Fri.May 26, 2023

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CVS could lose up to $1B next year from MA star ratings drop

Health Care Dive

Just 21% of CVS’ MA members are currently in plans with a star rating of at least four, down from 87% at the end of 2021, the payer disclosed.

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CVS braces for $1B hit following Medicare Advantage star ratings drop

Fierce Healthcare

CVS braces for $1B hit following Medicare Advantage star ratings drop pminemyer Fri, 05/26/2023 - 12:45

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Walgreens laying off 10% of corporate workforce

Health Care Dive

The cuts, affecting more than 500 employees, come as the pharmacy chain expands in consumer-focused care delivery.

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Report: Retailers are vying for 'a piece of the medical pie.' How should traditional providers respond?

Fierce Healthcare

Report: Retailers are vying for 'a piece of the medical pie.' How should traditional providers respond?

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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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Roundup: Monash IVF begins digital transformation and more briefs

Healthcare It News

Monash IVF taps Personify Care for digital transformation ASX-listed fertility services provider Monash IVF Group has started embarking on its digital transformation by implementing a digital front door. It recently partnered with Personify Care to set up digital patient pathways which optimise the collection and sharing of critical information with patients throughout their treatment.

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Securing mergers and acquisitions in healthcare

Health Care Dive

Netskope’s Damian Chung outlines how healthcare organizations can avoid cyber risks when executing acquisitions or partnerships.

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Patients need more info, tools and support

Healthcare It News

Enterprise Taxonomy: Node settings: Exclude from Accelerate RSS feed

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Industry Voices—How UHC's new prior authorization policy for colonoscopies could make patients wait

Fierce Healthcare

Industry Voices—How UHC's new prior authorization policy for colonoscopies could make patients wait pminemyer Fri, 05/26/2023 - 10:45

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Military Assistance to Ukraine Is a Rare Success

The Rand Blog

Recently, the United States reversed its longstanding opposition to sending Ukraine F-16 advanced aircraft to aid its fight against Russia. The policy reversal is a smart call. Once the aircraft are delivered and training is complete the jets will help Ukraine defend its territory more efficiently, and might even help end the war.

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DiagnaMed Launches Generative AI Brain Health Solution

HIT Consultant

What You Should Know: DiagnaMed , a generative AI healthcare solutions company launches PalGPT.ai , a generative AI brain health solution powered by OpenAI’s ChatGPT for people seeking an AI companion to have meaningful private conversations, friendly advice and share inner thoughts. PalGPT.ai is the Company’s second commercial product from its Health GenAI division, which is focused on the development and commercialization of a suite of generative AI ready-made and customizable applicatio

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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 Can Platforms Deal with Toxic Content? Look to Wall Street

The Rand Blog

The Supreme Court recently opted to keep in place a law that shields tech platforms from liability for hosting toxic content. Congress can and should regulate the industry. And there's already a regulatory framework for doing so that accounts for freedom of speech concerns.

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How VR impacts complex surgeries

Osf Healthcare

OSF Innovation has been on the leading edge of 3D modeling ever since printing its first pediatric heart for surgical planning in 2013.

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Making the Most of JROTC

The Rand Blog

Junior Reserve Officers' Training Corps (JROTC) units in U.S. schools have drawn intensive scrutiny of late, and some districts might consider dropping JROTC. But they should take stock of what they'll lose. Students who choose to enroll in JROTC and stick with it do better in school than their peers.

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The Top Legal, Regulatory Issues Home-Based Care Providers Are Facing In 2023

Home Health Care

There are a number of key issues that home-based care providers looking to navigate legal and regulatory hurdles need to keep their eye on – some old, and some new. In some areas, it will be important for providers to increase their advocacy efforts, like when it comes to a potential ban on non-competes, Angelo Spinola, the chair of home care, home health and hospice at the law firm Polsinelli, told Home Health Care News.

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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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Immigration Policy, the Black-White Wealth Gap, ChatGPT: RAND Weekly Recap

The Rand Blog

This weekly recap focuses on the challenges facing U.S. immigration policy, what it would take to close America's Black-white wealth gap, risks and opportunities associated with artificial intelligence, more.

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‘We See The Long-Term Value’: BofA, JPMorgan And Others Weigh In On Option Care Health-Amedisys Deal

Home Health Care

Amedisys Inc. (Nasdaq: AMED) is expected to merge with Option Care Health (Nasdaq: OPCH) in the back half of 2023. The deal, which valued the former at $3.6 billion, was announced at the beginning of May. The shareholders of each company still have to approve the deal. In the meantime, the two companies released a bevy of supportive analyst notes from a wide array of organizations.

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July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare May 26, 2023 … July 2023 Quarterly Update to Healthcare Common Procedure Coding System Codes Used for SNF Consolidated Billing was posted with this notification: Transmittal 12052 issued May 18, 2023, is being rescinded and replaced by Transmittal 12062, dated May 26, 2023 to correct the heading on the Part A file.

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Digital Health Executive Hires: Practice Better Appoints CEO, HHAeXchange, Intelerad, Tegria, Others

HIT Consultant

Practice Better announced that Kim Walsh will be stepping in as CEO and Nathalie Garcia, Co-Founder of Practice Better, will step into a new role as Chief Strategy Officer where she will continue serving Practice Better’s customers, employees, partners, and investors while supporting and advising Kim in her new role. HHAeXchange has appointed Paul Joiner as Chief Executive Officer.

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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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 SNF Virtual Training Program – MDS 3.0 v1.18.11 Available

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS has uploaded Parts 1 & 2 of the SNF Virtual Training Program for the MDS 3.0 v1.18.11. This presentation describes the framework of the Skilled Nursing Facility MDS 3.0 RAI v1.18.11 Guidance Training Program (Parts 1 and 2). Instructions for completing the recorded sessions and associated case study are provided.

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Emerging Respite Care Strategies in Medicaid Home and Community-Based Services Waivers

NASHP

Family caregivers play an important role in caring for Medicaid home and community-based services (HCBS) waiver participants. Respite care is a service delivered in the home or a facility-based setting to provide short-term relief for caregivers. Although most states offer respite through Medicaid, varied program policies and payment rates among states greatly affect caregivers’ access to high quality respite services.

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13 Most Common HIPAA Violations: Unmasked

Etactics

According to Verizon’s Data Breach Investigations Report , employees caused 39% of healthcare breaches in 2021. This is in comparison to the 18% in other industries. The Health Insurance Portability and Accountability Act (HIPAA) is a topic we go over quite regularly in this blog. This standardized set of rules and regulations has been going on for more than 25 years now.

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WellBe Senior Medical Wants To Be ‘General Contractor’ For Patients’ Home-Based Care

Home Health Care

Jeff Kang, the CEO of WellBe Senior Medical, has been in health care for a long time. He was the first chief medical officer of the Centers for Medicare & Medicaid Services (CMS), serving in that role from 1995 to 2022. Since then, he has held leadership roles at Cigna (NYSE: CI), Walgreens Boots Alliance (Nasdaq: WBA) and ChenMed, a primary care practice for seniors.

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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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Emerging Respite Care Strategies in Medicaid Home and Community-Based Services Waivers for Older Adults, Adults with Physical Disabilities, and their Family Caregivers

NASHP

Introduction Abundant research — and often our own lived experience — points to the physical, mental, and emotional toll of caregiving. With caregivers increasingly asked to perform more intense and complex care , respite care is integral to giving caregivers a much-needed break. Respite care is a service typically delivered in the home or a facility-based setting that provides short-term relief for caregivers.

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Back Pain Between Shoulder Blades

Healthcare Associates

Back Pain Between Shoulder Blades Back pain is one of the most common types of recurring or chronic pain. Over 44% of adults over the age of 45 report back pain each year. Back pain can interrupt daily activities, interfere with work and make it difficult to sleep comfortably. For many people, back pain occurs in the upper back between the shoulder blades.

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Roundups: 15 Recent Digital Health Strategic Partnerships

HIT Consultant

Titan Medical Inc. has entered into a license agreement with Intuitive Surgical, Inc., a global technology leader in minimally invasive care and the pioneer of robotic-assisted surgery (“ RAS ”), for an upfront payment of $7.5M in respect of certain intellectual property (“ IP ”) of Titan. Under the Agreement, Titan has granted Intuitive a non-exclusive license to all of Titan’s IP, with the exception of the IP that is exclusively licensed to another party under a June 2020 license agreement.