Health Care Dive
SEPTEMBER 12, 2024
The leaders of Caremark, Optum Rx and Express Scripts had until Wednesday to walk back statements they made in July — or face potential legal action. However, the executives are sticking to their guns.
Fierce Healthcare
SEPTEMBER 10, 2024
Half of women in the U.S. skip or delay medical care due to the “triple threat” of affordability, access challenges and past negative experiences, a new Deloitte report finds. | The Deloitte report, based on a survey of more than 2,000 consumers, found that 50% of women report skipping or delaying medical care and are 35% more likely to skip care than men.
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Healthcare It News
SEPTEMBER 11, 2024
Management of cancer patients' symptoms always has been a challenge for providers, especially among racial/ethnic minoritized (REM) populations that often face health disparities that might negatively impact their health outcomes. THE PROBLEM Hence, over the years many researchers have evaluated whether electronic tools can help facilitate early recognition of symptoms.
Healthcare Success
SEPTEMBER 12, 2024
Search technology has evolved drastically in recent years. “Stop talking about keywords, start talking about queries,” I said in a meeting. What started as simple keyword matching has transformed into a complex, AI-driven system, significantly impacting how we approach digital marketing and SEO. In this two-part series, I explore the evolution of organic and paid search, discuss its impact on your SEO strategy, and share how your healthcare organization can navigate these changes to enhance onli
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.
Health Care Dive
SEPTEMBER 13, 2024
Just over 5% of companies selling AI to health systems have matured beyond seed and early-stage funding rounds, according to an analysis by Flare Capital Partners.
Fierce Healthcare
SEPTEMBER 13, 2024
UTHealth Houston unveiled a partnership with OpenAI on Friday to build and deploy algorithms for use in medical training and at the patient’s bedside. | UTHealth Houston, an academic medical center in Texas, is partnering with OpenAI to give clinicians, faculty and students access to ChatGPT tools to build custom, HIPAA-compliant AI solutions.
Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.
Home Health Care
SEPTEMBER 11, 2024
Yet another significant cut to home health payments has been proposed by the Centers for Medicare & Medicaid Services (CMS) for 2025. For providers, that means more pushback against cuts is in order, locally and in Washington, D.C. But it also means preparing for a world where Medicare fee-for-service is no longer a reliable backbone. CMS proposed a permanent prospective adjustment to the CY 2025 home health payment rate of -4.067% back in June.
Health Care Dive
SEPTEMBER 11, 2024
More than 300 telehealth and provider groups say time is running out for regulators to propose a rule before pandemic-era flexibilities expire at the end of the year.
Fierce Healthcare
SEPTEMBER 9, 2024
The Biden administration is strengthening private health coverage for individuals seeking mental health and substance use disorder (SUD) care in a final rule unveiled Monday. | The feds are attempting to better regulate mental health coverage by bolstering protections around prior authorization, step therapy and provider networks.
Healthcare It News
SEPTEMBER 13, 2024
Matt Mastenbrook, DPT, clinic manager and treating physical therapist at Baylor Scott & White Institute for Rehabilitation, says one of his first goals as a manager was to set his clinic apart from the many others in the area. And leading-edge technology would be a key change agent. THE PROBLEM Mastenbrook decided to advance and optimize Baylor's use of the CogPT platform, developed by vendor Academy Medtech Ventures.
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!
HIT Consultant
SEPTEMBER 11, 2024
What You Should Know: – The American Medical Association (AMA) has released the CPT® 2025 code set , a comprehensive update that reflects the latest advancements in medical procedures and services. – This year’s release features 420 total changes, including 270 new codes, 112 deletions, and 38 revisions. Key Updates in CPT 2025 CPT codes are essential for data sharing, billing, and reimbursement in the healthcare industry.
Health Care Dive
SEPTEMBER 11, 2024
Though CVS Caremark holds a dominant share of the commercial, Medicare Part D and Medicaid managed care markets, each large pharmacy benefit manager seems to be focusing on one particular arena.
Fierce Healthcare
SEPTEMBER 9, 2024
Pittsburgh-based Highmark has signed on as AppliedVR's first commercial payer partner, making its flagship VR device for chronic lower back pain a covered treatment for more than 4 million plan mem | Pittsburgh-based Highmark has signed on as AppliedVR's first commercial payer partner, making its flagship VR device for chronic lower back pain a covered treatment for more than 4 million plan members.
Healthcare It News
SEPTEMBER 13, 2024
The U.S. healthcare system may not be fully meeting the needs of women, if a new report is any indication. In a survey of consumers conducted by the Deloitte Center for Health Solutions, women are 35% more likely than men to say they've skipped or delayed medical care over a 12-month period. The reasons for this come down to access, affordability and past negative experiences.
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.
Home Health Care
SEPTEMBER 10, 2024
A recent study from Transcend Strategy Group found that more than 50% of caregivers have experienced or witnessed at least one incident of workplace violence or harassment. When asked if they felt they could leave an unsafe environment without fear of retaliation from their employer, only 48% strongly agreed. Transcend Strategy Group, based in Curtice, Ohio, provides data-driven insights to help home care companies make better business decisions.
Health Care Dive
SEPTEMBER 12, 2024
Hospitals are primed for natural disasters like earthquakes and hurricanes, but many haven’t thought about the domino effect cyberattacks can have locally, said Scott Gee, who joined AHA last month.
Fierce Healthcare
SEPTEMBER 10, 2024
Over 300 organizations sent letters to the White House and Congress on Tuesday asking them to extend telehealth controlled substance prescribing rules for an additional two years. | Stakeholders that support the prescription of all controlled substances via telehealth are fighting an uphill battle to get the pandemic-era prescribing flexibilities extended.
Healthcare It News
SEPTEMBER 10, 2024
Luca Chittaro of Italy's University of Udine talks about how immersive virtual reality stories can gamify physical therapy to help distract from pain and encourage patients to increase treatment compliance.
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
HIT Consultant
SEPTEMBER 9, 2024
Courtney Fortner, President and Chief Executive Officer at Navvis Is value-based care still the right strategy to reduce U.S. healthcare costs? Or is it time to move to what comes next in the generation-long battle to constrain total medical spending? The question is being increasingly asked and with good reason. For 2024 medical costs are projected to rise 7.0% year over year for Individual and Group markets.
Health Care Dive
SEPTEMBER 12, 2024
The sweeping deal between Steward, its creditors and landlord Medical Properties Trust at times appeared impossible.
Fierce Healthcare
SEPTEMBER 13, 2024
Employers are bracing for a third straight year with health benefit costs increasing more than 5%, according to a new report from Mercer. | Employers are bracing for a third straight year with health benefit cost increases of more than 5%, according to a new report from Mercer.
Home Health Care
SEPTEMBER 9, 2024
While getting a fair rate is top of mind for home health providers, the ones that are seeing the most success in their negotiations with Medicare Advantage (MA) payers are selling their ability to be a solution. Even before entering negotiations with MA plans, providers should have a clear understanding of the challenging reimbursement environment they are walking into, according to Fred Bentley, managing director at the research and advisory firm ATI Advisory.
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?
HIT Consultant
SEPTEMBER 8, 2024
Diego Espada, VP of Delivery, BairesDev Large language models (LLMs) use AI to reply to questions in a conversational manner. Our friend ChatGPT is an LLM. It can reply to an uncapped range of queries because it taps into one billion or more parameters of data. Small language models (SLMs) are their pocket-sized cousins. An SLM specializes in tasks associated with smaller, more focused datasets.
Health Care Dive
SEPTEMBER 13, 2024
Still, plans are expected to rake in $11.8 billion in bonuses, with half of that tranche going to just two insurers: UnitedHealthcare and Humana.
Fierce Healthcare
SEPTEMBER 9, 2024
The four largest pharmacy benefit managers in the U.S. | The four largest pharmacy benefit managers in the United States control 70% of the national market, according to new data from the American Medical Association.
Home Health Care
SEPTEMBER 13, 2024
Office staff have the highest client satisfaction scores among home health care provider employees. They also have the lowest administrative salaries. These salaries can impact job satisfaction and cause employees to seek employment elsewhere, according to the 2024 Activated Insights Benchmarking Report. Some organizations are turning to recognition to combat this trend.
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
HKLaw
SEPTEMBER 8, 2024
A new bill was introduced in the New York State Senate last week in an attempt to address recent changes made to the Consumer Directed Personal Assistance Program (CDPAP), which effective April 1, 2025, will allow only a single statewide fiscal intermediary (FI) to administer the program.
Health Care Dive
SEPTEMBER 13, 2024
Ralph de la Torre drew ire from lawmakers after failing to appear before a Senate subcommittee on Thursday despite receiving a subpoena.
Fierce Healthcare
SEPTEMBER 12, 2024
Iris Telehealth, a virtual-first behavioral health company, has launched two new technology-driven solutions, its new Virtual Clinic and back-end AI assistant, Iris Insights. | Iris Telehealth, a virtual-first behavioral healthcare managed services organization, unveiled two new technology offerings for health systems and community clinics to increase the efficiency of their behavior health practices.
Home Health Care
SEPTEMBER 12, 2024
Signify Health has launched condition focused visits, a new service that provides screening and preventive care tailored around various complex chronic conditions. These services are delivered in the home. “Condition focused visits are really giving the member, and the provider who is with them in their home, more dedicated time to do some customized care planning and education about that particular condition,” Dr.
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