Sat.Jul 27, 2024 - Fri.Aug 02, 2024

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Humana posts $679M in Q2 profit as it faces continued Medicare Advantage headwinds

Fierce Healthcare

Humana affirmed its guidance for the year as it continues to face headwinds in the Medicare Advantage (MA) space. | Humana affirmed its guidance for the year as it continues to face headwinds in the Medicare Advantage space.

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Humana expects to lose ‘few hundred thousand’ Medicare Advantage members next year

Health Care Dive

The insurer shrank its plan footprint for 2025 in a bid to improve margins. Now, Humana is giving market watchers loose guidance into how that reduction could affect its enrollment along with second quarter results.

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Ambient voice genAI poised to reduce burnout, says Stanford digital health director

Healthcare It News

Palo Alto, California-based Stanford Health Care is often ahead of the curve when it comes to technology innovation. As a result, health IT leaders at provider organizations across the country can look to Stanford for lessons to be learned. That is the goal of a case study educational session the health system will be leading at the HIMSS AI in Healthcare Forum, scheduled for September 5-6 in Boston.

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What MIPS 2024 Services Look Like for Emergency Medicine?

p3care

Since 2017, MIPS (The Merit-Based Incentive Payment System) has been an integral part of physicians’ professional life. At least for eligible physicians. And with penalties getting more tangible, healthcare professionals have no way out other than being serious about MIPS 2024 reporting services. CMS MIPS services, although, cover quality outcomes across the board but the specifics have always remained an issue.

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How to Turn “Check-the-Box” Compliance Trainings Into Real Learning

Speaker: Brian Richardson, Brian Richardson, Founder and CEO of Richardson Consulting Group

Let’s face it—most ethics and compliance training programs aren’t winning awards for engagement. But that doesn’t mean they can’t be effective, captivating, and maybe even enjoyable! Join learning design expert Brian Richardson for a dynamic session on how to breathe new life into your ethics and compliance training. We'll explore innovative strategies to bring traditionally dry topics to life, making them resonate with learners and drive tangible change.

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Nearly half of beneficiaries don't know the difference between Medicare and MA: survey

Fierce Healthcare

The U.S. healthcare system remains complex and inaccessible, leaving many seniors feeling uninformed, according to a new survey from digital health company DUOS. | Seniors are growing more comfortable with technology, but many still don't understand key differences between major health programs.

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Average cost of healthcare data breach nearly $10M in 2024: report

Health Care Dive

Though expenses declined since last year, healthcare is still the costliest industry for data breaches — a spot the sector has held since 2011.

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Respite Care Provider Training Webinar: Lessons from the States

NASHP

Respite is planned or emergency care provided to a child or adult with special needs to provide temporary relief to family caregivers. To recruit and train the respite workforce, ARCH National Respite Network and Resource Center , in partnership with NASHP and the Respite Care Association of Wisconsin , piloted a competency-based respite provider training and recruitment initiative in 10 states.

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Ochsner Health going all-in on ambient AI, taps DeepScribe to deploy tech for 4,700 physicians

Fierce Healthcare

Ochsner Health is going all-in on ambient AI voice technology for its thousands of doctors and has inked an enterprise agreement to roll out DeepScribe's technology across its health system. | Ochsner Health inked an enterprise-wide agreement with DeepScribe to roll out its AI medical scribe across its 46-hospital system for 4,700 providers.

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Disadvantaged areas less likely to have high-quality Medicare Advantage plans, study finds

Health Care Dive

The research, which found socially vulnerable counties were more likely to have MA plans rated under 3.5 stars, is the latest highlighting the importance of location in healthcare access.

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Baptist Health brings urgent care waits down to 6 minutes with telemedicine

Healthcare It News

Staffing for urgent care sites has always been a challenge at Baptist Health, which is headquartered in Louisville, Kentucky, and serves that state and Indiana. THE PROBLEM Staff at Baptist Health can look at prior patterns but still struggle at times to predict correctly for specific days and times. Further, with today's healthcare staffing challenges, even if Baptist Health recognizes a need for extra workers, it may not have the resources to upstaff appropriately.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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More Home Health Providers Are Embracing Payer Agnosticism, Shifting Away From Medicare

Home Health Care

MD Home Health — one of the largest providers in Arizona — has worked to establish itself as the “care for everyone” company, embracing payer agnosticism. Currently, the company’s payer mix is around 20% Medicare and 80% non-Medicare, as in Medicare Advantage (MA), private insurers and others. “I just think of the things that every other agency, when I ran them, declined,” Joseph Furtado, administrator of MD Home Health, told Home Health Care News.

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CMS, HHS can use existing federal authority to regulate AI safety in hospitals: JAMA

Fierce Healthcare

As artificial intelligence rapidly makes inroads in healthcare, federal agencies already have the authority to regulator AI at the hospital bedside, according to some healthcare researche | An article published in JAMA Health Forum argues that through the conditions of participation in Medicare and Medicaid, CMS has the authority to oversee how hospitals are implementing AI into patient care.

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Cigna CEO promises ‘aggressive’ defense of pharmacy benefit managers

Health Care Dive

David Cordani’s comments to investors Thursday come as the payer blew past Wall Street’s expectations for the second quarter, helped by significant growth in its health services division — including PBM Express Scripts.

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National Healthcare Group eyes digital records for community care

Healthcare It News

Community care partners of the National Healthcare Group in Singapore have been provided access to a digital platform for managing health programmes and potentially creating digital records. WHAT IT'S ABOUT Recently, the NHG partnered with credentials platform provider, Accredify, to develop the NHG Cares Partners Portal. According to a press statement, the portal simplifies the management of health programmes, which are automatically synced with NHG 's health and social care marketplace

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Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

Speaker: Jennifer Hill

Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.

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‘Showing, Not Telling’: How Honor Has Repaired Its Relationship With Home Instead Franchisees

Home Health Care

This article is a part of your HHCN+ Membership After Honor acquired Home Instead in 2021 , many Home Instead franchisees were not sold on the strategic direction they were given. They believed Honor’s model lacked a “proof of concept,” and were unwilling to alter operations to appease their new parent organization. But, over the last few years, a lot of the friction between Honor and Home Instead franchisees has eroded.

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Teladoc posts $838M loss in Q2, lays out BetterHelp strategic pivot

Fierce Healthcare

In its first quarter with new CEO Chuck Divita, national telehealth provider Teladoc Health posted a net loss of $838 million in Q2 that included a nearly $800 million impairment charge a | Teladoc said on its earnings call on Wednesday that challenges with BetterHelp and increasing advertising costs led its revenue to decline in Q2.

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Mental telehealth services have declined since end of pandemic emergency: study

Health Care Dive

The JAMA study comes as lawmakers debate whether to permanently expand telehealth flexibilities to providers this year.

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Ambient voice genAI poised to reduce burnout, says Stanford digital health chief

Healthcare It News

Palo Alto, California-based Stanford Health Care is often ahead of the curve when it comes to technology innovation. As a result, health IT leaders at provider organizations across the country can look to Stanford for lessons to be learned. That is the goal of a case study educational session the health system will be leading at the HIMSS AI in Healthcare Forum, scheduled for September 5-6 in Boston.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

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Maxim at Home Rebrands To Villi, Bets On In-Home Companion Care

Home Health Care

Maxim at Home has a new name. Now dubbed Villi, the Dallas-based company integrates technology with traditional companion care to keep adults at home, living independently. Villi’s on-demand platform connects individuals with caregivers around the clock, whether it’s a senior needing personal care services or a new mother requiring an extra hand.

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CVS Health now tracks extreme heat to warn at-risk patients with personalized resources

Fierce Healthcare

CVS Health has launched an environmental health impact program to help vulnerable Americans during extreme weather events. | Using advanced environmental data analytics and patients' medical and pharmacy data, CVS Health offers timely excessive heat alerts and outreach to at-risk patients up to a week before the event.

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Medicare finalizes higher 2.9% inpatient payment rate for 2025

Health Care Dive

Hospitals still weren’t happy with the final rule despite the bump from the CMS’ proposed rates, citing cuts to long-term and disproportionate share facilities.

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Multiple chronic conditions could be helped with DTx

Healthcare It News

Enterprise Taxonomy: Digital Health Operations Health and Wellness Disease management Technology Business Care Node settings: Exclude from Accelerate RSS feed

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Can Your Organization Spot a Conflict Before It’s a Crisis?

Speaker: Amie Phillips Pablo, VP, Corporate Compliance & Privacy Officer at Novo Nordisk

In today’s complex healthcare environment, navigating third-party relationships has become even more challenging—whether it’s vendor relationships, employee activities, or patient-facing interactions. Left unmanaged, these conflicts can compromise trust, regulatory compliance, and even organizational reputation. So, how can healthcare teams stay ahead?

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Sorting Through The Complex HCBS Medicaid Landscape

Home Health Care

Medicaid home- and community-based services (HCBS) vary by state, in many ways. And while it makes the space a complex one for providers to navigate, a greater understanding of the complexities allows for more success. a keen understanding of the different ways state Medicaid agencies pay for services. Broadly, Medicaid is a state and federal partnership.

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L.A. Care tasks social workers to serve unhoused population

Fierce Healthcare

There are 75,000 homeless people in Los Angeles County, a county that is the size of Delaware and Rhode Island combined and has a population that is larger than 40 states. | L.A. Care Health Plan is sending social workers to temporary housing sites in Los Angeles County to find more permanent housing solutions.

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Cleveland Clinic appoints first chief AI officer

Health Care Dive

Ben Shahshahani, who previously worked at SiriusXM, will lead the health system’s AI strategy, including managing safety, ethics and data security concerns.

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New app offers price transparency to help patients lower medical bills

Healthcare It News

The founder and CEO of Billy, Cody Coonradt, discusses how the company's app, which displays hospital pricing data by location, can help patients and advocates negotiate prices for medical procedures.

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How to Make The Best Benefits Decisions for 2025's Workforce: An HR and Total Rewards Guide

Speaker: Kaitlin Ruby Carroll

Retaining top talent in 2025 means rethinking benefits. In a competitive job market, fertility benefits are more than just offerings - they are a commitment to your team’s well-being. Gain critical insights into the latest fertility benefits strategies that can help position your organization as an industry leader. Our expert will explore the unique advantages and challenges of each model, share success stories from top organizations, and offer practical strategies to make benefits decisions tha

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BrightStar Care Jumps Back Into Franchise Growth Mode In First Half Of 2024

Home Health Care

BrightStar Care is touting its “unprecedented” growth a little over halfway into 2024, signaling that it is still committed to expanding its franchise footprint around the country. Specifically, the company has signed 15 new franchisees this year; signed 24 new franchise agreements; and opened 16 new locations. Currently, it has 396 agencies across the U.S., but will soon surpass 400.

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TowerBrook, CD&R take health tech company R1 RCM private in $8.9B deal

Fierce Healthcare

R1 RCM, a company that provides revenue cycle and billing services to hospitals, will be acquired for $8.9 billion and taken private. | R1 RCM, a company that provides revenue cycle and billing services to hospitals, will be acquired for $8.9 billion and taken private.

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HealthEquity data breach could affect 4.3M

Health Care Dive

The health benefits administrator said a vendor’s user accounts were compromised, and information like contact details, Social Security numbers and medical information could be exposed.

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Flo Health reaches unicorn status after $200M raise

Healthcare It News

Enterprise Taxonomy: Node settings: Exclude from Accelerate RSS feed

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.