December, 2024

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Legislators urge DOJ to investigate PBMs for potential role in opioid epidemic

Fierce Healthcare

A group of legislators is calling on the Department of Justice to dig into whether pharmacy benefit managers played a role in the opioid epidemic. | A group of legislators is calling on the Department of Justice to dig into whether pharmacy benefit managers played a role in the opioid epidemic.

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CMS recalculates Medicare Advantage stars for UnitedHealth, Centene

Health Care Dive

After both insurers challenged the agency in court, the CMS improved scores for 12 UnitedHealth contracts and seven Centene contracts.

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Bali hospital bags new Stage 6 EMRAM for Indonesia

Healthcare It News

Kasih Ibu Hospital Group's flagship hospital in Denpasar, capital of Bali, Indonesia, has been validated for Stage 6 of the HIMSS Electronic Medical Record Adoption Model. The eight-stage model measures an organisation's maturity in their EMR capabilities. WHY IT MATTERS Kasih Ibu Hospital Group started as a maternity hospital in Denpasar before becoming a general hospital four years after its founding in 1987.

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How Your Value Proposition Helps Increase Patient Volume and Revenue

Healthcare Success

Your value proposition is more than just a catchy phrase —it’s a vital tool that piques interest, communicates your brand identity, and compels consumers to book an appointment. And, it can increase patient volume and revenue. Here’s why: Your value proposition is, at its foundation, an essential component of your brand messaging. A quick primer: Your Tagline A concise, memorable statement that explains what your organization stands for.

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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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How Trauma-Informed Design Principles Can Be Health-Ful for All of Us – Learning from IKEA

Health Populi

As a long-time fan and customer of IKEA, I receive daily Google Alerts about the company, from business finances to design trends. When I read this piece on IKEA’s work on a home designed for people who were homeless , I paid special attention to learn about the concept of trauma-informed design. Thanks to the publication Retail TouchPoints and the author of the story, Adan Blair, for covering this project.

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How Do Patient Call Report Services Work in the US Healthcare System?

p3care

An Overview of the Patient Call Report Services Patient call reporting primarily refers to documenting patient details like the reason for the call, major symptoms, subsequent actions taken by healthcare providers, and the follow-up instructions given on the phone call. These details serve as a record to ensure continuity of care and quality improvement.

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UnitedHealthcare CEO Brian Thompson fatally shot in NYC

Health Care Dive

The NYPD confirmed the shooting, which cut UnitedHealth’s investor conference short on Wednesday morning, though not Thompson’s identity. Thompson, 50, had been with UnitedHealth since 2004.

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Google leader describes priorities for AI-powered patient engagement

Healthcare It News

Enterprise Taxonomy: AI Population and Public Health Analytics Clinical and business intelligence Digital Health Care Data and Information Technology Node settings: Exclude from Accelerate RSS feed

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Optum, LHC Group Put Pedal Down On Home-Based Care Efforts

Home Health Care

LHC Group President and CEO Josh Proffitt on Wednesday shared a home-based, value-based vision for the company’s future. UnitedHealth Group’s (NYSE: UNH) Optum acquired LHC Group last year for $5.4 billion. “Home Care remains deeply fragmented, disconnected and too difficult to navigate,” Proffitt said Wednesday. “It accounts for about $150 billion of the health sector today, and we expect this figure to climb substantially by the end of the decade.

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Addressing Bias in Healthcare AI: A Guide for Developers and Clinicians

HIT Consultant

Pravin Tiwari, Executive Vice President and Business Unit Head, FPT Software The promise of AI is greater efficiency in solving complex problems. But with that promise comes the responsibility of understanding and applying governance, ethical, and reliability principles. Therefore, developing a responsible approach to developing and deploying artificial intelligence (AI) in a safe, trustworthy, and ethical fashion is essential.

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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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News 12/4/24

HIStalk

Top News The Drug Enforcement Administration says that criminals who.

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UnitedHealthcare CEO Brian Thompson fatally shot in Manhattan: reports

Fierce Healthcare

UnitedHealth Group abruptly ended its investor day event on Wednesday morning as new reports surfaced that the CEO of its health plan division had been fatally shot. | UnitedHealth Group abruptly ended its investor day event on Wednesday morning as news reports surfaced that the CEO of its health plan division had been fatally shot.

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Industry condolences, social media vitriol follow UnitedHealthcare CEO’s killing

Health Care Dive

Brian Thompson’s death on Wednesday set off a flood of darkly celebratory social media posts offset by solemn remembrances from his peers and other healthcare leaders.

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Behavioral health access still poses challenge

Healthcare It News

Enterprise Taxonomy: Patient Access Health and Wellness Behavioral health Population and Public Health Quality Care Care Node settings: Exclude from Accelerate RSS feed

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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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As Home Health Providers Dive Into AI, Study Examines Its Effect On Reducing Documentation Time

Home Health Care

Artificial intelligence-powered documentation does not enhance clinician efficiency but may improve their work-life balance, according to a study published in the New England Journal of Medicine. Researchers at Atrium Health in Charlotte, North Carolina, and the Wake Forest University School of Medicine conducted a study in mid-2023 comparing 112 primary care clinicians who used Nuance’s Dragon Ambient eXperience (DAX) Copilot clinical documentation software with a control group of 103 cli

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RNSA: Nonin Medical Launches First FDA-Cleared OTC Fingertip Pulse Oximeter for Accurate Readings Across Skin Tones

HIT Consultant

What You Should Know: – Nonin Medical , a global leader in noninvasive medical monitoring lauches TruO2 OTC, the first over-the-counter (OTC) fingertip pulse oximeter to receive FDA clearance. This innovative device is designed to provide accurate blood oxygen saturation readings for adults across all skin tones, empowering individuals to make informed healthcare decisions. – Nonin Medical’s founder, Phil Isaacson, was the original inventor of the fingertip pulse oximeter.

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News 12/6/24

HIStalk

Top News Apple CEO Tim Cook repeats his previous assertion.

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Healthcare industry needs to get a grip on AI governance in 2025, ECRI warns

Fierce Healthcare

Risks with AI-enabled health technologies topped the list of the ECRI Institute's annual ranking of health technology hazards. | A well-known safety group debuted its annual report that lays out the top 10 health technology risks for the upcoming year. The risks of AI perpetuating bias or hallucinating answers to medical questions tops the list of risks for 2025.

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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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About 1 in 3 retail pharmacies have closed since 2010: study

Health Care Dive

Independent pharmacies were more likely to shut down, possibly because they’re more often excluded from pharmacy benefit managers’ networks, according to the research published in Health Affairs.

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Call centers can help drive improved revenue cycle performance

Healthcare It News

Enterprise Taxonomy: Operations Finance Financial management Revenue cycle management Strategic Planning Business Organizational Governance Node settings: Exclude from Accelerate RSS feed

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Voices: Brian Adams, President, AnewHealth

Home Health Care

This article is sponsored by AnewHealth. In this Voices interview, Home Health Care News sits down with Brian Adams, President, AnewHealth, to talk about how pharmacy has the power to transform health care and enhance quality of life. He explains how this impacts patients with complex, chronic care needs who want to remain in their homes as they age.

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AI Tops ECRI’s Top 10 Health Technology Hazards for 2025

HIT Consultant

What You Should Know: – ECRI , a non-profit organization focused on healthcare safety, has released its annual Top 10 Health Technology Hazards report for 2025. – This year, the report highlights the potential risks associated with artificial intelligence (AI) in healthcare, emphasizing the need for careful assessment and management of AI-enabled technologies to ensure patient safety.

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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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Healthcare AI News 12/4/24

HIStalk

News Non-profit healthcare safety group ECRI names AI as its.

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CHIME along with 60 health systems urge lawmakers to take immediate action to extend telehealth policies

Fierce Healthcare

With only 27 days to go before COVID-era telehealth flexibilities expire, a major health IT group along with 62 healthcare organizations are urgently calling on Congress, again, to take immediate a | With only 27 days to go before COVID-era telehealth flexibilities expire, a major health IT group along with 62 healthcare organizations are urgently calling on Congress, again, to take immediate action and grant a two-year extension.

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Hospices owned by private equity firms underperform nonprofit facilities, study says

Health Care Dive

The JAMA study comes as federal regulators scrutinize private equity’s role in healthcare.

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Simplifying Denial Management: A Single Step-by-Step Guide

Advanced Data Systems

Simplifying Denial Management: A Single Step-by-Step Guide Denial management often appears complex and daunting within the revenue cycle, cluttered with over-complications and excessive details. Yet, at its core, the process can be surprisingly straightforward: your claim has been denied. Despite the simplicity of this statement, the reasons behind it and the frequency of such denials can make it seem that payers are more in the business of rejecting claims than paying them.

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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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The Table-Stakes Technology Entering Home-Based Care In 2025 And Beyond

Home Health Care

This article is a part of your HHCN+ Membership The need for home-based care is drastically increasing. All the while, providers are dealing with an unabated staffing problem. Thats why, in order to succeed in the future, many provider leaders believe that the gap needs to be bridged by the right technology solutions. We know that most adults want to age in place at home, which is the right place as its proven to be better for overall health and well-being and more cost-effective than an institu

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7 Behavioral Health Technology Trends to Watch in 2025

HIT Consultant

Loren Larsen, Co-Founder, CEO at Videra Health The convergence of technology and behavioral health has seen rapid acceleration in recent years. Between the growing appeal of digital therapeutic apps, the evolution of clinical note-taking tools, and the growing ability of AI tools to meet patients’ and providers’ needs, many of these trends are already in motion.

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Curbside Consult with Dr. Jayne 12/2/24

HIStalk

This weekend marked the two-year anniversary of the debut.

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M&A or affiliation improved rural hospitals' margins, reduced risk of closure: report

Fierce Healthcare

Nearly half of rural hospitals moved out of the high-risk category after a merger, acquisition or affiliation with a larger system, a new analysis has found. | The analysis, conducted by healthcare consulting firm Dobson DaVanzo, found that among 110 rural hospitals that closed between 2011 and 2021, more than half were standalone hospitals without support from larger systems.

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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!