Mon.Aug 22, 2022

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Federal regulators nix contested language in surprise billing final rule

Health Care Dive

The final rule removes the earlier requirement that arbiters must first presume that the median in-network rate is the appropriate payment.

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Santa Cruz Health Information Organization to integrate SDOH data

Healthcare It News

WHY IT MATTERS. Along with creating a HIPAA-certified master patient index, the universal identity platform will allow SCHIO to integrate social determinants of health into patient records. SCHIO participates in a community information exchange, Together We Care, a platform designed to compile data on SDOH and bridge the gap on care coordination in Santa Cruz.

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CVS, Amazon, UnitedHealth are among bidders for Signify, Bloomberg reports

Health Care Dive

UnitedHealth has submitted the highest offer for the Dallas, Texas-based home health firm at $30 per share, and Amazon's offer is close behind, according to the report.

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Partnering Up in the Health Care Ecosystem to Drive Transformation – for Organizations and Health Consumers Alike

Health Populi

“Partnerships, including JVs and alliances with other healthcare organizations and with new entrants, are just one way to access new capabilities, unlock speed to market, and achieve capital, scale, and operational efficiencies” in health care transformations. “In an environment with continued competition for attractive assets and significant capital in play from institutional investors, these partnerships may also be the most accessible way for organizations to capture value i

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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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Fauci plans to step down in December

Health Care Dive

Fauci will leave his post as the director of the National Institute of Allergy and Infectious Diseases and as the president’s chief medical advisor.

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Facebook Misinformation Is Bad Enough. The Metaverse Will Be Worse

The Rand Blog

Virtual reality environments such as the metaverse will enable psychological and emotional manipulation of users at a level unimaginable in today's media. We must not wait until these technologies are fully realized to consider appropriate guardrails for them. We can reap the benefits of the metaverse while minimizing its potential for great harm.

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August 2022 Updates to RAI User’s Manual – Appendix B

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The August update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. Appendix B was updated by CMS on August 19, 2022. The updated Appendix B, dated August 25, 2022, is here ; changes here.

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Mayo Clinic’s Q2 operating income tumbles as labor costs climb

Health Care Dive

The system said it is struggling with workforce shortages at a time when its hospitals are operating at near capacity.

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CMS Pumping $25M More Into HCBS Money Follows The Person Program

Home Health Care

The U.S. Centers for Medicare & Medicaid Services (CMS) announced Monday that it will distribute an additional $25 million to expand access to home- and community-based services (HCBS) through Medicaid’s Money Follows the Person (MFP) program. The $25 million will be going to new states and territories, increasing the total number of states and territories participating in MFP to 41.

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Why Do I Get So Hot When I Sleep?

Healthcare Associates

Why Do I Get So Hot When I Sleep? 8 tips to help you snooze comfortably. You’re sleeping peacefully. Suddenly in the quiet hours, you wake feeling like your back is on fire. You’re covered in a sheen of sweat, lying on damp sheets. It would be understandable if you were in the middle of the Sahara. But this is your bedroom. Welcome to the nocturnal reality of a growing number of adults.

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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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Amazon Throws Its Hat In The Ring On Potential Signify Health Acquisition

Home Health Care

Just one month after its purchase of One Medical (Nasdaq: ONEM) for $3.9 million , Amazon (Nasdaq: AMZN) reportedly has its eye on another health care entity. This time around its Signify Health (NYSE: SGFY), a value-based care platform with home-based care capabilities. Signify is potentially for sale in an auction that could value it at over $8 billion, according to reports from The Wall Street Journal.

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How the Russian Invasion of Ukraine May Impact the Arctic

The Rand Blog

The United States and its Arctic partners suspended cooperation with Russia at the Arctic Council in response to Moscow's invasion of Ukraine. The prospect of returning to the council's business as usual seems very far away.

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Resilient Healthcare Lands Another Major Partner In Hospital-At-Home Arena

Home Health Care

The home-based care provider Resilient Healthcare has partnered with the Dallas-based White Rock Medical Center (WRMC) on transitional care and hospital-at-home programs. Resilient – which has high-acuity patient population focus – pitched its capabilities originally to Pipeline Health, WRMC’s parent company. Pipeline owns six additional hospital systems in the U.S., meaning this could be the start of something much bigger for Resilient.

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After Pelosi's Visit, Most of the Indo-Pacific Sides with Beijing

The Rand Blog

Almost the entire Indo-Pacific region backs China over Taiwan. But U.S. House of Representatives Speaker Nancy Pelosi's August trip to Taiwan made it clear that key U.S. allies strongly support Taiwan's cause, particularly in the face of a potential war over the island. This suggests that Beijing's assertive behavior is steadily alienating nations that otherwise may have minded their own business.

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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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Prior Authorization Insurance Requirements: A Barrier to Accessing Lifesaving Treatment for Opioid Use Disorder?

Bill Of Health

By Juan M. Hincapie-Castillo and Amie J. Goodin. Policies to mitigate the drug overdose crisis continue to fall short, as evidenced by increasing rates of opioid-involved overdoses and deaths in the United States. The COVID-19 pandemic has exacerbated this overdose crisis , and efforts are urgently needed to mitigate harm. Individuals who have problematic opioid use are most frequently involved in opioid-involved overdoses, meaning that the use of a prescription opioid, or much more commonly a n

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State Gun Regulations Are a Messy Patchwork. The Supreme Court's Bruen Decision Won't Help

The Rand Blog

The Supreme Court's decision may not actually narrow the policy gap between states sharply divided over their approach to regulating guns. Rather, its result may not look very different than what we have today—a patchwork of laws that often reflect political and policy demands of individual states.

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Clarify Health & Datavant Partner to Integrate Real-World Data

HIT Consultant

What You Should Know: – Clarify Health , a cloud analytics and value-based payments platform company, and Datavant , a provider helping organizations securely connect health data expands their relationship to enable life sciences companies to connect their proprietary, first-party data in Clarify’s AI-powered Atlas analytics platform to improve clinical development and commercial operations. – Datavant’s privacy-preserving tokenization and high-accuracy matching technologies will be

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State of Healthcare Social Media

Healthcare Leadership

Is healthcare social media dying? Has it been the fad that everyone predicted in the early days, or has social media become an integral part of the healthcare landscape? How has your use of social platforms evolved? I’m interested in hearing opinions from the #hcldr community on this topic. This past week, I had the opportunity to meet Amy Ma @Ctzen_Improver for a coffee in Montreal.

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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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How Ohio Coordinates Treatment and Housing Services for People with HIV/AIDS

NASHP

How Ohio Coordinates Treatment and Housing Services for People with HIV/AIDS August 22, 2022 / by Jodi Manz and Mia Antezzo. The Ending the HIV Epidemic in the United States (EHE) plan aims to reduce the number of new HIV infections across states by ninety percent by 2030. By providing treatment for people with HIV, as well as services to address related social determinant needs, states can help to increase viral suppression rates and reduce new infections.

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CMS Staffing Study to Inform Minimum Staffing Requirements for Nursing Homes

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. Also posted this morning (August 22, 2022), this Press Release. Note that there is an upcoming August 29, 2022 webinar to provide information on the study and solicit additional stakeholder input on minimum staffing requirements. The registration link for this webinar, limited to 3,000 participants – register early, is found towards the end of the Press Release beneath What are the next steps and how can I get involved?

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How does the introduction of biosimilars impact drug prices?

Healthcare ECONOMIST

That is the question I answer with my co-authors Ervant J. Maksabedian Hernandez, Marlon Graf, and Alexandria Portelli. The key finding is that at the molecule level, prices fall by only 18.6%, but this masks significant heterogeneity as the uptake of biosimilars varied dramatically across therapeutic class. The results from the paper’s abstract is below.

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CMS Encourages States to Use Medicaid Payments to Nursing Homes to Drive Better Health Outcomes for Residents, Improve Staffing

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. Just this morning (Monday, August 22, 2022), CMS posted the Press Release with the same title as this blog. Today, the Centers for Medicare & Medicaid Services (CMS) issued an informational bulletin detailing actions that states can take using existing Medicaid authorities to drive better health outcomes for nursing home residents and improve staff pay, training, and retention efforts.

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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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AI Provider Anomaly Launches Tech to Predict Claims Denials with 97% Accuracy

HIT Consultant

What You Should Know: – Anomaly , a precision payments company streamlining healthcare billing and payments for providers and payers, today announced its new offering Anomaly Smart Response. – Smart Response uses AI to enable providers and payers to reduce avoidable claim denials and rework and increase payment transparency, top priorities for healthcare stakeholders.

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Palliative Care Quality Measures Guide: Elevating Patient and Caregiver Voices

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The American Academy of Hospice and Palliative Medicine (AAHPM) developed this implementation guide to help palliative care teams implement and collect data for two patient-reported outcome performance measures (PROPMs) for quality improvement (QI) and regulatory reporting efforts.

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HIStalk Interviews Anders Brown, Managing Director, Tegria

HIStalk

Anders Brown, MS is managing director of Tegria of Seattle,

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FY2023 ICD-10 codes for MDS V3.00.1 (FINAL) Data Submission Specifications Posted

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS posted an updated PDPM ICD Codes database for the MDS V3.00.1 (FINAL) Data Specifications is now available for download under the Downloads section at the bottom of this webpage. The database contains two new tables. The table pdpm_icd_codes_FY2023 contains the allowed FY2023 codes for I0020B, while table pdpm_icd_codes_2_FY2023 contains FY2023 codes that can also be used in I0020B for states that opt in to calculating PD

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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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Curbside Consult with Dr. Jayne 8/22/22

HIStalk

In many ways, I’m still recovering from the years I.

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The Inflation Reduction Act’s Health Care Provisions: Opportunities for States

NASHP

The Inflation Reduction Act’s Health Care Provisions: Opportunities for States August 22, 2022 / by Jennifer Reck and Christina Cousart. On August 16, President Biden signed the Inflation Reduction Act of 2022 (IRA). The law included climate and tax-related provisions as well as health care provisions that will provide opportunities for states and their residents.

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Morning Headlines 8/23/22

HIStalk

Signify Health stock surges 32% on reports Amazon is bidding.

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KLAS: Imprivata SSO – Benefits & Challenges of Deep Adoption

HIT Consultant

What You Should Know: – Recent KLAS research reveals that Imprivata —whose single sign-on solution has a large healthcare footprint—is currently the only vendor to offer a broad digital identity platform. – Building on that research, a new report explores the potential benefits and challenges of deeply adopting Imprivata’s offerings. Insights come from in-depth interviews with 6 organizations identified by Imprivata as “deep adopters” as well as from 15 organizations within the vendo

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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.