Trending Articles

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Federal Trade Commission to sue three largest PBMs: WSJ

Health Care Dive

Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.

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Colorado dropped Medicaid enrollees as red states have, alarming advocates for the poor

Fierce Healthcare

Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S. | Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S. government lifted a pandemic-era restriction on removing people from the health insurance program.

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Digital health funding hit $5.7B through June, on track to surpass 2019 and 2023, Rock Health reports

Fierce Healthcare

U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year. | U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year.

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Addressing behavioral health resources and costs in Ohio

Healthcare It News

Like many in the U.S., Ohioans are experiencing a historic shortage of behavioral healthcare resources. But population health management tools from Alera Health will help the Ohio Behavioral Health Providers Network better integrate mental health care. Meanwhile, the state’s Miami University has awarded $1 million in funding to the Ohio Alliance for Population Health for the Southern Ohio Behavioral Health Corridor to support future behavioral health practitioners committed to the state

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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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Cybersecurity Vulnerabilities in Implantable Medical Devices

HIT Consultant

Zac Amos, Features Editor at ReHack While digitalization saves lives, it may also threaten them. The uptick in data breaches and cyberattacks targeting the healthcare industry correlates to the number of internet-connected and insecure technology facilities are adopting. Implantable medical devices are one of the latest victims of this trend — and their vulnerabilities could be deadly.

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All The Payment Factors Included In The 2025 Home Health Proposed Rule

Home Health Care

Providers examining the 2025 home health proposed payment rule may be experiencing some déjà vu, according to William A. Dombi, the president of the National Association for Home Care & Hospice’s (NAHC). “Much of what we see in the rule is just, on the payment side of it in particular, an update from ‘23 and ‘24,” he said during a recent webinar hosted by NAHC.

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OpenAI Startup Fund, Arianna Huffington back new AI health coach venture focused on chronic conditions

Fierce Healthcare

OpenAI's venture fund and Arianna Huffington's Thrive Global are backing a new startup, Thrive AI Health, that aims to build an AI health coach to promote healthier lifestyles. | OpenAI's venture fund and Arianna Huffington's Thrive Global are backing a new startup that aims to build an AI health coach to promote healthier lifestyles.

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Enabling teledermatology using patients' cell phone pictures

Healthcare It News

Steven Osborne, Medweb's director of federal business, discusses the company's new teledermatology app, which compresses the highest-resolution images a patient's phone can take without compromising data quality for a doctor's review.

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Stanford Medicine Launches AI-Powered Consult to Improve Clinical Decisions + Outcomes

HIT Consultant

What You Should Know: – Stanford Medicine is revolutionizing the way community physicians deliver care with the launch of Patients Like Mine, a suite of services designed to equip them with the data and resources needed to provide high-quality, evidence-based treatment to their patients. – By empowering community physicians with the tools and knowledge they need, this program has the potential to revolutionize healthcare delivery, ensuring high-quality, evidence-based care for all pa

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How much do narrow networks impact premiums?

Healthcare ECONOMIST

Patients hate narrow networks. Anything that limits their choice of physicians or hospitals is disliked. Americans love more choice. Payers, on the other hand, like narrow networks because they save cost–through the ability to negotiate lower rates–and potentially increase quality–if the contracted network has higher quality physicians.

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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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CMS’ first No Surprises audit targets Aetna, finds some noncompliance

Health Care Dive

The findings are a “big deal,” according to one expert, as CVS’ health insurer didn’t follow some “major requirements that are essential to ensuring that the IDR process runs smoothly.

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WSJ: FTC to sue PBMs over drug pricing tactics

Fierce Healthcare

Just one day after issuing a report blasting pharmacy benefit managers for their business practices and focus on consolidation and vertical integration, the Federal Trade Commission (FTC) is report | The FTC is planning legal action against pharmacy benefit managers for rebate tactics that may hinder consumers and independent pharmacies.

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ONC says stakeholders can 'pick up and run' with new regs

Healthcare It News

Touted as the product of 10 years of work, the most recent proposed rule issued July 10 by the Office of the National Coordinator for Health IT will usher in an age of automation for healthcare interoperability through application programming interface-based exchange capabilities, officials said on Wednesday. The second version of ONC's Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing and Public Health Interoperability rule, or HTI-2, is designed to supp

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Hands-Free Texting for Paralysis Patients: Synchron Integrates Generative AI into BCI

HIT Consultant

What You Should Know: – Synchron , a leading innovator in brain-computer interface (BCI) technology, has announced a groundbreaking integration of generative AI into its BCI platform. – The integration, powered by OpenAI , empowers individuals with severe paralysis to interact with the digital world through thought-controlled texting, offering a new level of communication and independence.

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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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Japan-NATO Ties: For What End?

The Rand Blog

It is commonly believed that stronger Japan-NATO cooperation benefits both sides. But this begs an important question: why? What are the practical areas of cooperation for Japan-NATO ties?

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Federal judge blocks LGBTQ+ healthcare protections

Health Care Dive

The judge ruled the HHS overstepped in applying an employment law decision to healthcare, a decision experts say could occur more frequently now that the Chevron doctrine has been overturned.

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Court pauses CMS broker compensation rule for Medicare Advantage plans

Fierce Healthcare

A recent lawsuit has pushed back against an industry-opposed Centers for Medicare & Medicaid Services (CMS) final rule on broker compensation in Medicare Advantage (MA) plans. | A district court in Texas is halting a federal rule that changes broker compensation and overhauls marketing to seniors.

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Improving AFib patient experiences

Healthcare It News

An online community for atrial fibrillation will connect patients and caretakers with information on the disease and help to increase beneficial partnerships, says Jim Kaveney, founder of Unlimited Heart Health & Wellness.

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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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The Crucial Role of Patient-Level Data in Elevating Healthcare Outcomes

HIT Consultant

Kamya Elawadhi, Chief Client Officer, Doceree In today’s healthcare landscape, patients are more informed than ever before, thanks to easy access to online resources and a growing focus on patient education. This shift has transformed how healthcare is communicated, fostering a new era of personalized care and stronger connections in the industry.

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In-Home Care Company HarmonyCares Raises $200 Million

Home Health Care

The in-home care company HarmonyCares – formerly known as U.S. Medical Management – has raised $200 million. The funding round was led by General Catalyst, McKesson Ventures and a “large national payer.” K2 HealthVentures and other existing investors – such as Rubicon Founders, Valtruis, HLM Capital and Oak HC/FT – also participated in the round. HarmonyCares will use the money to expand to additional geographies and develop new technology to “drive clinical outcomes and patient satisfaction at

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CMS revised Medicare Advantage star ratings. Here’s which payers benefited.

Health Care Dive

More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a Healthcare Dive analysis.

Medicare 288
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FTC: PBMs may ‘urgently’ require ‘potential regulation’

Fierce Healthcare

Pharmacy benefit managers (PBMs) have vast power and scale that disadvantages consumers and independent pharmacies, a new report from the Federal Trade Commission argues. | The FTC turned its attention toward pharmacy benefit managers in a new report detailing the consequences of consolidation and vertical integration, warning legal action and regulation could follow.

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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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VR opens new avenues for teaching neurodiverse people

Healthcare It News

Virtual reality is particularly beneficial for teaching social and life skills, says Floreo CEO Vijay Ravindran, who explains and how investment in extended-reality digital therapeutics is evolving.

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Oracle Strengthens Pharmacovigilance Solutions with AI-Powered Enhancements

HIT Consultant

What You Should Know: – Oracle announced significant updates to its Argus and Safety One Intake solutions , bolstering its pharmacovigilance portfolio with AI-powered features. – These AI enhancements cater to the evolving needs of life science organizations, allowing them to navigate increasingly complex regulatory landscapes and manage rising adverse event caseloads.

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The Duality Of In-Home Health Risk Assessments

Home Health Care

In-home health risk assessments and in-home health evaluations are a key part of Medicare Advantage (MA) plans’ strategy. On one end, they help recognize member needs, and help connect those members to other health care services. On the other end, they help boost MA plan profits, quite considerably. A recent study published in Health Affairs suggests that in-home health risk assessments increase coding intensity in MA, which leads to higher payments from the Centers for Medicare & Medicaid S

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CMS proposes 2.9% cut to physician pay for 2025

Health Care Dive

Regulators said Medicare’s budget neutrality requirement is to blame for the reduction, which was quickly decried by provider groups. However, it’s likely Congress will step in to mitigate the drop.

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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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Healthcare industry rails against CISA's 'redundant' and 'burdensome' cyber incident reporting proposal

Fierce Healthcare

Healthcare industry groups are urging the federal government to streamline and loosen a recent proposed rule outlining cybersecurity incident reporting requirements for entities considered to be cr | Hospitals, practices, information management executives and even insurers criticized a proposed rule for its overlap with other federal reporting requirements and limited oversight of smaller third-parties, among other concerns.

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OpenAI Startup Fund, Thrive Global launch new company Thrive AI Health

Healthcare It News

The company will build a genAI-enabled expert health coach that personalizes behavioral change.

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UVM Health Network Selects Abridge AI to Boost Clinician Satisfaction by 53%

HIT Consultant

What You Should Know: – Abridge , a leader in generative AI for clinical documentation, announced an enterprise-wide agreement with The University of Vermont Health Network. This integrated academic health system, serving over one million patients in Vermont and northern New York, selected Abridge following a comprehensive evaluation process involving 50 primary care providers assessing multiple solutions. – Clinicians at UVM Health Network have been using Abridge’s generative AI sol

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Turning ‘Pain Points’ Into ‘Bliss Points’: The Chief Experience Officer’s Rise In Home-Based Care

Home Health Care

This article is a part of your HHCN+ Membership Despite variations in service lines, size and operations, the best home-based care organizations all have one thing in common. These companies all prioritize the experience — of patients, clients and staff. And while every member of an organization plays a role in shaping the experience, this responsibility largely rests on the shoulders of what is now known as the chief experience officer.

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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.