Sat.Sep 23, 2023 - Fri.Sep 29, 2023

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Does the 340B program improve quality of care?

Healthcare ECONOMIST

According to a paper by Smith et al. 2023 , the answer is ‘no’ The authors use data from AHRQ’s Healthcare Cost and Utilization Project (HCUP) State Inpatient Data, Hospital Cost Reporting Information System Data, Office of Pharmacy Affairs Information System Data, and American Hospital Association Annual Survey for 15 states between 2008 to 2014.

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How Amazon's $4B investment in AI company Anthropic impacts healthcare

Fierce Healthcare

Amazon announced this week that it would invest up to $4 billion in artificial intelligence company Anthropic as the AI arms race heats up. | Amazon announced this week that it would invest up to $4 billion in artificial intelligence company Anthropic as the AI arms race heats up. The collaboration introduces more competition and more options for healthcare teams looking to innovate using different approaches or to get more tactical with their AI strategy, one health IT expert said.

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Hospices bought by PE, public companies had more dementia patients, study finds

Health Care Dive

Hospices acquired by private equity firms and publicly traded companies shift their operational strategies toward maximizing profits, the new study in JAMA Network Open suggests.

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How virtual care can help ease the rural mental health crisis

Healthcare It News

The Southwest Rural Health Research Center has identified mental health concerns and addiction as the first and second most important priorities for rural health stakeholders, according to a May 2023 policy brief. With a chronic shortage of mental healthcare providers in rural areas, there is a significant lack of access to this much-needed care for those who reside there.

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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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Reimbursement Insights: Medicare and Medicaid Coverage for Cardiology Billing

p3care

Medicare and Medicaid are the two biggest healthcare insurance programs in the United States. They provide healthcare coverage for different medical specialties, and cardiology is one of them. The federal government has made different rules and regulations applicable to eligible populations. These rules may change or modify with time, causing confusion for medical billing services.

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Wheel doubles down on virtual care investment, rolls out enhanced platform for payers, retailers and pharma

Fierce Healthcare

Big players continue to make hefty investments in health tech—look no further than Amazon expanding its virtual clinic to all 50 states and the planned $3 billion merger between digital wellness co | Health tech company Wheel has been building for the next evolution of virtual care with an eye toward working with large enterprises, health plans, pharma and nontraditional players like retailers.

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Targeted analytics help Canadian healthcare groups combat homelessness, boost SDOH

Healthcare It News

Homelessness is a complex and challenging phenomenon, not just in the U.S. but across its neighbor to the north: It has been estimated that anywhere from 100,000 to 300,000 individuals experience homelessness in a given year in Canada, with more than 35,000 individuals experiencing homelessness on any given night in the country. THE PROBLEM The increasing economic pressures faced by people across all levels of society – combined with other recent public health disruptions, such as the pand

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Autistic Screen Time: Swipe Left on Stigma

Bill Of Health

By Maxfield Sparrow I am an autistic person who has been using the internet as a social prosthetic device since 1983. I was born in 1967 and began therapy in 1972, so the iPad didn’t exist and the only screen time parents worried about was the five channels of broadcast television available twenty hours a day. TV was fine, but my real passion was books.

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Costco expands healthcare footprint, teams up with Sesame to offer members $29 virtual care visits

Fierce Healthcare

Costco is joining retail competitors Walgreens, Walmart and CVS Health by expanding its healthcare footprint. | The big-box retailer teamed up with startup Sesame to offer special discount pricing to Costco members on a broad range of outpatient medical care services, including telehealth visits.

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CVS hit with lawsuit from independent pharmacy over fees

Health Care Dive

A small Iowa pharmacy is accusing CVS Caremark of forcing independent pharmacies to sign one-sided contracts in order to stay in its network and continue dispensing drugs for its millions of covered 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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At Baptist Health, patient engagement shown to be equivalent to adding a BP med

Healthcare It News

Kentucky ranks fifth in the U.S. for adults with hypertension, many of whose condition is not controlled. Untreated high blood pressure increases the risk of heart attack, stroke and other serious health problems. THE PROBLEM The traditional approach of seeing a patient in the office, prescribing medication, advising them on lifestyle changes to make, having them check their blood pressure at home and report back, has fallen short, said Dr.

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On Searching for the Unknown with Unspeakable Names: Searching PubMed for Disability Research

Bill Of Health

By P.F. Anderson and LaTeesa James PubMed special queries are master search strategies on common, important, but challenging health topics, which are usually peer-reviewed. Disability certainly qualifies as a common, important health topic that is challenging to search – and yet, no PubMed special query exists for it. This oversight is concerning. Put simply, it’s important that disability as a topic is easily identifiable in the scholarly record.

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CMS urged to change GLP-1 drug coverage determination

Fierce Healthcare

Healthcare organizations are continuing to push the Centers for Medicare & Medicaid Services (CMS) to rethink its coverage policy for anti-obesity medications. | Critics say that the view CMS has of certain anti-obesity medications is outdated and could be covered under Medicare Part D.

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Inside Kaiser Permanente’s labor relations breakdown

Health Care Dive

Kaiser Permanente’s novel labor approach allowed for decades of stability, but over a dozen sources familiar with the situation said fractured relationships are straining current negotiations.

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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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Advocate Health, Mount Sinai among 10 big health systems in Transcarent provider network

Healthcare It News

The Transcarent platform integrates directly through the care pathway of each of the 10 health systems it is partnering with, including scheduling and pre- and post-care, support services and same-day payment for providers. WHY IT MATTERS Transcarent says the ecosystem will provide the employees of national self-insured employers with faster access to verified high-quality digital or in-person care, higher-quality care, and affordable and predictable costs with full transparency.

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On Siri and Recognitive Violence

Bill Of Health

By Joshua A. Halstead As a disabled person who relies on speech recognition software to complete a range of daily writing tasks (from emails to book chapters), I am no stranger to the universe of voice assistants, having cut my teeth on Dragon Dictate in the ’90s. Though I’m used to the software knowing my voice, that it now knows my location is uncanny.

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Newer primary care disrupters constrain already limited supply of clinical providers, new analysis finds

Fierce Healthcare

As new primary care models, including retail health clinics, continue to scale, the national supply of clinical providers will become even more constrained. | As new primary care models, including retail health clinics, continue to scale, the national supply of clinical providers will become even more constrained. For health systems, hospitals and medical groups, competition for the shrinking pool of nurses and doctors will intensify, according to a new analysis.

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Congressional Democrats open investigation into Medicaid MCOs over claims denials

Health Care Dive

Sen. Ron Wyden, D-Ore., and Rep. Frank Pallone, D-N.J., sent letters requesting information on coverage denials to seven payers, including UnitedHealthcare, Aetna and Centene.

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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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Most hospitals are not yet ready for LLM-based patient portals

Healthcare It News

Various capabilities have been incorporated into modern patient portals, including chatbots and digital twins, to maximise their potential for improving the patient experience. However, it may take a while for hospitals to apply the newer large language models to their patient portals. In the session " Patient portal integration for enhanced hospital operations ," Dr Roel Bolt, CMIO, Franciscus Hospital discussed the evolution and innovation of patient portals.

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Longtime LHC Group Leader Keith Myers Breaks Down The Decision To Join Optum

Home Health Care

It’s been a monumental year for the home health giant LHC Group, which was officially acquired by UnitedHealth Group’s (NYSE: UNH) Optum in February. The same can be said for Keith Myers, LHC Group’s longtime leader. In his position, Myers — now CEO Emeritus of LHC Group and a special advisor to Optum — has seen the evolution of a company and an industry.

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Midi Health banks $25M backed by GV to build out virtual midlife care for women

Fierce Healthcare

Despite the challenging funding market, startups focused on women's health and menopause care continue to attract investors who see an untapped market. | The startup, which launched about a year ago, focuses exclusively on women navigating midlife hormonal transition. Midi offers evidence-based interventions ranging from lifestyle coaching and supplements to prescription medications, all covered by major insurance providers.

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MA premiums increase slightly for 2024

Health Care Dive

CVS, UnitedHealth and Humana expanded their MA footprints 13%, 4% and 2% respectively for next year, according to an analyst analysis of the CMS data.

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The American Benefits Conundrum: Realigning Healthcare Incentives

Speaker: Chris Wolpert, Founder of Group Benefit Solutions

Of all the benefits employers provide, healthcare and insurance are two of - if not the - most important. But health insurance in America is broken. It's fragmented, confusing, opaque, and expensive because it was made that way. What’s missing from the discussion of benefits today is the financial implications of the status quo and its impact on employees' health outcomes.

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How Catholic Medical Center achieved personalised care with big data, AI

Healthcare It News

Within two years of digital transformation, Catholic Medical Center, one of the largest medical institutions in South Korea, gained capabilities to provide personalised care powered by big data and AI. In-Young Choi, professor and head of the Catholic Information Convergence Institute at CMC, shared their journey in the session, " Personalised care with hospital big data and digital health technology.

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Exo Unveils Handheld Ultrasound Device

HIT Consultant

What You Should Know: Exo (pronounced “echo”), a medical imaging software and device company, today unveiled a category-redefining handheld ultrasound device, Exo Iris™, to put high-performance medical imaging into the hands—and pockets—of every caregiver. Built on Exo’s advanced silicon technology, Exo Iris delivers versatile imaging performance for point-of-care ultrasound (POCUS) at a fraction of the size and cost of cart-based systems.

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Senators debate ways to ensure Medicare's solvency

Fierce Healthcare

Democratic members of the Senate Budget Committee voiced support for taxing the wealthy and increasing Medicare spending, arguing Republicans want to keep the status quo for corporations enjoying f | Democrats came down on the side of taxing wealthy corporations, while Republicans agreed that spending must be cut to ensure Medicare's long-term health.

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Centene lays off 3% of workforce

Health Care Dive

The insurer has been struggling with headwinds from Medicaid redeterminations and MA star ratings. The layoffs follow similar workforce reductions at CVS Health earlier this summer.

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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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APAC to double down on home hospitalisation, tech-enabled preventive care

Healthcare It News

Home hospitalisation, tech-enabled preventive care, and genomic data-driven personalised care are some of the emerging trends in care in the Asia-Pacific region. Dr Deok-Hyun Han, Vice CMIO of Samsung Medical Center, Oscar Lee, professor and vice superintendent of China Medical University Hospital, Low Cheng Ooi, associate professor and CTO of Sheares Healthcare, and Dr Mohammad Adib Khumaidi, president of the Indonesian Medical Association, sat together in the closing panel discussion " Th

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New Day Healthcare Plans To ‘Burn The Ships,’ Reinvent Home-Based Care Delivery

Home Health Care

G. Scott Herman has been in the home health industry for a long time. But when it comes to his new venture – New Day Healthcare – he’s not running the company based on what worked in the past, or even what may work best right now. He’s trying to build a forward-looking, sustainable home-based care business. To do that, he’s relying on strategies that he may not have relied on at prior stops.

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Biden signs bill introducing more competition to US' organ transplant network

Fierce Healthcare

President Joe Biden signed into law Friday a bipartisan bill that overhauls the country’s organ transplant system by increasing competition among contractors and paving the way for additional fundi | The bipartisan bill ends nearly four decades of an effective monopoly held by a third-party contractor and opens the door for more funding and network reforms floated by HRSA earlier this year.

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Ohio lawmakers propose minimum nurse-to-patient ratios

Health Care Dive

The state is the latest to propose “safe staffing” legislation in a push to address nurse recruitment and retention.

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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.