Wed.Dec 07, 2022

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CMS proposes new prior authorization requirements for payers, including MA plans

Health Care Dive

Regulators want payers to issue coverage decisions within 72 hours for urgent prior authorization requests — but the final turnaround time could be even shorter.

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Upcoding isn't solely to blame for spike in 'high-intensity' ED billing, researchers say

Fierce Healthcare

Upcoding isn't solely to blame for spike in 'high-intensity' ED billing, researchers say. dmuoio. Wed, 12/07/2022 - 15:39.

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Healthcare executives also experiencing burnout: survey

Health Care Dive

Seventy-four percent of healthcare executives surveyed by a consulting firm said they felt burned out in the past six months, compared to 60% in 2018.

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The Future of Ophthalmology Depends Next-Gen Ecosystems: Q&A with Seba Leoni, Global Head & General Manager, Alcon Vision Suite

Fierce Healthcare

The Future of Ophthalmology Depends Next-Gen Ecosystems: Q&A with Seba Leoni, Global Head & General Manager, Alcon Vision Suite. mteefey. Wed, 12/07/2022 - 17:47.

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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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Patient discharge delays pose threat to health outcomes, AHA warns

Health Care Dive

The hospital lobby is asking Congress to establish a temporary per diem Medicare payment to help ease healthcare capacity issues.

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At Children's Mercy, telemedicine boosts access to highly sought-after subspecialists

Healthcare It News

Children's Mercy Kansas City is a pediatric health system with the highest-level designations in neonatal and pediatric intensive care, trauma and emergency services, fetal health and transport services. THE PROBLEM. Children's Mercy supports the children of Kansas and Missouri, with the next children's hospitals being hours away in all directions.

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Sign-ups on ACA exchanges up 18% year over year to 5.5M so far

Fierce Healthcare

Sign-ups on ACA exchanges up 18% year over year to 5.5M so far. pminemyer. Wed, 12/07/2022 - 16:11.

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Advocate Health appoints executive leadership team after megamerger

Health Care Dive

The newly-merged $27 billion system announced appointed roles in its C-suite including its chief information, financial, nursing and population health officers.

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Tomorrow Health launches tech to automate orders of medical equipment as at-home care grows

Fierce Healthcare

Tomorrow Health launches tech to automate orders of medical equipment as at-home care grows. agliadkovskaya. Wed, 12/07/2022 - 11:36.

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Arctic Governance Is in Trouble. The Antarctic Could Be Next

The Rand Blog

The war in Ukraine has shattered the myth that the polar regions are somehow immune from global geopolitics. If Arctic governance is in trouble, the Antarctic could follow.

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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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Massachusetts system pays DOJ $1.9M after employee theft reveals drug inventory inaccuracies

Fierce Healthcare

Massachusetts system pays DOJ $1.9M after employee theft reveals drug inventory inaccuracies. dmuoio. Wed, 12/07/2022 - 12:41.

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To Help African Americans Gain Generational Wealth, Look to the Housing Market

The Rand Blog

African American families have significantly less wealth than White families, even after reaching the middle class. Home ownership is, for the vast majority of Americans, the primary vehicle for accruing wealth, and passing it down through generations. This is a crucial time for policymakers to consider policies that focus on improving home ownership rates for African Americans.

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Bill that puts more antibiotics on market no sure thing

Fierce Healthcare

Bill that puts more antibiotics on market no sure thing. fdiamond. Wed, 12/07/2022 - 13:39.

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UnitedHealth Group’s Deal For LHC Group Now Set To Close In First Quarter Of 2023

Home Health Care

UnitedHealth Group’s (NYSE: UNH) deal for the home health giant LHC Group Inc. (Nasdaq: LHCG) is set to close. Eventually. According to a new filing with the U.S. Securities and Exchange Commission (SEC), the deal is now expected to be finalized in the first quarter of 2023. “As previously disclosed, on June 10, 2022, the company and UnitedHealth Group each received a request for additional information and documentary materials from the U.S.

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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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Not Just for Kids: The Case for Modernizing Immunization Registries

Fierce Healthcare

Not Just for Kids: The Case for Modernizing Immunization Registries. mteefey. Wed, 12/07/2022 - 16:20.

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1 in 8 deaths among non-elderly adults due to excessive alcohol use

Healthcare ECONOMIST

That is the finding from a paper by Afoakwah et al. (2022) in JAMA Open. The authors use 2015-2019 data from the National Vital Statistics System , CDC WONDER , and the CDC’s Alcohol-Related Disease Impact ( ARDI ) Application for 58 alcohol-related causes of death. They find that: During the 2015-2019 study period, of 694 660 mean deaths per year among adults aged 20 to 64 years (men: 432 575 [66.3%]; women: 262 085 [37.7%]), an estimated 12.9% (89 697 per year) were attributable to exces

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Pharmacies slam Cigna and Express Scripts for shrinking TRICARE network by 15K

Fierce Healthcare

Pharmacies slam Cigna and Express Scripts for shrinking TRICARE network by 15K. rking. Wed, 12/07/2022 - 13:23.

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The Success And Uncertain Future Of The Money Follows The Person Program

Home Health Care

This article is a part of your HHCN+ Membership. Those in home-based care have seen a lot of government programs over the years, both good and bad. The Money Follows the Person (MFP) program tends to get brought up as part of the former camp – a good one. The program was initially launched in 2007 and was funded by the Affordable Care Act through 2016.

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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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Amid growing concern about data privacy, Invitae shines spotlight on how it uses de-identified health data

Fierce Healthcare

Amid growing concern about data privacy, Invitae shines spotlight on how it uses de-identified health data. aburky. Wed, 12/07/2022 - 18:35.

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State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce

NASHP

State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce December 7, 2022 / by Elaine Chhean , Anita Cardwell , Lauren Block (Aurrera Health Group), and Sarah Tocher (Aurrera Health Group). High-quality primary care is foundational to a healthy society and well-functioning health care systems. The COVID-19 pandemic had a significant impact on the health care workforce, threatening access to essential services.

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Industry Voices—The growing role of pharmacists in driving down drug costs through transparency

Fierce Healthcare

Industry Voices—The growing role of pharmacists in driving down drug costs through transparency. pminemyer. Wed, 12/07/2022 - 13:55.

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Dollar General & CHPA Collaborate to Bolster Health Consumers’ Literacy and Access for OTC Pain Meds and Self-Care

Health Populi

Health is “made” where we live, work, play, pray, learn….and shop. I spend a lot of time these days in the growing health/care ecosystem where retail health is broadening to address social determinants and drivers of health – namely food, transportation, broadband access, education, environment, and financial wellness – all opportunities for self-care and health engagement.

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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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UnitedHealth, LHC Group extend merger agreement as FTC probe continues

Fierce Healthcare

UnitedHealth, LHC Group extend merger agreement as FTC probe continues. pminemyer. Wed, 12/07/2022 - 13:43.

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Sutures for Ukraine: The Medical Case for City Diplomacy

Bill Of Health

By Vrushab Gowda, Leslie Appleton, and Jesse Ehrenfeld. The war in Ukraine has brought nothing less than an unmitigated humanitarian catastrophe. Health care infrastructure has been deliberately — and systematically — targeted by Russian forces since the very outset of the invasion. Hospitals have been bombed, internal displacement has uprooted providers from their communities, and rail lines have come under sustained bombardment from cruise missiles, hindering the resupply of frontline towns.

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Facebook and Instagram Advertising: The Key to Healthcare Marketing Success

Sequence Health

In a world where people are increasingly glued to their smartphones, it’s no surprise that social media is becoming an increasingly important platform for healthcare marketing. Facebook and Instagram advertising are essential tools for any healthcare marketer. Social media platforms for healthcare marketing provide a unique way to reach and engage their target audience.

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Long COVID Is a Mass Disability. The Labor Market Is in Denial

The Rand Blog

Forget the work-from-home revolution or quiet quitting: The COVID-19 pandemic's biggest impact on the U.S. labor market will be as a mass disability event. It's a shock that the economy is not well prepared to handle.

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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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Orbita Platform Increases Annual Revenue by $4M for Ohio Gastro

HIT Consultant

What You Should Know: – Specialty group Ohio Gastroenterology expands its use of Orbita ’s conversational AI platform after success in implementing its patient self-service features. Healthcare-specific, the secure Orbita platform leverages natural language processing to understand words and phrases people are comfortable with, rather than forcing them to use clinical terms.

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State Approaches to Community Health Worker Financing through Medicaid State Plan Amendments

NASHP

State Approaches to Community Health Worker Financing through Medicaid State Plan Amendments December 7, 2022 / by Carl Rush, Elinor Higgins , and Sandra Wilkniss. Lessons from the COVID-19 pandemic have revitalized activity around community-led efforts to improve health outcomes and build community resilience. Across the country, state officials are prioritizing partnerships with community health workers (CHWs) as a key pillar in reaching low-income and underserved communities.

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WebMD Strikes Deal with Patient Communications Platform Artera

HIT Consultant

What You Should Know: – Today, WebMD and patient communications platform provider Artera (formerly WELL Health) announced data integration that will enable providers (health systems and hospitals) to digitally communicate and engage patients on important education and information about medication affordability programs. – The collaboration reduces the cost of care while also improving patient adherence to prescriptions — which is a key challenge for providers — by connect

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OIG Shines a Spotlight on Nursing Homes, Opioid Misuse, and Health Equity in the FY2022 Semiannual Report

Sheppard Health Law

On December 5, 2022, the Department of Health and Human Services (“ HHS ”), Office of Inspector General (“ OIG ”), released their Semiannual Report to Congress for the period beginning on April 1, 2022, and ending on September 30, 2022 (the “ Semiannual Report ”). [1]. The Semiannual Report details the efforts made by the OIG in supporting HHS programs throughout the reporting period in “identifying significant risks, problems, abuses, deficiencies, remedies, and investigative outcomes relating

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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.