Thu.Jun 29, 2023

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Healthcare costs will grow 7% next year, PwC finds

Health Care Dive

Providers are expected to seek rate increases from payers as they struggle with labor costs, while health plans will face pressure from increased pharmaceutical expenses.

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From comfort dogs to companions for seniors, providers and startups are defining the future of 'healthcare'

Fierce Healthcare

Value-based care evolved from a pipe dream to a reimbursement code. The “food is medicine” movement is materializing from a pie in the sky into a pie on the table. | As the industry pursues value-based care and payment models, health systems, hospitals, providers and startups are exploring interventions and programs that a generation ago would have not been considered "healthcare.

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SCOTUS affirmative action ruling sets back physician diversity efforts, healthcare groups say

Health Care Dive

Industry groups and the HHS argued the ruling against race-conscious admissions policies could roll back gains in the number of minority physicians and ultimately hurt health outcomes.

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Iodine Software teams up with OpenAI to make a 'quantum leap' in AI tech for hospitals, physicians

Fierce Healthcare

Iodine Software is charging ahead to integrate generative AI technology into its software to make a "quantum leap" in automation and predictive analytics capabilities. | Iodine Software is charging ahead to integrate generative AI technology into its software to make a "quantum leap" in automation and predictive analytics capabilities.

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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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Primary care compensation growth outpacing other specialties

Health Care Dive

Primary care doctors have particularly benefited from CMS coding tweaks in 2021, according to a new survey. The gains could help narrow the compensation gap between primary care physicians and other specialties.

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Youth mental health is a growing crisis. Here's how Elevance Health is working to reduce suicide rates

Fierce Healthcare

Following the COVID-19 pandemic, the rising tide of mental health concerns—particularly among children and adolescents—has been a major focus in the industry. | Following the COVID-19 pandemic, the rising tide of mental health concerns—particularly among children and adolescents—has been a major focus in the industry.

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More Trending

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Medicare Advantage offers less access to psychiatrists than ACA plans, managed Medicaid: study

Fierce Healthcare

Medicare Advantage (MA) beneficiaries have less choice when it comes to finding a psychiatrist than Medicaid enrollees or those who buy coverage on the Affordable Care Act (ACA) marketplace do, acc | Medicare Advantage continues to grow, and so does the need for beneficiaries to have access to psychiatrists, says a study in Health Affairs.

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DOJ charges dozens in multiple states for $2.5 billion healthcare fraud

Health Care Dive

The multi-state bust that targeted 78 individuals represents “one of the largest healthcare fraud schemes ever prosecuted by the Justice Department,” Attorney General Merrick Garland said.

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Payers should expect a 7% increase in healthcare costs next year: PwC

Fierce Healthcare

Healthcare costs will balloon 7% next year, as payers hammer out new contracts with providers, the labor shortage stretches on and drug prices continue to increase, according to a new

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Nuance integrates generative AI-backed scribe into Epic EHRs

Health Care Dive

Epic is DAX Express’ first native integration, though a Nuance spokesperson stressed the clinical documentation capability remains EHR agnostic.

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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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DOJ charges 78 in sweeping $2.5B healthcare fraud takedown

Fierce Healthcare

The Department of Justice (DOJ) uncorked healthcare fraud charges against 78 defendants whose alleged telemedicine, prescription drug, opioid distribution and clinical lab testing schemes billed fo | Among the charges was an alleged $1.9 billion telehealth conspiracy described by Attorney General Merrick Garland as "one of the largest healthcare fraud schemes ever prosecuted by the Justice Department.

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AI Center Funds 5 Pilot Projects to Support Aging, Alzheimer’s Care

Health IT Analytics

Five pilot projects dedicated to the use of artificial intelligence to enhance the aging process received $250,000 each from MassAITC.

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Boston Children's Hospital affiliating nearby Franciscan Children's to expand capacity, flesh out post-acute care

Fierce Healthcare

Boston Children’s Hospital and nearby Franciscan Children’s are moving forward with an affiliation agreement that includes hundreds of millions in modernization investments and strengthened medical | The deal closing July 1 comes with a $500 million-plus investment into Franciscan Children's facilities, inpatient and behavioral bed increases, increased staffing targets and a push toward fully integrated pediatric care.

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Equitable and Ethical Access to Care: The Case of Pre-Hospital Blood Administration

Bill Of Health

By Stephen Wood The State of Massachusetts is currently reviewing a new protocol for the pre-hospital (i.e., ambulance) administration of blood products to patients with acute hemorrhagic shock. In the pre-hospital setting, hemorrhagic shock, which is characterized by rapid blood loss that results in potentially fatal oxygen depletion of the vital organs, is traditionally managed by the administration of intravenous fluids.

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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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Industry Voices—How becoming comfortable with myself made me a better leader

Fierce Healthcare

My identity as a gay woman isn’t all of who I am. | As a leader touching the healthcare industry for over 30 years, I’ve always felt passionately about not hiding who I am so that others feel empowered to be themselves, at work and beyond.

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Generative AI May Accelerate Drug Discovery for COVID Antivirals

Health IT Analytics

Oxford University and IBM have developed a new AI model that can generate antiviral molecules to target and block multiple virus proteins, including SARS-CoV-2.

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Chutes & Ladders—Elevance welcomes food as medicine director; Mass General Brigham names inaugural chief of infection control

Fierce Healthcare

Chutes & Ladders—Elevance welcomes food as medicine director; Mass General Brigham names inaugural chief of infection control aburky Thu, 06/29/2023 - 18:12

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UnitedHealthcare Offers 24/7 Virtual Visits At No Additional Cost

HIT Consultant

What You Should Know: UnitedHealthcare eliminates out-of-pocket costs for 24/7 Virtual Visits for eligible members enrolled in applicable fully insured employer-sponsored plans, starting July 1st. For UnitedHealthcare members enrolled in eligible fully insured plans, the coverage enhancement becomes available upon renewal and for newly effective plans, enabling more people to take advantage of $0 24/7 Virtual Visits.

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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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Can Cheap Drones Be the Answer to Tensions in the Taiwan Strait?

The Rand Blog

The more we learn about the war in Ukraine, the more we come to know that drones will play an increasingly important role on the modern battlefield. But how is the U.S. military thinking about what role these aircraft might play in future wars? When paired with modern sensors, could they offer an asymmetric advantage in future competitions?

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Home Health Providers Have ‘More Power Than They Did Yesterday’ In MA Plan Negotiations

Home Health Care

It has become increasingly difficult for home health providers to ignore Medicare Advantage (MA) plans’ growing reach. Providers looking to thrive will need to learn to navigate this evolving reimbursement landscape. In 2023, MA plan enrollment surpassed traditional Medicare enrollment. There has been a growth of more than 10 million MA plan enrollees over the last decade.

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News 6/30/23

HIStalk

Top News Just in time for the long holiday weekend,

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Why Home Health Providers Are Taking The Lead On ‘Z-Code’ Utilization

Home Health Care

This article is a part of your HHCN+ Membership Home-based care providers are constantly looking for new ways to prove their value. One way they’re doing so is through Z-codes. Z-codes – encounter reason codes that document social determinants (SDoH) of health data – are relatively new. They are also seldomly used, appearing in less than 1% of all medical claims.

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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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Links

Healthcare ECONOMIST

Why is it so hard for academic medical centers to succeed in value-based care ? I think the “ Better Care Plan ” is more focused on cost reduction than actually ‘better care’. Peer effects and generic drug purchases. Using cosmic rays. SLR on value-based purchasing. Should there be a sales tax on diapers ? Supreme Court strikes down affirmative action for university admissions.

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Addus HomeCare Acquires Tennessee Quality Care In $106 Million Deal

Home Health Care

Addus HomeCare Corporation (Nasdaq: ADUS) announced Thursday that it has acquired Tennessee Quality Care — a home health, hospice and private duty nursing provider. The price tag was $106 million. Tennessee Quality Care serves an average daily census of about 1,800 patients through 17 locations, and was formerly owned by American Health Partners. The provider’s biggest service line is home health care, but it also provides private-duty nursing and hospice care.

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Following the end of the COVID-19 Public Health Emergency , the Future of Telemedicine for Some Gender-Affirming Hormone Therapy Remains Unclear

Health Policy News

When the COVID-19 federal Public Health Emergency (PHE) ended on May 11th, the Drug Enforcement Administration (DEA) planned to roll-back PHE flexibility related to pre-pandemic restrictions on several prescribing practices.

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Notice of Proposed Rulemaking: FTC Proposes to Redesign and Dramatically Expand the Scope of the HSR Act Filing Process

Sheppard Health Law

The FTC announced today a notice of proposed rulemaking (“NPRM”) [1] proposing extensive revisions to both the rules that implement the Hart-Scott-Rodino Antitrust Improvements Act (the “Act” or “HSR Act”), and the Premerger Notification and Report Form (the “Form”) that merging parties must submit under the Act. The NPRM would also implement the Merger Filing Fee Modernization Act of 2022.

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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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PCG Hosts Webinar and Releases a New Tool to Assist States in Providing Comment on the Impact of Proposed Rules to Enhance Medicaid Access/Quality

Health Policy News

In April 2023, the Centers for Medicare & Medicaid Services (CMS) released two notices of proposed rulemaking aimed at transforming the delivery of, access to, and payment for Medicaid programs: Ensuring Access.

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Voices: Ronda Howard, Vice President, Revenue Cycle and CAHPS, HEALTHCAREfirst

Home Health Care

This article is sponsored by HEALTHCAREfirst. In this interview, Home Health Care News sits down with Ronda Howard, Vice President, Revenue Cycle and CAHPS, HEALTHCAREfirst , to talk about working through the challenges affecting a home-based care agency’s bottom line. She discusses sequential billing issues, and also explains the top notice of elections (NOE) errors and how to overcome them.

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Medicare Coverage and Nursing Homes: A Comprehensive Guide

Etactics

The average private room in a nursing home is $10,104 per month in the United States. If you break that down, this equals $332 per day. In contrast, the average cost of a semi-private room is $9,167 per month. Once again, broken down this is $301 per day. At the end of the day, annually a semi-private room costs an average of $110,004. A private room costs an average of $121,248.

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Roundups: 22 Recent Strategic Digital Health Partnerships

HIT Consultant

Advantus Health Partners forms a new 10-year, $2.9B strategic partnership with Medline to establish agility and scale, supply chain resiliency and enhanced clinical integration with the nurses and physicians who use Medline’s product. This strategic partnership focuses on serving the entire continuum of care and includes highly integrated collaborations with Medline and Advantus’s physician-led clinical integration team that works to improve physician alignment, product implementation, clinical

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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.