Insurers brace for continued Medicare Advantage medical costs
Health Care Dive
FEBRUARY 20, 2024
The big question coming out of the health insurance earnings season is how much elevated utilization among seniors will carry over into 2024.
Tue.Feb 20, 2024
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No Surprises Act rollout coincided with an uptick in in-network claims: FAIR Health
Fierce Healthcare
FEBRUARY 20, 2024
As the No Surprises Act took full effect, the number of in-network claims processes grew notably, according to a new analysis from FAIR Health. | As the No Surprises Act took full effect, the number of in-network claims processes grew notably, according to a new analysis from FAIR Health.
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Parkview Health brings diabetic retinopathy tests closer to the patients
Healthcare It News
FEBRUARY 20, 2024
Living with diabetes is challenging. So is treating it, with a myriad of factors determining or influencing a person’s health. THE PROBLEM In addition, those living with diabetes must take care of themselves by performing daily, monthly, quarterly and yearly tasks to stay ahead of the chronic condition. These include: Checking their feet Reading food labels Walking after meals Taking medication(s) in the right dose at the right time Meeting with a dietitian to assure they have the right nu
MA governor orders Steward Health Care to disclose withheld financial documents, says it must exit state 'as soon as possible'
Fierce Healthcare
FEBRUARY 20, 2024
MA governor orders Steward Health Care to disclose withheld financial documents, says it must exit state 'as soon as possible' dmuoio Tue, 02/20/2024 - 16:37
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
China Medical University Hospital leverages Google's genAI for cancer care
Healthcare It News
FEBRUARY 20, 2024
China Medical University Hospital is leveraging Google Cloud's generative AI to support its doctors in providing cancer care. A formal collaboration between CMUH and Google Cloud was signed in December last year to use MedLM , a healthcare-specific gen AI based on the large language model, Med-PaLM 2. MedLM, which intelligence has been proven comparable to licensed doctors by scoring 85% on the MedQA-USMLE (United States Medical Licensing Examination), has become the foundation of the CMUH&#
Digital health company Siftwell Analytics secures $5.8M in funding round
Fierce Healthcare
FEBRUARY 20, 2024
Siftwell Analytics, a company providing insights to community health plans to help improve member outcomes, has secured $5.8 million in the company's first venture capital funding round. | A digital health company built to help community plans utilize their data more efficiently raised nearly $6 million in a recent funding round.
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Ascension escapes last year's losses with higher per-patient revenues, tempered cost growth
Fierce Healthcare
FEBRUARY 20, 2024
Halfway through its 2024 fiscal year, Ascension has turned its operations around to the tune of about half a billion dollars. | The Catholic giant logged recurring operating margins of 3% for the quarter and 0.3% for the midway point of its current fiscal year.
The Path For Occupational Therapy To Lose Its ‘Second-Tier’ Status In Home Health Care
Home Health Care
FEBRUARY 20, 2024
If a senior or homebound patient is eligible for home health care, there are a number of caregiving professionals who can open a case and begin an assessment. Those include nurses, home health aides, physical therapists and others. One profession that is not on that list is an occupational therapist. However, a new proposed bill could change that. The Medicare Home Health Accessibility Act — which has bipartisan support — would establish occupational therapy (OT) as a qualifying Medicare home he
ACOs want increased participation of long-term and post-acute care providers
Fierce Healthcare
FEBRUARY 20, 2024
Accountable care organizations are calling on the feds to increase participation of long-term and post-acute care providers in ACOs and to better incorporate episodic-based payments. | Payers, providers, ACO leaders and advocacy groups convened to discuss how to improve long-term and post-acute care participation in ACOs. These were their recommendations to CMS.
No Surprises implementation created uptick in in-network claims: Fair Health
Health Care Dive
FEBRUARY 20, 2024
From the fourth quarter of 2021 to the first quarter of 2022, in-network care as a percentage of all national claim lines increased 2.3%, the nonprofit found.
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
Lawmakers grill VA, Oracle leaders over pharmacy-related patient safety issues
Fierce Healthcare
FEBRUARY 20, 2024
A year after hitting the pause button on a multi-billion-dollar health tech project at the Department of Veterans Affairs, federal lawmakers continue to have serious concerns about pharmacy softwar | A year after hitting the pause button on a multi-billion-dollar health tech project at the Department of Veterans Affairs, federal lawmakers continue to have serious concerns about pharmacy software issues that could impact patient safety.
Ascension posts $231M in quarterly operating income as labor costs come down
Health Care Dive
FEBRUARY 20, 2024
The Catholic health system attributed its results to increased patient volumes and successful cost-cutting initiatives.
Community Health Systems misses Wall Street's EPS consensus as costs outpace revenue, demand growth
Fierce Healthcare
FEBRUARY 20, 2024
Community Health Systems (CHS)’ higher inpatient volumes and reimbursement rates couldn’t outpace rising costs, dragging the for-profit’s fourth-quarter earnings well below its performance in 2022. | The 71-hospital for-profit health system highlighted same-store volume growth but fell victim to higher supplemental reimbursement program costs, increased rates for outsourced medical specialists and other costs.
Mass General Brigham’s investment income boosted Q1 earnings
Health Care Dive
FEBRUARY 20, 2024
But operating expenses — including increases in supply and wage costs — continued to pressure the nonprofit.
Why Every Small Business Needs an HCM Solution: A Comprehensive Guide
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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.
Teladoc's stock slides as it projects slower growth for virtual care
Fierce Healthcare
FEBRUARY 20, 2024
Teladoc offered a weaker-than-expected forecast for 2024, projecting slower revenue growth as the telehealth market has become crowded with digital health players. | Teladoc offered a weaker-than-expected forecast for 2024, projecting slower revenue growth as the telehealth market has become crowded with digital health players.
Transactions: Legacy Care Partners Acquires Superior Home Health; SSM Health Bolsters Health at Home Arm
Home Health Care
FEBRUARY 20, 2024
This article is a part of your HHCN+ Membership Legacy Care Partners Acquires Superior Home Health and Superior Hospice of Texas Legacy Care Partners – which also owns Advanced Home Care – has acquired Superior Home Health and Superior Hospice of Texas. Terms of the deal were not disclosed. “We extend a warm welcome to Superior Home Health and Superior Hospice into the Legacy Care Partners family,” Legacy Care Partners President and CEO Brian McDonald said in a statement. “This
'Podnosis': What are the healthcare sector’s sustainability needs?
Fierce Healthcare
FEBRUARY 20, 2024
In the U.S., where the healthcare sector emits significantly more carbon emissions than the aviation industry, hospitals are starting to think about ways to address their climate footprint.
Siftwell Analytics Secures $5.8M for AI-Powered Community Health Plan Analytics
HIT Consultant
FEBRUARY 20, 2024
What You Should Know: – Siftwell Analytics , a healthcare technology company founded by industry veterans, announced today the successful closing of its seed funding round totaling $5.8M. – This significant investment, led by AlleyCorp, Arkin Digital Health, Tau Ventures, and The Charlotte Fund, underscores the growing demand for Siftwell’s innovative approach to population health management.
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.
Mass General Brigham reports $82M operating gain even as expenses continue to bite
Fierce Healthcare
FEBRUARY 20, 2024
Boston-based Mass General Brigham, a 15-hospital system, has reported an $81.6 million operating gain on revenue of $5 billion | Boston-based Mass General Brigham, a 15-hospital system, has reported an $81.6 million operating gain on revenue of $5 billion for the first quarter of fiscal 2024, ending Dec. 31.
Maximizing Healthcare Efficiency: Exploring the Pros and Cons of Outsourced Revenue Cycle Management Services
Advanced Data Systems
FEBRUARY 20, 2024
As managers, owners and principals at cardiology practices plan for the coming quarters this year, the flow of revenue will be a major consideration. Accordingly, they will be looking at revenue cycle management or RCM trends to help prepare for 2024. With that in mind, here are cardiology RCM trends that appear to be emerging this year.
Brightside Health partnering with Medicare, Blues plans, CareOregon
Fierce Healthcare
FEBRUARY 20, 2024
Brightside Health has announced new payer partnerships with major plans to provide members with mental health care. | Mental health provider Brightside Health bolstered its partnerships with Medicare, Medicaid and Medicare Advantage contracts throughout the country.
Highmark Grants Commercial Coverage to Theranica’s Wearable for Migraine Treatment
HIT Consultant
FEBRUARY 20, 2024
Nerivio is indicated for dual-use in people 12 years and older What You Should Know: – Theranica , a leader in neuromodulation devices for migraine and other chronic pain conditions, announced today that Highmark Inc. has included its Nerivio Remote Electrical Neuromodulation (REN) wearable in its commercial coverage policy for the acute and preventive treatment of migraine. – Highmark’s coverage decision is a pivotal moment for migraine sufferers within their network.
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.
Oula, backed by Chelsea Clinton, banks $28M to build out maternity care clinics
Fierce Healthcare
FEBRUARY 20, 2024
Oula, a maternity center that combines obstetrics with midwifery, clinched $28 million in series B funding to open new clinics and offer more services. | Offering a hybrid of in-person clinic care and virtual care, Oula has an office in Brooklyn and Manhattan and plans to open a third in Morningside Heights in partnership with Mount Sinai West later this year.
MEDITECH Launches Redesigned Expanse Pathology
HIT Consultant
FEBRUARY 20, 2024
What You Should Know: – MEDITECH , a leader in healthcare information technology solutions, announces the release of its redesigned Expanse Pathology solution. This innovative tool, part of the company’s comprehensive – Expanse EHR , empowers pathologists with cutting-edge technology to tackle increasingly complex cases and collaborate seamlessly with other healthcare providers for improved patient care.
Should a Psychedelic Therapist Be Able to Continue Therapy for Their Patients Beyond Formal Integration Sessions?
Bill Of Health
FEBRUARY 20, 2024
By Samuel Hatfield Psilocybin and MDMA were recently rescheduled in Australia for clinical use, leading many mental health professionals to question how psychedelic therapy will work in practice. As part of a research team at the University of Sydney, I recently interviewed as number of experts in the field, with the aim of developing a comprehensive taxonomy of matters relating to psychedelic therapy that are or could be regulated.
Cooperation Could Be Critical to U.S. AI Success
The Rand Blog
FEBRUARY 20, 2024
Cooperation between allies could be especially important to the development of artificial intelligence (AI). But co-developing AI applications with other nations faces many challenges as rapid advancements in the technology outpace policies and procedures designed during the industrial age.
Enhance Healthcare Efficiency With Top Payroll & HCM Services
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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.
Designing for Health: Interview with Mark Townsend, MD [Podcast]
Nordic
FEBRUARY 20, 2024
The innovation of technology and processes inherently requires not only trial and error but a non-negligible amount of risk. This presents a unique challenge for the healthcare industry, which both needs innovation and has very little room for risk or error. To move the industry into the future, leaders must adopt a nuanced approach that simultaneously appreciates governance and its goals and is willing to take calculated risks to fail fast and fail forward.
How Right at Home Plans To Up Its Caregiver Count By Over 50% In 2024
Home Health Care
FEBRUARY 20, 2024
In 2023, Right at Home’s caregiver count checked in at 45,453 across the company’s vast franchise network. The company is now hoping to add at least 26,000 caregivers to meet the current demand for care services by the end of 2024. The impetus behind Right at Home’s hiring initiative was the increased growth in client populations that the company was seeing, Nikki Holles, vice president of strategy for Right at Home, told Home Health Care News.
Directed Energy Dilemmas: Industrial Implications of a Military-Technological Revolution
The Rand Blog
FEBRUARY 20, 2024
Alongside more traditional gun- and missile-based interceptors, directed energy weapons (DEW) are part of a layered approach to integrated air and missile defence. But with wide-ranging and disruptive implications for defence budgets and for industry that have only just begun to be considered, could the military impact of this possible DEW revolution be just the tip of the iceberg?
Maximizing Healthcare Efficiency: Exploring the Pros and Cons of Outsourced Revenue Cycle Management Services
Advanced Data Systems
FEBRUARY 20, 2024
In the intricate world of healthcare administration, revenue cycle management (RCM) stands as a critical process that ensures financial stability and operational efficiency for healthcare providers. As the landscape evolves, many healthcare organizations are considering outsourcing RCM services to streamline operations and enhance profitability. However, like any strategic decision, outsourcing RCM comes with its own set of pros and cons that necessitate careful consideration.
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.
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