Trending Articles

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Physicians, hospitals decry 2025 Medicare payment rates

Health Care Dive

Physicians will see their Medicare reimbursement fall 2.9% next year if Congress doesn’t stop the cuts. Meanwhile, reimbursement for hospital outpatient departments is rising 2.9%.

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CMS finalizes 2.9% pay increase for outpatient facilities, ASCs, with new maternal health mandates

Fierce Healthcare

Under a final rule issued by the Centers for Medicare and Medicaid Services, outpatient hospital facilities and ambulatory surgical centers will get a 2.9% Medicare pay increase next year, up from | Under a final rule issued by CMS, outpatient hospital facilities and ambulatory surgical centers will get a 2.9% Medicare pay increase next year, up from the 2.6% boost in reimbursement that was floated in the draft rule.

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Doctors, facing another pay cut in 2025, call for permanent Medicare payment reform

Fierce Healthcare

The Centers for Medicare and Medicaid Services (CMS) is moving forward with a 2.9% cut to physician payments in 2025 despite protest from major industry groups. | The Centers for Medicare and Medicaid Services (CMS) is moving forward with a 2.9% cut to physician payments in 2025 despite protest from major industry groups.

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MedStar extends acute care at home to Baltimore

Healthcare It News

MedStar Health announced Monday that its acute care at home is now available to Baltimore patients of its Franklin Square Medical Center, Good Samaritan, Harbor and Union Memorial hospitals. WHY IT MATTERS Through the collaboration, Dispatch Health offers pre-scheduled home visits daily, including weekends and holidays, following discharge from emergency departments and inpatient hospital units – typically within 72 hours – MedStar said.

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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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Ensure a Healthy Bottom Line with the Marketing Minimum Daily Requirement

Healthcare Success

Whenever we partner with multilocation healthcare providers, we know that some of their locations will need more marketing “nutrition" than others. Still, we often must persuade leadership that all their locations need at least some love—even those with a full census. How can you invest your marketing dollars and energy appropriately across your multilocation portfolio?

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Elevance Health sues HHS over Medicare Advantage star ratings

Health Care Dive

The payer joins several other insurers suing federal regulators over the 2025 quality ratings, which Elevance argues will cost it at least $375 million in bonus payments and rebates.

Medicare 258
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Clinicians can help design digital experiences that support patients and staff

Healthcare It News

Enterprise Taxonomy: Operations Core Technologies EHR Professional Development Business Technology Workforce Node settings: Exclude from Accelerate RSS feed

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The Mental Healthcare Consumer Journey

Healthcare Success

Our Senior Marketing Strategist, Kathy Gaughran, recently shared invaluable insights at the 2024 Mental Health Marketing (MHM) conference about how to reach consumers during their healthcare journey. Since her session wasn’t recorded at the venue, I interviewed Kathy on our podcast so we could share her insights with our wider audience. Whether your healthcare business is mental health focused or not, I invite you to listen and discover: Key Takeaways The Consumer Journey Today’s healthcare cons

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Against Hyping Civil War and Mass Violence

The Rand Blog

Taking steps to prevent and prepare for violence always makes sense, but it should not be viewed as a suggestion that the United States is on the brink of civil war.

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How to Make The Best Benefits Decisions for 2025s 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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Optum Rx rolling out new initiatives aimed at supporting independent pharmacists

Fierce Healthcare

Optum Rx is rolling out a slate of new programs that seek to support independent pharmacies in managing costs and more complex patient needs. | Optum Rx is rolling out a slate of new programs that seek to support independent pharmacies in managing costs and more complex patient needs.

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Oracle to launch new AI-backed EHR in 2025

Health Care Dive

“This isn’t a refurbished Cerner EHR,” Seema Verma, executive vice president and general manager of Oracle Health and Life Sciences, said during the company’s health summit.

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Vendor AI Roundup: Enhanced EHR offerings designed to give practices a leg up

Healthcare It News

Each week, more healthcare technology vendors add artificial intelligence enhancements to their products to optimize healthcare practice and provider efficiencies and personalize patient care. To that end, eClinicalWorks announced a series of artificial intelligence enhancements to its electronic health record products, including healow Genie – a fully integrated 24/7/365 contact center system while athenahealth launched Ambient Notes into the athenaOne platform.

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Expert Marketing Insights to Grow Your Behavioral Health Business

Healthcare Success

The stigma surrounding behavioral health is finally fading, consumers are seeking help, and all types of behavioral health businesses are booming. Our Senior Account Director Paul Knipe, Josh Weum, and I were among the presenters at this year’s INVEST Conference, where we shared pivotal strategies to reshape your marketing approach—emphasizing the critical role of authentic branding, effective SEO, and targeted advertising in building meaningful patient relationships.

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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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[Updated] CMS Finalizes 0.5% Home Health Payment Increase For 2025, More Permanent Cuts

Home Health Care

The U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2025 home health final payment rule Friday. It comes with an estimated aggregate increase to 2025 home health payments of 0.5%, or $85 million, compared to 2024 aggregate payments. But another permanent cut will be implemented in the new year. “CMS estimates that Medicare payments to HHAs in CY 2025 would increase in the aggregate by 0.5%, or $85 million, compared to CY 2024,” the agency wrote in its fact sheet.

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Cigna posts $739M in Q3 profit despite taking a $1B hit from VillageMD investment

Fierce Healthcare

The Cigna Group reported $739 million in profit for the third quarter, a figure that accounts for a $1 billion after-tax investment loss tied to VillageMD. | The Cigna Group reported $739 million in profit for the third quarter, a figure that accounts for a $1 billion after-tax investment loss tied to VillageMD.

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Pennsylvania attorney general sues Prospect Medical alleging ‘corporate greed’

Health Care Dive

The lawsuit argues Prospect broke the terms of its agreement to purchase Pennsylvania system Crozer Health and seeks to stop the hospital operator from closing more facilities.

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The Shift from Traditional Employer-Sponsored Coverage to ICHRA: The Health Plan Perspective

HIT Consultant

Tom Cohen, Executive Vice President of Healthcare Solutions at Softheon Everything is becoming more expensive, so it’s not a surprise that employer-sponsored healthcare costs and premiums are growing exponentially. But the question arises: who bears the brunt of these increasing costs? The short answer is everyone. Employers, health plans, and especially employees are all impacted by rising employer-sponsored healthcare costs.

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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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Regulation of AI in Healthcare Utilization Management and Prior Authorization Increases

HKLaw

Holland & Knight alert provides a summary of efforts to regulate the use of artificial intelligence in the healthcare setting, as well as recommendations to ensure key stakeholders remain compliant.

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How Bayada Plans To Overcome Home Health Care’s Long-Lasting Challenges

Home Health Care

This article is a part of your HHCN+ Membership Home health care has some hardwired challenges. But there are also other challenges that can be overcome, that can be largely erased in the future. Artificial intelligence’s capabilities, for example, are cause for hope. The same goes for value-based care opportunities. Unlocking those opportunities is going to take time, effort and focus.

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UnitedHealth Group, University of Minnesota partner to launch course on value-based care

Fierce Healthcare

Making true progress toward value-based care requires buy-in and understanding from physicians — and for them to be willing to find common ground with insurers for collaborating. | UnitedHealth Group partnered with the University of Minnesota's medical school to launch a four-week elective course that exposes fourth-year medical students to value-based care and has them working in person with Optum clinicians.

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Humana boosts 2024 earnings guidance thanks to Medicare Advantage member retention

Health Care Dive

Despite the stronger membership, Humana doesn’t expect earnings growth next year due to significant investments the insurer plans to make to boost MA stars.

Medicare 264
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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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Epic Unveils Expanded APIs for Healthcare App Developers

HIT Consultant

What You Should Know: – EHR leader Epic announced the expansion of its Application Program Interfaces (APIs) for healthcare app developers. – These APIs, available at no cost, will enable developers to access a more comprehensive view of the patient, supporting the latest standards in data exchange. Enhanced Interoperability for Personalized Care The expanded APIs are designed to support version 3 of the United States Core Data for Interoperability (USCDI v3).

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The 76 Dangerous Days Between the Election and the Inauguration

The Rand Blog

The most dangerous period America faces in terms of election violence isn't before Election Day, but the 76 days after. Rising threats and domestic violence may intensify post-election, fueled by disinformation, claims of fraud, and potential foreign interference.

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HCBS Waiting Lists Remain ‘An Incomplete Picture Of Need’

Home Health Care

The number of states with waiting lists for people in need of home- and community-based services (HCBS) hasn’t seen much variation between 2016 and 2024, according to a new data analysis from the KFF. In fact, there have been about 700,000 people on waiting lists, or interest lists, in most years since 2016. Total enrollment in waiting lists went up by 2.6% between 2023 and 2024.

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Higher MA enrollment linked to lower Medicare spending: report

Fierce Healthcare

Medicare Advantage’s popularity is associated with lower total Medicare spending, a new report from Elevance Health finds. | Elevance Health researchers might have an explanation for lower-than-expected Medicare spending: the proliferation of Medicare Advantage plans.

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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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Cigna CEO tamps down on Humana deal speculation

Health Care Dive

Despite reports this fall that the two payers had reopened merger talks, Cigna plans to use excess cash to buy back its shares, David Cordani told investors.

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How Healthcare IT Teams Can Secure Executive Buy-in for Critical Cybersecurity Investments

HIT Consultant

Dmitry Sotnikov, Chief Product Officer at Cayosoft It’s well known that ransomware is on the rise across industries. Healthcare organizations experienced more ransomware attacks than any other critical infrastructure sector last year, according to the FBI’s 2023 Internet Crime Report. Given the wide-reaching consequences and direct patient impact of such attacks, it’s become clear that investing in cybersecurity is a critical priority.

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Should Dynamic Drug Pricing be Incorporated into Cost-Effectiveness Analyses?

Healthcare ECONOMIST

Cost effectiveness analyses (CEA) aim to examine how a new health technologies impact health outcomes and costs over a patient’s lifetime. While extrapolating long-run health benefits and measuring potential cost offsets are important, another important item to estimate is how the cost of the new health technology is likely to evolve over times.