Wed.Jan 31, 2024

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Cigna inks deal to sell Medicare business to HCSC for $3.7B

Fierce Healthcare

Cigna will sell off its Medicare business to Health Care Service Corporation in a deal valued at $3.7 billion, the company announced Wednesday. | HCSC will acquire Cigna's Medicare Advantage, Part D, supplemental benefits and CareAllies businesses, and the parties expect the deal to close in the first quarter of 2025.

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Cigna sells Medicare businesses to HCSC for $3.7B

Health Care Dive

With the deal, Cigna is exiting a sector that’s been a huge source of growth for insurers but has seen its earnings potential shrink.

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Payers up against slight decline in 2025 Medicare Advantage payments

Fierce Healthcare

Medicare Advantage (MA) payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment. | Medicare Advantage payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment.

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Healthcare should broaden efforts to scale genAI, say IT leaders

Healthcare It News

The Deloitte 2024 Healthcare Generative AI Outlook study released this week takes a closer look at potential blind spots leaders may have as they implement generative artificial intelligence. WHY IT MATTERS In the new report, Deloitte researchers said 70% of the executives surveyed were highly focused on data availability, quality, compliance, security and privacy during implementation, but they "may miss the imperative.

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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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Provider groups, bipartisan lawmakers rally around bills supporting healthcare worker safety, mental well-being

Fierce Healthcare

Provider groups and the legislative allies took to the field this week to drum up more support for bills designed to protect the healthcare workforce’s physical and mental well-being. | While some legislators headed an industry-backed briefing for the SAVE Act, others introduced a reauthorization of the Dr. Lorna Breen Health Care Provider Protection Act.

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Healthcare CFOs explore M&A, automation and service line cuts in 2024

Health Care Dive

Companies grappling with liquidity concerns are looking to trim costs and streamline operations, according to a new survey.

More Trending

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How one triage center delivers more culturally sensitive mental health and addiction care

Healthcare It News

In the face of high addiction rates, mounting mental health crises, and daily reports of overdoses and suicides in the United States, a community triage center in Sioux Falls, South Dakota, has come up with a novel care approach that can be replicated around the world. The center, called The Link, provides 24/7 care and support for individuals struggling with mental health crises and addiction, with a patient population disproportionately represented by Native Americans and people of color.

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Integrated provider Accompany Health launches for low-income patients with $56M funding

Fierce Healthcare

A new hybrid provider focused on low-income patients with complex needs has launched in Detroit. | Accompany Health, a primary, behavioral and social care provider, launches with $56 million in series A funding. It currently serves 8,000 patients in Detroit in partnership with a major national payer.

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Federal prison system gets help with opioid use disorder

Healthcare It News

The Federal Bureau of Prisons is working with Bicycle Health to give individuals released from prison continued access to monthly injections of buprenorphine for opioid use disorder. Bicycle Health CEO Ankit Gupta offers a deep dive.

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CHS migrates to Google Cloud data platform, adopts generative AI tools

Health Care Dive

The for-profit hospital operator said it will use the artificial intelligence in operations tracking, clinical documentation and administrative tasks.

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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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Cardinal Health acquiring Specialty Networks to expand tech offerings for independent practices

Fierce Healthcare

Healthcare product distributor and data analytics services company Cardinal Health has announced $1.2 billion cash deal to acquire Specialty Networks, which the former said will help expand across | The $1.2 billion cash deal will give Cardinal Health access to Specialty Networks' PPS Analytics platform, which combines real-world data and AI to deliver actionable insights for specialty practices.

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New CMS pilot to test payment scheme for pricey sickle cell gene therapies

Health Care Dive

The CMS innovation center will coordinate insurance coverage across states to help patients access new treatments with multi-million-dollar price tags.

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What Home Health Providers Need To Know About CMS’ Medicare Enrollment Changes

Home Health Care

The Medicare enrollment process undergoes annual changes at the Centers for Medicare & Medicaid Services (CMS) to ensure it remains up to date with evolving regulations, policies and health care practices. A number of changes went into effect on Jan. 1, and several of them will affect home health agencies. Here’s what home health agencies should know about those changes.

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Humana plots CenterWell expansion in 2024

Health Care Dive

The payer is leveraging CenterWell’s growing network of primary care centers for seniors to boost margins in its hard-pressed Medicare Advantage business.

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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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Inside Health Care #124: Targeting Health Equity Gaps with Digital Tools

NCQA

The course of the Digitalization of Health doesn’t always run smooth. But for every set of pain points a provider might experience, there are companies developing technological solutions – platforms and tools – that not only guide us through digital transformation but identify crucial patient and population data along the way. In this episode, we talk with two health tech leaders, interviewed during NCQA’s 2023 Health Innovation Summit in Orlando, Florida, about their strategies and successes in

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FDA extends deadline for comments on role of digital health in diabetes detection

Health Care Dive

The agency is seeking answers on how digital health technologies could be used in the detection of prediabetes and Type 2 diabetes.

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Emirates Health Services Unveils AI-Powered Virtual Nurse, Generative AI-based Symptom Diagnosis

HIT Consultant

What You Should Know: – Emirates Health Services (EHS) announced several innovative initiatives at Arab Health 2024 ranging from AI-powered virtual nurse, generative AI triage, and data insights using 3M’s clinical risk groups. – These initiatives represent a significant leap forward for healthcare in the UAE and beyond to enhance patient experience, improve healthcare efficiency, and advance medical knowledge.

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As Home Care Billing Rates Rise, Client Retention Becomes A Larger Priority For Providers

Home Health Care

This article is a part of your HHCN+ Membership As the cost for home care rises, some providers are finding that clients have more of a zero-tolerance policy when it comes to mistakes or mishaps in care delivery or care planning. With the stakes for client satisfaction arguably higher than ever, leaders of home care companies are leaning into client retention strategies.

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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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Elevating Healthcare Through Risk Stratification: Lessons from North Carolina’s Value-Based Initiatives

HIT Consultant

Kevin Riley, CEO and President, Zyter|TruCare Sheena Ming, Clinical Success Consultant at Zyter|TruCare As the healthcare landscape continues to evolve, there’s a clear trend towards value-based care (VBC). This significant shift, which places a premium on patient health outcomes, diverges from the traditional fee-for-service approach. The aftermath of the COVID-19 pandemic has mainly catalyzed the adoption of VBC models, highlighting the importance of care quality and effectiveness rather

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The Psychedelics Industry: Psychedelic Evangelism in Second Wave Research

Bill Of Health

By Patric Plesa As interest in psychedelics research and popular psychedelics culture resurges, it is becoming progressively more difficult to discern facts from fantasy. As an academic with expertise in psychology, I too share in the growing enthusiasm for psychedelics research, especially toward therapeutic ends. But I believe a critical perspective, characterized by open science practices and critical theoretical lenses, is indispensable if this field is to avoid the errors of the past and th

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23andMe Scores FDA Clearance for Novel Cancer Immunotherapy Targeting NK Cells

HIT Consultant

What You Should Know: – 23andMe Holding Co. (Nasdaq: ME), a genetics and biopharmaceutical company, announced The U.S. Food and Drug Administration (FDA) has cleared the investigational new drug (IND) application for 23ME-01473 (referred to as ‘1473), paving the way for the first human clinical trial of this promising new therapy. – With FDA clearance secured, 23andMe plans to initiate a Phase 1 clinical trial in the first half of 2024.

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Trust or bust: Healing healthcare's credibility crisis

Nordic

A recent opinion piece in Modern Healthcare really resonated with me. Written by Drs. Maria Ansari and Ramin Davidoff, co-CEOs of The Permanente Federation, the article focuses on the serious loss of public trust in the U.S. healthcare system which was exacerbated by the COVID-19 pandemic. They quote a recent Gallup poll that found that only 34% of Americans say they trust the medical system, down a full 10 percentage points from the same summer period in 2021.

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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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Fabric Acquires Conversational AI Care Assistant GYANT

HIT Consultant

What You Should Know: – Fabric , a leader in healthcare experience optimization, has announced the strategic acquisition of GYANT , a company specializing in conversational AI care assistants and patient engagement suites. – The acquisition of GYANT positions Fabric as a leading force in the digital transformation of healthcare. Their comprehensive suite of solutions is already attracting progressive healthcare providers and innovators, like OSF Healthcare, who are looking to reimagi

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Healthcare AI News 1/31/24

HIStalk

News Oracle announces a generative AI service that supports text.

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Peloton Equity Invests in OnPoint Healthcare to Combat Physician Burnout with AI

HIT Consultant

What You Should Know: – Peloton Equity, a private equity firm focused on healthcare growth companies, announced a significant investment in OnPoint Healthcare Partners , a leader in AI-powered solutions for reducing physician burnout and improving administrative efficiencies. – This partnership aims to empower OnPoint to accelerate its growth and impact on healthcare delivery.

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Beyond adaptation and resilience: A call for health-care transformation

Healthy Debate

The post Beyond adaptation and resilience: A call for health-care transformation appeared first on Healthy Debate.

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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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Talkspace, Bicycle Health Expands Access to Virtual Care for Patients with Opioid Use Disorder

HIT Consultant

What You Should Know: Today, Talkspace, the largest telemedicine-based therapy provider covered by insurance in the nation, and Bicycle Health , the leading telemedicine-based program for opioid use disorder (OUD) treatment, have announced a partnership to enhance virtual care access for their respective patient bases. Through this collaboration, Talkspace patients gain increased access to specialized care for opioid use disorder, including medication for opioid use disorder treatment (MOUD), al

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AccentCare Appoints New Chief Medical Officer; Modivcare Names 2 C-Suite Leaders

Home Health Care

AccentCare’s new CMO AccentCare has promoted Dr. Balu Natarajan to the roles of executive vice president and chief medical officer (CMO), effective immediately. “In his almost two decades with our company, Dr. Natarajan has been an invaluable asset to our team, demonstrating exceptional leadership and medical expertise,” AccentCare CEO Laura Tortorella said in a statement.

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Hospital Deploys ZeroEyes AI Gun Detection Solution

HIT Consultant

What You Should Know: ZeroEyes, t he creators of the only AI-based gun detection video analytics platform that holds the US Department of Homeland Security SAFETY Act Designation, today announced that its proactive gun detection and intelligent situational awareness solution has been deployed at JPS Health Network in Fort Worth, Texas to mitigate gun-related violence.

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What are the stages of the flu?

Healthcare Associates

The flu affects an average of 8% of people in the U.S. every year. 1 Everyone experiences the flu differently. Some people may have mild symptoms and get over their illness within a few days, while others may have more severe symptoms that last a few weeks. Being familiar with every stage of the flu can help you know what to expect in the event you get sick.

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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.