Fri.May 19, 2023

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Pennsylvania unions file antitrust complaint against UPMC

Health Care Dive

The unions allege that UPMC, the largest private employer in the state, has used its market dominance to stamp out wage growth, “drastically increase” workload and keep workers from departing to other jobs.

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Cybersecurity attack against Amazon-owned online pharmacy PillPack exposed user health data

Fierce Healthcare

Cybersecurity attack against Amazon-owned online pharmacy PillPack exposed user health data aburky Fri, 05/19/2023 - 16:16

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Mayo Clinic grew profits in Q1, despite rising expenses

Health Care Dive

The Rochester, Minnesota-based academic medical system reported increased admissions and revenue in the first quarter. Operating expenses also grew, largely due to salary and benefit costs.

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Commercial payers frequently delayed paying out providers' claims in Q1, report finds

Fierce Healthcare

Commercial payers frequently delayed paying out providers' claims in Q1, report finds dmuoio Fri, 05/19/2023 - 15:44

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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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What three key congressional hearings this week mean for the industry

Health Care Dive

Political will seems to be rising to address drivers of growing medical costs and poor access to care, according to lawmaker comments on the Hill.

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De-identified trove of peer-to-peer ALS data added to MGH clinical trials database

Healthcare It News

A dataset dating back to 2005, containing contributions from amyotrophic lateral sclerosis patients will be added to the Pooled Resource Open-Access ALS Clinical Trials, or PRO-ACT database at Massachusetts General Hospital. The database, part of MGH's Neurological Clinical Research Institute, contains anonymized data from 29 clinical trials and 11,685 patient records.

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Senators press Medicare Advantage insurers over claims denials

Fierce Healthcare

Senators press Medicare Advantage insurers over claims denials pminemyer Fri, 05/19/2023 - 14:01

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Seven Common Causes of Aching Legs at Night

Healthcare Associates

Seven Common Causes of Aching Legs at Night Aches and pains in your legs aren’t always a sign of a serious condition. You may simply be experiencing pain from using your joints and muscles all day long. Aching legs can also be a side effect of taking certain medications or lifestyle choices such as alcohol consumption. Some of the most common causes of aching legs at night include: · Restless leg syndrome: Restless leg syndrome doesn’t always cause leg pain.

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LRVHealth raises $200M to fund the 'second wave' of digital health innovation

Fierce Healthcare

LRVHealth raises $200M to fund the 'second wave' of digital health innovation hlandi Fri, 05/19/2023 - 06:21

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Digital Health Executive Hires & Departures: Ed Marx Departure, Particle Health CEO, Rhapsody CFO, Others

HIT Consultant

Health IT veteran Ed Marx announces his departure as CEO at Divurgent to launch his advisory company, Marx Advisory focused on helping healthcare executives & organizations achieve objectives and key results. Particle Health appointed Jason Prestinario as its next CEO, effective today. Troy Bannister, founder and current CEO, will continue with Particle as Chief Strategy Officer, where he will spearhead product innovation.

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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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Elevance Health experts offer advice on how to effectively use payers' price transparency data

Fierce Healthcare

Elevance Health experts offer advice on how to effectively use payers' price transparency data fdiamond Fri, 05/19/2023 - 16:34

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Humana Avoids ‘Zero-Sum Game’ In Home Health Care Via Payvider Structure

Home Health Care

Humana Inc. (NYSE: HUM) has cemented its position as a home-based care powerhouse. The company has largely accomplished this through buying and building CenterWell Home Health, along with a number of other efforts in the home, including strategic partnerships. Now, Humana is focused on accelerating value-based care and integrating all of its services that fall under the larger CenterWell brand, which includes home-based care, primary care and pharmacy services.

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Friday Links

Healthcare ECONOMIST

AI in the operating room. Estimated annual Medicare spending on Alzheimer’s drug. On remote work: “ The Power of Proximity to Coworkers ” Price vs. cost. Issues with publicly available price data. On the definition of a timely diagnosis : “Our health care system assumes the diagnostic journey begins when the patient is first seen by a clinician…However, from the perspective of a patient, the diagnostic journey begins with the onset of their symptoms.

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Boost Home Healthcare Names New President; MedArrive Hires Top Clinical Executive

Home Health Care

Boost Home Healthcare names new brand president Boost Home Healthcare has named Larry Blacker its new brand president. Boost is a Michigan-based home health provider that offers in-home nursing, therapy and home care services. The company was acquired by The Riverside Company in 2021 and is now part of Best Life Brands. “Larry comes to us with an extensive background in the home care industry,” Best Life Brands CEO J.J.

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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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Upcoming Presidential Election Will Clarify Taiwan's China Policy

The Rand Blog

Until the Taiwanese presidential election next January, China, the United States, and many other countries will be watching Taiwan with bated breath. Across the Indo-Pacific region and the world, the hope would simply be that no matter who is elected, peace and stability continue to prevail in the Taiwan Strait.

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6 Home Health Providers To Watch In 2023

Home Health Care

This article is a part of your HHCN+ Membership Whether it’s because of their proven leadership teams looking to shake up the market or their roles in a jaw-dropping transaction, there are several home health providers that stand out among their peers in 2023. And the moves that these companies – new players and established powerhouses alike – make over the next 6-12 months will define the home health industry’s post-PHE identity for years to come.

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

Sheppard Health Law

As an update to our previous post , on Monday, May 15, 2023, California Governor Gavin Newsom signed into law Assembly Bill 112 (“AB 112”), which is designed to provide critical relief to qualified struggling hospitals across the state. AB 112 creates the $150 million Distressed Hospital Loan Program, which is intended to provide zero-interest cash flow loans to qualified not-for-profit and public hospitals experiencing financial distress, as well as qualified government entities representing ho

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HealthSnap Secures $9M for Remote Patient Monitoring Platform

HIT Consultant

What You Should Know: HealthSnap , a Miami-based remote patient monitoring platform for chronic disease management raises $9M in funding led by Asclepius Growth Capital, an SPV founded by David Jahns, a managing director of Galen Partners, and Steve Cashman, CEO of Caption Health and former CCO of InTouch Health, as well as new strategic investments from current business partners UnityPoint Health and Tampa General Hospital.

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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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Extremism, Medicaid, Florida's 'Don't Say Gay' Law: RAND Weekly Recap

The Rand Blog

This weekly recap focuses on addressing domestic extremism, managing reductions in Medicaid enrollment, the effects of Florida's “Don't Say Gay” law, and more.

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Roundups: Tampa General, Henry Ford, PatientsLikeMe, Other Digital Health Partnerships

HIT Consultant

Tampa General Hospital Teams Up with Navina Tampa General Hospital (TGH) partners with AI-powered platform Navina to bring its transformative AI the health system’s primary care clinicians. Navina’s AI takes large amounts of patient data, including information from labs, consult notes, imaging and more to help create a concise picture of a patient’s health status that is instantly understandable and actionable.

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Optimized AI Assists Senior Radiologists in Thyroid Nodule Diagnostics

Health IT Analytics

A study published in JAMA… read more

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AMA Supports Physicians’ Access to Fertility Preservation

Bill Of Health

By Scott J. Schweikart* Many medical professionals in the United States today face a personal dilemma over whether to delay (and potentially forego) starting a family in order to fulfill lengthy medical training. In response to these concerns, the American Medical Association (AMA) recently passed a new policy that supports trainee access to assisted reproductive technologies (ART).

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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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How Health Payment Accounts Improve Health Equity

HIT Consultant

Brian Whorley, Founder and CEO of Paytient In 2022, 38 percent of Americans reported delaying medical care—a 20-year high. But as with many things, the burden of paying for healthcare doesn’t affect all Americans equally. Lower-income communities, for example, tend to have higher incidences of disease and therefore a greater need for healthcare. And in a vicious catch-22, those with lower incomes, Black and Hispanic adults, and women often have health benefits mis-sized to their income, which co

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Denial Code CO 151: An Ultimate Guide

Etactics

Medical billing and coding is an important piece of the revenue cycle puzzle. Ironically enough, coding errors are the top-rated concern for hospital reimbursement leaders. The top concerns for claim denials are as follows: Coding 32% Medical Necessity Acute IP 30% Front-End 20% Clinical Validation Denials 18% The good news is that approximately 34% of claim denials are absolutely avoidable, with about 86% of them being potentially avoidable.