Trending Articles

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Medicaid redeterminations losses exceeding predicted levels in some states

Health Care Dive

As of November, eight states had blown past their projected disenrollment of adults, while 12 states exceeded their projected disenrollment of children, according to new research from the Urban Institute.

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Medicare hospital trust fund extended by five years to 2036

Fierce Healthcare

The Hospital Insurance Trust Fund will be fully solvent for longer than previously projected, according to an annual Medicare Trustee report. | The Medicare Hospital Insurance Trust Fund won't run out of money as quickly as expected. Here's how federal officials are reacting.

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The race for healthcare AI models heats up as Google boasts Med-Gemini surpasses GPT-4

Fierce Healthcare

Google and DeepMind released an open access paper on their newest artificial intelligence tools intended for use in hea | Results released by Google on Med-Gemini's performance show that it outperforms existing AI/ML including GPT-4 on over a dozen industry benchmarks.

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Telemedicine, enabled with responsible AI, can improve the patient experience

Healthcare It News

In the ever-evolving landscape of healthcare, the integration of virtual care has become pivotal in reshaping patient experiences. Amanda Bury, chief commercial officer at Infermedica, a digital health company specializing in AI-powered systems for symptom analysis and patient triage, knows telehealth's potential to enhance and optimize patient experiences and outcomes while emphasizing convenience, affordability and empowerment – tying in responsible AI innovation and strategies for e

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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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How AI Is Bringing Patient Experience Back to the Forefront for the Medical Community

HIT Consultant

Michael Zacharski, CEO of Brand Engagement Network (BEN) When it comes to the patient experience, time isn’t on our side. U.S. adults spend the equivalent of an entire workday each month coordinating care for themselves and/or their family, according to a Harris poll. The same poll found that 56% of American adults wait more than a week for an appointment, while many others skip healthcare altogether, with 30% saying they don’t have the time and 25% saying it takes too long to get an appointment

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Why 90% Of The Medicaid Access Rule Is ‘Positive’ For Home-Based Care Providers

Home Health Care

This article is a part of your HHCN+ Membership When the “Ensuring Access to Medicaid Services” rule was finalized last week, the 80-20 provision stole the show, due to its unpopularity among home-based care leaders. But experts have pointed out that the rule is much more than just the 80-20 provision. “The rule, including the preamble, was over 1,000 pages, and I joke that it’s being reduced to less than 1,000 characters,” Georgia Goodman, director of Medicaid at LeadingAge, told Home Health Ca

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UHG says it's rebuilding Change Healthcare with cloud-based security

Healthcare It News

UnitedHealth Group CEO Andrew Witty testified on May 1 before both the House and Senate about the seismic February 21 cyberattack of UHG subsidiary Change Healthcare, which was infiltrated by the ALPHV ransomware gang. He acknowledged that the absence of multi-factor authentication on a legacy server provided the cybercriminals with their successful attack vector.

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Despite Current Concerns, AI in Healthcare Has A Long History

HIT Consultant

Matt Hollingsworth, co-founder of Carta Healthcare Andrew Shin, MD, Executive Medical Director, Innovations & Clinical Effectiveness and Medical Director of Systems Design and Collaborative Research for Stanford Children’s Health Though AI has successfully been utilized in healthcare for decades, a Pew Research Center survey revealed that 60% are uncomfortable with their provider relying on AI for their own healthcare.

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How VitalCaring, New Day Healthcare Plan To Reach The ‘Sweet Spot’ Of Scale

Home Health Care

Internal and external headwinds have conjoined to curtail dealmaking in home-based care over the last couple of years. Amid those headwinds, however, there are companies like New Day Healthcare and VitalCaring that are banking on big-time growth in 2024 and 2025, largely driven by acquisition. As growing providers, each company has picked up what they believe to be the right assets, at the right time, over the last couple of years.

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'Too big to fail': Consolidation concerns loom over hearing on Change Healthcare cyberattack

Fierce Healthcare

The scale of UnitedHealth Group's sprawling empire was under the microscope on Wednesday as CEO Andrew Witty testified before a key Senate panel about the cyberattack on Change Healthcare that's ha | The scale of UnitedHealth Group's sprawling empire was under the microscope on Wednesday as CEO Andrew Witty testified before a key Senate panel about the cyberattack on Change Healthcare that's had ripple effects across healthcare.

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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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CVS slashes 2024 outlook — again — as Medicare seniors drive spending

Health Care Dive

Runaway inpatient spending in particular caused CVS’ insurance costs to snowball after returning “to patterns we have not seen since the start of the pandemic,” its CFO said.

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Walmart announces closing of clinics and virtual care

Healthcare It News

Walmart is closing Walmart Health and Walmart Health Virtual Care, saying the business model was not profitable nor sustainable. The Walmart Health centers opened in 2019. "Through our experience managing Walmart Health centers and Walmart Health Virtual Care, we determined there is not a sustainable business model for us to continue," the company said by statement.

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NVIDIA Makes Drug Discovery, Medical Imaging, and Genomics Easier with Cloud-Based AI

HIT Consultant

What You Should Know: – Harnessing the power of AI for healthcare just got simpler. NVIDIA announced the integration of NVIDIA NIM, a collection of cloud-native AI microservices, with Amazon Web Services (AWS). – The strategic collaboration empowers developers to leverage pre-trained AI models for drug discovery, medical imaging analysis, and genomics research – all accessible through user-friendly APIs.

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Risk Adjustment and Incentives for Upcoding in Medicare

Healthcare ECONOMIST

To account for differences in disease burden across a Medicare Advantage (MA) plans patient population, uses risk adjustment based on patient disease burden. Specifically, MedPAC notes that : Medicare uses beneficiaries’ characteristics, such as age and prior health conditions, and a risk-adjustment model—the CMS hierarchical condition categories (CMS– HCCs)—to develop a measure of their expected relative risk for covered Medicare spending.

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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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Cigna posts $277M loss in the first quarter of 2024

Fierce Healthcare

The Cigna Group posted a $277 million loss in Q1 on the back of investment losses, according to its earnings report released Thursday. | The Cigna Group posted a $277 million loss in Q1 on the back of investment losses, according to its earnings report released Thursday.

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Cigna writes down VillageMD investment amid shrinking value

Health Care Dive

Walgreens’ decision to slash VillageMD’s clinical footprint has reverberated to the financial accounts of the primary care chain’s minority owner — Cigna.

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The IT strategy behind a groundbreaking new $2B pediatric hospital

Healthcare It News

Children's Healthcare of Atlanta Arthur M. Blank Hospital is scheduled to open this September. It was built from the ground up with the very latest healthcare information technology. It is one of the largest and most advanced pediatric hospitals in the world. It cost more than $2 billion. It is 19 stories tall, with nearly two million square feet.

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Thyme Care Launches Virtual Palliative Care Program to Enhance Cancer Care

HIT Consultant

What You Should Know: – Thyme Care , the leading value-based cancer care enabler, today announced Julia Frydman, MD as the company’s first medical director for palliative care. – An academic researcher and former assistant professor from a leading health system renowned for its palliative care and geriatrics department, Dr. Frydman brings important clinical expertise to Thyme Care and will launch the company’s Enhanced Supportive Care services.

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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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Here's What Ukraine Needs in Missiles, Shells, and Troops to Win. It's Completely Doable

The Rand Blog

After two years of the Russia-Ukraine war with still no end in sight, NATO members have begun asking what it will take to turn the tide in Ukraine's favor. To fully expel Russian forces in the next two years, U.S. support and broad NATO investments will be required.

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New collective of women's health companies aims to scale access to specialty care

Fierce Healthcare

A newly formed group of women’s health companies aims to tackle gaps in care, with a focus on improving outcomes while reducing costs. | A newly formed group of women’s health companies aims to tackle gaps in care, with a focus on improving outcomes while reducing costs.

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Congress grills UnitedHealth CEO over Change cyberattack

Health Care Dive

Legislators slammed Andrew Witty over the company’s lack of cybersecurity practices and the impact of the breach, which may have compromised the data of a third of Americans.

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Ransomware was used in 72% of network intrusions last year, says BakerHostetler

Healthcare It News

In addition to analyzing client ransomware incidents and other cyberattacks, the privacy and data security specialists at BakerHostetler compared incident response statistics across industries and looked at data breach regulatory response and lawsuits. Of all incidents Baker Hostetler analyzed, healthcare, biotech and pharma took the lion's share at 28%.

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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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Intermountain Health Deploys Nuance’s DAX Copilot Across Enterprise

HIT Consultant

What You Should Know: – Intermountain Health , a leading healthcare system serving the Intermountain West, announced today the enterprise-wide deployment of Nuance Communications ‘ Dragon® Ambient eXperience™ (DAX™) Copilot , a generative AI solution aimed at improving clinical documentation efficiency and reducing administrative burdens. – Intermountain Health emphasizes the responsible development and application of AI technology.

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Most Americans See Rise of Mental Health Issues, And Poorly Treated by the Health System (with a postscript on Walmart Health)

Health Populi

While people in the U.S. perceive a dramatic rise in mental health conditions among fellow health citizens growing over the past five years, people note barriers of cost, insufficient supply of providers, and stigma as barriers to getting care in the latest Gallup and West Health poll on the subject. In West Health’s words , three-quarters of Americans feel that, “mental health takes a back seat to physical health” in the U.S.

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Walgreens inks deal with Boehringer Ingelheim to advance clinical trials for obesity treatment

Fierce Healthcare

Retail pharmacy giant Walgreens inked another partnership to recruit participants for research as it continues to build out its clinical trials business. | Walgreens has signed more than 35 clinical trial contracts with drugmakers including Freenome and Prothena. The aim is to optimize recruitment and make clinical trials more accessible, inclusive and equitable, the companies said.

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Steward Health Care files for Chapter 11 bankruptcy

Health Care Dive

The filing marks the largest provider bankruptcy in decades, according to experts.

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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.

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Precision medicine tool predicts breast cancer immunotherapy response

Health IT Analytics

New InteractPrint tool analyzes how breast cancer epithelial cells impact cancer-immune interactions, enabling prediction of immune checkpoint inhibition response.

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How AI Can Increase the Success of Clinical Denials Appeals

HIT Consultant

Steve Albert, Executive Vice President and Chief Product Officer, R1 It’s a perfect storm of financial pressures facing healthcare provider organizations – from rising costs to labor shortages to constrained capacity – that stymies revenue growth. Growing challenges with payer payments only exacerbate these issues. According to a Kaufman Hall report , 73% of leaders surveyed said claims denials, which was the top revenue cycle issue in 2022, had increased in 2023.

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Using innovative technology to drive quality improvement efforts

Meditech

Engaging in quality improvement efforts is a critical part of providing the best possible care to patients. Ensuring care teams have the tools they need for clinical decision-making makes it easier to turn discrete data into relevant information. By utilizing innovative technology and solutions, healthcare providers can streamline processes, reduce errors, and ultimately improve patient outcomes.

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Hospital finance metrics stumble in March but remain strong through Q1

Fierce Healthcare

Hospitals’ margins and revenues took a slight dip in March, though it wasn’t enough to sour what has been a strong quarter for the sector. | Revenues, volumes and margins pulled back from February to March, with the strongest decline seen among outpatient settings. Sectorwide reports and recent earnings suggest that the sector is still well ahead of 2023.

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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.