Tue.Jan 09, 2024

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JPM24: Cigna's top brass says PBM Express Scripts is poised to weather industry reform

Fierce Healthcare

Last August, Blue Shield of California made headlines when it rev | As the market shifts toward greater transparency, Express Scripts has rolled out multiple programs in the past year that aim to address some of the central criticisms of the industry.

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Mortality rates low for hospital-at-home patients, study finds

Health Care Dive

The study could support extending acute hospital care at home, researchers said. Currently, a pandemic-era waiver for the programs is set to expire at the end of the year.

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Study: Drug interventions appear to have fewer disparities than other types of obesity care

Fierce Healthcare

Pharmacological interventions demonstrate fewer disparities in obesity treatment than behavioral and surgical treatment, a new literature review has found. | While most behavioral and surgical treatment studies reveal disparities in weight loss and clinical outcomes, pharmacological studies reveal minimal to no evidence of disparities and favorable outcomes for minorities.

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Walgreens to pay Humana $360M to settle drug pricing dispute

Health Care Dive

The settlement is a little over half of what Walgreens was originally ordered to pay, after an arbiter said the retail pharmacy chain overcharged Humana for prescription drugs for more than a decade.

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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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Walgreens to settle Humana arbitration dispute for $360M

Fierce Healthcare

Walgreens has agreed to a $360 million settlement in arbitration dispute with Humana, the company disclosed late last week. | Walgreens has agreed to a $360 million settlement in arbitration dispute with Humana, the company disclosed late last week.

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Digital health funding reached lowest level since 2019 last year: report

Health Care Dive

Startups turned to “creative” funding mechanisms like unlabeled and silent rounds to buy time in 2023, but those strategies likely won’t work again this year, according to a report by Rock Health.

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Most nonprofit hospitals and health systems had ‘strong’ cash reserves in 2022, KFF finds

Health Care Dive

An analysis of cash on hand suggests that, despite declining operating margins, some nonprofit health systems had enough of a financial cushion to weather tough operating conditions in 2022.

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Mass General Brigham CMIO on AI: 'exciting, but a little anxiety-provoking'

Healthcare It News

Editor's Note: This is the fifth in a series of features on top voices in health IT discussing the use of artificial intelligence in healthcare. To read the first feature, on Dr. John Halamka at the Mayo Clinic, click here. To read the second interview, with Dr. Aalpen Patel at Geisinger, click here. To read the third, with Helen Waters of Meditech, click here.

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JPM24: Jefferson Health says LVHN merger would double its insurance business within 2 years

Fierce Healthcare

To diversify its revenue stream, the Philadelphia-based nonprofit wants to make health insurance a much larger part of its business.

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China doubles down on smart medicine

Healthcare It News

More healthcare stakeholders in China are contributing to the government's vision to make smart Chinese medicine popular and standardised. In December, the Hong Kong Baptist University (HKBU) and China Resources Research Institute of Science and Technology, a subsidiary of consumer goods conglomerate China Resources Enterprise (CR Enterprise), entered into an R&D agreement to establish the CR-BU Joint Innovation Centre on Smart Chinese Medicine.

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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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JPM24: Scripps Health strengthens digital fortifications with ex-FBI cybercrime lead

Fierce Healthcare

SAN FRANCISCO — Scripps Health’s 2021 cyberattack was a ma | After a disastrous 2021 attack threw its systems into disarray, the San Diego nonprofit's executives said they have been planning for an inevitable next strike.

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Engaging with People with Lived Experience in Opioid Settlement Decision-Making

NASHP

As states administer opioid settlement funds, they are seeking ways to engage people who have been affected by the opioid epidemic in decision-making, policy development, and program implementation. In many states, legislation or memoranda of agreement creating administrative structures for distributing settlement funds require representation of people with lived experience* on advisory boards and other decision-making bodies.

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JPM24: Centene CEO London sees growing bipartisan backing for the ACA's exchanges

Fierce Healthcare

Enrollment in plans through the Affordable Care Act's exchanges continues to grow, and Centene CEO Sarah London said she is seeing growing bipartisan support for the individual market in tandem.

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Mayo Clinic, Techcyte Partner to Create AI-Powered Pathology Platform

HIT Consultant

What You Should Know: – Mayo Clinic Platform v and Techcyte have joined forces to revolutionize the field of pathology by creating a digital pathology platform. This platform aims to pioneer the next generation of pathology services through an open, AI-driven solution, enhancing treatment, efficiency, and accuracy globally. – By enabling healthcare organizations to economically digitize their pathology practices, the platform integrates innovative technical and AI workflow solutions.

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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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JPM24, Day 2: Cigna, major providers take the conference stage

Fierce Healthcare

It's officially a new year for the healthcare industry, as biopharma executives, investors, reporters and others make the annual trek to the Westin St. | Get the latest healthcare and health tech news from the J.P. Morgan Healthcare Conference in San Francisco.

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Say Goodbye to Tremors: FDA Greenlights Medtronic’s Percept RC with BrainSense

HIT Consultant

What You Should Know: Medtronic , a global leader in healthcare technology, today announced the U.S. Food and Drug Administration (FDA) approval of its Percept™ RC Deep Brain Stimulation (DBS) system. The rechargeable neurostimulator is the latest innovation in the Medtronic Percept™ family, which includes the Percept™ PC neurostimulator, BrainSense™ technology, and SenSight™ directional leads.

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Industry Voices—Collective action is the key to decarbonizing healthcare

Fierce Healthcare

This year’s United Nations Climate Change Conference, better known as COP28, featured its first official Health Day. | The healthcare sector, contributing to 8.5% of U.S. national emissions, must actively tackle the intersection of environmental and public health challenges through collaborative decarbonization efforts.

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How AI is Changing the Conversation Around Hospital Denials – and Improving Financial Implications in the Process

HIT Consultant

Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, Sr. Director of Revenue Integrity at XSOLIS Of the many complexities within the healthcare industry, medical necessity determinations can be the most challenging – and pose one of the greatest barriers to efficient revenue cycle processes and appropriate reimbursement. Complex medical necessity policies that differ between payer, diagnosis, and presentation have muddled utilization review (UR) and revenue cycle processes for years, driving waste and fric

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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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Payer Roundup–Liviniti, Noom enter partnership; Michigan plans must cover cancer therapies

Fierce Healthcare

Below is a round-up of payer-centric news for the week of Jan. 8., 2024 UPDATED: Tuesday, Jan. 9 at 3:00 ET | This week, PBM Liviniti has announced a partnership with Noom, Michigan regulators take insurers to task for not covering cancer therapies and self-funded employer-sponsored insurance plans saw an uptick in enrollment.

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Making Informed Decisions: What You Need to Know Before Hiring a Software Expert for a Healthcare Project

HIT Consultant

Marcin Wudarczyk, PhD, CEO of GoSolve Hiring professional software experts is crucial for business owners looking to develop or enhance their software systems. However, finding the right vendor is often a daunting challenge that may lead to long-term consequences. This article provides comprehensive guidelines on what healthcare business owners need to know before choosing the right software vendor.

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JPM24: Cityblock inks partnership with Centene plan in Ohio to serve Medicaid patients

Fierce Healthcare

Cityblock Health is expanding its services to Medicaid patients in Ohio through a partnership with Centene subsidiary Buckeye Health Plan.

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How Gender Diversity Improves Defense Operations

The Rand Blog

It's U.S. defense policy to make sure women play a meaningful role in matters of war, peace, and security. This includes embedding women's perspectives in decisionmaking. Real-world examples show the benefits of applying a gender lens to military planning and operations.

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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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HRS Applauded by Frost & Sullivan for Transforming Remote Care Delivery

Health Recovery

HRS’ RPM solutions enhance patient outcomes and satisfaction, optimize hospital bed utilization, improve quality, reduce costs, and curb readmissions across diverse healthcare settings.

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Clinical Trial Payments: Optimizing the Path Forward for Site Payments

HIT Consultant

Jim DiCesare, Sr. Director, Study Operations, IQVIA Clinical Trial Payments Escalating competition for clinical trial sites, in tandem with other industry-wide challenges such as changing regulations; a lack of bandwidth and resources; identifying ideal sites and recruiting and retaining patients, are posing significant obstacles for sponsors and site teams within a global study portfolio, particularly in relation to clinical trial payments.

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Preparing for Climate Change Risks to the 2024 Elections

The Rand Blog

A natural disaster could quickly overwhelm a voting district and render prior planning moot. Officials should plan and practice how they will conduct elections in the wake of a disaster that displaces voters, destroys blank ballots, or damages election equipment.

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Quantifying The Value of Reduced Health Disparities: Low-Dose CT Lung Cancer Screening of High-Risk Individuals within the US

Healthcare ECONOMIST

That is the title of a paper currently published (well, in pre-prints) at Value in Health. Co-authors include Jaehong Kim, Moises Marin MA, Sangeetha Ramsagar, Mark Lloyd Davies, Kyana Stewart, Iftekhar Kalsekar and Anil Vachani. The abstract is below: Objective To measure the value of increasing lung cancer screening rates for high-risk individuals and its impact on health disparities.

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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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AI-Driven ECG Analysis Accurately Predicts Right-Side Heart Issues

Health IT Analytics

A deep learning-based electrocardiogram model may enhance clinical evaluations of the heart’s right ventricle, providing a potential alternative to complex imaging.

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News 1/10/24

HIStalk

Top News Amazon adds Health Conditions Programs to its Health.

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Toddlers put everything in their mouths: Babies and the risks of microplastics

Healthy Debate

The post Toddlers put everything in their mouths: Babies and the risks of microplastics appeared first on Healthy Debate.

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Top Home Care Trends For 2024

Home Health Care

This article is a part of your HHCN+ Membership The rising costs of home care were a trend in 2022 and 2023. They will remain one in 2024, and could finally come to a head. That’s only one trend, of many, that will impact home care providers in the new year. Sign up for HHCN+ to read this exclusive content. Get Membership Already a member? Login The post Top Home Care Trends For 2024 appeared first on Home Health Care News.

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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.