Sat.Sep 14, 2024 - Fri.Sep 20, 2024

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FTC formally sues PBMs over insulin prices and warns manufacturers

Fierce Healthcare

The Federal Trade Commission is suing the titans of the pharmacy benefit manager industry for anticompetitive practices and artificially raising the price of insulin drug prices, the agency announc | As expected for weeks, the Federal Trade Commission is taking legal action against the biggest three PBMs and its related group purchasing organizations.

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US is drastically behind other wealthy nations on healthcare, despite spending the most

Health Care Dive

The Commonwealth Fund analyzed the healthcare systems of 10 nations and found the U.S. ranked last in access to care, health outcomes and overall. The U.S. “really is in a class by itself,” one researcher said.

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Chronic disease 'patient burnout' – a silent issue that must be tackled

Healthcare It News

While clinician burnout is well known, "patient burnout" within the chronic disease population is an equally critical but silent issue. Managing chronic conditions, especially diabetes, is complex and overwhelming. Nonadherence affects 12% of the U.S. population with Type 2 diabetes ; 42% of patients with chronic conditions manage at least two or more.

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Monday Morning Update 9/16/24

HIStalk

Top News Elevance Health’s Anthem Blue Cross Blue Shield accuses.

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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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Indiana insurers, hospitals accused of Medicaid fraud in giant whistleblower lawsuit

Fierce Healthcare

Major Indiana managed care organizations and health systems are blamed for defrauding the state Medicaid system by tens, if not hundreds, of millions of dollars, says a newly unsealed whistleblower | A newly unsealed lawsuit alleges major health insurers and health systems defrauded Indiana Medicaid by hundreds of millions of dollars, with the government office likely influenced by corporate lobbying.

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House committee passes telehealth flexibility extension

Health Care Dive

The bill would extend pandemic-era telehealth flexibilities in Medicare for another two years, averting a looming year-end deadline.

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More Trending

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Home Care Leaders Put ‘Boots On The Ground’ To Kickstart Growth

Home Health Care

Home care companies are constantly looking for new growth avenues and expansion opportunities. In order to reach new heights, leaders at companies like TheKey, Comfort Keepers and Nova Leap are exploring various strategies to scale their businesses. For TheKey, this means focusing on three main areas. One of these areas is the company’s “boots on the ground” sales force.

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Express Scripts files suit against FTC, demands retraction of report on PBM industry

Fierce Healthcare

Express Scripts has filed suit against the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry. | Express Scripts is suing the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry.

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Cigna scaling back Medicare Advantage footprint in 8 states next year

Health Care Dive

The reductions will affect roughly 5,400 members, mostly in Florida, according to a notice to marketing agents.

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The Light Collective amplifies its call for patient data rights

Healthcare It News

To mark World Patient Safety Day on September 17, the patient-led Light Collective plans to lead discussions in Washington, D.C., designed to help ensure that patient concerns about health data aggregation are given the stage. WHY IT MATTERS Large corporations and social media platforms continue to aggregate patient data and profit from it, the collective says.

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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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Pennant’s New CMO: The Vision Is Completing The Continuum In The Home

Home Health Care

The Pennant Group (Nasdaq: PNTG) has appointed a chief medical officer for the first time. Dr. Derrel Walker will serve in the role, which he calls a “developing” one. Based in Eagle, Idaho, Pennant is a holding company with independent operating subsidiaries that provide health care services. It has117 home health and hospice agencies and 54 senior living communities across 13 states.

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Nvidia's venture arm backs $17M investment in Hippocratic AI to build out generative AI healthcare agents

Fierce Healthcare

Three months ago, startup Hippocratic AI released its first commercial product, a generative AI-based, task-specific healthcare agent. | Nvidia's venture capital arm, NVentures, along with Greycroft and Lee Shapiro of 7Wire Ventures, backed a $17 million investment in Hippocratic AI to fuel its product development of generative AI "agents.

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Telehealth providers at a crossroads: Navigating insurance, compliance and cash-only models amid state regulations

Health Care Dive

Providers using telehealth face an evolving landscape, and they must balance complexities around insurance, regulatory compliance and data privacy, argues one legal expert.

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Cigna launching E-Treatment virtual care through MDLIVE

Healthcare It News

Cigna Healthcare, the health benefits division of The Cigna Group, has launched an E-Treatment option through MDLIVE by Evernorth Beginning this month, Cigna members can connect for urgent care from board-certified doctors without any direct interaction via phone or video.

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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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News 9/18/24

HIStalk

Top News Healthcare automation vendor Vyne Medical acquires Extract Systems,

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CVS' Oak Street to pay $60M to settle kickback allegations

Fierce Healthcare

CVS' Oak Street Health unit has agreed to pay a $60 million settlement to resolve kickback allegations, the Justice Department announced on Wednesday. | CVS' Oak Street Health unit has agreed to pay a $60 million settlement to resolve kickback allegations, the Justice Department announced on Wednesday.

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Express Scripts sues FTC over report damning pharmacy benefit managers

Health Care Dive

The major pharmacy benefit manager said its lawsuit is necessary to protect against misinformation about the controversial drug middlemen, while the FTC promised to defend its research.

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Moving aging patients from confusion to the point of care

Healthcare It News

There's help for providers who want to help aging patients navigate complex government websites and access the information and resources they need to overcome isolation, lack of transportation and limited financial resources barring full access to healthcare opportunities. By making use of technologies such as artificial intelligence, providers can empower senior patients with the extra guidance and support that informs them and gets them to the point of care, according to Karl Ulfers, cofou

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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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‘Signs Of Life’: With Interest Rates Ticking Downward, Home-Based Care M&A Is Looking Up

Home Health Care

This article is a part of your HHCN+ Membership It’s the interest rate, stupid. Home health, home care and hospice industry voices – including myself – have regularly pointed toward internal factors affecting M&A over the last two and a half years. In the end, the overarching, main headwind was always the extremely high interest rates that were put forth by the Federal Reserve to combat inflation.

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KFF: Insurers set to rake in $11.8B in Medicare quality bonus payments for 2024

Fierce Healthcare

Health plans are set to rake in $11.8 billion in Medicare Advantage quality bonus payments, according to a new analysis from KFF.

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FTC sues major pharmacy benefit managers over insulin prices

Health Care Dive

The agency brought action against Caremark, Express Scripts and Optum Rx on Friday, arguing their “anticompetitive and unfair” rebating practices “artificially inflated” the list price of life-saving insulin drugs.

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Atrium Health responds to new social engineering attack

Healthcare It News

Atrium Health announced on its website Friday that it is sending notifications to certain patients and staff who may have been affected by a malicious email sent to some of the health system’s employees on April 29. The Charlotte, North Carolina-based health system noted that its electronic medical records are separate from its email system and were unaffected by the incident.

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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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Did AI Cause HIPAA Fines to Double in a Single Year?

HIT Consultant

Aidan Simister, Co-Founder and CEO of Lepide In 2023, HIPAA fines amounted to $4,176,500, which is a rise of over $2,000,000 in 2022. So yes, HIPAA fines have doubled. But why? Technology in healthcare has been a constant battle between progress and pain, and the relationship has grown increasingly complex over recent years. The Health Insurance Portability and Accountability Act (HIPAA) is one of the most well known regulatory frameworks in the healthcare industry, and it establishes safeguards

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Dandelion Health launches AI marketplace for model validation, use in clinical trials

Fierce Healthcare

Health tech startup Dandelion Health launched a clinical artificial intelligence marketplace that merges third-party algorithms and Dandelion's data platform and model validation capabilities | Through a new solution, Dandelion Health can bring together AI developers and life sciences companies to answer questions in a fraction of the time as a randomized controlled trial.

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Supply chain cyberattacks threaten healthcare. How the industry can work together to limit disruption.

Health Care Dive

At a Google Cloud panel this week, information security officers from major health systems said the sector needs to assess their vendor risks to prevent disruptive cyberattacks.

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AI can be a key health equity driver

Healthcare It News

Enterprise Taxonomy: AI Operations Population and Public Health Quality Care Analytics Strategic Planning Business Care Data and Information Organizational Governance Node settings: Exclude from Accelerate RSS feed

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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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VNA Of Greater Philadelphia To Close Amid ‘Unsustainable Financial Losses’

Home Health Care

One of the oldest home-based care providers in the country is closing up shop. The Visiting Nurses Association of Greater Philadelphia, a nonprofit home health care provider, will end its operations on Oct. 28. The organization — which offers home health, hospice and palliative care — had been in business for 138 years. The organization cited “unsustainable financial losses” as the reason behind the closure, according to a brief statement on its website.

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Hackensack Meridian Health inks partnership with K Health to roll out virtual primary care service

Fierce Healthcare

New Jersey-based Hackensack Meridian Health is teaming up with K Health to launch a new 24/7 virtual primary care service to provide easier access to the health system's clinicians. | New Jersey-based Hackensack Meridian Health is teaming up with K Health to launch a new 24/7 virtual service to provide easier access to the health system's clinicians for primary care.

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Health benefit costs to rise 5.8% per employee in 2025: survey

Health Care Dive

About half of employers said they would make cost-cutting changes to their plans next year, like increasing deductibles or other cost-sharing provisions, according to a report from consultancy Mercer.

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Full coverage: HIMSS24 APAC Health Conference & Exhibition

Healthcare It News

HIMSS24 APAC Healthcare industry movers and shakers in Asia-Pacific will gather in one of the world's biggest technology hubs – Seoul. From 1 to 4 October 2024, our reporters will be onsite to keep you updated on pressing discussions around artificial intelligence and innovations in smart hospital development. Stay posted on our coverage on this page.

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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.