Sat.Feb 03, 2024 - Fri.Feb 09, 2024

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HIMSSCast: Foundation of good data drives enrollment, claims payment and member satisfaction

Healthcare It News

Digital transformation in the payer industry means moving beyond the status quo. Insurance and the ways payers interact with members, especially new members in the enrollment process, are ripe for technology upgrades, according to Gary Davis, national practice leader for Noyo, a software company that unveiled an enrollment solution last year.

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Eight Opportunities to Use the Law to Address Social Determinants of Health

Bill Of Health

By Jon Larsen and Sterling Johnson Addressing the opioid crisis cannot stop at providing better access to treatment for opioid use disorder (OUD) , expanding and enhancing harm reduction efforts, and reimagining the role of law enforcement, as explored previously in this blog series. The response must go further to make treatment and harm reduction more effective, by acknowledging the opioid epidemic as a reflection of the conditions of the whole society , identifying those conditions, and addre

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Lead Is a Verb. Take Action Now

Baird Group

One of my colleagues often reminds our clients that the word lead is a verb and, as we learned in grade school, verbs are action words. So what actions are most important today? Coaching rises to the top. To Lead Is to Coach Effective leadership takes action, and today’s most essential actions are unlike those that were most effective in the past. In their book, It’s the Manager – Moving from Boss to Coach , [i] authors Jim Clifton and Jim Harter stress how coaching is the foundation for succe

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8 Common Physician Credentialing Mistakes to Watch in 2024

HIT Consultant

Charlie Falcone, CEO at Verisys Corporation If you find credentialing uninspiring, consider this cautionary tale. In a frequently cited negligent credentialing case, an Illinois jury awarded the plaintiff nearly $8 million when the patient’s foot had to be amputated due to damage caused by the operating physician who had not completed his 12-month podiatric surgical residency and was not board-certified.

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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 ambassador Ty Greenhalgh on what to expect from federal cybersecurity guidance in healthcare

Health Care Dive

HHS task force ambassador Ty Greenhalgh discusses what the Biden administration’s cybersecurity performance goals mean for the industry, and how they could lead to a tightening of the HIPAA Security Rule.

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Centene boosts guidance amid 'stronger than expected' marketplace enrollment

Fierce Healthcare

Centene posted $45 million in profit for the fourth quarter of 2023, with its profitability for the full year growing notably compared to 2022. | Centene posted $45 million in profit for the fourth quarter of 2023, with its profitability for the full year growing notably compared to 2022.

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More Trending

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Please leave politicians out of the exam room. Proposed changes to transgender health policies set a dangerous precedent

Healthy Debate

The post Please leave politicians out of the exam room. Proposed changes to transgender health policies set a dangerous precedent appeared first on Healthy Debate.

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Centene echoes Humana’s concerns about proposed MA rate drop

Health Care Dive

On the insurer’s earnings call, analysts peppered Centene with questions about its Medicare Advantage business until its CFO attempted to change the subject.

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Senators working on legislation to reform how Medicare pays physicians

Fierce Healthcare

A bipartisan group of senators announced Friday that they are working on new legislation for “long-term reforms” to physician payments under Medicare and other program changes. | The lawmakers plan to investigate and pass "long-term reforms" that will "ensure financial stability for providers," among other goals. They plan to seek stakeholder input "in the coming weeks.

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RPM reduces 30-day readmission rates by 50% at Lee Health

Healthcare It News

Connected care at-home technologies enable behavior change and empower individuals and clinicians to make informed decisions about healthcare treatment. By using them, providers can enhance patient engagement, allowing for personalized and proactive care management that drives better health outcomes and better care experiences. Moreover, these at-home and remote patient monitoring technologies can optimize resource utilization, streamline care delivery, reduce length of stays in the acute settin

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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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Public health and urban planning go hand in hand. Why aren’t we doing more to promote cycling?

Healthy Debate

We need to examine our own blind spots when it comes to all road users to create human-scale urban environments that nudge us toward healthier, safer, equitable and financially savvy transport.

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Cano Health files for bankruptcy

Health Care Dive

The struggling primary care chain said the restructuring agreement will “substantially” reduce its debt and allow it to look for strategic partnerships or buyers.

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Amazon cuts hundreds of jobs in One Medical, Pharmacy units

Fierce Healthcare

Amazon is eliminating a "few hundred roles" across One Medical and Amazon Pharmacy, the company confirmed Tuesday. | Amazon is eliminating a "few hundred roles" across One Medical and Amazon Pharmacy, the company confirmed Tuesday.

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VA to develop an XR mental health app for aging veterans

Healthcare It News

Working with the U.S. Department of Veterans Affairs, Mynd Immersive – a technology company that specializes in extended reality therapies for aging adults – will collaborate with VA Immersive, part of the VA's Office of Healthcare Innovation and Learning, to address the psychological wellbeing of Vietnam veterans. WHY IT MATTERS The company said the three-year cooperative research and development agreement will enable the combination of advanced virtual reality technology with o

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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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As PACE Grows, Here’s What Providers Need To Know About Getting Involved In The Model

Home Health Care

During the pandemic, some senior care models succeeded, and some didn’t. The Program of All-Inclusive Care for the Elderly (PACE) was one that did. In 2023, PACE enrollment exceeded 70,000 participants and has seen an over 40% growth in enrollment since 2019. Many home-based care providers have already gotten into PACE. The Jacksonville-based Alivia Care – a home health and hospice provider – has even become a PACE administrator itself.

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Amazon closing One Medical corporate offices

Health Care Dive

The e-commerce giant is reducing the primary care operator’s corporate footprint days after confirming plans to lay off One Medical employees.

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How payers can help fix broken mental healthcare system

Fierce Healthcare

The mental healthcare system in the U.S. | Commercial health plans might do a better job of making community-based healthcare that relies on laypeople a reality than the pilots launched by government officials, one expert says.

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Telepsychiatry will continue to grow – and become the house call of yesteryear

Healthcare It News

One of the great use cases for telemedicine has proven to be mental health. It does not require physical contact between caregiver and patient (though seeing a patient's affect in person can be better than via video). Rarely does mental health require in-person tests. Taking vitals is not necessary. Overall, it's a great fit – and one that soared during the pandemic and beyond.

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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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TRIPP Takes VR Meditation to New Heights on Apple Vision Pro

HIT Consultant

What You Should Know: – TRIPP , the award-winning wellness company, announces its arrival on the highly anticipated Apple Vision Pro , redefining the boundaries of personalized well-being experiences. – The integration with Apple Vision Pro unlocks TRIPP’s most immersive and visually captivating journey yet, seamlessly blending awe-inspiring worldscapes with users’ surroundings through Apple Vision Pro’s groundbreaking spatial computing capabilities.

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Senate finance committee weighs healthcare AI oversight

Health Care Dive

Lawmakers considered how to prevent artificial intelligence technologies from worsening bias or improperly denying insurance coverage at a hearing on Thursday.

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Banking on telehealth to reach rural patients, University of Rochester Medical Center rolls out innovative virtual care pilot

Fierce Healthcare

Banking on telehealth to reach rural patients, University of Rochester Medical Center rolls out innovative virtual care pilot hlandi Fri, 02/09/2024 - 14:36

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Population should help determine genAI use

Healthcare It News

There are a variety of applications of ChatGPT and LLMs in healthcare, and various uses that have the potential to help or harm patients. Dr. Srinivasan Suresh, VP, CIO and CMIO at UPMC Children's Hospital of Pittsburgh, digs into these tools.

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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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In Rapidly Changing Value-Based Care Landscape, Home-Based Care Providers Facing Crunchtime

Home Health Care

This article is a part of your HHCN+ Membership Home-based care providers avoiding the shift to value-based care are running out of time and excuses. The Centers for Medicare & Medicaid Services (CMS) wants 100% of traditional Medicare beneficiaries and the “vast majority of Medicaid beneficiaries” in accountable care relationships by 2030. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) Model, which is, by definition, a value-based care model.

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CVS cuts 2024 outlook on Medicare Advantage caution

Health Care Dive

The insurer on Wednesday joined its peers in slamming proposed MA payment rates as insufficient given the dogged increase in medical costs.

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House Republicans vote to ban certain pricing metrics in federal programs

Fierce Healthcare

In a party line vote, House Republicans voted to ban certain pricing metrics in federal health programs such as Medicaid, Medicare Advantage and VA Health Care. | Republicans voted to ban a pricing metric called quality-adjusted life years in federal payer programs on Wednesday. Democrats took issue with language in the bill.

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3 Lessons in Digital Patient Engagement from Healthcare’s ‘Most Wired’ Organizations

HIT Consultant

Joshua Titus, CEO at Gozio Health Digital patient engagement is a balancing act of determining where resources should be deployed and how to create cheer-worthy experiences. The stakes for delivering the right mobile experience in healthcare have never been higher. A recent Accenture survey found digital engagement has a significant influence on patient retention.

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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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‘Not About A Shiny New Toy’: How Home Health Providers Are Succeeding With More Complex Patients

Home Health Care

This article is a part of your HHCN+ Membership As home health patients become sicker and more complex, providers have been forced to find ways to keep their care models financially viable. In order to combat some of those “acuity creep” challenges, industry leaders are leaning on technology, data-driven decision making and more value-based care. “We continue to navigate through a very regulated industry,” Janice Riggins, chief clinical officer at VitalCaring, told Home Health Care News.

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Healthcare job growth reached three-decade high in 2023

Health Care Dive

The sector added 650,000 jobs over the year — its most prolific year of growth in decades.

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Virgin Pulse, HealthComp unveil rebrand as employer health company eyes accelerated growth

Fierce Healthcare

Three months following the merger of Virgin Pulse and benefits administrator HealthComp, the combined company has rebranded as Personify Health with its sights set on revamping the patient experien | Personify Health introduced what it calls a personalized health platform that combines HealthComp's health plan administration capabilities with Virgin Pulse's holistic wellbeing solutions and comprehensive health navigation.

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Zerigo Health Appoints Eric Zerneke as Chief Growth Officer

HIT Consultant

Eric Zerneke, Chief Growth Officer at Zerigo Health What You Should Know: – Zerigo Health , a provider of digital home treatment solutions for chronic skin conditions like psoriasis and eczema, announced today the appointment of Eric Zerneke as its Chief Growth Officer. – With Zerneke’s leadership and expertise, Zerigo Health is poised for significant growth, expanding access to its transformative phototherapy solution and empowering more individuals to take control of their sk

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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.