Fierce Healthcare

AUGUST 7, 2023

The Centers for Medicare & Medicaid Services (CMS) has again suspended arbitration of out-of-network payment disputes between providers and payers due to a court order that the agency’s impleme | The Texas Medical Association scored another win against the administration's billing dispute resolution process in the district courts, this time successfully litigating against an administrative fee hike and requirements over which items could be jointly reviewed.

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Medicaid Medicare 246

p3care

AUGUST 7, 2023

Medical billing and coding lay a strong foundation for smooth AR management. A refined revenue cycle strengthens the practices and improves their revenue. We require a fine medical billing service to meet compliance standards and reduce claim denials. Do you know why we get claim denials? It’s simple—we get them due to gaps somewhere in the clinical documentation.

Regulations 246

Regulations Accountability Medicare Healthcare 246

Fierce Healthcare

AUGUST 7, 2023

Kaiser Permanente built on 2023’s strong start with $2.08 billion of net income during the quarter ended June 30, bringing its midyear total to about $3.29 billion, the integrated system announced | The nonprofit giant logged a 7.2% year-over-year increase in operating revenues as well as a major boost from its investment portfolio.

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Integration 246

Health Care Dive

AUGUST 7, 2023

The announcement comes after the agency received more than 38,000 public comments in response to a proposal that would restrict telehealth prescriptions, with “a significant majority” expressing concern.

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Advertiser: HealthCar

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Fierce Healthcare

AUGUST 7, 2023

Medicare Advantage-focused insurtech Clover Health has staved off a potential delisting of its stock. | Medicare Advantage-focused insurtech Clover Health has staved off a potential delisting of its stock.

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Medicare 246

Health Care Dive

AUGUST 7, 2023

The decision is expected to increase the number of claims providers file in the independent dispute resolution process, especially for smaller amounts, according to a health lawyer.

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Doctors 236

Health Care Dive

AUGUST 7, 2023

CFO Kathy Lancaster said Kaiser is ready to face the second half of the year after posting a $2.1 billion profit in the second quarter.

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Fierce Healthcare

AUGUST 7, 2023

Medicare Advantage plan Alignment Healthcare is targeting significant improvements to its medical benefits ratio heading into 2024, and the company's top brass offered investors a look at its strat | Medicare Advantage plan Alignment Healthcare is targeting significant improvements to its medical benefits ratio heading into 2024.

Medicare 244

Medicare Healthcare 244

Health Care Dive

AUGUST 7, 2023

Learn how to navigate digital product regs and build a strong regulatory strategy with DiMe’s new course.

Regulations 246

Regulations 246

Healthcare It News

AUGUST 7, 2023

The American Telemedicine Association released a statement on Friday saying that it applauds the Drug Enforcement Agency for posting a meeting notice on Friday that indicates that it is "openly considering" a special registration that would allow providers to prescribe medically necessary substances by telehealth. WHY IT MATTERS The DEA said in its notice that it is conducting public listening sessions to get input on prescribing controlled substances on telemedicine platforms and to l

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Telemedicine Medical Practitioners Regulations Accountability 182

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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

Healthcare

Fierce Healthcare

AUGUST 7, 2023

Bright Health Group has secured the credit necessary to avoid going belly-up as its sells off the last of its insurance business, the company disclosed Monday. | Bright Health Group has secured the credit necessary to avoid going belly-up as its sells off the last of its insurance business, the company disclosed on Monday.

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Health Care Dive

AUGUST 7, 2023

The digital health firm said it was exiting its core operations in the U.S. and searching for a buyer for its U.K. business.

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Fierce Healthcare

AUGUST 7, 2023

Chutes & Ladders—Verily taps new chief scientific officer; Thyme Care hires Memorial Sloan Kettering cancer fellow hlandi Mon, 08/07/2023 - 13:21

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Osf Healthcare

AUGUST 7, 2023

Physicians, nurses and other clinicians are in short supply across the U.S. and that’s only expected to get worse in the future. But what can local health care leaders do to reverse this trend? OSF HealthCare Saint Luke Medical Center in Kewanee might have the answer.

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Nursing Hospitals Healthcare 98

Advertiser: HealthCar

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.

NASHP

AUGUST 7, 2023

With decades of experience in implementing interventions across the substance use disorder continuum of care, there has been a substantial body of evidence developed for “what works” when it comes to policies and programs to address the opioid crisis. As states continue to make decisions on where to allocate funding awarded through ongoing opioid-related lawsuits, maximizing the impact of this funding will require strategies to ensure that resources are directed toward programs and practices dem

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Prevention Accountability 98

The Rand Blog

AUGUST 7, 2023

Since 2014, militant groups from Russia, Belarus, Chechnya, and elsewhere have established themselves as allies of Ukraine in its fight against Russia and its aligned forces. Though alignment with these groups presents clear benefits in the near term, Kyiv should be cautious since these groups could turn on Ukraine at any time should their interests no longer align.

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HIT Consultant

AUGUST 7, 2023

Sondra Pepe, SVP of Product Management, at AiCure The imperative to enhance access to quality care and research is a central concern gripping both the healthcare and pharmaceutical sectors. At the heart of this challenge lies the crucial necessity for clean and streamlined patient data, which currently suffers from inadequacies in comprehensiveness and accuracy.

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Pharmaceuticals Healthcare Providers Healthcare Patient Experience 95

Healthy Debate

AUGUST 7, 2023

Minden’s experience must serve as a nationwide warning: review the financial management and governance of your local health-care systems.

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Hospitals

HIT Consultant

AUGUST 7, 2023

What You Should Know: Majority 90.5% of College of Healthcare Information Management Executives (CHIME) members have adopted digital health , despite nearly half (47.6%) cited financial pressures and staff resource constraints (19.1%) as top barriers to digital health adoption, according to a new survey Xealth. Conducted online between May 15 and June 20, 2023, the Xealth survey examines the digital health experiences and attitudes of CHIME healthcare executives.

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Integration Healthcare 93

Home Health Care

AUGUST 7, 2023

Since the at-home primary care provider Patina launched, it has been busy forming partnerships with some of the largest payers in the country. The Philadelphia-based company has done so with UnitedHealth Group (NYSE: UNH), Cigna (NYSE: CI) and Aetna. As a way to provide a better experience for their Medicare Advantage (MA) patients, Humana Inc. (NYSE: HUM) has now also partnered with Patina.

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Primary Care Medicare Hospitals 82

HIT Consultant

AUGUST 7, 2023

Cameron Wood, Head of Client Services & COO at NGA Healthcare The healthcare landscape is constantly evolving, with changes in technology , patient care, and the business of medicine all occurring at a rapid pace. One area that often goes overlooked but is equally critical to the success and sustainability of medical practice is the negotiation of payer contracts.

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Medical Services Quality of Care Accountability Prevention 82

Home Health Care

AUGUST 7, 2023

With a potentially unfavorable home health final payment rule looming over providers’ near future, it’s more important than ever to innovate. That was one of the key takeaways from a recent WellSky webinar on the home health proposed payment rule. “Given the reality of the fact that CMS conceives us as making so much more money than we’re making,” Cindy Campbell, director of operational consulting at WellSky, said during the webinar.

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Performance improvement Medicare Integration Medicaid 81

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.

Healthcare

HIT Consultant

AUGUST 7, 2023

Augmedix (Nasdaq: AUGX), reported a total revenue was $10.8M in Q2, an increase of 47% compared to $7.3M., projecting to earn $43.5M in 2023.

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Healthcare ECONOMIST

AUGUST 7, 2023

The paradigm of homo economicus–a perfectly rational, self-interested person–may have taken a hit based on the findings of a paper by Dwyer et al. (2023). The authors aim to examine how people spend windfall earnings using a randomized experiment. We took advantage of a rare opportunity to examine generosity among a diverse sample of adults who received a gift of U.S. $10,000 from a pair of wealthy donors, with nearly no strings attached.

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Healthcare Associates

AUGUST 7, 2023

As of Sept. 9, 2023, David Engleman, MD, will no longer be practicing medicine at Healthcare Associates of Texas – Irving North Patients may obtain copies of their medical records at: Healthcare Associates of Texas – Irving North 6161 N. State Highway, Suite 200 Irving, TX 75035 Phone: 1-972-870-7303 Fax: 1-972-258-7499 The post Effective Sept 9 – David Engleman, MD will no longer practice medicine at Healthcare Associates of Texas – Irving North appeared first on Healthc

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Healthcare 52

Triage Health Law

AUGUST 7, 2023

On July 25, 2023, the Departments of Labor, Health and Human Services, and the Treasury (the “Departments”) proposed rules designed to strengthen the Mental Health Parity and Addiction Equity Act’s (“MHPAEA”) goal of ensuring people seeking treatment for mental health and substance use disorders (“MH/SUD”) face no greater barriers to accessing care than those seeking treatment for medical and surgical (“M/S”) conditions.

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Regulations 52

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.

Healthcare

HKLaw

AUGUST 7, 2023

CMS released the final rule for the federal fiscal year (FY) 2024 inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) payment system.

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Hospitals 52

Briggs Healthcare

AUGUST 7, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Date/Time: Tuesday, August 29 th from 12pm-1:30pm ET Registration Link: Registration can be completed online through Webex. Acumen LLC on behalf of the Centers for Medicare & Medicaid Services (CMS) is hosting a public, virtual listening session. On behalf of CMS, we are seeking feedback from administration and management staff, software vendors, and clinical staff on the expansion of collection and submission of Minimum D

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Medicare Quality of Care Medicaid Nursing 40

HIT Consultant

AUGUST 7, 2023

What You Should Know: PacBio , a developer of high-quality, highly accurate sequencing solutions and GeneDx , a provider in delivering improved health outcomes through genomic and clinical insights, today announced a research collaboration with the University of Washington to study the capabilities of HiFi long-read whole genome sequencing (WGS) to increase diagnostic rates in pediatric patients with genetic conditions.

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Hospitals Life Sciences 52

Briggs Healthcare

AUGUST 7, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is approaching. Minimum Data Sets (MDS) assessment data and data submitted to the Centers for Medicare & Medicaid Services (CMS) via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for January 1 – March 31 (Q1) of calendar year (CY) 2023 are due with this submission deadline.

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Medicaid Quality Improvement Medicare Nursing 40

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.