Sat.Jul 06, 2024 - Fri.Jul 12, 2024

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Digital health funding hit $5.7B through June, on track to surpass 2019 and 2023, Rock Health reports

Fierce Healthcare

U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year. | U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year.

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Federal Trade Commission to sue three largest PBMs: WSJ

Health Care Dive

Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.

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Addressing behavioral health resources and costs in Ohio

Healthcare It News

Like many in the U.S., Ohioans are experiencing a historic shortage of behavioral healthcare resources. But population health management tools from Alera Health will help the Ohio Behavioral Health Providers Network better integrate mental health care. Meanwhile, the state’s Miami University has awarded $1 million in funding to the Ohio Alliance for Population Health for the Southern Ohio Behavioral Health Corridor to support future behavioral health practitioners committed to the state

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News 7/12/24

HIStalk

Top News ONC publishes its Health Data, Technology, and Interoperability:

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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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OpenAI Startup Fund, Arianna Huffington back new AI health coach venture focused on chronic conditions

Fierce Healthcare

OpenAI's venture fund and Arianna Huffington's Thrive Global are backing a new startup, Thrive AI Health, that aims to build an AI health coach to promote healthier lifestyles. | OpenAI's venture fund and Arianna Huffington's Thrive Global are backing a new startup that aims to build an AI health coach to promote healthier lifestyles.

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FTC slams pharmacy benefit managers in first report from ongoing investigation

Health Care Dive

On Tuesday, regulators updated the public on their almost three-year-old inquiry into PBMs’ anticompetitive business practices. The report is not positive for the drug middlemen, which immediately criticized it as one-sided.

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All The Payment Factors Included In The 2025 Home Health Proposed Rule

Home Health Care

Providers examining the 2025 home health proposed payment rule may be experiencing some déjà vu, according to William A. Dombi, the president of the National Association for Home Care & Hospice’s (NAHC). “Much of what we see in the rule is just, on the payment side of it in particular, an update from ‘23 and ‘24,” he said during a recent webinar hosted by NAHC.

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Healthcare industry rails against CISA's 'redundant' and 'burdensome' cyber incident reporting proposal

Fierce Healthcare

Healthcare industry groups are urging the federal government to streamline and loosen a recent proposed rule outlining cybersecurity incident reporting requirements for entities considered to be cr | Hospitals, practices, information management executives and even insurers criticized a proposed rule for its overlap with other federal reporting requirements and limited oversight of smaller third-parties, among other concerns.

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CMS’ first No Surprises audit targets Aetna, finds some noncompliance

Health Care Dive

The findings are a “big deal,” according to one expert, as CVS’ health insurer didn’t follow some “major requirements that are essential to ensuring that the IDR process runs smoothly.

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ONC says stakeholders can 'pick up and run' with new regs

Healthcare It News

Touted as the product of 10 years of work, the most recent proposed rule issued July 10 by the Office of the National Coordinator for Health IT will usher in an age of automation for healthcare interoperability through application programming interface-based exchange capabilities, officials said on Wednesday. The second version of ONC's Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing and Public Health Interoperability rule, or HTI-2, is designed to supp

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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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Cybersecurity Vulnerabilities in Implantable Medical Devices

HIT Consultant

Zac Amos, Features Editor at ReHack While digitalization saves lives, it may also threaten them. The uptick in data breaches and cyberattacks targeting the healthcare industry correlates to the number of internet-connected and insecure technology facilities are adopting. Implantable medical devices are one of the latest victims of this trend — and their vulnerabilities could be deadly.

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ONC's HTI-2 proposed rule 'big step forward' for interoperability, health IT experts say, but EHR vendors concerned about timelines

Fierce Healthcare

ONC's HTI-2 proposed rule 'big step forward' for interoperability, health IT experts say, but EHR vendors concerned about timelines hlandi Fri, 07/12/2024 - 14:43

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CMS proposes 2.9% cut to physician pay for 2025

Health Care Dive

Regulators said Medicare’s budget neutrality requirement is to blame for the reduction, which was quickly decried by provider groups. However, it’s likely Congress will step in to mitigate the drop.

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OpenAI Startup Fund, Thrive Global launch new company Thrive AI Health

Healthcare It News

The company will build a genAI-enabled expert health coach that personalizes behavioral change.

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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.

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Stanford Medicine Launches AI-Powered Consult to Improve Clinical Decisions + Outcomes

HIT Consultant

What You Should Know: – Stanford Medicine is revolutionizing the way community physicians deliver care with the launch of Patients Like Mine, a suite of services designed to equip them with the data and resources needed to provide high-quality, evidence-based treatment to their patients. – By empowering community physicians with the tools and knowledge they need, this program has the potential to revolutionize healthcare delivery, ensuring high-quality, evidence-based care for all pa

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CMS proposes new payments for digital health under CY2025 PFS draft rule

Fierce Healthcare

The Centers for Medicare & Medicaid Services' (CMS') proposed calendar year 2025 physician fee schedule rule, out Wednesday, proposed an assortment of new payments and coverage for digital heal | CMS' proposed changes to digital health payment for physicians includes new codes for mental health-related digital therapeutics, an assortment of telehealth extensions and more flexibilities for opioid treatment programs to use audio and video telehealth services.

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Judge pauses CMS rule capping compensation for Medicare Advantage brokers

Health Care Dive

Texas Judge Reed O’Connor’s decision suggests he could overturn at least part of the rule, which is meant to curb predatory plan marketing to seniors.

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How automated RPM referrals help reduce readmissions

Healthcare It News

The HIMSS AI in Healthcare Forum is scheduled to take place September 5-6 in Boston. Learn more and register.

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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

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Climate Change Risk to National Critical Functions

The Rand Blog

The changing climate will strain the basic functions that underpin American society. Core services such as supplying water and electricity, providing medical care, and responding to emergencies like floods will face regional- or even national-level disruptions in the years to come.

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Court pauses CMS broker compensation rule for Medicare Advantage plans

Fierce Healthcare

A recent lawsuit has pushed back against an industry-opposed Centers for Medicare & Medicaid Services (CMS) final rule on broker compensation in Medicare Advantage (MA) plans. | A district court in Texas is halting a federal rule that changes broker compensation and overhauls marketing to seniors.

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CMS revised Medicare Advantage star ratings. Here’s which payers benefited.

Health Care Dive

More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a Healthcare Dive analysis.

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Improving AFib patient experiences

Healthcare It News

An online community for atrial fibrillation will connect patients and caretakers with information on the disease and help to increase beneficial partnerships, says Jim Kaveney, founder of Unlimited Heart Health & Wellness.

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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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NATO Summit in Washington: RAND Experts Weigh In

The Rand Blog

What will define the next 75 years of the NATO? We asked 30 RAND researchers about the major challenges facing the alliance today—and what opportunities NATO could seize to help secure its future. Here's what they said.

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WSJ: FTC to sue PBMs over drug pricing tactics

Fierce Healthcare

Just one day after issuing a report blasting pharmacy benefit managers for their business practices and focus on consolidation and vertical integration, the Federal Trade Commission (FTC) is report | The FTC is planning legal action against pharmacy benefit managers for rebate tactics that may hinder consumers and independent pharmacies.

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Medicare proposes 2.6% bump to hospital outpatient pay next year

Health Care Dive

The sweeping payment rule also solidifies continuous eligibility requirements for children in Medicaid and CHIP, and holds hospitals to higher obstetric care delivery standards in a bid to improve maternal mortality.

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Enabling teledermatology using patients' cell phone pictures

Healthcare It News

Steven Osborne, Medweb's director of federal business, discusses the company's new teledermatology app, which compresses the highest-resolution images a patient's phone can take without compromising data quality for a doctor's review.

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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How much do narrow networks impact premiums?

Healthcare ECONOMIST

Patients hate narrow networks. Anything that limits their choice of physicians or hospitals is disliked. Americans love more choice. Payers, on the other hand, like narrow networks because they save cost–through the ability to negotiate lower rates–and potentially increase quality–if the contracted network has higher quality physicians.

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FTC: PBMs may ‘urgently’ require ‘potential regulation’

Fierce Healthcare

Pharmacy benefit managers (PBMs) have vast power and scale that disadvantages consumers and independent pharmacies, a new report from the Federal Trade Commission argues. | The FTC turned its attention toward pharmacy benefit managers in a new report detailing the consequences of consolidation and vertical integration, warning legal action and regulation could follow.

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Teladoc’s enterprise growth exec to depart

Health Care Dive

Laizer Kornwasser was terminated without cause after his position was eliminated. The executive change comes after Teladoc named a new CEO last month.

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Keeping chronic disease patients engaged with help from AI

Healthcare It News

The HIMSS AI in Healthcare Forum is scheduled to take place September 5-6 in Boston. Learn more and register.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.