Mon.Aug 19, 2024

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Employer healthcare costs projected to rise 9% in 2025: Aon

Health Care Dive

Inflation, expensive specialty drugs and demand for pricey glucagon-like peptide 1 medications, or GLP-1s, are pushing costs higher, according to the professional services company.

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Attorneys: Humana settles whistleblower suit for $90M

Fierce Healthcare

Humana has agreed to pay $90 million to settle a False Claims Act case related to its Medicare Part D contracts, according to the attorneys representing the whistleblower in the case. | Humana has agreed to pay $90 million to settle a False Claims Act case related to its Medicare Part D contracts, according to the attorneys representing the whistleblower in the case.

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Healthcare bankruptcies slow after reaching five-year high in 2023: report

Health Care Dive

The decline doesn’t mean the sector’s financial challenges have gone away, and case volumes could increase later this year, according to healthcare restructuring advisory firm Gibbins Advisors.

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Alaskans can virtually manage their diabetes risk for free with Omada

Fierce Healthcare

Virtual chronic care management company Omada is partnering with the state of Alaska to prevent and manage diabetes and hypertension. | Alaska is the biggest U.S. state, and much of it is rural. Many rural Alaskan towns lack in-person diabetes management support programs. The state department of health is subsidizing the cost of Omada's virtual diabetes and hypertension programs to fill the gap.

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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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Court strikes down HHS change to low-income payment formula in win for Texas hospitals

Health Care Dive

The case centered on whether patients who receive funds from a pool of state funding for uncompensated care could be included in calculating hospitals’ disproportionate share funding.

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SMS Marketing in Healthcare: Revolutionizing Patient Engagement and Outcomes

Healthcare Success

As healthcare leaders, you are under immense pressure to deliver exceptional care amid rising costs and operational complexities. That’s why so many businesses leverage the power of SMS marketing. Text messaging is a fast and easy way to reduce missed appointments and medication non-compliance. Plus, 20% of patients prefer receiving health information via text message, according to the HIPAA Journal.

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Embattled MultiPlan scores antitrust win as California court tosses case

Fierce Healthcare

MultiPlan is celebrating a state court victory over a bankrupt health system that alleged the claims data analytics firm’s business model illegally contributed to its demise. | The claims data analytics firm, which has been beset by price-fixing allegations and critical media reports, has beat one such case filed in 2021 by the bankrupt Verity Health System of California.

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Massachusetts makes deal to force Steward hospital sales

Health Care Dive

Gov. Maura Healey’s office has brokered agreements for Steward to sell five hospitals to other operators, ensuring they’ll remain open as the health system’s bankruptcy proceedings drag on.

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Top Challenges that OB/GYN Professionals Face in Managing Their Medical Billing

p3care

In the dynamic world of healthcare, Obstetrics and Gynecology (OB/GYN) professionals face unique challenges beyond patient care. One of the most complex and critical aspects is managing their medical billing efficiently. The intricacies of OB/GYN medical billing services require a deep understanding of specialized codes, updated billing rules, and the need for attention to detail while processing claims.

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Companies aren’t as resilient against cyber risks as they think

Health Care Dive

The ability to recover from catastrophic IT and security incidents has taken on added significance in the wake of the February ransomware attack against Change Healthcare.

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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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Despite 'making progress' on expense growth, MGB's Q3 operating gain narrows to $47M

Fierce Healthcare

Mass General Brigham’s operating income slipped to $47 million for the quarter ended June 30 despite a 7% year-over-year increase in total operating revenue, the major nonprofit system reported las | Mass General Brigham is working toward becoming "well-positioned to deliver on our mission for years to come,” Niyum Gandhi, chief financial officer and treasurer at MGB, said in a statement.

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A ‘Predictor Of Poor Outcomes’: Recognizing Homebound Seniors In Medicare Advantage

Home Health Care

When examining a Medicare Advantage (MA) plan population, researchers found that there’s a substantial prevalence of homebound individuals. As part of the study, Dr. Bruce Leff and his study co-authors examined the prevalence, characteristics, predictors, health service use, and mortality outcomes of 2,435,519 homebound Humana Inc. (NYSE: HUM) MA beneficiaries in 2022.

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Combat Health Misinformation with Conversational Intelligence

HIT Consultant

Amy Brown, Founder & CEO of Authenticx The digital era presents healthcare leaders with a formidable challenge: a tidal wave of online health misinformation shaping patient behaviors and decisions. A single viral social media post can ignite widespread confusion , driving patients to pursue treatments, medications, or services that may—or may not—relate to their condition or patient journey.

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Home-Based Care Leaders See M&A, New Payment, Technology As Biggest Opportunities For 2025

Home Health Care

This article is a part of your HHCN+ Membership Home health providers have lately been hamstrung by payment rate cuts , staffing woes and Medicare Advantage (MA) penetration. However, despite these obstacles, the industry still holds significant potential and numerous untapped opportunities. Looking ahead to 2025, it is anticipated that M&A, updated payment models, and innovations in staffing and retention will be key themes.

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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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The Double-Edged Sword of Air Conditioning in a Warming World

The Rand Blog

Last summer was the hottest on record and 2024 looks to be hotter still. Cranking up the AC can provide temporary relief but it could lead to greater vulnerability to extreme climate events over time. Fortunately, there are strategies that could reduce air conditioning's greenhouse gas emissions.

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Transactions: Pennant Completes Largest Transaction To Date; Aging Advocates Acquires Senior Home Care Solutions

Home Health Care

This article is a part of your HHCN+ Membership Pennant completes acquisition of Signature assets The Pennant Group (Nasdaq: PNTG) has completed its acquisition of Signature Healthcare at Home’s Washington and Idaho assets. With an $80 million purchase price, the transaction was the largest in Pennant history. The deal was first announced in early July , and is just one of many deals Pennant has recently executed on.

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Navigating health IT complexities with end-to-end solutions

Nordic

Hospitals and health systems of all sizes and at all stages of digital maturity are facing the challenge of choosing the right health IT solutions to optimize front-end and back-end enterprise operations while also meeting clinical and financial objectives. Developing a n d continuously promoting the right mindset a round the purpose and value of health IT is critical for any health IT modernization effort.

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What is ‘Bayesian Hierarchical Modelling’ and how can it be used to evaluate oncology treatments studied in basket trials?

Healthcare ECONOMIST

Should payers cover a new oncology treatment targeting specific biomarkers across multiple tumor types? One the one hand, one could require a separate trial for each tumor type. While this would be convincing evidence, it also is very expensive to conduct clinical trials for every tumor type, particularly if treatment efficacy is homogenous across tumor types with the presence of the biomarker.

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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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The Difference Between Medical SEO and SEM

Sequence Health

Do you run a multi-location healthcare facility and want to find ways to promote your business? Then, it is important that you know about medical SEO and SEM. They go a long way to customize your marketing by making your website more visible on search engines. Here is what to know about them and how they compare. What Is Medical SEO? Medical SEO (Search Engine Optimization) is a strategy that healthcare centers use to boost their web pages, making sure they are more visible to patients and clien

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Effective Aug. 9, 2024, Vicki Seidmeyer, DO, will no longer be practicing medicine at WellMed at McKinney North

Healthcare Associates

Effective Aug. 9, 2024, Vicki Seidmeyer, DO, will no longer be practicing medicine at WellMed at McKinney North Healthcare Associates of Texas – McKinney North. Patients may obtain copies of their medical records at: WellMed at McKinney North Healthcare Associates of Texas – McKinney North 1620 N. Hardin Blvd., Suite 2000 McKinney, TX 75071 Phone: 1- 945-234-6211 Fax: 1- 945-234-6212 The post Effective Aug. 9, 2024, Vicki Seidmeyer, DO, will no longer be practicing medicine at WellMe

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Accenture Invests in Earli Inc. for Early Cancer Detection

HIT Consultant

What You Should Know: – Accenture today announced a strategic investment in Earli Inc. , a biotechnology company pioneering a novel approach to early cancer detection. – Earli’s groundbreaking technology aims to transform cancer diagnosis and treatment by enabling the rapid and accurate identification of cancerous cells. Synthetic Targeting Platform for Early Cancer Detection Earli has developed a synthetic targeting platform that selectively reprograms cancer cells, making them visi

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3 Ways Orthopedic Practices Increase Collections With Less Staff Involvement

Clearwave Inc

Reading Time: 4 minutes Orthopedic practices face unique challenges in managing collections due to rising costs, complex insurance processes and increasing patient financial responsibility. By leveraging innovative technologies and streamlined processes, orthopedic clinics can boost collections while reducing these burdens. Let’s explore three powerful strategies that can help practices increase their income and improve operational efficiency. 1.

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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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Talkdesk Copilot Embedded in Epic Cheers CRM to Enhance Healthcare CX

HIT Consultant

What You Should Know: – Talkdesk , a provider of AI-powered customer experience (CX) solutions, recently announced the integration of its Talkdesk Copilot with Epic’s Cheers CRM suite. – By integrating Talkdesk Copilot with Epic Cheers CRM, Talkdesk is poised to revolutionize the healthcare contact center landscape. This innovative solution empowers healthcare organizations to deliver modern patient experiences, improve operational efficiency, and ultimately drive better health

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Embracing Remote Patient Monitoring: A Game-Changer for Health Systems

Health Recovery

My journey in healthcare innovation is a testament to the transformative power of Remote Patient Monitoring in advancing patient-centered, value-based care.

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Morning Headlines 8/20/24

HIStalk

Buffalo startup raises $6.8 million Sleep apnea-focused digital healthcare company.

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Medicare Advantage consensus waning ahead of 2024 election

Fierce Healthcare

Both political parties are more open to Medicare Advantage (MA) reform than in previous election cycles, a shift former federal officials warned should be a warning call for the health insurance in | Republicans and Democrats alike seem open to reforming Medicare Advantage, though cuts to the program earlier this year may have electoral consequences to Harris.

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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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Curbside Consult with Dr. Jayne 8/19/24

HIStalk

Nearly every health system has some kind of telehealth initiative.

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Bipartisan effort paves way for reviving shuttered hospitals in Georgia

Fierce Healthcare

ATLANTA—At the shuttered Atlanta Medical Center, a “Stronger Together” mural sends a hopeful message near a summer spray of hydrangeas. | A legislative update to Georgia's Certificate of Need requirement, championed by a Democrat and signed in April by a Republican governor, could help fill the care gaps left by recent hospital closures.

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