Fierce Healthcare
JULY 25, 2023
Two Cigna members have hit the insurer with a class action lawsuit, accusing the company of using an algorithm to improperly deny scores of patient claims. | Two Cigna members have hit the insurer with a class action lawsuit, accusing the company of using an algorithm to improperly deny scores of patient claims.
Health Care Dive
JULY 25, 2023
The lawsuit filed in a California district court alleges the health insurer used the technology to “deny payment in batches of hundreds or thousands at a time,” violating state law.
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Fierce Healthcare
JULY 25, 2023
Hospitals are finding it harder to place patients into post-acute care settings, a new report finds. | The number of referrals to nursing homes and home health agencies per patient has increased over the last year, as has patient acuity. At the same time, referral rejection rates are also on the rise.
Healthcare It News
JULY 25, 2023
New healthcare technology innovations developed outside the box offer clinicians more tools, including cloud-based telehealth, remote lab testing for infections and enhanced imaging for surgical precision. Google Cloud adds Pager's virtual care platform Pager announced Monday that its 23 million-member-strong virtual care navigation and collaboration platform is available on Google Cloud Marketplace, which means its customers can now access cloud-based tools like artificial intelligence and
Advertiser: HealthCar
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.
Fierce Healthcare
JULY 25, 2023
As demand surges for GLP-1 therapies, insurers are pulling back on coverage, according to new data from obesity care provider Found. | Sarah Jones Simmer, CEO of Found, said that the trends are likely the result of irresponsible prescribing for recreational reasons causing the pendulum to swing "all the way in the other direction," and it's leading to patients who have genuine medical need struggling to access these therapies.
Health Care Dive
JULY 25, 2023
Healthcare continues to be the most expensive industry for data breaches, with costs increasing 53% since 2020.
Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.
Healthcare It News
JULY 25, 2023
Community Health Systems operates more than 80 affiliated hospitals and more than 1,000 outpatient sites of care in 16 states. THE PROBLEM The massive health system recently set three goals: Improve patient outcomes by monitoring and actively managing patients with chronic diseases, with a specific focus on remote medication titration to get more patients to guidelines.
Fierce Healthcare
JULY 25, 2023
AHIP, the American Medical Association and the National Association of ACOs have teamed up to release a playbook that aims to arm stakeholders with best practices for value-based care. | Three major national organizations released a playbook to help payers and providers adapt to value-based care.
Healthcare It News
JULY 25, 2023
Like many healthcare systems around the world, New Zealand’s healthcare system is also under immense pressure, plagued by clinician burnout, patient dissatisfaction, and rising costs. To reimagine the future of healthcare and build a sustainable system that can meet the challenges of the post-pandemic era, patients' and clinicians’ voices (and frustrations) must be heard.
Fierce Healthcare
JULY 25, 2023
Community Health Systems (CHS) announced that it has signed a deal to sell three Florida hospitals to Tampa General Hospital for roughly $290 million. | The divestiture of Bravera Health Brooksville, Bravera Health Seven Rivers and Bravera Health Spring Hill is slated to close later this year pending regulatory approval and other customary closing conditions.
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Health Care Dive
JULY 25, 2023
Many nonprofit hospitals suffered their worst operational year on record in 2022. This year is unlikely to bring a complete end to financial hardships, according to Fitch Ratings.
Fierce Healthcare
JULY 25, 2023
Editor's Note: The article has been updated with information from Teladoc's earnings call with investors late Tuesday afternoon. | Teladoc is doubling down on its strategy to focus on "whole person care" through its virtual care platform. The telehealth provider is seeing strong growth across its chronic care programs and virtual mental health and is eyeing opportunities in the booming weight management market.
The Rand Blog
JULY 25, 2023
How can the United States best monitor its millions of square miles of domestic airspace for unidentified anomalous phenomena—what were once called UFOs—or anything else? Public reporting could help officials identify potential threats—but it'd help if the sightings being reported were actually unknown aerial phenomena and not U.S. military aircraft.
Fierce Healthcare
JULY 25, 2023
Data breaches hurt all industries, but this is especially true for healthcare, which has lost the most financially to these incidents, according to a new report. | Healthcare seems particularly vulnerable to data breaches, and the problem’s gotten worse since COVID-19, according to a report published by IBM Security. The average cost of a data breach in healthcare grew 53.3% since 2020.
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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.
HIT Consultant
JULY 25, 2023
What You Should Know: K4Connect , a Raleigh, NC-based mission-centered healthtech company and provider of enterprise operations tech for the senior living communities raises $8.9M in funding co-led by Bryce Catalyst and AXA Venture Partners , with continued support from existing investors, including Intel Capital , Forté Ventures , Topmark Partners , and the Ziegler-Linkage Fund.
Fierce Healthcare
JULY 25, 2023
King of Prussia, Pennsylvania-based Universal Health Services (UHS) reported a $171.3 million net gain ($2.42 per diluted share) for the second quarter of 2023, up slightly from the $164.1 million | The for-profit chain logged a 6.8% rise in net revenues over Q2 2022, with gains split across both of its acute and behavioral health businesses.
Home Health Care
JULY 25, 2023
Care transitioning remains one of the rockiest parts of the post-acute health care ecosystem. Home health providers are in the middle of those transitions, often juggling health system and health plan relationships while trying to care for the patient at the center of it all. The best case for a patient is an aligned health system, health plan and home health provider.
Fierce Healthcare
JULY 25, 2023
Nonprofit hospitals and health systems are likely still a year away from “normal” finances, volumes and in particular labor availability as the sector claws its way back from “what will likely be d | The ratings agency's latest sector report outlines "across-the-board" margin deterioration and other signs that nonprofit hospitals' financial pressures are lingering longer than expected.
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Home Health Care
JULY 25, 2023
This article is a part of your HHCN+ Membership A recent Federal Trade Commission (FTC) proposal focused on health care dealmaking could create roadblocks for future home-based care deals. Last month, the antitrust agency rolled out a proposed rule that would force merging companies to disclose information regarding minority investors, supplier agreements, subsidies from foreign entities, past acquisitions and workforce data.
Fierce Healthcare
JULY 25, 2023
Kansas physicians and clinicians will have free access to a course that aims to teach the fundamentals of providing care to patients with intellectual disabilities. | Kansas physicians and clinicians will now have access to a free course that teaches the fundamentals of providing healthcare to people with intellectual disability.
Healthy Debate
JULY 25, 2023
Health disinformation has exploded online, harming autistic children. We need regulation and to understand how these harmful "cures" spread.
Fierce Healthcare
JULY 25, 2023
Fertility benefits have joined medical and dental as standard workplace benefits as leading employers continue to look for ways to help their workers expand their families. | Quantum Health will fully integrate Kindbody’s solution into its navigation platform, including access to virtual care services and a network of fertility clinics throughout the country.
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.
Home Health Care
JULY 25, 2023
Increased physical therapy (PT) utilization is associated with significant reductions in hospitalizations and emergency room visits, more evidence shows. Meanwhile, home health providers are still grappling with how to manage physical therapy under the Patient-Driven Groupings Model (PDGM). A new study from the Alliance for Physical Therapy Quality and Innovation (APTQI) showed that an increase in PT among Medicare patients could reduce health care spending by $10 billion.
Healthcare ECONOMIST
JULY 25, 2023
That is the question a paper by Anirban Basu (2023) in Science Advances attempts to answer. A key assumption the article makes is that race is a social and not a biological construct. Basu justifies this assumption by stating that “the vast majority of genetic variation associated with race-specific traits exists within racial groups and not between them.” The study also uses an ‘equality of opportunity’ framework.
Health IT Analytics
JULY 25, 2023
Researchers created an algorithm that highlighted the rise in physician turnover between 2010 and 2018, indicating the need for further investigation.
Michele Late
JULY 25, 2023
Photo courtesy of Olivia Marcino It’s Get Ready calendar contest time! Every year, we put together a calendar of cute pictures and preparedness tips and share it with all APHA members. We also share it online. But we can’t do it alone! We need your help! We’re looking for your most fashionable animal photos for this year’s theme, “Get Ready Runway.” We want to see bold bandanas, dapper bowties, fun hats, crazy costumes, anything that shows off your pet’s best sense of style!
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.
Healthcare Associates
JULY 25, 2023
IdaLupe Wishon, PA is a passionate physician assistant who has dedicated her career to providing the best possible care for her patients. Her 15-plus years of experience in the healthcare industry have led her to a deep understanding of preventative care and patient education, while her military background has instilled the value of meaningful connections. “It’s being able to help folks and educate and sometimes just being that person they need to talk to,” Wishon said.
Bill Of Health
JULY 25, 2023
By David Liebmann Children starting kindergarten in 2023 will be 32 years old in 2050, the year the Paris Climate Accord signatories agreed to reach net zero carbon emissions. Those 32-year-olds will have grown up with signs of climate change appearing everywhere around them. They must learn enough in school about the changing global environment to lead themselves and the next generation into a livable future.
Nordic
JULY 25, 2023
Decades after their introduction, EHR capabilities continue to expand. However, ease and functionality can still be challenging hurdles to overcome. The ‘productivity paradox’ shows that doctors spend quite a bit of time working on something that isn’t actual patient care. Real-world datasets are essential for discovering actionable insights for optimizing the clinical use of applications.
Etactics
JULY 25, 2023
Culturally diverse companies perform 36% better financially than less diverse businesses. That statistic puts the importance of having a culturally competent workforce into simple terms. If your organization is diverse, it will perform better. In other words, no one can deny the importance of fostering an inclusive workplace. Hiring a diverse group of people is only one aspect that sets a company up for the success of that statistic, though.
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.
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