Thu.Aug 31, 2023

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Info blocking enforcement for health IT entities begins Sept. 1, brings fines of up to $1M per violation

Fierce Healthcare

Enforcement of information blocking penalties for health IT entities is slated to go into effect on Friday, opening the door to penalties of up to $1 million per violation. | The Department of Health and Human Services Office of Inspector General said it expects to receive more complaints than it can investigate and so will be prioritizing those meeting certain criteria.

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Prisma Health files suit against UnitedHealthcare, alleging ‘bad faith’ contract negotiation tactics

Health Care Dive

The South Carolina-based health system alleges that the insurer broke its contract and gave "false and misleading" statements to the press about Prisma’s proposed rates for 2024.

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Headspace, Intermountain's Castell team up to expand behavioral health access

Fierce Healthcare

Digital mental health company Headspace is teaming up with Castell, Intermountain Healthcare’s value-based care subsidiary, to expand access to virtual mental health services. | The partnership will provide members of select insurance plans in Utah access to Headspace’s self-guided content, behavioral health coaching and therapy in an outcomes-based payment model.

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‘We’re in the 1999 of the internet era’: a16z’s Julie Yoo on fintech’s potential and the digital health market

Health Care Dive

Yoo, who leads health tech investment at venture capital firm Andreessen Horowitz, outlined her fintech investment thesis and why the healthcare industry is at an inflection point for adoption.

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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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Coalition of 33 organizations endorses CMS' proposal to quickly cover new medical devices

Fierce Healthcare

The American Telemedicine Association, the College of Healthcare Information Management Executives (CHIME) and Otsuka America Pharmaceutical are among the groups in support of the Centers for Medic | Organizations signed a letter pledging support for a CMS-backed transitional coverage for emergency technologies pathway, which they say could improve patient care, prevent hospitalizations and reduce costs.

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A blueprint is essential to accelerate digital transformation and improve patient outcomes

Healthcare It News

Saudi Arabia's Ministry of National Guard Health Affairs broke records by achieving HIMSS stage 7 in four models concurrently. Raed Alhamze explores the impact on patient outcomes.

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ONC taps Sequoia Project as TEFCA overseer, again

Health Care Dive

The nonprofit will receive $2 million in funding from the government in the first year of its new five-year contract for managing the interoperability network.

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Marathon Health aims to expand reach in occupational health with Cerner WHS acquisition

Fierce Healthcare

Earlier this month, Marathon Health clinched a deal to acquire Cerner Workforce Health Solutions, a move it hopes will enable it to broaden and widen the primary care services that Marathon sells p | The deal adds about 300 employees, 21 client businesses, 35 health centers and 300,000 members to Marathon and expands the company’s footprint in 15 states and cities, including significant expansion in Chicago, Kansas City and St.

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Prime Therapeutics reports data security incident affecting Blue Shield Minnesota members

Health Care Dive

The pharmacy benefit manager said an unauthorized user gained access to an employee’s email account, which contained documents with members’ personal health information.

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A Four-Day School Week? Here Are the Costs and Benefits

The Rand Blog

Hundreds of small school districts across America have cut one day a week from their calendars. A shorter school week helps them compete for teachers and reduce costs. Teachers and parents love it. But is it really in the best interests of students?

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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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Kernel density estimation

Healthcare ECONOMIST

Let’s say that you have data. This could be say data on how many points Giannis Antetokounmpo scored in a game. One could fit some distribution to the data. For instance, you may know the mean and standard deviation and you could estimate a normal distribution. However, the data may not be normal. Or the data could be bounded (e.g., you can’t score negative points in basketball).

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Money, Markets, and Machine Learning: Unpacking the Risks of Adversarial AI

The Rand Blog

The consequences of ignoring the problem of adversarial attacks in algorithmic trading are potentially catastrophic. In a world increasingly reliant on machine learning models, the financial sector needs to shift from being reactive to proactive to ensure the security and integrity of our financial system.

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4 New Insights On The Amedisys, Optum, Option Care Health Saga

Home Health Care

This article is a part of your HHCN+ Membership On May 3, Amedisys Inc. (Nasdaq: AMED) and Option Care Health (Nasdaq: OPCH) issued a joint press release announcing their intent to merge. By June 5, those plans were complicated, with Amedisys revealing it had received a competing bid from UnitedHealth Group’s (NYSE: UNH) Optum. They were then scrapped entirely when, on the morning of June 26, Amedisys and UnitedHealth Group executed a transaction agreement of their own.

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EPtalk by Dr. Jayne 8/31/23

HIStalk

Sometimes a marketing campaign just resonates with me, as did.

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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 PE-Backed Avid Health at Home Has Lofty Goals From The Get-Go

Home Health Care

The Dallas-based private equity firm Havencrest Capital Management has its home care platform. That’s Avid Health at Home, which has aggressive growth plans from the outset. The company was first unveiled in early August. It was created in conjunction with Havencrest’s acquisition of For Papa’s Sake Home Care, which is a personal home care provider in the Chicagoland area.

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News 9/1/23

HIStalk

Top News Babylon Health sells its UK business, including the.

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Why Accurate Data is a Lifeline to Care in the Medicaid Redetermination Cycle

HIT Consultant

Adimika Arthur, Executive Director, HealthTech 4 Medicaid Manisha Sharma, Senior Medical Director, Promise Health Plan Blue Shield of California During the pandemic, Medicaid enrollment grew by nearly 30% to cover more than 93 million Americans , due in large part to COVID-19 provisions that included continuous Medicaid enrollment. With the unwinding of these pandemic emergency orders, annual cycles of Medicaid redetermination have returned.

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State Plans for Continuing Key Medicaid Home and Community-Based Flexibilities Implemented During the Public Health Emergency 

NASHP

During the COVID-19 public health emergency, states received approval from the federal government to implement many flexibilities within their home and community-based services programs to ensure that Medicaid beneficiaries were able to receive needed services during the pandemic. Most states have decided to sustain at least one of these flexibilities.

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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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Viz.ai, UCSF to Commercialize 3 Cardiac AI Algorithms

HIT Consultant

What You Should Know: – Viz.ai , an AI-powered disease detection and intelligent care coordination has signed an exclusive licensing agreement with University of California, San Francisco (UCSF) to commercialize three AI algorithms for the automated detection of cardiovascular diseases. – Developed at UCSF by leading researchers, these AI algorithms to detect cardiac amyloidosis, pulmonary hypertension, and supraventricular tachycardia are based on analysis of electrocardiograms (ECG

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Another No Surprises Act Update: Texas Court Vacates Rules and Guidance Related to the “Qualified Payment Amount”

Sheppard Health Law

On August 24, 2023, the United States District Court for the Eastern District of Texas again largely ruled in favor of the Texas Medical Association and other plaintiffs (including air ambulance providers) and vacated certain regulations [1] and related guidance concerning how the “Qualified Payment Amount” (“QPA”) – one of the factors in the arbitration of out-of-network disputes – is calculated under the No Surprises Act (the “Act”). [2] The Court also vacated certain rules specific to the QPA

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Updates from ASPR TRACIE – Emergency Preparedness Resources

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare During a pandemic or other emergency, health care facilities face significant challenges to quickly onboard additional health care providers when hospital admissions and intensive care units’ occupancy rapidly increase. The recently updated Health Care Facility Onboarding Checklist (1 page) can help facilities ensure new employees are compliant with administrative requirements, familiar with the mission and culture of the hosp

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Hospital and Health System Financial Data Learning Collaborative: Q&A 

NASHP

On August 23, NASHP staff hosted an informational call about NASHP’ s upcoming F inancial Data Learning Collaborative. State officials were invited to learn more about the collaborative’s goals and structure, expectations for participants, and the application process. This Q&A reflects attendee questions and offers more details on the collaborative to prospective applicants.

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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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OIG Publishes New Featured Topic Webpage on Managed Care

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The growth of managed care over the past several years has changed fundamental aspects of the Medicare and Medicaid programs. This significant shift transformed how the Government pays for and covers health care for approximately 100 million enrollees. Due to the growth of managed care (in terms of enrollees and expenditures) and the significant differences between fee-for-service and managed care programs, OIG has developed a

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Get Prepared – Newly Mandated Cultural Competency Training for Illinois Healthcare Providers

Sheppard Health Law

The intersection of patient satisfaction and quality of care is central to healthcare today, and a provider’s level of cultural competence can significantly impact his/her performance in both areas. Recent focus on diversity, equity, and inclusion initiatives in healthcare has impacted how policymakers are approaching related issues, such as cultural competence in patient care. [1] Some state governments have determined that a provider’s ability to deliver culturally competent care is an essenti

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QuantHealth Secures $15M for AI-Powered Clinical Trial Design

HIT Consultant

QuantHealth co-founders Arnon Horev and Orr (Ruti Benziman) What You Should Know: – QuantHealth , an Israeli-based AI-powered clinical trial design startup raises $15M in a Series A funding round co-led by Bertelsmann Investments and Pitango HealthTech , with participation from existing investors Shoni Top Ventures and Nina Capital. – The round also includes participation from previous investors including Boston Millennia Partners, Atooro Fund, and Renegade Ventures.

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THC intoxication. Interview with Anebulo CEO Smon Allen

Health Business Group

The arrival of legal cannabis and especially high-potency edibles has brought acute cannabis intoxication along with it. According to guest Simon Allen , CEO of Anebulo a staggering 5000 intoxicated patients per day arrive in the emergency room. There's not a lot doctors can do beyond sedation. Anebulo hopes to change that with a product under development to quickly reverse the unwanted high.

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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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Headspace & Intermountain’s Castell Form VBC Mental Healthcare Partnership

HIT Consultant

What You Should Know: – Headspace , a comprehensive digital mental healthcare provider, and Castell , Intermountain’s value-based care subsidiary, have signed a value-based care (VBC) mental health partnership designed to improve health outcomes through a personalized care experience for members. – The VBC mental health partnership will provide members with access to Headspace’s clinical offerings including their self-guided content, behavioral health coaching, and therapy in an outc

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Care Compare Quarterly Refresh (Hospice) – August 2023

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The August 2023 quarterly refresh for the Hospice Quality Reporting Program is now available on Care Compare. For additional information, please see the FY2023 Hospice Wage Index Final Rule at [link]. Please visit the Hospice Background and Announcements webpage to review the Claims-Based Measures Questions and Answers downloadable (PDF) for more information on the HCI and HVLDL.

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Morning Headlines 9/1/23

HIStalk

Firm behind NHS GP at Hand service places two divisions.

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Public Health Modernization Toolkit: Key Commitments, Priorities, and Strategies to Advance Collaboration between Public Health and Health Systems

NASHP

You are viewing one section of the Public Health Modernization Toolkit. Please check out the other two sections: About This Toolkit and Our Framework Conclusion and Appendices Drawing on interviews with cross-agency state leaders and public health experts, local leaders, and scientific and grey literature, this toolkit provides a framework for understanding essential commitments, key priorities, and policy strategies for fostering collaboration among public, private, and community partners t

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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.