Sat.Dec 16, 2023 - Fri.Dec 22, 2023

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Are hospital quality metrics causal?

Healthcare ECONOMIST

That is the question asked by a recent NBER working paper by Chandra et al. (2023). This question is important for a variety of reasons. First, quality measure data collection is expensive. Saraswathula et al. 2023 found that Johns Hopkins Hospital had to report 162 unique quality metrics, and the cost for collecting these data were over $5.6m dollars ($5.0m plus $0.6m in vendor fees.

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WeightWatchers rolls out telehealth clinic to prescribe weight loss drugs

Fierce Healthcare

WeightWatchers is adding its name to the growing list of companies providing telehealth weight loss management and access to buzzy GLP-1 medications. | WeightWatchers is adding its name to the growing list of companies providing telehealth weight loss management and access to buzzy GLP-1 medications.

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Patients Crave Conversational Texting, Frustrated by Simplistic Healthcare Communication

HIT Consultant

What You Should Know: – A new survey by Artera , a leader in patient communication technology, reveals a stark disconnect between how healthcare providers communicate and what patients actually want. – The findings, based on responses from over 2,000 patients, paint a picture of frustration and missed opportunities, with simple phone calls and one-dimensional text messages falling short of patient expectations.

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Biden administration urges 9 states to curb high child Medicaid, CHIP disenrollments

Health Care Dive

Nine states account for about 60% of the decline in children’s Medicaid and Children’s Health Insurance Program enrollment from March through September, according to data from the CMS.

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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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Most doctors have not yet tried AI but are 'cautiously optimistic' about the benefits

Fierce Healthcare

The hype around healthcare artificial intelligence has reached a fever pitch but most doctors are holding back from trying it out in their medical practice, for now. | Among those who are holding off, doctors report lack of confidence in accuracy and a lack of integration or access through existing tools — as key obstacles to adoption.

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Telehealth sees a dip as patients pull back on virtual care

Healthcare It News

Steven Ullman, director at the Center for Health Management and Policy at the University of Miami, says utilization has dropped to 5.4% of medical claims since telehealth use skyrocketed during the pandemic.

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UnitedHealth, OptumRx sued by independent pharmacy over ‘unconscionable’ fees

Health Care Dive

Osterhaus Pharmacy in Iowa — which is also suing CVS Caremark — is taking issue with pharmacy benefit managers’ use of performance-based fees that it says are contributing to independent pharmacy closures.

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2024 Outlook: Despite hurdles, stakeholders bullish on VR in behavioral health

Fierce Healthcare

Though often associated with gaming, virtual reality (VR) is a technology rapidly evolving in healthcare. | VR therapy is not a new concept, though it wasn’t until the last few years that the field became prominent. And as technology has improved and gotten more intuitive to use, it has also become less expensive.

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Nurses Earn Highest Grade for Care Far Above All Other Health Care Workers — Including Doctors — In Latest Gallup Poll

Health Populi

Nurses rank highest among various factors in the U.S. health system in the latest Gallup poll — earning a grade of “excellent” or “good” by American adults surveyed in November 2023. Further substantiation for nurses’ topping this poll of excellent care is that Gallup found historic low confidence in the U.S. health system among Americans earlier this year in a July study.

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Sensitive Data Requires Great Responsibility: The Importance of ‘Privacy and Security by Design’ in Healthcare

HIT Consultant

Chris Bowen, founder and CISO at ClearDATA In healthcare, sensitive data comes with great responsibility. For companies entrusted with managing and protecting patients’ personal information, ensuring the privacy of that data must be the highest priority. These companies are called to act as vigilant guardians, especially when you consider that secure and accurate data can literally save lives.

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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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Ohio hospital, vendor hit with class action suit after data breach

Health Care Dive

The suit alleges Salem Community Hospital and Perry Johnson & Associates waited months before informing affected individuals. The breach may have exposed the data of nearly nine million people across the country.

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BCBS of Massachusetts faces backlash from docs over anesthesia coverage policy change

Fierce Healthcare

A new policy from Blue Cross Blue Shield Massachusetts, starting Jan. | Some patients needing a colonoscopy in Massachusetts won't be covered for monitored anesthesia care, or MAC, starting Jan. 1. Blue Cross Blue Shield Massachusetts is standing by the policy, which will save the insurer money but require the patient to remain awake for the operation.

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Get Ready – MIPS 2023 Data Submission Period isn’t Far Now!

p3care

All in all, MIPS 2023 has been a hard time for participants. Anyhow, those with the best MIPS reporting plans have managed to stand by in the hardest times. Moving from one benchmark to another, participants have collected the MIPS reporting data. We know that every category of MIPS reporting has separate data completeness requirements. So, it is not an easy task to complete or exceed data completeness criteria.

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Combatting Elder Abuse in Long-Term Care: Challenges and Opportunities of Electronic Monitoring

Bill Of Health

By Laura C. Hoffman The aging population is growing at an extraordinary rate in the U.S. By 2040, it is anticipated that the U.S. aging population (defined as those ages 65 and older) will double, totaling 80 million. Given this growth, preventing elder abuse must be at the forefront of policymaking. The U.S. Centers for Disease Control and Prevention (CDC) has recognized elder abuse as a “serious” problem that is commonly occurring, yet significantly underreported, in the U.S.

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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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Lawsuit alleges New Jersey’s telehealth licensure rules hamper access to care

Health Care Dive

The suit comes as relaxed pandemic-era licensure rules for virtual care expire. Standard regulations are onerous for patients who may not be able to access specialty care for rare conditions, the lawsuit said.

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Few health plans have dedicated Alzheimer’s and dementia care management strategy: survey

Fierce Healthcare

Health plans and value-based care organizations are ill-prepared to help patients with Alzheimer’s Disease or related dementia. | Only a small fraction of health plans and value-based care organizations have a fully developed care management model for its enrollees with dementia or Alzheimer's, a new survey shows.

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‘AGGA’ Inventor Testifies His Dental Device Was Not Meant for TMJ or Sleep Apnea

KHN

A Tennessee dentist who has been sued by multiple TMJ and sleep apnea patients over an unproven dental device he invented has said under oath that he never taught dentists to use the device for those ailments — contradicting video footage of him telling dentists how to use it. Related Articles This Dental Device Was Sold to Fix Patients’ Jaws.

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How long does It take for vitamins to work?

Healthcare Associates

Starting a new vitamin regimen for your health can be exciting. Vitamins are naturally ingested through the foods we eat daily, but if you are lacking in one or some, your doctor may recommend you take supplements to replenish them in your body. You may have a few questions about it, such as how long it takes for the vitamins to work. When can you start to see the effects of particular vitamins?

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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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Predictions on 2024 healthcare M&A trends: What leaders need to know

Health Care Dive

A shift in funding sources, new regulatory policies in Medicare and technology advances may influence M&A in the sector next year, according to Samantha Prokop from law firm Gunster, Yoakley & Stewart.

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ChristianaCare pays $47M to resolve former compliance officer's kickback allegations

Fierce Healthcare

Wilmington, Delaware-based ChristianaCare has agreed to a $47.1 million settlement resolving illegal kickback allegations flagged by its former chief compliance officer, Ronald Sherman. | The agreement is the largest False Claims Act settlement in Delaware's history and paves the way for future cases against hospitals that provide private physician groups with free services from their employees, legal counsel said.

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PCA Rx & Cost Plus Drugs Partner to Transform Drug Pricing Transparency

HIT Consultant

What You Should Know: – PCA Rx and Cost Plus Drugs , are joining forces to tackle the longstanding issue of opaque and inflated drug pricing in the US healthcare system. – This landmark collaboration paves the way for greater transparency, accessibility, and affordability for employers and individuals nationwide. Prioritizing Drug Pricing Transparency By prioritizing transparency, this partnership empowers employers and members to make informed choices and fosters a more engaged heal

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The Home-Based Care Executive Quotes That Struck A Cord In 2023

Home Health Care

To find the most memorable home-based care executive quotes in 2023, Home Health Care News employed a strategy that is part art, part science. Ultimately, the quotes chosen resonated the most with HHCN’s staff and readers. They were prescient, controversial, telling and highly relevant to provider struggles and opportunities. They touched on the Centers for Medicare & Medicaid Services’ (CMS) home health payment rates, Medicare Advantage (MA) plans, operational realities and the future of ho

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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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Elevance, BCBSLA resurrect $2.5B merger

Health Care Dive

Two months after the insurers shelved their plan to merge after public outcry in Louisiana, Elevance and BCBSLA are bringing a new plan to the table they think will assuage regulatory concerns.

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2024 Outlook: 'Blurring of the lines' as providers, retailers and payers plotting primary care plays

Fierce Healthcare

Health systems, insurers, retailers like CVS and tech companies like Amazon are all scrambling for a bigger piece of the medical pie. | Patients are looking for easier access to medical services and more convenience and this is opening big opportunities for insurers, retailers, tech companies and nontraditional players to muscle their way into primary care.

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HIPAA Enforcement is Changing. Providers Must Too.

HIT Consultant

Cam Roberson, VP at Beachhead Solutions Healthcare delivery organizations and those working with them that are still in business are either well aware of their duties under HIPAA, work with managed service providers that understand the law well, or…are lucky to have made it this far. Even for organizations that have steered clear of both cyberattacks and regulatory fines, vigilance is essential to maintaining a clean bill of (cybersecurity) health.

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Home Care May Have Reached Its ‘Tipping Point’ With Billing Rates

Home Health Care

As home care leaders begin to strategize for 2024, part of the process will be identifying the challenges they believe will be main characters next year. Oftentimes, home care leaders will point to labor as the biggest challenge in the space. While labor is and will continue to be an issue, there are also other obstacles that are top of mind for many home care leaders, such as regulatory challenges.

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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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No Surprises Act dispute portal reopens again amid ‘challenging’ policy rollout

Health Care Dive

The CMS has repeatedly stopped and restarted arbitration this year as court cases snarl regulatory efforts to resolve surprise billing disputes.

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2024 Outlook: How tech, incentives could push measurement-based care in behavioral health

Fierce Healthcare

Imagine if a patient came to see a doctor for high blood pressure. | Imagine if a doctor measured a patient's blood pressure once on intake, and then never again, while continuing their treatment. While the idea of not having quantifiable data to measure outcomes in medical care seems absurd, that is most often the case in behavioral health. Could that soon change?

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How Intelligent Document Processing (IDP) Revolutionizes Clinical Trials

HIT Consultant

Gary Shorter – Head, AI and Data Science, IQVIA Technologies In the healthcare ecosystem, automation and data intelligence continue to gain momentum as artificial intelligence (AI) and machine learning (ML) are integrated to streamline and accelerate processes. The clinical trial space is one area where pharmaceutical companies are leveraging these technologies to improve operations, in particular, data processing.

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2024 Executive Forecast: What 6 Top Home Health Leaders Expect Next Year

Home Health Care

Staffing shortages, rate cuts and Medicare Advantage penetration will continue to be trends in the home health market in 2024. Those aren’t new. What is new, however, is how providers plan to combat the issues that stem from those trends. Home health leaders are focused on mitigating margin compression, utilizing more technology, leveraging Artificial Intelligence, working smarter with MA plans and more in the new year.

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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.