Thu.Feb 08, 2024

article thumbnail

Oscar Health execs weigh in on future of ACA subsidies, signal 2024 profitability

Fierce Healthcare

Enrollment in individual market plans continues to grow, with a record high of 21.3 million people signing up for plans during the most recent open enrollment period. | CEO Mark Bertolini told investors that Oscar “closed out 2023 with another strong quarter, driving financial performance for the full year.

296
296
article thumbnail

Senate finance committee weighs healthcare AI oversight

Health Care Dive

Lawmakers considered how to prevent artificial intelligence technologies from worsening bias or improperly denying insurance coverage at a hearing on Thursday.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Everside Health, Marathon Health merge to enhance advanced primary care access

Fierce Healthcare

Everside Health and Marathon Health announced the closing of their merger to enhance access to advanced primary care in a value-based model. | The two companies serve employer and union-sponsored clients with primary care, mental health, occupational health, musculoskeletal and pharmacy services. Their combined reach is 2.5 million eligible patients through more than 680 health centers across 41 states and virtually in all 50 states.

article thumbnail

Walgreens replaces healthcare unit lead in latest executive shakeup

Health Care Dive

Mary Langowski, who previously worked on CVS' healthcare services strategy, will replace John Driscoll as president of Walgreens’ U.S. Healthcare segment.

article thumbnail

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

article thumbnail

Metabolic health startup Calibrate taps new CEO as it eyes expansion in employer, payer market

Fierce Healthcare

Digital metabolic health company Calibrate tapped Rob MacNaughton, a healthcare technology executive, as its new CEO as it pivots to grow its enterprise business. | Digital metabolic health company Calibrate tapped Rob MacNaughton, a healthcare technology executive, as its new CEO as it pivots to grow its enterprise business.

article thumbnail

Molina’s redeterminations losses reach 500K members

Health Care Dive

As for Medicare Advantage, the insurer said it expects proposed 2025 rates other payers have slammed as a cut would actually boost its benchmark rate.

Medicare 173

More Trending

article thumbnail

Tenet says its upcoming ‘new era’ will be fueled by ambulatory surgeries

Health Care Dive

The Dallas-based provider told investors on Thursday that ambulatory surgeries would drive a greater portion of its profits moving forward.

162
162
article thumbnail

UnitedHealth Group COO Dirk McMahon set to retire

Fierce Healthcare

Dirk McMahon, chief operating officer at UnitedHealth Group, will retire on April 1, the company disclosed in a financial filing.

170
170
article thumbnail

Pharma CEOs, pressed by Senate panel, refuse to commit to price cuts

Health Care Dive

Forced into testifying by Senate HELP chair Bernie Sanders, the heads of Bristol Myers Squibb, J&J and Merck largely avoided major missteps.

147
147
article thumbnail

Tenet's investments in acute care assets paying off as health systems willing to pay top dollar, CEO says

Fierce Healthcare

Tenet Healthcare’s push to flesh out acute care hospitals with higher acuity services and in-market support has yielded a secondary benefit for the company—nonprofit health systems willing to pay t | Riding the high of an "exceptional" Q4 and full-year earnings report, CEO Saum Sutaria, M.D., explained to investors Thursday how Tenet was able to secure high bids from its nonprofit peers for hospitals and other assets in South Carolina and California.

Hospitals 131
article thumbnail

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

article thumbnail

3 Lessons in Digital Patient Engagement from Healthcare’s ‘Most Wired’ Organizations

HIT Consultant

Joshua Titus, CEO at Gozio Health Digital patient engagement is a balancing act of determining where resources should be deployed and how to create cheer-worthy experiences. The stakes for delivering the right mobile experience in healthcare have never been higher. A recent Accenture survey found digital engagement has a significant influence on patient retention.

Hospitals 116
article thumbnail

In Rapidly Changing Value-Based Care Landscape, Home-Based Care Providers Facing Crunchtime

Home Health Care

This article is a part of your HHCN+ Membership Home-based care providers avoiding the shift to value-based care are running out of time and excuses. The Centers for Medicare & Medicaid Services (CMS) wants 100% of traditional Medicare beneficiaries and the “vast majority of Medicaid beneficiaries” in accountable care relationships by 2030. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) Model, which is, by definition, a value-based care model.

Medicare 122
article thumbnail

Demystifying VBC Contracting: Key Considerations for Quality & Data Success

HIT Consultant

Elissa Toder, MBA, VP of Quality Improvement Strategy & Solutions at Reveleer In the ongoing transition to value-based care (VBC), provider contracting poses challenges for health plans and providers. In my past role as the VP of Quality at a large health plan, I was part of the team that reviewed provider contracts that included risk around quality.

article thumbnail

Amedisys Bets On Rapid Testing To Boost Outcomes, Free Staff Time

Home Health Care

As a way to improve the quality of infection testing and to achieve better patient outcomes, Amedisys Inc. (Nasdaq: AMED) is now offering advanced molecular testing across its care centers nationwide. To do this, the company has partnered with Patient Choice Laboratories to better identify respiratory issues, wound infections and other ailments for its at-home patients.

article thumbnail

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.

article thumbnail

Solera Health’s CEO Steps Down, Assumes Chairman Role

HIT Consultant

Mary Langowski, Chairman of the Board at Solera Health What You Should Know: – Solera Health , a leading platform connecting people with effective health solutions, announced today that Mary Langowski, is stepping down as Chief Executive Officer and transitioning to the role of Chairman of the Board. An interim CEO will be named soon. -The Board expressed its deep appreciation to Langowski for her transformative leadership.

98
article thumbnail

Home Instead Set To Hit Gas Pedal On Recruitment Efforts

Home Health Care

After finding that one in five Americans saw a notable decline in an aging family member’s well-being during the holidays, Home Instead has announced that it’s looking to hire 30,000 care professionals nationwide. It is common for Home Instead to see a spike in care service inquiries soon after the holidays, according to Lakelyn Hogan Eichenberger, gerontologist and caregiver advocate for Home Instead.

Home Care 105
article thumbnail

Ambient AI Scribes Reduce Clinician Burden, TPMG Pilot Reveals

HIT Consultant

What You Should Know: – Ambient artificial intelligence (AI) scribes show early promise in reducing clinicians’ burden, according to a recent The Permanente Medical Group (TPMG) pilot. – Published in NEJM Catalyst, TPMG recently implemented ambient AI scribes for 10,000 physicians and staff. Ambient AI Scribes Ambient AI scribes represent a cutting-edge technological solution designed to mitigate the documentation workload faced by physicians.

article thumbnail

UnitedHealth COO Dirk McMahon to retire

Health Care Dive

McMahon is leaving after two decades at the massive healthcare company.

article thumbnail

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.

article thumbnail

Mile Bluff Medical Center Goes Live on MEDITECH’s AI-Powered Expanse EHR, Powered by Google Health

HIT Consultant

Clinicians experience the immediate impact of this AI-powered solution in improving workflow What You Should Know: – Mile Bluff Medical Center has taken a major step towards reducing clinician burden and improving patient care by implementing MEDITECH’s new AI-powered Expanse search and summarization capabilities powered by Google Health. – The new functionality leverages natural language processing (NLP) to seamlessly pull information from both structured and unstructured data

article thumbnail

Valuing treatments for rare disease

Healthcare ECONOMIST

That is the topic of a recent white paper from the Innovation and Value Initiative titled “ Valuing Rare Disease Treatments in Healthcare: Real Experience, Real Impact “ The report notes a number of challenges in assessing treatment value in rare disease (see my white paper “ Challenges in Preserving Access to Orphan Drugs Under an HTA Framework ” for a more detailed discussion of this topic).

article thumbnail

Nabla Appoints Dr. Ed Lee as Chief Medical Officer

HIT Consultant

Dr. Ed Lee, MD, MPH, Chief Medical Officer at Nabla What You Should Know: – Nabla , the leading ambient AI assistant for healthcare professionals, announced the appointment of Dr. Ed Lee, MD, MPH , as Chief Medical Officer. – As Chief Medical Officer, Dr. Lee will shape Nabla’s clinical strategy and product roadmap. He will contribute to feature enhancements, advocate for Nabla at industry events, and provide valuable insights on clinical informatics trends.

article thumbnail

AI Provides Personalized Treatment Strategies for Esophageal Cancer

Health IT Analytics

New pharmacokinetic model recommends personalized treatment by analyzing differences among the signaling pathways in esophageal cancer.

99
article thumbnail

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.

article thumbnail

Persistent Systems Launches Generative AI-Powered Population Health Solution

HIT Consultant

What You Should Know: – Persistent Systems , a leading digital engineering and enterprise modernization company, and Microsoft today announced the launch of an innovative Generative AI-powered Population Health Management (PHM) Solution. This collaborative effort aims to revolutionize healthcare delivery by identifying patients’ at risk and providing personalized care interventions, ultimately improving patient outcomes and reducing costs.

article thumbnail

Four NATO Defense Priorities for the Upcoming Washington Summit

The Rand Blog

The upcoming NATO Summit in Washington, D.C., offers an opportunity for the alliance to prioritize new and transformational capabilities. With them, NATO can continue to provide deterrence and defense for its member state populations into the future, just as it has done for the past seventy-five years.

77
article thumbnail

Unlearn Raises $50M to Accelerate AI-Powered Clinical Trials with Digital Twins

HIT Consultant

What You Should Know: – Unlearn®, a leading AI company using digital twins to revolutionize clinical trials, announced today a $50M Series C funding round led by Altimeter Capital. This investment, bringing Unlearn’s total funding to over $130M, will fuel its mission to eliminate trial and error in medicine through faster, smaller, and more ethical clinical trials. – Unlearn collaborates with pharmaceutical companies, biotechs, and academic institutions to optimize and streamli

article thumbnail

The Good and the Bad for Biden in Southeast Asia

The Rand Blog

Since entering office in 2021, one of the Biden administration's foreign-policy priorities has been a more effective Indo-Pacific strategy to compete with China, especially in Southeast Asia. Three years on, the administration's policy has bright spots, but still lacks a clear strategy for the region.

60
article thumbnail

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.

article thumbnail

Widex SmartRIC Reimagines Hearing Aid Design for Enhanced Speech Clarity

HIT Consultant

What You Should Know: Furthering its goal of delivering the perfection of natural sound, Widex today launched the Widex SmartRIC, a breakthrough hearing aid that introduces new angles of natural hearing through an innovative L-shaped design that improves microphone angles to enhance directionality and speech targeting. According to Widex Vice President of Marketing Alan Raffauf, the new SmartRIC reflects Widex’ commitment to audiological excellence.

article thumbnail

News 2/9/24

HIStalk

Top News CMS approves the use of HIPAA-compliant secure texting.

95
article thumbnail

Crafting the Heart of Patient Care: 4 Key Essentials for a Healthcare-Centric Call Center

Sequence Health

In today’s fast-paced healthcare landscape, the call center serves as the heartbeat of patient interaction. It’s where first impressions are made and lasting relationships are built. This interaction goes beyond mere conversation—it’s about creating a seamless, supportive, and understanding environment for every patient who reaches out. As healthcare providers, recognizing the essentials of a customer-centric call center is not just beneficial but imperative for fostering trust and ensuring pati

article thumbnail

QuantHealth Appoints Its First Chief Medical Officer and Chief Financial Officer

HIT Consultant

Adam Goldberger, Chief Financial Officer at QuantHealth Dr. Adam Petrick, MD, Chief Medical Officer at QuantHealth What You Should Know: What You Should Know: – QuantHealth , an AI-powered clinical trial design company that simulates clinical trials, announced the appointment of Dr. Adam Petrich, MD, as the company’s inaugural Chief Medical Officer and Adam Goldberger as Chief Financial Officer. – As QuantHealth’s first Chief Financial Officer, Adam Goldberger will partner with the e

52
article thumbnail

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.