Fri.Jun 09, 2023

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Not covering emerging Alzheimer's drugs could cost Medicare billions: study

Fierce Healthcare

Emerging Alzheimer’s disease medications come with high price tags, but researchers with the University of Chicago calculate that in the long run, it’s much less costly to cover these therapies for | Emerging Alzheimer’s medications come with high price tags, but researchers with the University of Chicago calculate that in the long run, it’s much less costly to cover these therapies for Medicare beneficiaries.

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CMS exploring models centered on social health factors

Health Care Dive

Regulators said they're trying to work around restrictions regarding what groups Medicare is allowed to pay as they look to address social determinants of health.

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FTC adds a third GPO to its investigation into pharmacy benefit managers

Fierce Healthcare

The Federal Trade Commission is building out its deep dive into the pharmacy benefit management industry yet again. | The Federal Trade Commission is building out its deep dive into the pharmacy benefit management industry yet again.

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CMS launches primary care pilot to expand value-based care

Health Care Dive

The Making Care Primary Model, which will begin next summer in eight states, aims to strengthen primary care delivery, particularly for safety net and small or independent organizations.

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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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Walgreens sells remaining stake in Option Care Health for $330M in latest divestiture move

Fierce Healthcare

Walgreens Boots Alliance sold its remaining stake in post-acute care and infusion services company Option Care Health for $330 million. | Walgreens Boots Alliance sold its remaining stake in post-acute care and infusion services company Option Care Health for $330 million.

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HIMSSCast: Five steps to a better patient experience

Healthcare It News

IDC Research's Research Director, Value-based Healthcare IT Transformation Strategies, Jennifer Eaton had this to say in recent research: "To meet consumer needs and demands, healthcare is using technology more than ever to support meaningful, productive and engaging interactions. Using comprehensive data collection and deep learning insights are further supporting these efforts by highlighting individual needs and preferences that in turn creates a more engaged customer and can lead to

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The public health emergency is over. Here’s why the government must prioritize funding for long COVID research.

Health Care Dive

Professors at the University of Arizona argue for more robust infrastructure to understand and research long COVID-19, which impacts one in five Americans.

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More than 40% of pharmacies don't have buprenorphine in stock, study finds

Fierce Healthcare

Many retail pharmacies do not have buprenorphine in stock, posing a problem for opioid use disorder (OUD) patients, a new study shows. | Pharmacies don’t keep every medication in stock. But that should be the case for buprenorphine, which is time-sensitive for opioid use disorder patients, the study's author argues.

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The Global Movement Against China's Economic Coercion Is Accelerating

The Rand Blog

There is much the West can do to push back against Chinese economic pressure, and many reasons to do so. Doing so is a core interest of the United States, which now places itself in competition with China over the shape of the international order.

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Simple HealthKit inks deal with Walmart to expand access to at-home tests

Fierce Healthcare

Simple HealthKit has inked a deal with Walmart to bring at-home diagnostic tests, including diabetes, respiratory wellness and sexual wellness labs, to the largest retailer in the world. | Simple HealthKit has inked a deal with Walmart to bring at-home tests, including diabetes, respiratory wellness and sexual wellness labs, to the largest retailer in the world.

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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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CDC Launches Fentanyl Dashboard to Monitor Nonfatal Overdose Trends

HIT Consultant

What You Should Know: The Centers for Disease Control and Prevention (CDC) has recently released its Fentanyl Study Dashboard, an innovative tool that utilizes data from the Toxicology Investigators Consortium (ToxIC), to track and monitor nonfatal overdose trends associated with fentanyl. The dashboard, “Fentalog Study: A Subset of Nonfatal Suspected Opioid-Involved Overdoses with Toxicology Testing” went live in May of 2023 aims to provide vital insights to healthcare professionals, policymake

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7 Home Care Companies To Watch In 2023

Home Health Care

This article is a part of your HHCN+ Membership The home care industry, so far, has had a relatively quiet 2023. Over the past few years, the home care space has been defined by ample private equity investment, aggressive provider roll-ups, exciting Medicare Advantage (MA) developments and innovative cross-continuum partnerships. There has been much less action this year, despite the continued focus on social determinants of health (SDoH), activities of daily living (ADLs) and non-medical servic

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Psychiatric Care in Crisis

Bill Of Health

By Zainab Ahmed Psychiatric care in the Emergency Department is all-or-nothing and never enough. Often, legal holds are the only intervention available, and they rarely are therapeutic. Upon discharge, our patients are, once again, on their own. The ED acts as a safety-net for a failing health system, one that places little value on mental health services, either preventative or follow-up.

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What An Amedisys-LHC Group Combination Under Optum Would Mean For The Home Health Market

Home Health Care

Amedisys Inc. (Nasdaq: AMED) disclosed Monday that UnitedHealth Group’s (NYSE: UNH) Optum submitted an acquisition bid. That makes for a competition between Optum and Amedisys’ current merger partner, Option Care Health (Nasdaq: OPCH). At this point, it’s unclear whether Optum will ultimately land Amedisys, though early analyst comments suggest Optum’s bid may be more favorable to the home health provider’s shareholders.

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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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Extremist Beliefs Among Veterans, Space Traffic, Teacher Well-Being: RAND Weekly Recap

The Rand Blog

This weekly recap focuses on whether extremist beliefs are more prevalent among veterans, why it's time to manage traffic in outer space, crises facing the Russian military, and more.

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Where, When And Why Home Health Billing Fraud Becomes Obvious

Home Health Care

A new comprehensive study is shining a light on potential factors that have led to home health billing fraud over the years. Among other findings, researchers at Dartmouth’s Geisel School of Medicine concluded that home health agencies that share patients across multiple agencies, and those that had high rates of expenditures across hospital referral regions (HRRs), were more likely to commit fraud than others.

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ML Provides Personalized Hypertension Treatment Recommendations

Health IT Analytics

A machine learning model may help clinicians maximize the effectiveness of hypertensive medications by making patient-specific treatment recommendations.

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Your Health Insurance May Not Be As Good As Your State Requires—and It's Perfectly Legal

The Rand Blog

Massachusetts has a law to ensure ease of access to birth control pills, saying there should be no copays and women can fill a 12-month prescription at once. Infertility care has similar protections. But many health plans don't have to comply with state laws because they are “self-insured.

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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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Is this “Good-Bye” to the Two Year Mandatory Minimum in Healthcare Fraud Cases?

Sheppard Health Law

Yesterday, the Supreme Court issued a unanimous decision holding that the aggravated identity theft statute –and its mandatory minimum of two years – is not triggered merely because someone else’s identification facilitates or furthers the offense in some way. See Dubin v. United States. We have seen a growing trend of the government adding aggravated identity theft in healthcare fraud cases.

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FemTech: Pomelo Care Secures $33M for Value-Based Virtual Maternity Care Platform

HIT Consultant

What You Should Know: Pomelo Care , an NYC-based value-based virtual maternity care platform that improves maternal and newborn health outcomes, announced $33M in Seed and Series A funding led by Andreessen Horowitz. The latest round brings its total capital raised to date to $33M. The company supports its patients from preconception through an infant’s first year with personalized and proactive 24/7 care from a dedicated, multispecialty team.

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Update to: A Lifeline Amidst Turbulent Times: California Lawmakers Approve Emergency Loans for Struggling Hospitals

Sheppard Health Law

What is New: Department of Health Care Access and Information (“HCAI”) posted a draft methodology for evaluating applications for the Distressed Hospital Loan Program (“Loan Program”) and is surveying California hospitals to assess interest in the Loan Program. Why it Matters: Hospitals considering participation in the Loan Program: can begin evaluating the information that HCAI may use to evaluate loan awards; and should consider participating in the HCAI survey.

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6 Boundless Benefits of Continuing Education of Nurses

Etactics

Nursing is our nation’s largest healthcare profession. With a little over 4 million registered nurses, it is about 4 times the size of the physician workforce. Nurses play an essential role in patient care, in every healthcare setting. To provide the best service, they must stay up-to-date with the latest information. The healthcare field is changing at a rapid rate.

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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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Laudio Secures $13M for AI-Powered Healthcare Operations Platform

HIT Consultant

What You Should Know: Laudio , a Boston, MA-based AI-powered solution that’s solving for health systems CEOs top issues: labor productivity and burnout secures $13M in Series B funding led by Define Ventures. Laudio acts as a co-pilot to thousands of healthcare managers, amplifying their work and delivering measurable, large-scale improvements. The platform will streamline and standardize best practices for frontline leaders, making crucial data available in real-time and accessible from a singl

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ICER’s proposed changes to their value framework

Healthcare ECONOMIST

This week ICER released a number of potential changes to their value framework. A summary of these are listed in the table below. Clinical Trial Diversity The clinical trial diversity measure is calculated based on a ratio people in the trial compared to the population of patients with the disease in the US. The categories over which this is measured is race, age and sex.

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