Tue.Apr 19, 2022

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End of Medicaid continuous coverage may leave millions of children uninsured, analysis finds

Health Care Dive

Children are at highest risk in Texas, Florida and Georgia when states resume checking Medicaid eligibility after the public health emergency expires, Georgetown University researchers found.

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Where Home Health Providers Fit into the Evolving Kidney Care Landscape

Home Health Care

Over the years, there have been federal efforts in the U.S. to shift dialysis for kidney care patients into the home. Meanwhile, home-focused kidney care companies have cemented their spot as part of the broader health care landscape. In this environment, the question that lingers is if there’s a place for home health providers in the home-based kidney care space.

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Supreme Court throws out Medicaid work requirement cases

Health Care Dive

On Monday, the high court said the requirements were now moot given the Biden administration's dismissal of the policies, and sent them back to the trial court with instructions to dismiss prior judgments.

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Risk-Based, At-Home Pilot Program Saves $6 Million Looking After Just 93 Patients

Home Health Care

The tech-enabled, home-focused Presidium Health recently reduced hospitalizations within a specific patient population by 53%, saving $6 million on the way. To do so, it worked with some of the most high-need patients in the U.S. health care system. Presidium Health performed the pilot program with San Diego’s largest nonprofit health plan — Community Health Group.

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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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Surprise billing arbitration portal opens to payers, providers after delay

Health Care Dive

As a last resort, the No Surprises Act allows payers and providers to resolve payment disputes using arbitration. The online site that initiates the process is now open.

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Long COVID and Physical Reductionism

Bill Of Health

By Leslie Francis and Michael Ashley Stein. Like plaintiffs with other conditions lacking definitive physiological markers, long COVID plaintiffs seeking disability anti-discrimination law protections have confronted courts suspicious of their reports of symptoms and insistent on medical evidence in order for them to qualify as “disabled” and entitled to statutory protection.

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Where Did We Go During the Pandemic? Using Community Mobility Data to Track Behavior During the PHE

Health Policy News

Recently PCG’s Health Innovation, Policy, and Information Technology team has been trying to make sense of trends in claims data during 2020-2021 in Utah, where we are conducting an independent.

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Providence promotes Sara Vaezy to chief digital officer

Health Care Dive

Vaezy replaces Aaron Martin, who departed Providence for online retail giant Amazon and now serves as vice president of its healthcare division.

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THREAD Acquires Clinical Trial Recruitment Solution CureClick

HIT Consultant

What You Should Know: – THREAD , a technology and consulting service provider enabling electronic clinical outcome assessments and decentralized clinical trials has acquired CureClick , which offers the world’s first proprietary crowdsourcing platform designed to accelerate awareness and participation in clinical research. This acquisition follows THREAD’s recent acquisitions of Modus Outcomes and inVibe , positioning THREAD as the industry’s leading patient-centric provider of DCTs. ̵

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Hospitals blast 'unacceptable' inpatient payment bump

Health Care Dive

Despite the 3.2% overall hike, the AHA argued that net payments to hospitals may decrease due to cuts in other areas, including uncompensated care.

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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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Reimagine Care, CU Innovations Partner to Treat Bone Marrow Transplant Patients At Home

Home Health Care

Reimagine Care – an at-home oncology care enabler that recently raised $25 million – has brought its approach to a new kind of patient. Through a partnership with the University of Colorado Anschutz Medical Campus, Reimagine will be tackling complex bone marrow transplant patients in the home. CU Innovations – a part of the University of Colorado network – was one of the investors that drove Reimagine’s funding round.

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Free Market Health Secures $13.5M for Advance Specialty Pharmacy Ecosystem

HIT Consultant

What You Should Know: Free Market Health , a Pittsburgh-based healthcare technology company transforming the specialty pharmacy ecosystem with a care-driven marketplace platform, today announced its $13.5M in Series A financing led by Alta Partners and with participation from existing investors Highmark Ventures and 653 Investment Partners. – The capital will enable the company’s team of specialty pharmacy industry experts to scale beyond the hundreds of millions of dollars in specialty me

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Barriers in Healthcare

Healthcare Leadership

Blog post by Joe Babaian. A barrier. A path. Who among us doesn’t immediately recognize access denied, forbidden, or discouraged? Who doesn’t feel relief when a path forward appears or is built? This is but one metaphor for an external barrier to healthcare that many face. Some definitions for this chat. External barriers can be environmental like steps blocking a wheelchair or other assistance device, financial, emotional, educational, physical, gender, digital, and more.

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Hospital Inpatient Prospective Payment Systems, Quality Programs and Medicare Promoting Interoperability Program Requirements

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. On April 18, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1771-P) that provides updates to the fiscal year (FY) 2023 Long-Term Care Hospital Quality Reporting Program (LTCH QRP). This rule includes three Requests for Information (RFI) which include: future measure concepts for the LTCH QRP; inclusion of the new National Healthcare Safety Network (NHSN) Healthcare-associated Clostrid

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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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Leading through this challenging year

Medi Leadership

It doesn’t take a crystal ball to know the next several months will continue to bring intense pressure, changes and opportunities for healthcare organizations. It’s a season that will reveal extraordinary leaders, and also expose leaders struggling with these new challenges (and, quite honestly, some of the same challenges of the past). . How prepared are you to lead through the multiple challenges facing healthcare this year?

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OSHA COVID-19 Healthcare Rulemaking – Upcoming Comments and Public Hearings

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. On June 21, 2021, OSHA published an interim final rule establishing an emergency temporary standard (ETS) to protect healthcare and healthcare support service workers from occupational exposure to COVID-19 in settings where people with COVID-19 are reasonably expected to be present (86 FR 32376).

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Transcarent Launches Oncology Care for Collaborative Cancer Care Experience

HIT Consultant

What You Should Know: – Transcarent , a new, different, and better health and care experience company for employees of self-insured employers and their families launches Transcarent Oncology Care, a collaborative cancer care experience that connects employees and their families with high-quality cancer care from leading cancer institutes, top-rated oncology providers and researchers, and clinical trial identification irrespective of their geographic location. – Transcarent Oncology C

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HQRP Quarterly Update for 1st Quarter of 2022 is Available

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The Hospice Quarterly Update for the first quarter of 2022 is now available. This update includes Hospice Quality Reporting Program highlights from January 2022 to March 2022, events and engagement opportunities for the second quarter of 2022 (April – June 2022), and selected questions and answers from the Hospice Quality Help Desk.

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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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HIPAA-Compliant Payment for Therapists: Everything You Need to Know

Etactics

If you told someone ten years ago that depression in boys would increase by 21% and in girls by 50% within the next decade, no one would’ve believed you. Yet, that’s the reality that therapists currently face. On top of the influx of individuals needing therapy, multiple celebrities have recently come out with their stories of mental health advocacy.

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Compliance Lessons from Circus Camp

Healthcare Performance

This blog was originally posted on the Compliance and Ethics blog, published by the Health Care Compliance Association and the Society of Corporate Compliance and Ethics. Last week was Spring Break in my house. We didn’t have travel plans, so my kids went to Circus Camp and Ice Cream Camp at the local performing arts center. Almost as good as the beach.

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News 4/20/22

HIStalk

Top News Clipboard Health, an online marketplace that matches nurses.

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Federal Independent Dispute Resolution (IDR) Portal Launched

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. On Friday, April 15, 2022, the Centers for Medicare & Medicaid Services opened the Federal Independent Dispute Resolution (IDR) process for providers (including air ambulance providers), facilities, and health plans and issuers to resolve payment disputes for certain out-of-network charges.

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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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HIStalk Interviews Ashley Glover, CEO, WebPT

HIStalk

Ashley Glover, MBA is CEO of WebPT of Phoenix, AZ.

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Analysis: The Role of Compact Systems in Today’s Ultrasound Market

HIT Consultant

Much of the focus in the ultrasound market in the last few years has been on the handheld market. This is justified, considering its role in the response to the COVID-19 pandemic and the spate of innovation in the sector, both in terms of new product releases and partnerships. As a result, there is less mention of the other ultrasound product segments, especially the compact market.

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Morning Headlines 4/20/22

HIStalk

The Chartis Group Welcomes National Health Equity Advisory Firm Just.

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How can payers create favorable risk selection?

Healthcare ECONOMIST

Many countries allow private plans to administer health insurance benefits but with restrictions on premiums and with the potential for risk adjusted government payments based on the health of a health plan pool For instance, Belgium , Germany, Israel, the Netherlands and Switzerland all have mandatory health insurance schemes; Ireland and Australia have voluntary health insurance schemes with premium controls and risk adjustment as does the United States’ Medicare Advantage and health ins

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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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Microdosing Under the Oregon Psilocybin Services Act: A Definite Maybe

Bill Of Health

By Dave Kopilak. In November 2020, Oregon voters passed the Oregon Psilocybin Services Act (the “Act”), of which I was the primary drafter. This piece of legislation legalizes and regulates the manufacturing of psilocybin products and the provision of psilocybin services under Oregon law. The manufacture, sale, and use of psilocybin products under the Act will continue to be illegal under federal law.