Mon.Nov 06, 2023

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MA enrollees have fewer hospitalizations, Harvard study finds

Fierce Healthcare

Medicare Advantage (MA) beneficiaries have better quality of care and health outcomes than traditional fee-for-service counterparts, researchers from Harvard Medical School found. | Another white paper released by Inovalon and Harvard Medical School highlights the benefits Medicare Advantage enrollees enjoy over traditional Medicare counterparts.

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Medicaid disenrollments pass 10M as states continue eligibility checks

Health Care Dive

States have assessed the eligibility of 28 million Americans to date, and terminated coverage for 35% of them, according to the latest data from KFF.

Medicaid 322
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Cigna explores selling Medicare Advantage business: report

Fierce Healthcare

Cigna is looking into the possibility of selling its Medicare Advantage (MA) business, according to a report from Reuters. | Cigna may decide to sell off its Medicare Advantage business. The insurer is reportedly in early discussions with an investment bank to go over its options.

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Hospitals improve on infection control after COVID-19 spike: Leapfrog

Health Care Dive

However, patient experience scores declined again, which could be the result of ongoing labor shortages, according to Leapfrog Group CEO Leah Binder.

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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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Kaiser Permanente logs $239M net income, 0.6% operating margin in Q3 2023

Fierce Healthcare

Kaiser Permanente pulled in $239 million in net income during the third quarter of 2023, a turnaround from the $1.5 billion net loss the integrated system had seen a year prior. | The massive integrated nonprofit's $156 million operating income turns around the $75 million operating loss of the third quarter of 2022 but is a slight pullback from 2023's prior quarters.

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Securing healthcare: Communication tools provide critical connections and more efficient operations during emergencies

Health Care Dive

Dealing with natural disasters, severe weather events, active shooters, mass casualties and other external events requires hospital staff to coordinate with multiple outside agencies but communicating with stakeholders can be a challenge.

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Securing healthcare: Communication tools provide critical connections during emergencies

Health Care Dive

Dealing with natural disasters, severe weather, active shooters and other events requires hospital staff to coordinate with multiple outside agencies. But communicating with stakeholders can be a challenge.

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Health tech company Surescripts picks up ActiveRADAR to expand therapeutic alternatives to prescription drugs

Fierce Healthcare

Health information network Surescripts acquired ActiveRADAR to build out therapeutic alternatives for prescription drugs. | Health information network Surescripts acquired ActiveRADAR to build out therapeutic alternatives for prescription drugs.

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Surescripts buys drug alternatives company ActiveRADAR

Health Care Dive

Surescripts, fresh off an antitrust settlement with federal regulators, said the acquisition would help boost its e-prescribing network with information on therapeutic alternatives at the point of prescribing.

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Hospitals make progress on reducing infection rates but still fall short on patient experience, Leapfrog reports

Fierce Healthcare

U.S. | The Leapfrog Group's latest safety grades outlined improvements among hospitals' MRSA, CLABSI and CAUTI numbers compared to the pandemic's five-year high. On the other hand, patient-reported experience measures such as staff responsiveness and communication regarding medicines took "significant" hits.

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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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Drilling down on obesity drugs: What medtech executives are saying

Health Care Dive

Investor concerns that interest in GLP-1s will slow demand for medical devices and procedures have shaved roughly $370 billion in value from stocks across the medtech sector, according to research.

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NorthShore—Edward-Elmhurst Health, Lumeris team up to accelerate VBC for 440k patients

Fierce Healthcare

NorthShore—Edward-Elmhurst Health (NS-EEH) is teaming up with value-based care company Lumeris to improve care for nearly half a million lives. | NorthShore—Edward-Elmhurst Health is teaming up with value-based care company Lumeris to improve care for nearly half a million lives. Working together, the partners hope to enable care coordination while improving clinical outcomes, the patient and provider experience and managing healthcare costs.

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An Antidote to Loneliness – Amazon’s 2023 Holiday Ad-Video Is A Lesson in Social Health, Aging and Love

Health Populi

To complement today’s sobering Health Populi post discussing Accenture’s 2024 Life Trends Study — an outlook for a decade of “deconstruction” based on technology and other trends in the ether — I share with you Amazon’s ad for this holiday season gift-giving motivation. The agency responsible for the campaign, Hungry Man and director Wayne McClammy, weave together a beautiful plotline of friendship, the Beatles’ In My Life, and a time-traveling ima

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IoMT: Why Healthcare Organizations Should Pay Attention to the New U.S. Cyber Trust Mark

HIT Consultant

Shankar Somasundaram, CEO of Asimily The recently proposed U.S. Cyber Trust Mark is a voluntary cybersecurity labeling program operated by the FCC. It will initially provide IoT manufacturers with a certification label that signifies their compliance with cybersecurity guidelines and best practices—while providing consumers with more confidence when purchasing internet-connected devices.

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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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CMS Seems Intent On Sticking With Home Health Care’s Review Choice Demonstration

Home Health Care

The Review Choice Demonstration (RCD) has received a set of diverse reactions since it has been live. Some home health providers find it useful and others find it to be yet another administrative burden. Either way, the U.S. Centers for Medicare & Medicaid Services (CMS) seems intent on expanding it. Broadly, the goal of RCD is to reduce improper billing in home health care.

Medicare 101
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Verana Health Partners with Foundation Fighting Blindness to Integrate Genetic Testing Data into Real-world Evidence Research

HIT Consultant

What You Should Know: Verana Health® (Verana), a digital health company helping to revolutionize patient care and clinical research by unlocking the potential of real-world data, and the Foundation Fighting Blindness – the world’s leading organization committed to finding treatments and cures for blinding retinal diseases—announce a partnership focused on providing the life sciences community with deeper and broader data to optimize and expedite clinical trials.

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How Home Care Providers Merge Art, Science To Form Compensation Strategies

Home Health Care

For home care leaders, determining the wages of salespeople, caregivers and other contributors is a major undertaking. It is part art, part science, and hard to perfect. At the Home Care Association of America’s (HCAOA) annual conference last month, providers offered a peak behind the curtain on how those determinations take place. Hillendale Home Care CEO Jesse Walters, A Long Term Companion (ALTC) Vice President Brett Ringold and Michelle Cone – SVP of training and brand programs at HomeWell C

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Telemedicine Increases EHR Documentation Burden for Physicians, Study Reveals

HIT Consultant

What You Should Know: – A recent study reveals that telemedicine is related to increased EHR time for physicians in the ambulatory setting, primarily due to documentation of visits, and may require adjustments in productivity expectations and strategies to address EHR documentation burden for physicians in healthcare systems. – The longitudinal cohort study of 1052 ambulatory physicians conducted at UCSF Health analyzes the time physicians spent working in the EHR during patient sche

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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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AI Tools May Detect Heart Valve Disease, Predict Cardiovascular Risk

Health IT Analytics

Two studies to be presented at the AHA’s Scientific Sessions show that AI and deep learning may be capable of flagging heart disease and cardiovascular event risk.

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Lawsuit Seeks to Block OCR HIPAA Guidance on Online Tracking Tools

HKLaw

Hospitals care about patient privacy, but they also have to connect with the public.

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What is better: public or private provision of health care?

Healthcare ECONOMIST

This is a question that can be answered empirically but doing so is challenging. While cross-country comparisons are feasible for comparing public and private health care provisions, often there are many other differences between health care systems across country. Within any given country, there is significant selection bias in terms of who receives public vs. private care.

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Holland & Knight Health Dose: November 7, 2023

HKLaw

The government will run out of funding on Nov. 17, 2023 – in 10 days. The U.S. House of Representatives will continue to work to advance annual appropriations bills this week.

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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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M&A: Health Catalyst Acquires Cancer Registry Platform ERS

HIT Consultant

What You Should Know: – Health Catalyst has acquired Electronic Registry Systems, Inc. (ERS), a prominent cancer registry software and services provider. Financial details of the acquisition were not disclosed. – The acquisition aims to strengthen Health Catalyst’s comprehensive data abstraction and registry management capabilities, particularly in conjunction with its ARMUS platform.

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Curbside Consult with Dr. Jayne 11/6/23

HIStalk

Everyone is talking about the recent shutdown of Olive. Looking.

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Emory Healthcare to Pilot AI-Powered Virtual Inpatient Monitoring

HIT Consultant

What You Should Know: – Emory Healthcare partners with Andor Health to implement virtual patient observer technology to enhance safety interventions and reduce fall risks in hospitalized patients. – Emory Healthcare plans to pilot the virtual sitter technology at two of its hospitals, allowing for remote monitoring of at-risk patients in medical and surgical floors as well as the emergency department.

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Morning Headlines 11/7/23

HIStalk

Surescripts Acquires ActiveRADAR to Offer Therapeutic Alternatives for Prescriptions Surescripts.

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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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M&A: Surescripts Acquires Clinical Intelligence Company ActiveRADAR

HIT Consultant

What You Should Know: – Surescripts , the leading health information network in the United States, has acquired ActiveRADAR , a clinical intelligence company focused on identifying therapeutic alternatives for prescriptions. Financial details of the acquisition were not disclosed. – The acquisition is expected to have a positive impact on medication adherence, patient-provider engagement, and the overall patient experience by providing better alternatives and reducing waste and costs

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HIStalk Interviews Jeff Smith, CEO, Bamboo Health

HIStalk

Jeff Smith, MBA, MIB is CEO of Bamboo Health of.

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Accenture, Salesforce Partner on Generative AI for Life Sciences Companies

HIT Consultant

What You Should Know: – Accenture and Salesforce are investing in the development of Salesforce Life Sciences Cloud, focusing on innovation, assets, and accelerators powered by data and artificial intelligence (AI) to help life sciences companies create sustainable value and drive growth. – Building on their generative AI collaboration, Accenture and Salesforce will leverage their joint generative AI acceleration hub to develop new solutions and use cases for Salesforce Life Sciences

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CMS targets predatory MA marketing practices, proposes prior auth and behavioral health changes

Fierce Healthcare

The Biden administration is once again cracking down on Medicare Advantage marketing tactics with new guidelines to promote healthy competition in the market and impose limits on plans' payments to | In another proposed rule, CMS aims to tighten Medicare Advantage prior authorizations, establish a maximum payment structure for marketing middlemen and loosen requirements on biosimilar formularies.

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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.