Thu.Jun 05, 2025

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Sentara enters health plan partnership with WellTheory

Healthcare It News

WellTheory announced this week that, in its first deal with a payer, the company will provide Sentara Health Plans' nearly one million members in Virginia and Florida with access to a dedicated care team providing 12 months of autoimmune care. WHY IT MATTERS Once members join WellTheory's platform, they would start their virtual care journey with root cause assessments that can uncover what's driving their autoimmune symptoms.

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Nearly 11M would become uninsured under GOP reconciliation bill: CBO

Health Care Dive

The analysis from the nonpartisan budget scorekeeper found 7.8 million would lose coverage due to Medicaid cuts.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Artificial intelligence startup OpenEvidence inked a multi-year content agreement with the JAMA Network to use content from 13 medical journals to inform answers on its platform.

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Charity care policies can vary wildly between hospitals: report

Health Care Dive

A new report from the Lown Institute finds that variability in policies means two nearly identical patients can receive wildly different bills — sometimes within a few blocks of one another.

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How to Turn “Check-the-Box” Compliance Trainings Into Real Learning

Speaker: Brian Richardson, Brian Richardson, Founder and CEO of Richardson Consulting Group

Let’s face it—most ethics and compliance training programs aren’t winning awards for engagement. But that doesn’t mean they can’t be effective, captivating, and maybe even enjoyable! Join learning design expert Brian Richardson for a dynamic session on how to breathe new life into your ethics and compliance training. We'll explore innovative strategies to bring traditionally dry topics to life, making them resonate with learners and drive tangible change.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Researchers concluded low-income patients bear a larger burden for claims denials than higher-income enrollees.

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State exchange directors urge Senate to reconsider GOP megabill, citing harm to ACA enrollees

Health Care Dive

Seventeen states sent the letter to Senate leadership this week outlining how Republican’s reconciliation legislation will kick millions off coverage, sicken risk pools and trample on state autonomy.

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Beyond the Buzz: AI and Automation Can Drive Operational Efficiency While Enhancing Health Plan Member Experiences

HIT Consultant

Yvonne Daugherty, Global Head of Industries at Ushur Imagine a world where interactions with your health plan feel as intuitive and supportive as confiding in a trusted expert—even during moments of crisis. A world where members no longer face long phone queues or convoluted systems for routine inquiries when support is needed most. Instead, AI and automation redefine support, delivering scalable, secure, and empathetic experiences for meaningful business and member experience impact.

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myLaurel Raises $12 Million To Fuel Growth Efforts

Home Health Care

myLaurel, a home-based acute and transitional care provider, has locked down $12 million in its latest round of funding. Deerfield Management and GV led the round, with participation from Emerson Collective, Pinta Partners, Ochsner Health and management. The company’s leaders earmarked the latest round of funding for its growth and expansion strategy.

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Medical Debt Crisis: Are Inconsistent Hospital Policies Putting Patients at Risk?

HIT Consultant

What You Should Know: – A new report from the Lown Institute , an independent healthcare think tank, highlights significant inconsistencies in financial assistance and collection practices across 2,500 U.S. hospitals. These disparities create a confusing landscape for patients, potentially leading to medical debt, as eligibility for free or discounted care can vary dramatically even between nearby facilities. – The Lown Institute’s research indicates that while hospitals are ex

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The Spirit for Eating Healthier Is Willing, But the Cost of Doing So “Outweighs” the Will – Listening to Escoffier

Health Populi

It’s been a full week’s coverage on food-as-medicine and food as a driver of health in America this week on the Health Populi blog. Today we turn to the chefs at Escoffier who know food, teach food, and now offer programs in holistic nutrition and wellness through the lens of culinary arts. With that lens, Escoffier recently published a report on the future of healthy eating , which will round out this week’s Health Populi landscape on food and health.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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Sutter Health Breaks Ground on $442M Advanced Neuroscience Complex in San Francisco

HIT Consultant

Source Credit: Sutter Health What You Should Know: – Sutter Health this week announced construction on the new Sutter Advanced Neuroscience Complex at Mission Bernal, a development designed to expand access to high-quality neurological and neurosurgical care in Northern California. – The five-story, 129,000-square-foot facility will be located at the corner of César Chávez and Valencia streets.

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Why Medicare Advantage Enrollees Switch To Traditional Medicare

Home Health Care

Home-based care is increasingly delivered under Medicare Advantage (MA) plans, often squeezing providers with thin margins. Despite MA’s growing market share, a “substantial” number of consumers are opting to switch back to traditional Medicare, according to new research. More than 35.7 million Americans are currently enrolled in MA plans. However, one in ten switch to traditional Medicare during open enrollment, according to a study from researchers at the Institute for Healthcare Policy &

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Palantir + TeleTracking Partner to Power Smarter Hospital Operations

HIT Consultant

What You Should Know: – TeleTracking Technologies , the market leader in Healthcare Operations Platforms, and Palantir Technologies, a leader in artificial intelligence systems announced a strategic partnership aimed at transforming operational decision-making in healthcare and delivering long-term value to providers globally. – The collaboration will integrate TeleTracking’s industry-leading platform, Operations IQ, with Palantir’s advanced analytics and AI-powered opera

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Clinical Documentation Tips for Passing a Behavioral Health Utilization Review

Icanotes

Blog > Billing and Insurance > Tips for Passing Behavioral Health Utilization Review Clinical Documentation Tips for Passing a Behavioral Health Utilization Review Behavioral health utilization reviews can disrupt care and reimbursement if your documentation doesn’t hold up to scrutiny. This article equips clinicians with clear strategies and sample note language to support medical necessity, reduce denials, and pass reviews with confidence—whether you're in outpatient therapy or higher

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Can Your Organization Spot a Conflict Before It’s a Crisis?

Speaker: Amie Phillips Pablo, VP, Corporate Compliance & Privacy Officer at Novo Nordisk

In today’s complex healthcare environment, navigating third-party relationships has become even more challenging—whether it’s vendor relationships, employee activities, or patient-facing interactions. Left unmanaged, these conflicts can compromise trust, regulatory compliance, and even organizational reputation. So, how can healthcare teams stay ahead?

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Healthcare organizations could be unprepared to adopt generative AI: survey

Health Care Dive

Only 18% of respondents knew about formal policies at their firms overseeing the use of the technology, while just 20% said staff were required to undergo structured training, according to Wolters Kluwer.

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News 6/6/25

HIStalk

MENU MENU Home Navigation Articles Full list News Headlines Dr. Jayne Interviews Readers Write Weekender RSS feed Sponsors Sponsor guide Jobs Announcements Industry events Webinars Calendar About YouTube channel Information About HIStalk Sponsorship Vince Ciottis HIS-tory HIStalk Practice Recent Posts Recent Posts Morning Headlines 6/6/25 June 5, 2025 News 6/6/25 June 5, 2025 EPtalk by Dr.

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Serve You Rx Adds Two New Biosimilars to its Formulary

HIT Consultant

What You Should Know: – Serve You Rx announced today the inclusion of two newly approved biosimilars to Stelara® (ustekinumab) – Otulfi (ustekinumab-aauz) and Yesintek (ustekinumab-face) – to its Biosimilar Advantage Formulary. This move is set to deliver substantial savings for self-funded employers and health-plan sponsors while maintaining therapeutic benefits for patients with conditions like Crohn’s disease, ulcerative colitis, plaque psoriasis, and psoriatic arthritis. –

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Over the past several months, Nourish rolled out custom AI tools to streamline workflows, help patients track their meals and surface data insights to providers. So far, the feedback has been very positive, executives say.

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Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

Speaker: Jennifer Hill

Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.

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Morning Headlines 6/6/25

HIStalk

MENU MENU Home Navigation Articles Full list News Headlines Dr. Jayne Interviews Readers Write Weekender RSS feed Sponsors Sponsor guide Jobs Announcements Industry events Webinars Calendar About YouTube channel Information About HIStalk Sponsorship Vince Ciottis HIS-tory HIStalk Practice Recent Posts Recent Posts Morning Headlines 6/6/25 June 5, 2025 News 6/6/25 June 5, 2025 EPtalk by Dr.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Continued high demand for care and improved patient throughput has U.S. hospitals in a stronger position than this time last year, according to April operating data.

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Mission Bio Unveils Industry-First Single-Cell Genotype and Targeted Gene Expression Solution

HIT Consultant

What You Should Know: – Mission Bio , a leader in single-cell multiomics solutions for precision medicine, today announced the launch of its Single-Cell Genotype and Targeted Gene Expression assay, expanding the capabilities of its Tapestri Platform to become the only commercial solution that delivers simultaneous genotype and targeted gene expression profiling from over 10,000 single cells. –The assay, which can be leveraged for Phase 2 or 3 trials to home in on patients most likely

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Fierce Healthcare - Untitled Article

Fierce Healthcare

UnitedHealth Group hosted a shareholder meeting earlier this week amid a series of financial challenges and negative headlines, and a FAQ document posted to its website Wednesday offers a look at the questioning that executives were bracing for.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

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Lessons In Home Care Innovation From Short-Hour Models

Home Health Care

This article is a part of your HHCN+ Membership In February, I wrote an article that became one of the most-read during my time at Home Health Care News. It all stemmed from a phone call with an old friend who was seeking very part-time home care for a family member. Her uncle had just gotten out of the hospital after surgery, and she wondered if I knew of a home care agency that provided assistance for just an hour here or there.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Startup Clairity scored a greenlight from the FDA for the agency's first artificial intelligence tool designed to predict five-year breast cancer risk from a routine screening mammogram.

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EPtalk by Dr. Jayne 6/5/25

HIStalk

As one might expect, the hot topic around the virtual.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Alternative pharmacy benefit manager Serve You Rx is seeking to generate additional savings for its clients by adding two biosimilars for the popular drug Stelara to its formulary.

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How to Make The Best Benefits Decisions for 2025's Workforce: An HR and Total Rewards Guide

Speaker: Kaitlin Ruby Carroll

Retaining top talent in 2025 means rethinking benefits. In a competitive job market, fertility benefits are more than just offerings - they are a commitment to your team’s well-being. Gain critical insights into the latest fertility benefits strategies that can help position your organization as an industry leader. Our expert will explore the unique advantages and challenges of each model, share success stories from top organizations, and offer practical strategies to make benefits decisions tha

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Elation Health’s Note Assist AI Scribe Now Supports 12 New Languages

HIT Consultant

What You Should Know: – Elation Health , the clinical-first technology company powering innovation in primary care, today announced a significant expansion of its AI-powered Note Assist product to now support 12 additional languages. –With todays update, clinicians can conduct patient visits in Chinese (Mandarin and Cantonese), German, French, Japanese, Korean, Russian, Portuguese, Tagalog, Hindi, Vietnamese, and Arabic, in addition to existing English and Spanish support.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

The Michigan Nurses Association says members at two of the four hospitals transferring to Beacon Health System this summer have unanswered questions regarding their continued employment. The nonprofit said it is "committed to their continued employment" and will share the information when it is finalized.

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RadNet Acquires See-Mode Technologies to Bolster AI Capabilities in Ultrasound Imaging

HIT Consultant

What You Should Know: – RadNet, Inc. , a national leader in diagnostic imaging services acquires See-Mode Technologies PTE LTD (“See-Mode”) , a global innovator in artificial intelligence (AI) for ultrasound imaging.Financial details of the acquisition were not disclosed. – The strategic move is set to enhance RadNet’s digital health solutions, offered through its wholly-owned subsidiary DeepHealth , by integrating See-Mode’s advanced AI technology for ultraso

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Fierce Healthcare - Untitled Article

Fierce Healthcare

23andMe's new post-bankruptcy home, New Mountain Capitals' three-way portfolio merger and more M&A news from the month of May.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.