Wed.Jul 31, 2024

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Humana expects to lose ‘few hundred thousand’ Medicare Advantage members next year

Health Care Dive

The insurer shrank its plan footprint for 2025 in a bid to improve margins. Now, Humana is giving market watchers loose guidance into how that reduction could affect its enrollment along with second quarter results.

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Humana posts $679M in Q2 profit as it faces continued Medicare Advantage headwinds

Fierce Healthcare

Humana affirmed its guidance for the year as it continues to face headwinds in the Medicare Advantage (MA) space. | Humana affirmed its guidance for the year as it continues to face headwinds in the Medicare Advantage space.

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North Carolina to offer enhanced Medicaid funds to hospitals that help eliminate medical debt

Health Care Dive

The incentive program offers hospitals a carrot for relieving debt that health systems were unlikely to recover anyway, with experts labeling the program a “win-win” for patients and providers.

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Teladoc posts $838M loss in Q2, lays out BetterHelp strategic pivot

Fierce Healthcare

In its first quarter with new CEO Chuck Divita, national telehealth provider Teladoc Health posted a net loss of $838 million in Q2 that included a nearly $800 million impairment charge a | Teladoc said on its earnings call on Wednesday that challenges with BetterHelp and increasing advertising costs led its revenue to decline in Q2.

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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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CHS to sell 3 hospitals, exiting Pennsylvania

Health Care Dive

The Franklin, Tennessee-based system plans to offload at least $1 billion worth of assets this year, executives said during an earnings call last week.

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L.A. Care tasks social workers to serve unhoused population

Fierce Healthcare

There are 75,000 homeless people in Los Angeles County, a county that is the size of Delaware and Rhode Island combined and has a population that is larger than 40 states. | L.A. Care Health Plan is sending social workers to temporary housing sites in Los Angeles County to find more permanent housing solutions.

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More Trending

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Wells Fargo’s relationship with Express Scripts under scrutiny in new lawsuit

Fierce Healthcare

Wells Fargo is the most recent corporation to get sued, as alleged by former employees, for inadequately overseeing the price workers were forced to pay for prescription drug prices. | Wells Fargo was named as a defendant in a new lawsuit for not protecting its workers from extreme prescription drug prices inflicted by Cigna's PBM, Express Scripts.

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Flo Health reaches unicorn status after $200M raise

Healthcare It News

Enterprise Taxonomy: Node settings: Exclude from Accelerate RSS feed

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Bicycle Health launches virtual MOUD program for teens in Maine to meet demand

Fierce Healthcare

Bicycle Health, a virtual provider of opioid use disorder (OUD) treatment, is launching a program for teens in the state of Maine. | The company says this is the first program of its kind in the country. Patients 16 and 17 years of age will be eligible for medications for opioid use disorder via telehealth under the model. Bicycle decided to offer it in the state after hearing about a need directly from one of its payer partners.

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More Home Health Providers Are Embracing Payer Agnosticism, Shifting Away From Medicare

Home Health Care

MD Home Health — one of the largest providers in Arizona — has worked to establish itself as the “care for everyone” company, embracing payer agnosticism. Currently, the company’s payer mix is around 20% Medicare and 80% non-Medicare, as in Medicare Advantage (MA), private insurers and others. “I just think of the things that every other agency, when I ran them, declined,” Joseph Furtado, administrator of MD Home Health, told Home Health Care News.

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How to Make The Best Benefits Decisions for 2025's 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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New IHI framework lays out elements needed for successful health equity officers

Fierce Healthcare

A new framework for health equity leadership lays out the key skills and conditions necessary for success. | Over the past several years, as the pandemic exacerbated long standing inequities, many health systems began to hire equity leaders to help achieve and sustain their goals. However, given the role was mostly a new phenomenon, leaders did not have a blueprint for doing the work, a gap IHI aims to fix with its report.

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AI Seen as Key Weapon Against Physician Burnout, Survey Finds

HIT Consultant

What You Should Know: – eClinicalWorks , a leading provider of cloud-based electronic health records (EHR) for ambulatory care, has released the results of a recent survey examining healthcare professionals’ perceptions of artificial intelligence (AI) in the healthcare industry. – The survey aimed to understand how AI-powered solutions can help address critical challenges like physician burnout, patient data management, and clinical documentation.

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Mental health benefits company Spring Health hits $3.3B valuation, boosted by $100M series E round

Fierce Healthcare

Mental health continues to be red-hot with investors with startups in the behavioral health space picking up sizeable funding rounds. | Spring Health, which offers digital mental health care and navigation services, pocketed $100 million in series E funding, bumping the company's valuation to $3.3 billion.

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OM1 Supporting Alzheimer’s Research and Care w/Expanded Dataset

HIT Consultant

What You Should Know: – OM1 , the leader in real-world insights synthesis and evidence generation for life sciences supporting population and personalized data insights, evidence generation through advanced validated AI platforms, big deep clinical data, registries, and globally recognized thought leadership today announced the new release of its Alzheimer’s disease PremiOM dataset. – OM1 combines multiple real-world data sources – including specialists’ electronic medical records (

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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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CHS to sell 3 Pennsylvania hospitals to Woodbridge Healthcare in $120M deal

Fierce Healthcare

Community Health Systems will exit Pennsylvania with the sale of three hospitals in the Keystone State to Woodbridge Healthcare. | Community Health Systems will exit Pennsylvania with the sale of three hospitals in the Keystone State to Woodbridge Healthcare.

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Humana Goes On The Defensive For Medicare Advantage, Highlights Home Health Growth

Home Health Care

Jim Rechtin took the helm as the president and CEO of Humana Inc. (NYSE: HUM) on the first of July. A month in, he’s already tasked with facing tough questions, like how the company plans to combat regulatory headwinds in Medicare Advantage (MA) and home health care. Home health providers and MA plans have continually been at odds over payment for services.

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Championing equity in skin of color dermatology

Fierce Healthcare

Many dermatologists are not trained to recognize skin conditions in people of color, which can lead to misdiagnoses and poor outcomes. | This week on "Podnosis," we dive into the topic of how to improve diversity and equity in dermatology.

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In-Home Care Provider WellBe Senior Medical Adds Two Strategic Investors

Home Health Care

WellBe Senior Medical announced that Excellus BlueCross BlueShield (Excellus BCBS) and Intermountain Ventures have both made strategic investments in the company. This follows an investment made by CVS Health Ventures in January of this year. “The significance of these investments from two impressive entities further validates WellBe’s commitment to be a payor-agnostic, in-home, full-risk medical group,” WellBe Senior Medical CEO Dr.

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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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Healthcare AI News 7/31/24

HIStalk

News OpenAI launches user testing of SearchGPT, which returns attributed.

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TytoCare Awarded FDA Clearance for AI Lung Sound Analysis

HIT Consultant

What You Should Know: – TytoCare, a virtual care company enabling accessible, high-quality primary care from home, announced today that it has received an additional FDA clearance for a new AI-powered diagnostic capability, Tyto Insights for Crackle Detection. – This capability, which is built on TytoCare’s database of lung sound recordings and driven by an innovative, AI-based algorithm, joins TytoCare’s existing suite of diagnostic tools, including Tyto Insights for Wheeze Detecti

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Best practices for advancing revenue cycle with AI and automation

Nordic

From saving millions in cost avoidance to improving accuracy and boosting patient engagement, many healthcare organizations are experiencing the benefits of implementing AI and automation solutions to enhance revenue cycle management. According to a Change Healthcare study , nearly 9 out of 10 revenue cycle management leaders are currently using AI.

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WebMD Ignite Helps Healthcare Providers Control Patient Leakage

HIT Consultant

What You Should Know: – WebMD Ignite , a full-service growth partner for healthcare organizations, announced today two new high-performance solutions designed to supercharge healthcare provider (HCP) growth: Ignite Provider Suite Analytics Module and Referral Growth Targeting. – The new solutions build on WebMD Ignite’s set of HCP applications that include robust analytics, targeting capabilities, omnichannel activation services, and referral-lift measurement, creating the healthcare

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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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NCQA Discusses Behavioral Health Access at NASEM Workshop

NCQA

The National Academies of Sciences, Engineering, and Medicine (NASEM) hosted a virtual public workshop to address workforce challenges across behavioral healthcare. The workshop convened a panel of experts to discuss perspectives on the behavioral health workforce shortage: payment and policy issues, the impact on patient care, promising innovations, and the use of technology in behavioral healthcare.

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Mindera Health Secures $14M to Advance Commercialization of Psoriasis Precision Medicine Test

HIT Consultant

What You Should Know: – Mindera Health , a leading developer of precision medicine solutions for dermatology, raises $14M convertible note financing led by Mountain Group Partners. – The funding will accelerate the commercialization of Mindera’s flagship product, Mind.Px™, a groundbreaking test that predicts patient response to psoriasis treatments.

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Healthcare Private Equity Transactions Under Scrutiny: Midyear Review

HKLaw

Healthcare private equity transactions are under increasing scrutiny, here's what healthcare investors and platform companies can expect for the rest of the year.

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Ochsner Health to Deploy DeepScribe’s Ambient AI to 4700 Clinicians

HIT Consultant

What You Should Know: – Ochsner Health , a prominent healthcare provider in the Gulf South announced a strategic partnership with DeepScribe , a leader in ambient AI clinical documentation, – The strategic collaboration will see DeepScribe’s AI-powered technology implemented across Ochsner Health’s network of 46 hospitals and 370 health and urgent care centers.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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HIStalk Interviews Manny Krakaris, CEO, Augmedix

HIStalk

Manny Krakaris, MBA is president and CEO of Augmedix. Tell.

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Labcorp and Ultima Genomic Partner to Advance Whole Genome Sequencing for Cancer Research

HIT Consultant

What You Should Know: – Labcorp (NYSE: LH) , a global leader of innovative and comprehensive laboratory services, today announced an expanded collaboration with Ultima Genomics to utilize its UG 100TM sequencing solution and ppmSeqTM technology to explore new whole genome sequencing (WGS) clinical applications, including molecular residual disease (MRD) in patients with early-stage solid tumor cancers. – Labcorp recently introduced Labcorp® Plasma Detect ™, the first clinicall

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Morning Headlines 8/1/24

HIStalk

Spring Health Announces $100 Million Series E Funding to Accelerate.

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Free Speech versus Public Health: The Role of Social Media (Part One)

Bill Of Health

by Claudia E. Haupt Social media is the new public health battleground. Three current examples highlight the building clash between free speech and public health playing out in connection with social media: the rapid spread of health mis- and disinformation on social media; the extent to which public health officials can influence social media’s role in spreading potentially harmful health advice to the public; and, finally, the harmful effect of social media itself and what the government may d

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Creating a Company Culture of Care: Integrating Mental Health, Wellbeing, and DEI in Benefits

Speaker: Sean Raible

Picture a workplace where physiological safety is not just an aim but a reality, driven by thoughtful employee benefits that prioritize mental health, wellbeing, and DEI. 🤔 ✨ Achieving this vision requires more than just occasional training sessions and employee assistance programs. Moving beyond the basics, this vision calls for a holistic approach that integrates these elements into your company culture as well as your HR and benefits strategy.