Wed.Oct 25, 2023

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Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver?

Health Care Dive

Big questions hang over the California health insurer's bold experiment — having five vendors carry out PBM functions previously performed by one — that could threaten BSCA's expected savings.

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Ayble Health unveils mind-gut program with behavioral therapy techniques to ease GI symptoms

Fierce Healthcare

Ayble Health, a digital health platform focused on chronic gastrointestinal conditions, has unveiled a mind-gut program. | The program integrates with Ayble’s baseline nutrition program and offers evidence-based brain-gut behavioral therapy techniques including cognitive behavioral therapy, acceptance and commitment therapy and gut-directed hypnosis.

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Calling healthcare burnout a crisis is an ‘understatement,’ CDC says

Health Care Dive

The Centers for Disease Control and Prevention is sounding the alarm on increasing levels of burnout and harassment in the healthcare industry.

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States accelerated bills focused on health equity from 2020 to 2023, Chartis analysis finds

Fierce Healthcare

States have accelerated legislation intended to promote health equity in the last few years, with a special focus on several key areas like bias training and maternal health,

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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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6 Best KPIs Medical Billing Companies in USA Should Be Tracking

p3care

Medical billing companies in USA have strong competition for the services they sell. We can’t trust blindly one when many companies claim to be the best in their medical billing services. We have a common saying that all those glitters are not gold. So, healthcare practices have to look for a certain point of distinction to pick on for them. As one of the professional medical billing companies in USA, you have to make yourself different.

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Walmart expands doula services benefit nationwide following pilot in 4 states

Fierce Healthcare

Walmart is expanding doula services for its employees nationwide. | The decision is a reflection of Walmart’s desire to support maternity care and family building services, the company said in its announcement.

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More Trending

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Over twice as many healthcare workers report harassment in 2022 than 2018, CDC finds

Fierce Healthcare

New survey data from the Centers for Disease Control and Prevention (CDC) is reinforcing doctors’ warnings that the medical field is crumbling under a largely unaddressed mental health crisis and a | Survey data outlining healthcare workers' worsening mental health and workplace difficulties comes alongside new calls for action from the CDC and AMA.

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Defunct direct contracting model saved Medicare $372M last year

Health Care Dive

Value-based primary care chains for seniors operated by major retail health players did particularly well, with Amazon’s Iora, CVS’ Oak Street and Walgreens’ VillageMD all notching high net savings.

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Universal Health Services beats estimates with $167M profit in Q3 2023

Fierce Healthcare

Universal Health Services (UHS) came out slightly ahead of analyst estimates with a $167 million profit ($2.55 per diluted share) for the third quarter. | Acute and behavioral care chain Universal Health Services has enjoyed sequential quarters of rising volumes across both of its business segments.

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Global digital health funding hits lowest level since 2016, report finds

Health Care Dive

Digital health funding is flagging this year, with investments in the sector reaching only 40% of last year’s totals, according to CB Insights.

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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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UnitedHealth invests in Enable Ventures to drive improvements for people with disabilities

Fierce Healthcare

UnitedHealth Group is making a $5 million investment in Enable Ventures, a fund that aims to improve the lives of people with disabilities. | UnitedHealth Group is making a $5 million investment in Enable Ventures, a fund that aims to improve the lives of people with disabilities.

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Teladoc kicks off ‘operational review’ to boost bottom line

Health Care Dive

The virtual care giant reported mixed results Tuesday, missing Wall Street expectations on revenue but beating on earnings per share.

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'Podnosis': Cultivating cultural competency in the healthcare workforce

Fierce Healthcare

In this week's episode of “Podnosis,” we look at the major health disparities facing Native Americans and explore what can be done to make meaningful improvements. | In this week's episode of “Podnosis,” we look at the major health disparities facing Native Americans and explore what can be done to make meaningful improvements.

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UPMC, Washington ink definitive merger agreement

Health Care Dive

The Pennsylvania-based nonprofits are one step closer to completing their merger, despite pushback from local unions.

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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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WebMD taps Freshpaint to step up data privacy compliance with web tracking technologies

Fierce Healthcare

Hospitals and healthcare organizations have come under fire for their use of third-party web tracking technologies and analytics software like Facebook parent company Meta’s Pixel tracker. | With the aim of bringing a "privacy-first" approach to healthcare marketing, WebMD Ignite, a division of WebMD and Internet Brands, is teaming up with privacy platform Freshpaint to help healthcare organizations stay in compliance with privacy regulations.

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RadiantGraph Launches with $5M to Bring AI Personalization to Health Plans

HIT Consultant

What You Should Know: – RadiantGraph , a platform using machine learning and artificial intelligence to drive consumer engagement for health plans, today announced its launch today after raising $5 million in Seed funding in a round led by True Ventures and XYZ Ventures , with participation from Remus Capital. – The company plans to use the funding to accelerate growth, which includes partnering with new healthcare organizations and advancing their enterprise health and health plan p

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Community Health Systems stays in the red in Q3 with $91M loss

Fierce Healthcare

Community Health Systems' leadership pointed to strong volume growth in patient admissions and clinic appointments in the third quarter as key improvements but the for-profit health system ultimate | Community Health Systems' leadership pointed to strong volume growth in patient admissions and clinic appointments in the third quarter as key improvements but the for-profit health system ultimately stayed in the red for another quarter.

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The Future of Biomarker-Based Therapy for Mental Disorder Care

HIT Consultant

Oded Kraft, Co-Founder & CEO of GrayMatters Health We are living in a mental health epidemic. An estimated 26 percent of Americans ages 18 and older – about one in four adults – suffer from a diagnosable mental disorder in a given year. Among mental disorders, cases of PTSD are on the rise. Roughly five percent of American adults suffer from PTSD in any given year and more than 13 million Americans reported PTSD in 2020 – most of whom are women.

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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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Standardizing Excellence: 5 Pillars for Reducing Unwarranted Care Variation

Fierce Healthcare

As health systems continue to navigate several interrelated challenges — from rising costs to shifting reimbursement models — many are leveraging innovative strategies that positively impact clinic | A data-driven approach to managing care variation allows for targeted improvement efforts that yield significant cost savings without compromising the quality of care.

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‘I want to finally start living my life’: Added residency year for family practice draws criticism

Healthy Debate

The post ‘I want to finally start living my life’: Added residency year for family practice draws criticism appeared first on Healthy Debate.

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Option Care Health CEO John Rademacher: ‘Not All Home Health Assets Are Created Equal’

Home Health Care

Option Care Health (Nasdaq: OPCH) came out on the losing end of a bidding process for Amedisys Inc. (Nasdaq: AMED) earlier this year. The winner of that process, of course, was UnitedHealth Group’s (NYSE: UNH) Optum. That transaction is still pending, but will likely be finalized in the first half of 2024. Before Optum came into the picture, Option Care Health leaders painted the picture of an end-end health care continuum in the home.

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Missouri Hospital Taps RapidAI to Enhance Rural Stroke Care

HIT Consultant

What You Should Know: – Texas County Memorial Hospital , a hospital in rural Missouri has selected RapidAI to deploy its core stroke imaging and workflow products. – As a Level III stroke center, TCMH’s closest Level I facility is over 90 miles away, posing a significant barrier to timely treatment for stroke patients in the community. – With Rapid’s technology, TCMH will now be able to analyze high-res CT scans in real-time, detect suspected ICH and LVO more effectively and ma

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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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Cedars-Sinai Deep Learning Tool Accurately Predicts Atrial Fibrillation

Health IT Analytics

New AI model uses routinely acquired outpatient 12-lead electrocardiograms to help clinicians identify abnormal heart rhythms in patients not yet showing symptoms.

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Talkspace Appoints New Chief Medical Officer

HIT Consultant

Nikole Benders-Hadi, MD, Chief Medical Officer at Talkspace What You Should Know: – Talkspace , an online behavioral health company, announced the appointment of Nikole Benders-Hadi, MD, as Chief Medical Officer. – As CMO, Dr. Benders-Hadi will lead Talkspace’s clinical practice, partnering with providers to deliver the highest quality digital mental health care as Talkspace continues to grow and scale. – She will be pivotal in elevating the company’s clinical offer

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The Corporatization of Independent Hospitals

Healthcare ECONOMIST

That is the title from an interesting paper by Andreyeva et al. (2023). The abstract is below: Between 2000 and 2020, the share of US hospital bed capacity under multi-unit firms (systems) increased from 58% to 81% – a rapid corporatization of a sector with $1.3 trillion in annual spend. However, little is known about how system ownership affects hospital profitability and quality.

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Medicaid Managed Care for Children and Youth with Special Health Care Needs: 50-State Scan

NASHP

State Medicaid agencies continue to serve children and youth with special health care needs (CYSHCN) through Medicaid managed care (MMC) delivery systems. In early 2023, NASHP reviewed Medicaid waivers, state plan amendments, and managed care contracts to analyze how states enroll children in MMC and identify key provisions for CYSHCN. The two maps and chart below provide an overview of the findings.

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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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The ‘Strategic Trade-Offs’ Private-Pay Home Care Providers Are Making To Grow

Home Health Care

As billing costs rise, private-pay home care leaders are trying to find ways to continue caring for as many seniors as possible. To do so, they are embracing new – and sometimes unique – strategies. At 24 Hour Home Care, there has been a move towards funded programs, as that cost of care has continued to increase. “The cost of labor is through the roof, which means the cost of care is really challenging for us,” Ryan Iwamoto, president and co-founder of 24 Hour Home Care, said during a panel dis

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A Pseudo-Nonprofit Model for Psychedelic Clinical Trial Funding

Bill Of Health

By Vincent Joralemon A $70 million deal struck between a venture capital firm and a prominent psychedelic advocacy organization suggests that funding for psychedelic research may increasingly rely on nonprofit and commercial partnerships. As the commercial appeal of these substances grows , this might serve as a promising model to channel the resources of for-profit entities toward this field.

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Applied Behavioral Analysis. Interview with RethinkFirst CEO Daniel Etra

Health Business Group

Applied Behavioral Analysis therapy is paid for by most insurance companies for the treatment of autism. Yet the industry is still in the dark ages when it comes to evidence-based decision making and uniform standards for outcomes. Access is a major issue, too. Today’s guest, Daniel Etra is co-founder and CEO of RethinkFirst , which leverages technology to train caregivers to deliver treatment.

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How A Smaller Home Health Provider Goes Big On Value- And Risk-Based Contracting

Home Health Care

This article is a part of your HHCN+ Membership Small- and mid-sized home health providers are aware of the disadvantages they face compared to their larger peers. They’re also recognizing, however, that they can use the flexibilities they do have to their advantage. Take value-based care as an example. Sign up for HHCN+ to read this exclusive content.

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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.