Trending Articles

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CVS warns it could lose up to 10% of its members next year

Fierce Healthcare

Facing the wrath of upset investors following its first quarter earnings, CVS Health has promised to value margins over members going forward. | CVS Health is reassessing its Medicare Advantage business and weighing the possibility of exiting certain markets as it looks to get its margins under control.

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Judge dismisses FTC’s antitrust suit against Welsh Carson

Health Care Dive

Regulators sued the private equity firm last year for consolidating anesthesiology services in Texas with its portfolio company, U.S. Anesthesia Partners. Now, a judge is holding Welsh Carson blameless while allowing the suit against USAP to continue.

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RAND: Hospitals charged insurers 254% more than Medicare rates in 2022

Fierce Healthcare

The gap between insurance plans and Medicare's payments to hospitals for inpatient and outpatient services widened over the course of just a couple of years, a new study from RAND Corporation | A new report from RAND Corporation highlighted just how much more employers and private insurers are paying hospitals for inpatient and outpatient services.

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Medicare Advantage unrest, Change Healthcare fallout and more big takeaways from insurers’ Q1

Health Care Dive

All major payers saw elevated utilization but only an unprepared few struggled with the trend, the Change Healthcare cyberattack caused minimal financial fallout and a new D-SNP rule opens the door to a Medicare growth opportunity.

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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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AHA, H-ISAC warn hospitals about Black Basta following Ascension cyberattack

Healthcare It News

The Health Information Sharing and Analysis Center issued a threat alert Friday about the Russia-backed ransomware group Black Basta, warning of its accelerated attempted attacks against the healthcare sector. Prompted by H-ISAC, the American Hospital Association also sent a cybersecurity advisory with technical mitigation recommendations to its members.

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How to Interview Healthcare Experts to Write Exceptional Website Content

Healthcare Success

Interviewing medical experts is a tried-and-true way to produce original website content. Without that first-hand, unique, and accurate medical knowledge, your content can unintentionally mislead consumers, damage your reputation, and lose search engine rankings. But what if the experts your organization needs are busy doctors? Or you need help building a content strategy?

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Justice Department 'upping its game' on healthcare antitrust enforcement with new task force

Fierce Healthcare

The U.S. Department of Justice announced Thursday it has established a new task force to take on healthcare monopolies and collusion. | The U.S. Department of Justice announced Thursday it has established a new task force to take on healthcare monopolies and collusion.

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A guide to healthcare digital transformation and the digital-first model

Healthcare It News

Besides being all the rage in the industry, digital transformation is a key component to the strategy of forward-leaning hospitals and health systems today. It aligns healthcare organizations with its customers – highly digital patients. This is one of the most important topics healthcare CIOs and other C-suite and health IT leaders can be talking about today.

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Aveanna Is Looking To Grow In Its ‘Rightsized’ Home Health Segment Again

Home Health Care

Aveanna Healthcare Holdings (Nasdaq: AVAH) leaders believe the company is back at a place where it can bank on near-term growth in its Medicare-certified home health business. It first entered into a business “transformation” in January 2023, and that transformation is already paying dividends, according to CEO Jeff Shaner. But much of the turnaround has been led by the private-duty services segment.

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Anumana Appoints Harry S. Palmin as CFO

HIT Consultant

Harry S. Palmin, CFO at Anumana What You Should Know: – Anumana , an AI-powered health technology company, has announced the strategic appointment of Harry S. Palmin as their new Chief Financial Officer (CFO). – Palmin brings a wealth of experience to Anumana, boasting over 25 years in building, financing, and operating life sciences companies. – In addition to his duties at Anumana, Palmin will also serve as CFO of Ventures for nference, a company of which Anumana is a portfol

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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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America’s healthcare networks are under attack

Health Care Dive

The stakes, impact and cost of cybercrime is rising and we must employ the right tech to fight back.

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Rural chronic disease patients: Improving care access

Healthcare It News

How Azalea Health's telehealth and EHR tools integrate with partners' remote patient monitoring and chronic care management products to treat patients living in rural care deserts, shows Khue Tran, chief strategy officer.

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Why Enhabit’s Strategic Review Did Not End With A Transaction

Home Health Care

Enhabit Inc. (NYSE: EHAB) announced Wednesday the result of its strategic review. It was not a sale or a merger, but instead a commitment to the path forward as an independent public company. On Thursday, company leaders explained the rationale behind that decision, which was made unanimously by the board. Part of it is tied to external factors that make a large-scale transaction difficult right now, and part of it is tied to the success Enhabit has had in changing its business model.

Medicare 101
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Researchers Uncover Critical Vulnerabilities in GE HealthCare Ultrasound Systems and EchoPAC Software

HIT Consultant

The Vivid T9 ultrasound system What You Should Know: – Security researchers at Nozomi Networks Labs have identified a total of 11 vulnerabilities affecting GE HealthCare’s Vivid family of ultrasound machines, the accompanying Common Service Desktop web application, and EchoPAC PC software. – These vulnerabilities could be exploited by attackers to disrupt critical medical procedures, compromise patient data privacy, and hinder accurate diagnoses.

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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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Talkspace expands online mental health therapy to millions of Medicare members

Fierce Healthcare

Online therapy provider Talkspace is making a big push into the Medicare market, rolling out to approximately 13 million members in 11 states. | Talkspace plans to expand to all 33 million traditional Medicare members, coupled with several Medicare Advantage plans, across all 50 states by the end of the year.

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Some Ascension hospitals diverting emergency care after cybersecurity incident

Health Care Dive

The health system’s electronic health records, MyChart patient portal and several systems for ordering tests and medications are unavailable, Ascension said.

Hospitals 278
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Fortis Healthcare gets AI boost for mental health vertical

Healthcare It News

Fortis Healthcare, a publicly listed private hospital network from India, has introduced a new mental health service enabled by artificial intelligence. The hospital network , which is also part of the larger private healthcare group IHH Healthcare, signed an exclusive partnership with mental health super app United We Care to establish Adayu Mindfulness.

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What Home-Based Care Providers Need To Do To Comply With DOL’s Overtime Rule

Home Health Care

This article is a part of your HHCN+ Membership Last month, the U.S. Department of Labor (DOL) unveiled its final overtime rule, which is set to go into effect this summer. The rule increases a minimum salary threshold for millions of workers across the country, and could impact home health and home care providers. Broadly, the DOL has increased the salary threshold for the minimum compensation necessary for an individual to be exempt from overtime under the Fair Labor Standards Act.

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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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64% of Women Want to Talk More About Their Health, Report Finds

HIT Consultant

What You Should Know: – A new report by Solera Health , a digital health platform, highlights a critical gap in communication surrounding women’s health. The Women’s Health report, titled “ Human Centered Design: A Women’s Health Case Study ,” was developed through a comprehensive research effort. – The survey of over 2,300 women across all adult life stages reveals a strong desire for more open conversations but also identifies factors that prevent women from

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Medicare Advantage risk assessments driving billions in costs each year

Fierce Healthcare

Medicare Advantage plans have come under fire for upcoding that can increase the payouts they receive, and regulators point to health risk assessments as a likely culprit in this increase in coding | Medicare Advantage plans have come under fire for upcoding that can increase the payouts they receive, and regulators point to health risk assessments as a likely culprit in this increase in coding intensity.

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House committee advances bill that would extend telehealth flexibilities

Health Care Dive

The legislation would extend a number of Medicare flexibilities through 2026. Lawmakers have until year-end to take action before the pandemic-era rules will expire.

Medicare 279
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Empowering European citizens to manage their health digitally

Healthcare It News

Sarah Wamala Andersson, professor of health and welfare technology at Sweden's Mälardalen University, discusses Europe's IDEAHL project, which aims to increase citizens' access to and use of digital health tools through targeted interventions.

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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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When AI Gets It Wrong, Will It Be Held Accountable?

The Rand Blog

RAND researchers fielded their survey to provide the first nationally representative look at what people will actually do when faced with an unfair AI outcome.

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Harnessing Clinical Intelligence to Advance Health Plan Member Education

HIT Consultant

Tim Price, Chief Product Officer at Infermedica In an era where accessing health information is easier than ever, determining what is reliable poses increasing difficulty for health plan members. The complexity of modern health plans and their myriad of services further compounds confusion, creating a paradox of choice. This is where clinical intelligence tools prove transformative by revolutionizing how members access, comprehend, and leverage health data to make informed care decisions.

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A CPT code for prior authorization? Here’s how it could happen

Fierce Healthcare

One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—and the proposal could pass this week at an American Medical Association | A New York urologist believes prior auth CPT codes will realign incentives and better support patients and physicians.

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CMS proposes mandatory kidney care model with financial risk for hospitals

Health Care Dive

The model, if finalized, will test whether putting hospitals on the hook for kidney transplant access and quality might improve the nation’s shoddy system of organ procurement and transplantation.

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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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Kellee Stewart on her fertility journey and advocacy

Healthcare It News

The actress, writer and producer describes her work with family building and fertility company Progeny, its work with Evite and the need to expand conversations around fertility health.

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Spotting medical provider burnout: A call to action

Meditech

A couple of weeks ago I published a post on LinkedIn that seemed to strike a chord with my followers. It wasn’t just the topic. We all know that the healthcare industry as a whole has been struggling with the issue of clinician burnout for at least a decade. It was my 5-point list of recommendations that seemed to resonate with people.

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Dandelion Health Launches First Multimodal GLP-1 Data Library for Precision Medicine

HIT Consultant

What You Should Know: – Dandelion Health , a leader in real-world data (RWD) and clinical AI, has unveiled the industry’s first-ever multimodal GLP-1 data library. – The multimodal GLP-1 data library empowers researchers and life sciences companies to unlock deeper insights into the use of glucagon-like peptide-1 (GLP-1) receptor agonist drugs for precision medicine.

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Payer Roundup—Iowa extends postpartum Medicaid coverage; Aetna settles fertility lawsuit

Fierce Healthcare

Below is a roundup of payer-centric news headlines you may have missed during the month of May 2024. | This month, Iowa signed into a law a postpartum Medicaid expansion, L.A. Care Health commited $3 million to providers, Aetna settled a lawsuit alleging fertility discrimination, a former NBA champion was sentenced to prison and more.

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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.