Mon.Jul 17, 2023

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FTC withdraws 'outdated' healthcare antitrust policy statements, following DOJ's lead

Fierce Healthcare

Friday, the Federal Trade Commission (FTC) announced its withdrawal of two policy statements outlining its former position on antitrust enforcement in healthcare markets, echoing a similar decision | The two policy statements, issued in 1996 and 2011, "no longer reflect market realities in this important sector of the economy," the regulator said.

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HCA faces class action lawsuit after data breach

Health Care Dive

The largest health system in the country reported a data security incident last week after information was taken from an external storage location and posted online, affecting an estimated 11 million patients.

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HCA Healthcare hit with at least 4 class-action lawsuits days after disclosing massive data breach

Fierce Healthcare

It took less than a week for hospital chain HCA Healthcare to go from a multimillion-patient data breach to a slew of class-action lawsuits alleging negligence and seeking relief. | The for-profit giant “knew or should have known” that the private information it collects is “highly sought after by criminal parties,” plaintiffs wrote in one complaint.

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Commonwealth Care Alliance shares key lessons from its robust telehealth program

Healthcare It News

Commonwealth Care Alliance is a healthcare services organization that offers health plans and care delivery programs designed for individuals with significant needs. With offerings in Massachusetts, Rhode Island, Michigan and California, it delivers comprehensive, integrated and person-centered care by coordinating the services of local staff, provider partners and community organizations.

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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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Broader Leqembi coverage could burden Medicare, critics warn

Fierce Healthcare

Alzheimer's disease drug Leqembi recently secured full approval from the Food and Drug Administration (FDA), and more expansive coverage from Medicare followed. | If projections are met, the new Alzheimer's drug meant to slow cognitive decline will cost Medicare more than $2 billion. Does Leqembi show enough promise to override its high costs and safety concerns?

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EHR vendor NextGen to pay $31 million to settle False Claims Act allegations

Health Care Dive

The settlement comes after the Supreme Court in June ruled that FCA defendants are liable for claims they suspect or knowingly believe are false.

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Making Military Aid Work

The Rand Blog

Security cooperation and military aid efforts can fail, but they can also exceed expectations and provide strategic benefits. Ukraine appears to be one such success. For a relatively modest investment between 2014 and 2021, the United States has reaped a substantial gain in terms of Ukraine's military capacity and efficacy.

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Northwell, Feinstein Institutes to form new AI research center on health outcomes

Fierce Healthcare

Northwell Health and its research arm, the Feinstein Institutes for Medical Research, plan to create a new AI-focused research center. | The center will support the development of large-scale data models and AI to identify and address healthcare disparities and patient risk, as well as other efforts.

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In National Security, Autistic Employees Are in the Closet. Here's Why

The Rand Blog

Archaic U.S. military and federal policies, combined with decades-old understandings about autism spectrum disorder, create an environment where people hide their autism and other cognitive diagnoses. Our national security challenges are too difficult and too important to leave to the portion of the population that uses its brains in only “typical” ways.

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EHR company NextGen Healthcare to pay $31M to settle false claims allegations

Fierce Healthcare

Ambulatory technology company NextGen Healthcare will pay $31 million to the federal government to settle a whistleblower lawsuit alleging that it violated the False Claims Act. | Ambulatory technology company NextGen Healthcare will pay $31 million to the federal government to settle a whistleblower lawsuit alleging that it violated the False Claims Act.

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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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How Do We Make Early Warning and Early Action for Food Security More Effective?

The Rand Blog

Although food security early warning early action (FS-EWEA) has a track record of reducing food insecurity, it is designed for rural settings, and effective action remains elusive. Extending FS-EWEA to the millions living in fragile urban contexts requires answering four critical questions.

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How HCSC is using AI to speed up prior authorization

Fierce Healthcare

Health Care Service Corporation says that using AI allows it to process prior authorization requests about 1,400 times faster than before.

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Charting a Path Forward for Behavioral Health After the Public Health Emergency

HIT Consultant

Talib Jaber, RPh, VP of Customer Success, Sunwave Health The pandemic caused a significant increase in overdose and Substance Use Disorder (SUD) related deaths, exposing long-standing deficiencies in the identification and treatment of SUD. So, with the end of the public health emergency (PHE) on May 11, 2023, and the cessation of PHE-related exceptions that increased access to mental health resources, there is reason for concern.

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The Promise—and Pitfalls—of Researching Extremism Online

The Rand Blog

How big of a problem is extremism in the United States and around the world? Is it getting worse? Are social media platforms responsible, or did the internet simply reveal existing trends? We have few answers because this research is easy to do poorly and hard to do well. The challenges fall into three buckets: users, platforms, and content.

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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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The Price Is Right: What Goes Into Home-Based Care Transaction Valuations

Home Health Care

When navigating home-based care M&A, it’s important for buyers and sellers to understand the several factors that go into company valuations. That’s especially true now, with home health and home care dealmaking activity starting to rebound after a relatively slow start to the year. “Fair-market value is really a principle that’s used by business appraisers, evaluation specialists and others, and it’s a way to look at the current value today in a free and open market-based approach,” M

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Mid-Year Check-in: 11 Key Questions for Personal & Professional Success

Medi Leadership

It’s hard to believe that half of 2023 is already behind us. How did the first six months go for you, personally and professionally? If you haven’t stopped to reflect on your year to date and taken time to thoughtfully plan for the rest of the year, you’re not alone. Life is busy. It is easy to get derailed and find yourself on autopilot, reacting to the many things that come up day-to-day.

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Home Health Provider Leaders Reject ‘Sky Is Falling’ Narrative Post-Proposed Rule

Home Health Care

After another poor proposed payment rule from the Centers for Medicare & Medicaid Services (CMS), home health leaders are trying to focus on the positive parts of the business they’ve chosen to be be a part of. Virtually none of those leaders believe anything positive is coming from the proposed payment rule itself , or from the final rule – which set to come out around Halloween – for that matter.

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To Avert a GLP-1 Cost Tsunami, Add Lifestyle Interventions: Learning from Virta Health

Health Populi

With consumer and prescriber interest in GLP-1 receptor agonist drugs “soaring,” health plan managers have a new source of financial stress and clinical questions on their to-do list. A team of Virta Health leaders held a webinar on 13th July 2023 to explain the results of a study the company just completed assessing health plan execs’ current views on Ozempic and other GLP-1 medicines with a view on both clinical outcomes and cost implications for this growing category of drug

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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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Estimated impact of IRA on Medicare beneficiary out-of-pocket expenses

Healthcare ECONOMIST

ASPE has a report out on the potential impact of the Inflation Reduction Act on Medicare Part D beneficiary out-of-pocket spending. This is a particularly relevant topic as the share of patients who have fallen into the catastrophic coverage has increased over time. Some of the medical conditions with the top out-of-pocket payments for Medicare beneficiaries are also listed below.

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Patients, Nurses and Doctors Blame Health Insurers for Increasing Costs and Barriers to Care

Health Populi

Most patients, nurses and doctors believe that health insurance plans reduce access to health care which contributes to clinician burnout and increases costs, based on three surveys conducted by Morning Consult for the American Hospital Association (AHA). Most patients have experienced at least one health insurance related barrier in the past two years, and 4 in 10 of those people said their health got worse as a result of that care-barrier. “These surveys bear out what we’ve heard for yea

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Long-term care in Ontario in need of an overhaul

Healthy Debate

Money alone won’t fix the long-term care crisis in Ontario. While funding is part of the solution, a full paradigm shift is essential.

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Deep Learning Model Accurately Detects Cardiac Function, Disease

Health IT Analytics

A deep learning model can classify left ventricular ejection fraction, aortic stenosis, tricuspid regurgitation, and other conditions from chest radiographs.

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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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Holland & Knight Health Dose: July 18, 2023

HKLaw

Holland & Knight Health Dose is an in-depth weekly dose of legislative and regulatory insights to keep stakeholders abreast of happenings in Washington, D.C., impacting the health sector.

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Ensuring Healthcare AI/ML Models Aren’t “Failed Science Fair Projects”

HIT Consultant

Andrew Eye, CEO & Founder of ClosedLoop.ai Artificial Intelligence has become a board-level priority, dominating healthcare technology conversations. However, despite widespread interest in the technology, the healthcare industry is still lagging when it comes to deploying and maintaining successful AI and machine learning (ML) models. According to a survey by the Society of Actuaries , 93% of healthcare organizations (HCOs) believe leveraging predictive analytics is key to the future of th

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Information Blocking Enforcement Penalties Begin Sept. 1, 2023

HKLaw

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) posted a final rule effective September 1, 2023, that establishes civil monetary penalties (CMPs) for information blocking (IB Enforcement Rule).

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Ligature Risk and Assessment in Hospitals   

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS posted QSO-23-19-Hospitals this morning (July 17, 2023). Medicare-certified hospitals have a regulatory obligation to care for patients in a safe setting under the Medicare Hospital Conditions of Participation at §482.13(c)(2). The intention of this requirement is to specify that each patient receives care in an environment that a reasonable person similarly situated as the patient would consider to be safe.

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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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Retiring and Replacing HEDIS Measures, 2024-2026

NCQA

We want to evolve HEDIS as the best performance measurement system for: Improving health equity. Supporting new models of care delivery. With that goal in mind, we are revising HEDIS measures to: Better align with digital health data standards. Leverage electronic clinical data. Encourage standardized exchange of health information. To enable this digital transformation, NCQA is replacing measures that are less relevant or outdated, or that can be revised to better address care issues at hand.

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What Share of Nursing Facilities Would Meet Possible New Staffing Requirements?

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare This article is a very interesting read. It was posted by the Kaiser Family Foundation on Friday, July 14, 2023 – same title as this blog. I encourage you to review and share it with your team and colleagues. “This data note explores the current state of nurse staffing levels at nursing facilities in anticipation of the forthcoming proposed rule on staffing regulations.

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FemTech: Herself Health Raises $26M To Power Primary Care for Women 65+

HIT Consultant

What You Should Know: – Herself Health , a New York City-based healthcare company providing comprehensive primary care to women 65+raises $26M in Series A fuding led by Michael Cline of Accretive serving as the lead investor. The company has raised $33 million to date. Juxtapose also participated in the Series A. – Founded in 2022, Herself Health provides value-based care to women 65+ with a focus on helping women feel seen and heard as they age in a way that the current healthcare s

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Beyond Vulnerability: Disability, Epistemic Agency, and Climate Action

Bill Of Health

By Sarah Bell When considered in climate policy, disabled people are typically homogenized as climate “victims;” a framing that does little to address the social or political conditions that create these circumstances or to recognize the potential contributions of disabled people as knowledgeable agents of change. This piece highlights the failure to recognize the knowledges of disabled people as a form of epistemic injustice, whereby the capacity of disabled people as knowers or 

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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.