Tue.Oct 18, 2022

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DOJ sues Cigna for exaggerating patient illnesses

Health Care Dive

The insurer paid outside vendors to conduct in-home visits with its plan members, then pressured the vendors to record high-value diagnoses that would lead to higher payments for Cigna, the DOJ alleges.

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What Is Geofencing, and How it’s Used in Healthcare?

Healthcare Success

When it comes to marketing, location is everything—especially for health systems and providers. Today’s healthcare consumers expect high-quality options close to where they live or work. And healthcare marketers are always looking for the most cost-effective channels to reach them. Location data has been a hot topic in the digital space for years, but the way marketers use that data is constantly evolving.

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Hospital price transparency ‘moving in the right direction’

Health Care Dive

A new report from Turquoise Health finds progress in compliance with federal rules created to help consumers comparison shop for medical services.

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Medicaid Structured Family Caregiving: Enabling Family Members to make Caregiving Their Primary Focus

NASHP

Medicaid Structured Family Caregiving: Enabling Family Members to Make Caregiving Their Primary Focus October 2022/ by Neva Kaye. Family caregivers play an important role in states’ efforts to help Medicaid beneficiaries safely remain in their communities. And, as of August 2022, at least seven states ( Connecticut , Georgia , Indiana , Louisiana , Missouri , North Carolina , and South Dakota ) covered structured family caregiving (SFC) services provided to older adults and/or people with physic

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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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HHS needs to update strategic national stockpile procedures, GAO report says

Health Care Dive

Current procedures the HHS’ employs to make inventory decisions are hampering its ability to ensure the stockpile has the right resources in the right quantities to combat future crises, a GAO report found.

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The International Weaponization of Health Data

Bill Of Health

By Matthew Chun. International collaboration through the sharing of health data is crucial for advancing human health. But it also comes with risks — risks that countries around the world seem increasingly unwilling to take. On the one hand, the international sharing of health-related data sets has paved the way for important advances such as mapping the human genome , tracking global health outcomes , and fighting the rise of multidrug-resistant superbugs.

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6 Ways to Get Sleep When You Can’t Breathe Through Your Nose at Night

Healthcare Associates

6 Ways to Get Sleep When You Can’t Breathe Through Your Nose at Night. Nothing is more miserable than tossing and turning because you can’t breathe through your nose at night. You might be congested due to a cold, allergies or sinusitis. But, you could be contributing to your own misery. It might all come down to some of your daily habits. Most of us take our noses for granted, and often, we pay for that neglect at night.

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Viome Raises $67M to Expand Microbiome & At-Home Test Kits

HIT Consultant

What You Should Know: – Viome Life Sciences , a mission-driven digital health company, announced additional $67M in funding toward its Series C round. – Led by Bold Capital Group, the $67M raise brings the company’s total funding to over $150M and will be used to support the development of its at-home tests that leverage precision nutrition to improve health and increase longevity by addressing the epidemic of chronic diseases, cancers, and aging. – Viome will expand its propri

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Once A Response To COVID-19, Hospital-At-Home Startup Inbound Health Going National

Home Health Care

The Minneapolis-based health system Allina Health is launching a new company named Inbound Health. The startup will enable health systems and health plans to establish hospital-at-home and skilled nursing-at-home programs around the country. Inbound Health has been around since May 2020 under the Allina Health umbrella in the Minneapolis area. Now, thanks to financial support from Flare Capital Partners, Inbound Health is growing beyond Minnesota and taking its platform elsewhere.

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BioIntelliSense Acquires Patient Monitoring Company AlertWatch

HIT Consultant

What You Should Know: – BioIntelliSense, Inc. acquires AlertWatch , an FDA-cleared, clinically proven patient monitoring solution. AlertWatch uniquely provides robust integration, data analysis and a patented intuitive display of contextual patient data for more efficient, actionable clinical decisions. – As part of the recently announced strategic partnership with Medtronic, its Patient Monitoring business will distribute AlertWatch to hospitals throughout the U.S. as a new offering

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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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Is CMS’ Proposed Home Health Rate Cut Legal? Other Court Decisions Suggest No

Home Health Care

The entire home health industry is anxiously awaiting the release of the final payment rule for 2023, which should be released by the Centers for Medicare & Medicaid Services (CMS) at some point over the next two weeks. The anxiousness is due to the home health proposed payment rule, which included a 4.2% aggregate decrease in payments – or $810 million – and an avenue for future CMS clawbacks of perceived overpayments to providers.

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EngagedMD Raises $11MM for Modern Fertility Treatment

HIT Consultant

What You Should Know: – EngagedMD, Inc. , a global technology company serving both clinics and patients in the fertility space raises $11M led by MonCap. – As part of the investment, EngagedMD welcomes Jonathan Sockol, Managing Partner of MonCap, to the Company’s Board. Modern Fertility Treatment. EngagedMD offers the leading eLearn and eSign solutions for the fast-growing fertility sector, supporting the journeys of more than half of all fertility patients in the U.S., U.K., a

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Tort Liability for Faculty Who Fail to Tell the Class About COVID Cases in Their Midst

Bill Of Health

By Heidi Li Feldman. The more individuals must rely on their own judgment and effort to protect themselves from disease, the more they need information regarding the possibility of exposure to the cause of the disease. This simple proposition, combined with changes in how governments and institutions are approaching COVID, means that university faculty should rethink their role in keeping their students informed about COVID cases among class members.

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Reimagining the future of healthcare [Podcast]

Meditech

Health IT leaders have a shared responsibility to deliver a less costly and more efficient system for all. The question is—what’s the best way of accelerating innovation to achieve these goals? On the latest MEDITECH Podcast, I had the pleasure of discussing this topic with Vivian Lee, MD, PhD, MBA, President of Verily Health and the author of, The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone.

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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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Strategic Advantage, Sovereignty and Australia's Geopolitical Identity

The Rand Blog

In Australia, which has experienced few national existential crises, there appears to be little understanding of or consideration given to all the nuanced contours of winning. Australia may need to critically assess its strategic traditions to develop a broader conceptualization of how to secure the safety and well-being of the nation and position itself advantageously.

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Do Americans pay twice for drugs?

Healthcare ECONOMIST

That is the subtitle from an article in F1000 from Rena Conti (2020). Some individuals claim that because the federal government–often through the National Institutes of Health (NIH)–fund basic research that can inform drug development and then consumers have to pay for those drugs once again after they are approved, this means that Americans are ‘paying twice’ This critique was voiced by U.S.

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Why Vladimir Putin Is Likely to Be Disappointed

The Rand Blog

None of the Kremlin's recent gambits—annexation, mobilization or personnel shuffles—can overcome the larger problems facing Russia's military. And in the months ahead, its difficulties will only worsen.

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CDC Launches Blog Series on Patient Safety

CDC

Denise Cardo, MD Director, Division of Healthcare Quality Promotion National Center for Emerging and Zoonotic Infectious Diseases at the Centers for Disease Control and Prevention Kerri Moran Associate Director for Partnerships, Division of Healthcare Quality Promotion National Center for Emerging and Zoonotic Infectious Diseases at the Centers for Disease Control and Prevention Patient safety is sometimes defined as “a discipline in the healthcare sector.

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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 to Own Being a Source of Truth for Your Patients’ Health Questions

Solution Reach

Living in the Information Age like we do can be crazy, complex, and often just plain confusing.

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MEDITECH Taps Innovaccer to Advance Its Population Health Capabilities

HIT Consultant

What You Should Know: – MEDITECH today announced it is extending its population health management offering with Expanse Population Insight, powered by the Innovaccer Data Platform. – Population Insight leverages the power of the Expanse platform for providing care delivery and data analytics with proven expertise in data aggregation and curation.

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Changes to the MDS 3.0 Item Set on October 1, 2023 (Upcoming Webinar)

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. Join me for an introductory look at the draft MDS 3.0 v1.18.11. CMS released the draft on September 1, 2022 which gives LTC providers a chance to look it over and digest the significant changes it will bring. We’ll look at what will be new, what will be different and what will be missing from the MDS Item Set we are currently using (v1.17.2).

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[ANSWERED] What is the Revenue Cycle in Healthcare?

Etactics

Over 33% of hospitals are operating on negative margins according to a study by the American Hospital Association. Health systems have faced large financial losses within the past few years. This, of course, is partially due to the covid pandemic. With the public health crisis rocking healthcare foundations around the world, staff shortages, rising expenses, and supply chain problems still cause issues even to this day.

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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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Quality vs. Quantity: The Case for Clinician-Centric Technology

HIT Consultant

Shiv Gopalkrishnan, General Manager, EMR & Care Management, Philips. Care providers continue to face mounting pressures – from increasing staffing shortages to balancing patient needs across in-person and virtual settings and managing pent-up patient demand. Rather than navigating through fragmented digital solutions that feed care providers disparate data, more and more clinicians now rely on connected technology to access the care context, i.e. the right patient data translated into reliab

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News 10/19/22

HIStalk

Top News Minnesota-based Allina Health and Flare Capital Partners launch.

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October 2022 CMS Quarterly OASIS Q&As

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS has posted the 5-page October 2022 Quarterly OASIS Q&As document for Home Health Agencies. For a sneak preview, here are the questions in this document: Question 1: Please provide guidance on the following scenario: A patient was recertified between days 56-60 and then in the new 60-day certification period, prior to any home health visits being made, the patient is admitted to the hospital for a qualifying inpatient

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$5 Million hospice therapy false claims settlement

Healthcare Performance

A whistleblower complaint by a hospice employee led to a. $5.59 million settlement.

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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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Morning Headlines 10/19/22

HIStalk

Inbound Health Launches to Enable Partners to Build and Scale.

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Prenuvo Raises $70M for Whole Body MRI Scans

HIT Consultant

What You Should Know: – Prenuvo , an Redwood City, CA-based advanced, radiation-free whole body imaging for early detection of cancer and other diseases raises $70M in Series A equity and debt funding led by Felicis , with participation from existing investors including Tony Fadell, NYT bestseller author and founder of Nest; Dr. Timothy A. Springer, Lasker award recipient; Anne Wojcicki, CEO of 23&Me; Steel Perlot, with Eric Schmidt as chairman; entrepreneur Rande Gerber; and wellness

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Biden admin increases funding for community mental health clinics

Health Care Dive

The HHS is awarding $15 million in new grants early next year to states developing community mental health clinics, on top of almost $300 million awarded in September.

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