Thu.Feb 09, 2023

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New hybrid provider Enabled Healthcare launches in Washington with a focus on older adults with chronic conditions

Fierce Healthcare

New hybrid provider Enabled Healthcare launches in Washington with a focus on older adults with chronic conditions agliadkovskaya Thu, 02/09/2023 - 13:59

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Molina expects contract wins to offset Medicaid losses

Health Care Dive

The forecast comes as its competitor, Centene, expects to lose as many as 2.2 million Medicaid members when pandemic protections end and states to resume eligibility checks.

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HHS releases new guidance implementing key Medicare drug rebate program

Fierce Healthcare

HHS releases new guidance implementing key Medicare drug rebate program rking Thu, 02/09/2023 - 16:01

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Following decline, telehealth visits notched up 1.9% in November

Health Care Dive

Mental health conditions continued to dominate telehealth diagnoses last year as the federal government worked to protect telehealth provisions during the COVID-19 public health emergency now set to end.

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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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Evernorth study: Risk of suicide on the rise among youth

Fierce Healthcare

Evernorth study: Risk of suicide on the rise among youth pminemyer Thu, 02/09/2023 - 13:39

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Tenet’s net income tumbled in 2022, but labor expenses show signs of easing

Health Care Dive

The for-profit hospital operator’s profit fell 55% year over year, according to an earnings report out Thursday.

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Centene reaches $215M settlement with California

Health Care Dive

This latest settlement is the largest the payer has reached so far regarding state overcharging allegations.

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Chutes & Ladders—Duke lands a new CEO; Verily hires new CFO following lay offs

Fierce Healthcare

Chutes & Ladders—Duke lands a new CEO; Verily hires new CFO following lay offs aburky Thu, 02/09/2023 - 17:54

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Trade group pushes back on FDA’s clinical decision support guidance

Health Care Dive

The Clinical Decision Support Coalition is asking the agency to rescind its guidance and propose new rules that change how software tools are regulated as medical devices.

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Included Health, Solv team up to connect virtual care to same-day medical office visits

Fierce Healthcare

Included Health, Solv team up to connect virtual care to same-day medical office visits hlandi Thu, 02/09/2023 - 07:34

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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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CMS’ Rate Cuts Have Had Varying Levels Of Effect On Home Health Providers

Home Health Care

The home health final rule will have a lasting effect on providers’ bottom line. The U.S. Centers for Medicare & Medicaid Services (CMS) released its 2023 final payment rule for home health care in late October. Many providers believe that the final rule will have an impact on their business in the near- and long-term future, a new survey from Homecare Homebase and Home Health Care News suggests.

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With Arterys acquisition under its belt, Tempus eyes big opportunities in medical imaging AI

Fierce Healthcare

With Arterys acquisition under its belt, Tempus eyes big opportunities in medical imaging AI hlandi Thu, 02/09/2023 - 14:18

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Why It’s Time for Intelligent Prior Authorization

HIT Consultant

Alina M. Czekai, MPH, VP of Strategic Partnerships at Cohere Health The Centers for Medicare & Medicaid Services (CMS) recently proposed a new rule to advance interoperability and improve the prior authorization (PA) process for Medicare and Medicaid patients. Specifically, the rule stipulates that health plans adopt electronic prior authorization processes, adhere to shorter turnaround times, clearly communicate denial reasons, publish key metrics annually, and implement the Fast Healthcare

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Centene settles allegations it overcharged Medi-Cal for $215M

Fierce Healthcare

Centene settles allegations it overcharged Medi-Cal for $215M pminemyer Thu, 02/09/2023 - 15:46

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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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Included Health, Solv Partner to Connect Virtual & In-Person Care

HIT Consultant

What You Should Know: – Solv today announced the launch of Solv Final Mile Network , the first solution to bridge the gap from online navigation and virtual care to in-person, local medical care across the country. – Built on the scale of Solv’s national network of providers, Solv Final Mile technology makes continuity of the patient care journey possible, by eliminating the friction between digital care and same-day, in-office visits for providers and their patients.

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Tenet generates $102M in profits for Q4, releases 2023 financial outlook

Fierce Healthcare

Tenet generates $102M in profits for Q4, releases 2023 financial outlook rking Thu, 02/09/2023 - 09:36

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Addressing Health Equity: Practical Solutions to Address Variations in Care

HIT Consultant

What You Should Know: – The companies and organizations that comprise the Healthcare Leadership Council (HLC) , representing all sectors of the American healthcare industry, have joined in a commitment to advance health equity in the United States including principles and actions to ultimately eliminate health disparities. – The joint commitment follows the release late last year of a report developed by HLC and ZS, a global management and technology consulting firm, identifying mult

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Medicare Advantage enrollment has exploded since 2006. But policy hasn't kept up, researchers warn

Fierce Healthcare

Medicare Advantage enrollment has exploded since 2006.

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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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U.S. Air Force and SimX Expands VR Medical Training Partnership

HIT Consultant

What You Should Know: – SimX and the U. S. Air Force are announcing a $1.7M expansion of its ongoing effort to advance the future of medical simulation training using virtual reality (VR) technology. – This effort, housed within the Virtual Advancement of Learning for Operational Readiness (VALOR) program at SimX, aims to enhance the usability and medical capability of virtual simulation training, with a focus on prehospital combat casualty care delivered by the Air Force’s eli

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Projecting PE Activity In Home-Based Care In 2023

Home Health Care

This article is a part of your HHCN+ Membership Last year, home-based care M&A was up by dollar amount and down by volume. CVS Health’s (NYSE: CVS) $8 billion pending deal for Signify Health (NYSE: SGFY) and UnitedHealth Group’s (NYSE: UNH) pending deal for LHC Group Inc. (Nasdaq: LHCG) made sure of the former. While 2021 was an outlier year from an M&A perspective, 2022 was not.

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How the Dutch Approached Brexit

The Rand Blog

The impact of Brexit on the Netherlands is significant. The Dutch government would have preferred the UK to stay in the EU. But despite all this, the Netherlands approached Brexit with relative clarity of purpose and the administration of the program brought a satisfactory outcome.

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Home Infusion Is Booming – But Payers May Be Getting It Wrong

Home Health Care

A new set of recommendations from the National Home Infusion Association (NHIA) hopes to remove barriers and reduce the administrative burden for payers aiming to access home-based infusion services. The NHIA is the trade association for providers of infusion services in the home or alternate settings. Its members are either providers or suppliers of items that are used to facilitate those services.

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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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U.S. Cannot Count on South Korea's Yoon to Line Up Against China

The Rand Blog

South Korean president Yoon Suk-yeol wants South Korea to become a global pivotal state that plays a valuable role in the international community. Turning this into reality will inevitably mean striking a balance between the United States and China.

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Interview with Azra AI CEO Chris Cashwell

Health Business Group

Chris Cashwell is CEO and Founder of Azra AI , whose technology interprets unstructured data to identify cancer patients who need treatment and follow up care. We discussed Chris' background and upbringing, his early career at GE and Nuance and what led him into addressing shortcomings in cancer care by founding Azra AI. Health Business Group is a boutique healthcare consulting firm that develops growth strategies for companies like Azra AI.

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Top Security Certifications Required for Data Protection

HIT Consultant

Paul Banco, CEO of etherFAX    How secure is your data? If your organization does not have the right security certifications in place, it’s not a matter of if a data breach will occur – but when. A lack of regulatory compliance, network and technical vulnerabilities, unencrypted information, unsecured mobile devices, and weak credentials all play a part in putting a healthcare organization at risk for a data breach.

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News 2/10/23

HIStalk

Top News CVS Health will acquire primary care company Oak.

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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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Google Cloud, Health-ISAC Partner to Build More Resilient Healthcare

HIT Consultant

What You Should Know: – Google Cloud announced that its security engineers are working with Health-ISAC Threat Operations Center to develop an open sourced integration that connects the Health-ISAC Indicator Threat Sharing (HITS) feed directly with Google Cloud’s Chronicle Security Operations information and event management. – HITS allows Health-ISAC members to easily connect and quickly share cyber threat intelligence through machine-to-machine automation.

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Long Term Care Facilities: CMS Flexibilities to Fight COVID-19

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS has provided this 18-page document (same title as this blog) dated February 1, 2023 to announce preparations after the PHE ends. This document is specifically for SNFs and NFs. At the beginning of the COVID-19 Public Health Emergency (PHE), CMS used emergency waiver authorities and various regulatory authorities to enable flexibilities so providers could rapidly respond to people impacted by COVID-19.

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Epic, Impact Advisors, Nordic, Chartis Named 2023 Overall Best in KLAS® Awards

HIT Consultant

What You Should Know: Epic, Nordic, Impact Advisors and The Chartis Group won the 2023 Overall Best in KLAS® awards. Epic was named the top Overall Software Suite for the thirteenth straight year in 2023 Best in KLAS – Software & Services report , released, which reports on the top vendors for 2022. Epic was also named the top Overall Physician Practice Vendor.

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Hospitals and CAHs (including Swing Beds, DPUs), ASCs and CMHCs: CMS Flexibilities to Fight COVID-19

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS has provided this 29-page document (same title as this blog) dated February 1, 2023 to announce preparations for after the PHE ends. This document is specifically for hospitals, critical access hospitals (CAHs) including swing beds and DPUs, ASCs and CHCs. At the beginning of the COVID-19 Public Health Emergency (PHE), CMS used emergency waiver authorities and various regulatory authorities to enable flexibilities so provi

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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.