Tue.Oct 24, 2023

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Labor shortages, claims denials, supply chain still hamstring hospital margins, survey shows

Fierce Healthcare

Healthcare’s days of widespread contract labor reliance may be over, but hospitals and health systems are still frequently reporting labor shortages and other operating hurdles keeping them from he | Contract labor reliance may be largely in the past, but hospital leaders say there's still plenty of hurdles ensuring “a slow climb" to long-term operational sustainability.

Hospitals 312
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2.3M people would gain coverage if 10 remaining states expanded Medicaid, report finds

Health Care Dive

Black people, young adults and women, especially those of reproductive age, would see the biggest coverage gains, according to the Robert Wood Johnson Foundation and the Urban Institute.

Medicaid 307
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Teladoc brings in $660M in Q3 revenue, reaches 90M members as executives focus on boosting bottom line

Fierce Healthcare

Teladoc's third-quarter revenue grew 8% to reach $660 million, boosted by solid performance in its chronic condition management business and steady membership growth as the company now touts 90 mil | Teladoc's scale, strong financial position and free cash flow performance put the company in a competitive position compared to many virtual care startups struggling in the current macroeconomic environment, executives said.

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Prospect Medical Holdings clear to seek buyer for Crozer Health

Health Care Dive

The private equity firm has nine months to find a buyer for its struggling four-hospital health system under an agreement announced by the Pennsylvania attorney general last week.

Hospitals 293
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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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Direct Contracting model reaches nearly $500M in net savings

Fierce Healthcare

The Center for Medicare and Medicaid Innovation (CMMI) unveiled 2022 calendar year results for the Direct Contracting Model on Monday. | More than three-quarters of those who participated in the program reaped savings, data from CMMI revealed.

Medicaid 288
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Patient outcomes point to efficacy of telehealth and virtual care

Healthcare It News

The emergence of telehealth during the COVID-19 pandemic and the resulting surge in the adoption of telemedicine are helping address patients’ needs without major signs of safety concerns, according to a study by Kaiser Permanente. WHY IT MATTERS The study, published in the Annals of Internal Medicine, analyzed more than 1.5 million adult patients at Kaiser Permanente Northern California in 2021, and compared treatment and follow-up visits among primary care telemedicine (video and telepho

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Exclusive: Caregiver support platform Helpful partners with VNS Health

Healthcare It News

Users of Helpful can now access a loved one's benefit information about their New York-based health plan and select medical records through its app.

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HCA Healthcare's newly consolidated physician staffing venture is bleeding $50M per quarter, execs tell investors

Fierce Healthcare

Editor's note: Updated at 12:15 p.m. Oct. 24 with commentary from HCA Healthcare's Q3 earnings call. | The for-profit system celebrated "continued solid demand for our services" during its Q3 2023 earnings call, but had to defend its decisions surrounding Valesco Physician Services to analysts and investors.

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WebMD Ignite collaborates on data privacy in omnichannel outreach

Healthcare It News

Healthcare organizations can now prevent protected health information collected by their marketing channels from reaching destinations where organizations do not have a business associate agreement, according to WebMD Ignite and Freshpaint. WHY IT MATTERS For healthcare organizations, the use of cookies, tracking technologies, digital advertising and analytics tools that other industries use to drive growth presents serious privacy risks and technical challenges.

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UnitedHealthcare adding 4 new states to ACA exchange footprint for 2024

Fierce Healthcare

UnitedHealthcare is expanding its footprint on the Affordable Care Act (ACA) exchanges to four new states in 2024, the insurance giant

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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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Making SDOH resource matching better with AI

Healthcare It News

DUOS uses large language models to leverage social determinants of health and enhance care-navigation access for Medicare beneficiaries. Feedback from platform users improves the artificial intelligence, said Karl Ulfers, cofounder and CEO.

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Centene boosts guidance on the back of $469M in Q3 profit

Fierce Healthcare

Centene Corporation posted $469 million in profit for the third quarter, according to its earnings report released Tuesday morning.

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Centene beats Q3 forecasts despite stars, redeterminations pressures

Health Care Dive

The payer’s Medicare Advantage star ratings have improved slightly, but “certainly do not reflect the ambitions of our company,” CEO Sarah London said.

Medicare 144
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Elevance Health's CarelonRx the latest PBM to embrace Humira biosimilars

Fierce Healthcare

Elevance Health's CarelonRx is the latest pharmacy benefit manager to put biosimilars for popular drug Humira on its formulary, the company said this week. | Elevance Health's CarelonRx is the latest pharmacy benefit manager to put biosimilars for popular drug Humira on its formulary, the company said this week.

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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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HCA misses Q3 expectations on costs from staffing firm Valesco

Health Care Dive

The for-profit reported operational strains associated with its physician staffing firm in its third-quarter earnings.

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3 in 4 Patients Don’t Trust AI in Healthcare Setting

HIT Consultant

What You Should Know: Carta Healthcare®, a company whose mission is to improve patient care by harnessing the value of clinical data, today announced the results of a survey measuring American perception and trust of artificial intelligence (AI) in healthcare. Propeller Insights conducted an online survey of 1,027 U.S. consumers between August 18 and August 29, 2023.

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Do doctors know enough about the commercial determinants of health?

Healthy Debate

Private sector activities have a real impact on health. We need cross-industry regulation to challenge private interests in health policy.

Doctors 109
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With Optum Acquisition Pending, Amedisys Continues To Grow Non-Medicare, High-Acuity Care Revenue

Home Health Care

Amedisys Inc. (Nasdaq: AMED) continues to make significant process in its high-acuity care business through its subsidiary Contessa Health. The company posted its third-quarter earnings late Tuesday , which highlighted 35% year-over-year growth in the high-acuity care segment. Overall, Amedisys admitted 580 high-acuity patients in the quarter in 11 JV markets.

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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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Drug-Free Weight Loss: Managing Obesity Through Telehealth

Health Recovery

Obesity is a global epidemic, affecting not only wealthy nations but countries of all economic levels. According to 2017–2018 data from the National Health and Nutrition Examination Survey (NHANES), more than two in five adults (42.4%) in the United States are obese—and these numbers have almost certainly increased since then.  By 2030 , researchers predict that 50% of the US population will be obese.

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AI Model Finds 55% of Commercially Insured Women Unlikely to Get a Mammogram

HIT Consultant

What You Should Know: – Cedar Gate Technologies’ advanced AI analytics platform has identified that 55% of commercially insured women are unlikely to get a mammogram. Leveraging this proprietary AI, Cedar Gate evaluated nearly 2.4 million women in its national healthcare benchmark database. – The model surfaces a probability score for whether or not a woman is likely to get a mammogram based on U.S.

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Introduction to the Symposium: From Principles to Practice: Human Rights and Public Health Emergencies

Bill Of Health

By Roojin Habibi, Timothy Fish Hodgson, and Alicia Ely Yamin Today, as the world transitions from living in the grips of a novel coronavirus to living with an entrenched, widespread infectious disease known as COVID-19, global appreciation for the human rights implications of public health crises are once again rapidly fading from view. Against the backdrop of this burgeoning collective amnesia, a project to articulate the human rights norms relevant to public health emergencies led to the devel

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A Global Food Retailer Connects Climate Change and ESG to Consumers’ Health

Health Populi

In the food sector, “the opportunity for us and the role that we play is to connect climate and health,” Daniella Vega of Ahold Delhaize told Valerio Baselli during the Morningstar Sustainable Investing Summit 2023. In a conversation discussing the importance of non-financial metrics in companies’ ESG efforts, Vega connected the dots between climate change, retail grocery, and consumers’ health and well-being.

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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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HHCN FUTURE: From Crisis to Success – Unlocking the Power of Outsourcing, Insourcing, and Technology in Home Health and Hospice

Home Health Care

This article is sponsored by CareXM. This article is based on a Home Health Care News discussion with Mike Kearns, vice president of sales at CareXM and Ellen Kuebrich, chief governance officer at CareXM. This discussion took place on August 30, 2023 during the HHCN FUTURE Conference. The article below has been edited for length and clarity. Home Health Care News: What do you see as the main challenges right now in the home healthcare space?

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Barriers Preventing State Medicaid Agencies from Harnessing the Potential of AI

HIT Consultant

Tim Taylor, Principal Industry Consultant at SAS Victor Sterling, Principal Industry Consultant at SAS State Medicaid agencies are responsible for health services that touch the lives of every American, making the potential benefits of modern technology tools, such as artificial intelligence (AI) and machine learning (ML), enormous. However, despite the promise of increased effectiveness with the same or fewer resources, modernization, and digital transformation do not come easily – or nat

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Using QI to deliver cost savings

Life Qi

The healthcare industry is constantly evolving, with providers facing the dual challenge of delivering high-quality care while managing costs effectively. One powerful strategy to address this challenge is the use of quality improvement projects. These initiatives not only improve patient outcomes but also contribute significantly to healthcare cost savings.

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Use of Conditionally Essential Amino Acids and the Economic Burden of Postoperative Complications After Fracture Fixation: Results from a Cost Utility Analysis

Healthcare ECONOMIST

That is the title of my new paper out in ClinicoEconomics and Outcomes Research. This work was done with co-authors Kyi-Sin Than, Anmol Kanotra, Kirk W Kerr, Katie N Robinson, Michael C Willey. The abstract is below. Objective: To measure the economic impact of conditionally essential amino acids (CEAA) among patients with operative treatment for fractures.

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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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Making Rounds: Lab information, at your service [Podcast]

Nordic

As with many other aspects of modern healthcare, laboratory information systems (LIS) have gone on a journey from basic pen-and-paper records to highly advanced digital systems. This digital evolution hasn’t just brought convenience; the applications to both individual and population health have grown exponentially with the availability of more data.

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OrbiMed Secures $4.3B to Invest in Healthcare Startups Globally

HIT Consultant

What You Should Know: – OrbiMed , a global healthcare investment firm raises $4.3B in commitments across its four investment funds: OrbiMed Private Investments IX, OrbiMed Asia Partners V and OrbiMed Royalty & Credit Opportunities IV. – The $4.3B will be used to invest globally, from the seed stage for start-ups incubated by OrbiMed through growth capital opportunities.

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OHCA’s Revised Regulations Following Comments from Industry Stakeholders

Sheppard Health Law

As we anticipated in our previous blog article , the Office of Health Care Affordability (OHCA) made revisions to its proposed regulations following the public workshop hosted by the California Department of Health Care Access and Information (HCAI) in August. On October 9, 2023, HCAI and OHCA published a revised draft of the regulations. Our August blog article outlined the substance of the original draft regulations; this article summarizes the critical takeaways regarding the revisions.

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WebMD’s Provider Growth Arm Stepping Up Data Privacy

HIT Consultant

What You Should Know: – Today, WebMD Ignite , a full-service growth partner for organizations across the healthcare industry, announced a strategic partnership with Freshpaint , a healthcare privacy platform that allows healthcare providers to continue doing high-performance marketing while protecting patient privacy. – The partnership promotes compliance for hospitals, health systems, and health plans through a privacy-first approach to using Google Analytics, Google Ads, Facebook A

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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.