing was negatively impacted by difficulty paying for their medical care. Welcome to the convergence of patients’ health care life with financial and retail lives, we learn from the 2024 Healthcare Financial Experience Study from Cedar. And that patient’s positive clinical experience can absolutely reverse the consumer’s perception of the provider, noted by this quote from OSU’s Chief Financial Officer Vincent T

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Arcadia Launches Point of Care Generative AI Assistant to Improve Care Team Efficiency

HIT Consultant

What You Should Know: – Healthcare data analytics company Arcadia launches a generative artificial intelligence (AI) assistant powered by Open AI, that will help boost productivity and improve care team efficiency. – Care managers play a critical role in the healthcare delivery system, but they are stretched thin, having to quickly review and interpret massive amounts of information from complex medical records.

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How LHC Group, Compassus, Choice Health at Home Are Building ‘Next-Generation Home Health Platforms’

Home Health Care

Running a home health company in 2023 is not the same job it was 5 or 10 years ago. Leaders are now tasked with building next-generation home health entities, ones that can survive now and thrive later. In many ways, a company like Compassus already exemplifies what it means to be a next-generation home health company. Based in Nashville, Tennessee, it is a highly integrated home-based senior care provider that delivers home health, hospice, palliative care, infusion therapy and advanced care ma

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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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Mount Sinai Researchers Identify Biomarker That Tracks Recovery From Treatment-Resistant Depression

HIT Consultant

What You Should Know : A team of leading clinicians, engineers, and neuroscientists has made a groundbreaking discovery in the field of treatment-resistant depression. By analyzing the brain activity of patients undergoing deep brain stimulation (DBS), a promising therapy involving implanted electrodes that stimulate the brain, the researchers identified a unique pattern in brain activity that reflects the recovery process in patients with treatment-resistant depression.

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Hospital-At-Home Enabler Inbound Health Closes $30 Million Funding Round

Home Health Care

Inbound Health has locked down $30 million in a Series B funding round. The investment was led by HealthQuest Capital. Existing investors – Flare Capital Partners and McKesson Ventures – also participated in this latest round of funding. Inbound Health is an enablement platform that helps health systems and health plans develop hospital-at-home and SNF-at-home programs.

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My Daughter Died from Sepsis–Public Awareness is Critical

CDC

When our 9-month-old daughter, Clover, got sick with a fever in 2017, sepsis did not even cross our minds. Clover was a healthy baby and in daycare since she was 8 weeks old. When in daycare, a fever becomes a normal occurrence for children. We were told babies were little “germ factories,” and that seemed relatively true. So, at first, another fever wasn’t alarming.

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Want to improve patient safety? Up your EHR’s usability

Nordic

Astute readers (for the record, I assume all my readers are astute, thank you very much!) will surely know that I’ve been writing and talking about human-centered design and its application to healthcare for a while now. Even more astute (astuter?) readers will know that my colleague, Jerome Pagani, PhD, and I recently published a book titled Designing for Health: The Human-Centered Approach (which can be pre-ordered here for those interested).

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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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Healthcare AI News 9/20/23

HIStalk

News Oracle announces Clinical Digital Assistant, a voice-first mobile app.

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Vivante Health Closes $31M to Advance Digital Digestive Health Platform

HIT Consultant

What You Should Know: – Vivante Health , a Chicago-based provider of digital digestive health raises $31M in Series B funding led by Mercato Partners with participation from Health Catalyst Capital as well as returning investors 7wireVentures , Intermountain Ventures , Distributed Ventures, Human Capital, and SemperVirens. – The latest funding round brings the total capital raised by Vivante to date to $47M, following a $16M Series A round in late 2021.

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Join us on September 28 for a Webinar on Washington’s My Health My Data Act and other Consumer Health Data Regulation

Triage Health Law

With its private right of action and expansive scope – extending far beyond Washington state’s borders and applying to a wide swath of health- and non-health-oriented companies alike – Washington’s My Health My Data Act is poised to be more ground-shifting than any other consumer privacy law that came before it. Join Kyle Fath , Bola Shonowo and Gicel Tomimbang for a discussion of: What is “consumer health data” and who is a “consumer” under the law?

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Taking the Measure of AI and National Security

The Rand Blog

Transformative technologies should not be abandoned due to their risks. Instead, we should focus on understanding the threats, implementing necessary countermeasures, and utilizing the tools in a safer and more secure manner.

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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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Increased number of rural counties do not have any local primary care physicians

Healthcare ECONOMIST

How did the number of pediatrician and family medicine physician (FMP) change between 2010 and 2020, particularly for rural areas? A paper by Ramesh and Yu (2023) use data from the Health Resources and Services Administration (HRSA) Area Health Resources Files and and county characteristics from the American Community Survey and find that: From 2010 to 2020, the number of general pediatricians increased by 6.0% (53 600 vs 56 800 pediatricians), but fewer of them worked in rural counties (3000 vs

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CardioOne Secures $8M, Expands Cardiology Care Delivery Enablement Platform In 5 Markets

HIT Consultant

What You Should Know: CardioOne , a cardiology care delivery enablement platform for independent cardiology practices, $8M in initial funding and three new partnerships with independent cardiology practices in New Jersey, Florida and Pennsylvania– Cardiac Associates of New Jersey , Twin Hearts LLC and Corrieius Cardiology – joining its existing partner practices in Texas and Maryland.

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Addressing the High Mortality Rate Among Postpartum Women of Color

GoMoHealth

While entering motherhood for the first time is often full of joy and excitement, being a new mom also presents many challenges. A healthy pregnancy requires taking care of physical and mental health, which includes keeping up with doctor’s appointments and making healthy lifestyle choices before, during and after pregnancy. Many new moms also need to balance self-care with care of their newborn as well as the rest of their family.

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Future Leader: Jaron Clay, Vice President Of Integrations, Care Advantage

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]. Jaron Clay, the vice president of integrations at Care Advantage, has been named a 2023 Future Leader by Home Health Care News.

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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.