Mon.Nov 13, 2023

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Prior authorization and other regulatory burdens have increased since last year, practices tell MGMA

Fierce Healthcare

Nine in 10 polled medical practices say their regulatory burden has increased over the past year with prior authorization, audits and appeals, the Medicare Quality Payment Program (QPP) and require | The latest annual poll of practices' regulatory burden outlined prior authorization, audits and appeals, Medicare QPP and other leading pain points that physicians say are weighing down theor staff and ability to deliver care.

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New York proposes ‘nation-leading’ hospital cybersecurity regulations

Health Care Dive

The rules, which would require facilities to develop response plans and hire a chief information security officer, aim to safeguard hospitals from growing threats and keep them operating during an attack.

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Houston FQHC to deploy AI-based mental health support at no cost

Healthcare It News

The Federally Qualified Health Center Community Health Network, operating in Brazoria, Harris and Galveston counties in Texas, has partnered with Wysa to integrate its artificial intelligence-guided mental health platform to offer adjunctive behavioral health support throughout patient care journeys and give clinicians and administrators insights. Wysa is also being deployed at MyCHN for provider mental health support.

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Most rural hospitals no longer deliver babies, report finds

Health Care Dive

Financial challenges at rural hospitals — driven by reimbursement problems — are leading facilities to shutter labor and delivery wards, according to a new report.

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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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Amazon's One Medical partners with CommonSpirit Health for specialty care in Seattle

Fierce Healthcare

CommonSpirit Health's Virginia Mason Franciscan Health is teaming up with Amazon One Medical to provide specialty care to the online retailer's primary care patients. | CommonSpirit Health's Virginia Mason Franciscan Health is teaming up with Amazon One Medical to provide specialty care to the online retailer's primary care patients.

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4 ways healthcare organizations can navigate industry challenges

Health Care Dive

Trends across technology, talent, care and operations are forcing healthcare leaders to take stock and anticipate where to focus their attention over the next three to five years.

More Trending

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Patient portal access spikes during pandemic, but disparities persist, study finds

Health Care Dive

Engagement with online medical records increased during the pandemic, but fewer Black and Hispanic patients accessed electronic health information compared with White patients.

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Executive Spotlight: Intermountain Health's Rob Allen on stepping into the CEO role and addressing burnout

Fierce Healthcare

When first stepping into the top executive role at Intermountain Health almost a year ago, President and CEO Rob Allen said that “a lot of folks” advised him to be careful and attentive to what he | Intermountain Health's Rob Allen greeted the president and CEO position last November with a six-month internal listening tour with employees. Here's what he heard from clinicians and employees as well as how the 33-hospital system is tackling labor and supply cost challenges.

Hospitals 176
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Mass General Brigham offers buyouts to workers in its digital unit

Health Care Dive

The buyouts come after the Boston-based nonprofit health system faced scrutiny from state regulators over spending.

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Humana's latest CenterWell expansion brings its clinics to Indianapolis

Fierce Healthcare

Humana has set ambitious growth goals around its CenterWell business, and the company's latest expansion brings its clinics to the Indianapolis market. | Humana has set ambitious growth goals around its CenterWell business, and the company's latest expansion brings its clinics to the Indianapolis market.

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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 payers can advance health equity as part of coordinated action

Health Care Dive

When discussing the gap between the status quo and safe, high-quality health care, many organizations realize that improving health equity is a moral and economic imperative as the business case for equity is well-documented.

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Two major health tech deals close: Virgin Pulse, HealthComp's $3B merger and NextGen's $1.8B PE buyout

Fierce Healthcare

Two major healthcare deals closed last week on the heels of a relatively quiet year for healthcare M&A deals. | Virgin Pulse, digital-first health, wellbeing and navigation company, completed its $3 billion merger with third-party health benefits administrator HealthComp.

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What are CY 2024 Policy Updates For MIPS Reporting? (Part II)

p3care

[ Note: P3 Care, as a MIPS-qualified registry, presents your series of blogs on MIPS final rule updates for CY 2023. So, this is the ‘ Part II ’ of our CY 2024 MIPS policy changes.] The PFS final rule for MIPS reporting is the provider’s compass for navigating safely. So, we have the MIPS 2024 final rule, and providers need to understand everything in it.

Medicare 130
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In-Ear Wearable Measures Blood Flow to the Head for Long COVID POTS

HIT Consultant

What You Should Know: STAT Health emerges from stealth to introduce a 24/7 in-ear wearable that measures blood flow to the head to better understand symptoms such as dizziness, brain fog, headaches, fainting, and fatigue that occur upon standing. These are common symptoms for illnesses like long COVID, postural orthostatic tachycardia syndrome (POTS), myalgic encephalomyelitis / chronic fatigue syndrome (ME/CFS), and other orthostatic (caused by standing) syndromes that affect more than 13 milli

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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 chain of command: A powerful patient safety tool

Health Care Dive

A chain of command can deliver guidance to staff and enhance the culture of safety.

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The State of Digital Health Investment and What It Means for Health Organizations

HIT Consultant

Bob Farrell, CEO, mPulse Mobile Over the last several years there’s been significant investment in digital healthcare startups and growth-stage organizations, particularly those showing technical innovation that delivers improved health outcomes and more efficient care delivery models. Digital health organizations that translate investment dollars into quality outcomes will emerge as leaders by focusing on core challenges faced by major players across the healthcare industry.

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Bedrock Healthcare at Home Leans On Technology To Keep Patients Out Of The Hospital

Home Health Care

In any segment of health care, constant moving parts can cause a headache for both workers and patients. What makes matters even worse is when there is no solid communication between workers within a care team. Andre Gomez, the executive vice president of Bedrock Healthcare at Home, said he learned that the hard way during his first job in home health care almost 20 years ago.

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Using Generative AI to Streamline Clinician Workflow and Reduce Burnout

HIT Consultant

Dr. Ravindra Patil, Sr. Director of Data Science at Tredence Clinician stress rose significantly during the pandemic but has remained high even as COVID-19-related patient volumes and illness severity have subsided. In 2021, 62.8% of U.S. physicians exhibited burnout; this year, it is 62%. Contributing factors include heavy patient loads, too many administrative tasks, and rising clinician shortages.

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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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Turning back the tide: The challenge of antimicrobial resistance and its impact on our health

Healthy Debate

The post Turning back the tide: The challenge of antimicrobial resistance and its impact on our health appeared first on Healthy Debate.

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Bamboo Health Launches Discharge Summaries to Streamline Follow-Up Care

HIT Consultant

What You Should Know: – Bamboo Health has announced a new solution called Discharge Summaries , which is an enhancement to its existing Pings platform. – Discharge Summaries is designed to address the challenges of patient discharge communication by providing care coordinators with easy access to real-time discharge information, including medication lists, follow-up appointments, and other vital details.

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Home Health Providers Take Aim At CMS’ ‘Black Box’ Approach To Policymaking

Home Health Care

This article is a part of your HHCN+ Membership Enough time has passed since the CY 2024 home health payment rule was finalized for providers to dive into its details, mull them over and respond. Though the rule is more favorable than the proposal the U.S. Centers for Medicare & Medicaid Services (CMS) first introduced in June, home health providers are not pleased with the final outcome.

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Biomaterial Technology Breakthrough: Addressing Immune Response Complications in Orthopedics

HIT Consultant

Derrick Johns – CEO of DiFusion Technologies The last time we saw any meaningful advance in the development of biomaterial technology used in orthopedic implants, particularly in spinal implantation, was before Bill Clinton’s presidency. Since the 1990s, this field has remained relatively stagnant, with titanium and PEEK (polyetheretherketone) being the basis for virtually all spinal implants.

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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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CMS’ Acute Hospital Care At Home Waiver Delivers Promising Results

Home Health Care

Since the Centers for Medicare & Medicaid Services (CMS) launched the Acute Hospital Care at Home waiver in response to the COVID-19 pandemic, patient outcomes have been encouraging. Of the 11,159 patients who received care from November 2021 to March 2023, only 7.2% of patients that were being treated in the home were transferred to the hospital, according to a recent study published by JAMA.

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Classiq Launches Quantum Center for Life Sciences with NVIDIA

HIT Consultant

What You Should Know: – Classiq , NVIDIA , and Tel Aviv Sourasky Medical Center have established a new initiative, the Quantum Computing for Life Sciences & Healthcare Center, to develop and implement quantum algorithms and applications in these domains. – The center will focus on areas such as drug discovery, molecular analysis, and bespoke medical treatment strategies.

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States Taking Action to Help Individuals Maintain Health Coverage

NASHP

As anticipated, unwinding the Medicaid continuous coverage requirement in place throughout the COVID-19 public health emergency is a massive undertaking. Although states are quickly working to ensure compliance with federal ex parte rules , remedy system glitches, and re-enroll individuals who have been procedurally disenrolled, challenges remain. The resumption to normal Medicaid eligibility determination and disenrollment processes includes addressing many factors that may affect individua

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What discount rate does OMB use?

Healthcare ECONOMIST

Different health technology assessment bodies use different discount rates. ICER uses 3%. NICE uses 3.5% , but allows for a 1.5% discount rate as an alternative approach in certain circumstances. What does the US’s Office of Management and Budget (OMB) use? A OMB press release from last week recommends that government agencies use: …2.0% for effects in 2023 to 2079, to 1.1% for effects in 2164 to 2172 How do they justify this discount rate?

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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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NASHP’s Hospital Cost Tool: Version 3.0

NASHP

The National Academy for State Policy (NASHP), in collaboration with Rice University’s Baker Institute for Public Policy and Mathematica Policy Research, with support from Arnold Ventures, will launch an update to the interactive Hospital Cost Tool in December 2023. The tool provides information on a range of financial and operating measures for nearly 5,000 individual hospitals from 2011 to 2021 (soon through 2022).

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Illinois Proposes Heightened Oversight for Healthcare Transactions

Sheppard Health Law

Starting January 1, 2024, healthcare facilities and provider organizations engaging in certain transactions in Illinois, such as mergers and acquisitions, will have new reporting requirements. Illinois recently joined a growing number of states, including California and New York , in requiring expanded oversight and transparency of transactions involving healthcare facilities and provider organizations.

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M&A: Millar Acquires Sentron; Redefining MEMS Pressure Sensor Industry

HIT Consultant

What You Should Know: – Millar , a provider of OEM solutions and a leader in pressure sensor-enabled medical devices for over 54 years, acquires Sentron , a pressure and pH sensor manufacturing company headquartered in Leek, The Netherlands, currently owned by Wellinq. – The acquisition includes sensor development and fabrication facilities, significantly broadening Millar’s capabilities.

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Sheppard Mullin 10 Ways to Screw Up Your Deal

Sheppard Health Law

Sheppard Mullin and Jarrard co-presented 10 Ways to Screw Up Your Deal, a webinar discussing the pitfalls that can sabotage a deal and best practices to avoid them. Here’s a link to the webinar: 10 Ways to Screw Up Your Deal | Sheppard Mullin and a summary of the webinar’s takeaways. IF YOU WANT TO SCREW UP YOUR DEAL, THEN: Build the plane while you’re flying.

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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.