Wed.Feb 21, 2024

article thumbnail

UnitedHealth, HAC study: How social health factors impact employer plans

Fierce Healthcare

Given the impact that social factors have on overall health, employers can better manage costs and outcomes by embracing deeper, population-level data analysis, according to a new white paper. | Given the impact that social factors have on overall health, employers can better manage costs and outcomes by embracing deeper, population-level data analysis, according to a new white paper.

320
320
article thumbnail

Medicare Advantage plans provide less intensive post-acute care, study finds

Health Care Dive

The research found no differences in 30-day hospital readmissions or mortality, but the study’s authors said more analysis on patients’ long-term functioning was needed.

Medicare 278
Insiders

Sign Up for our Newsletter

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

article thumbnail

MA enrollees constrained by prior auth but docs more likely to ask about health assessments: report

Fierce Healthcare

Medicare Advantage (MA) beneficiaries are more likely than traditional Medicare enrollees to experience delays in care while they wait for prior authorization approval, but MA members are likely to | Medicare Advantage and traditional Medicare enrollees experience similar access to services and similar challenges, a report from the Commonwealth Fund concluded.

Medicare 276
article thumbnail

CMS finalizes rule to cut Medicaid DSH payments for some hospitals

Health Care Dive

Under the new definition, hospitals can only receive disproportionate share hospital Medicaid reimbursements for beneficiaries who are primarily insured by the safety-net program.

Medicaid 254
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

Many disproportionate share hospitals face lower Medicaid payments under new final rule

Fierce Healthcare

Medicaid disproportionate share hospital (DSH) payments are being cut by $8 billion annually during the current and next four federal fiscal years under a new Centers for Medicare and Medicaid Serv | Published Tuesday and set to go into effect in two months, the final rule limits the calculation of a hospitals Medicaid shortfall to beneficiaries with Medicaid as their primary payer.

Medicaid 260
article thumbnail

CHS’ income falls in the fourth quarter as costs continue to climb

Health Care Dive

The Franklin, Tennessee-based hospital operator’s net income in Q4 dropped nearly 90% year over year.

Hospitals 195

More Trending

article thumbnail

Steward Health Care gets ultimatum from Massachusetts governor

Health Care Dive

Massachusetts Gov. Maura Healey sent a letter to Steward executives this week saying the operator must produce financial documents and consider a sale of its properties in the state.

124
124
article thumbnail

UCHealth filed over 15,000 lawsuits against patients over 5 years, often under another name, report finds

Fierce Healthcare

Over the past half decade, 15,710 collections lawsuits have been filed against patients by or on behalf of Aurora, Colorado-based UCHealth, according to a recently published investigative report.

187
187
article thumbnail

Teladoc still looking for tech investments, M&A amid operational review

Health Care Dive

The telehealth vendor is trimming expenses, but it could pursue deals with strategically or financially attractive companies.

140
140
article thumbnail

Massachusetts 1115 waiver success can translate to New York: experts

Fierce Healthcare

The blueprint set forth by Massachusetts accountable care organizations to improve population health metrics and reduce costs can be applied to New York, after Centers for Medicare & Medic | New York's section 1115 waiver allocates $500 million toward social care networks to connect community health workers with local organizations. ACO leaders and tech experts say the state can learn from Massachusetts' experience.

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

55% of US Rural Hospitals Are No Longer Offer Birthing Services

Healthcare ECONOMIST

That is according to an article in JAMA based on a report from the Center for Healthcare Quality and Payment Reform. The report states: More than half (55%) of the rural hospitals in the U.S. do not offer labor and delivery services, and in 10 states, more than two-thirds do not. Over the past decade, more than 200 rural hospitals across the country have stopped delivering babies… In most urban areas, the travel time to a hospital with labor and delivery services is under 20 minutes, but i

Hospitals 123
article thumbnail

Cardinal Health Sees Itself As ‘Major Player’ In Growing Home-Based Care Space

Home Health Care

Recognizing the need for a streamlined hospital-at-home supply chain network, Cardinal Health Inc. (NYSE: CAH) launched Velocare in 2022. Since that initial pilot run, Velocare has experienced significant growth. At the same time, Cardinal Health is also making major strides in its overall mission to be a driver of at-home care. Broadly, Velocare technicians deliver hospital-grade products and services to patients’ homes.

Hospitals 126
article thumbnail

Talkspace & Wheel Partner for Holistic Virtual Healthcare: Addressing Mental & Physical Needs

HIT Consultant

What You Should Know: Today, Talkspace, a leading online behavioral health company, and Wheel , the foremost virtual care platform powering the next generation of virtual healthcare, announced they will partner to offer patients access to board-certified general practitioners and licensed behavioral health providers across the U.S. – conveniently and virtually.

article thumbnail

Amedisys’ Non-Medicare Revenue Continues To Increase In Home Health Segment

Home Health Care

While UnitedHealth Group’s (NYSE: UNH) acquisition of it is pending, business still goes on at Amedisys Inc. (Nasdaq: AMED). As business does go on, more of it continues to come through payer sources other than traditional Medicare, its earnings release Wednesday showed. Based in Baton Rouge, Louisiana, Amedisys is one of the largest providers of home health and hospice care in the country.

Medicare 111
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

Netflix for Healthcare: Direct Primary Care & Shared Decision-Making

HIT Consultant

Dr. Jacob DeWitt, MD, U H SM Ambassador and Founder, Integrative Direct Primary Care In an era when healthcare costs continue to soar, a deviation from the status quo is becoming increasingly necessary. Backing this up are recent findings by the Federal Reserve Board, which unearth an uncomfortable truth—that 28% of adults in the U.S. were compelled to forgo medical care in 2022 due to exorbitant costs.

article thumbnail

Hartford HealthCare Launches Center for AI Innovation

Health IT Analytics

Hartford HealthCare’s Center for AI Innovation will support the research and development of artificial intelligence technologies to improve patient care.

article thumbnail

Why screening guideline committees should not include ‘experts’ as voting members

Healthy Debate

Is there a better way to address the Canadian Task Force recommendations? No, experts must remain excluded as voting members.

113
113
article thumbnail

Particle Health Unveils Patient Monitoring Solution

HIT Consultant

What You Should Know: Particle Health, an intelligent data platform that aggregates and delivers actionable patient data and insights to healthcare companies, today announced the availability of its new Patient Monitoring Solution, a purpose-built technology-enabled offering designed to give provider organizations a 360-degree view of their patient’s care journey and how they interact with the healthcare system.

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

Bedroom blunders: The hidden usability issues of hospital-at-home devices

Nordic

This month, ECRI released its annual list of the top ten health technology hazards for 2024. The list includes such varied threats as “insufficient governance of AI (Artificial Intelligence) used in medical technologies risks inappropriate care decisions” and “third-party web analytics software can compromise patient confidentiality.” I was most interested in the threat at the beginning of the list: “Medical devices may pose usability challenges for home users, risking misuse and patient harm.

article thumbnail

Trilliant Health Launches Network Explorer: An Application To Improve Network Performance With Real-World Data

HIT Consultant

What You Should Know: Trilliant Health, the leading provider of data-driven strategy analytics for the health economy, announced the launch of Network Explorer, a point-and-click application to manage network performance. Network Explorer enables stakeholders across the health economy to form evidence-based strategies to improve their network performance.

96
article thumbnail

DOL Recovers Over $1 Million In Wages From Home Health Agencies Over ‘Numerous’ Violations

Home Health Care

Amid much chatter regarding the classification of workers in home-based care, the U.S. Department of Labor (DOL) has clawed more than $1 million in wages from two agencies. Specifically, the DOL recovered more than $1 million in minimum and overtime wages owed to 859 home health workers employed by two Texas-based providers: Alegre Home Health Care LLC and Pas Home Care LLC.

article thumbnail

XiFin Appoints Erik Sallee as Chief Financial Officer & EVP

HIT Consultant

Erik Sallee, Chief Financial Officer at XiFin What You Should Know: – XiFin, Inc., a pioneering force in healthcare information technologies, has announced the appointment of Erik Sallee as its new Chief Financial Officer (CFO) and Executive Vice President. – With a wealth of experience in finance and a track record of success in leading organizations through transformative growth phases, Sallee’s arrival marks a significant milestone for XiFin as it charts its course towards e

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

Holland & Knight Health Dose: February 22, 2024

HKLaw

Holland & Knight Health Dose is an in-depth weekly dose of legislative and regulatory insights to keep stakeholders abreast of happenings in Washington, D.C., impacting the health sector.

52
article thumbnail

Fabric Raises $60M to Automate Healthcare with AI-powered Care Enablement System

HIT Consultant

What You Should Know: – Fabric , a leading care enablement platform developer, announced today a $60 million Series A funding round led by General Catalyst, with continued participation from Thrive Capital, GV (Google Ventures), and other notable investors. – The funding will be used to fuel Fabric’s mission to humanize healthcare by automating administrative and clinical tasks, empowering both patients and clinicians.

article thumbnail

Workforce Development: Building the Next Generation with Geoffrey Roche | E. 102

Vie Healthcare

Episode Introduction Geoffrey highlights the impact of the current staffing crisis in healthcare, and why leadership needs to evolve from a transactional to a heart-centered approach. He also explains why delays to access in care can cost hospitals up to $1 million every month, how one community college turned away over 13,600 qualified students from a program, and why every healthcare leader should become a mentor.

article thumbnail

Reprieve Cardiovascular Nabs $42M to Expand Intelligent Fluid Management for Heart Failure

HIT Consultant

What You Should Know: – Reprieve Cardiovascular, a pioneer in personalized fluid management for acute decompensated heart failure (ADHF) emerges from stealth launching with $42M in Series A financing round. – The Series A round was co-led by Lightstone Ventures and Sante Ventures with participation from Deerfield Management, Genesis Capital , and Arboretum Ventures , will fuel the company’s clinical development programs and accelerate its mission to improve patient outcomes and

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

Does fasting lower cholesterol?

Healthcare Associates

Are you curious about how fasting affects cholesterol levels? Fasting, especially intermittent fasting, is a topic of much interest in the health community. At Healthcare Associates of Texas, we understand your concerns and are here to offer clear, reliable insights. Let’s explore its potential impact on your cholesterol. Understanding cholesterol Cholesterol might sound complex, but it’s just a type of fat in your body that’s important for your health.

Doctors 52
article thumbnail

Prior Authorization and Interoperability – Changing the Dynamics of Medicare

HIT Consultant

Don Rucker, MD – Chief Strategy Officer, 1upHealth CMS and Medicare are trying to change the dynamics of American healthcare. No need to rehash the well-known issues but what is new is the change in the hotspot. For the last 20 years, Medicare Fee for Service has been the hotspot of spending and value. You’ve heard the mantra (which dates at least as far back as 1906 with George Bernard Shaw’s play, “The Doctor’s Dilemma”).

article thumbnail

A Look Back at 2023 in Remote Patient Monitoring with HRS

Health Recovery

As we turn the corner into a new year, it's time to reflect on the strides we made in 2023. For our team at Health Recovery Solutions, this reflection holds a special significance since our work last year led to countless stories of connection, care, and lives transformed.

52
article thumbnail

UnityAI Secures $4M for AI-Powered Patient Flow Optimization

HIT Consultant

UnityAI Team Front Row (left to right): Ryan Gilreath, Jason Parker, Cody Hall Back Row (left to right): Edmund Jackson, Nathan Watkins What You Should Know: – UnityAI , a healthcare technology startup, announced today the successful closure of its seed funding round, raising $4M led by Max Ventures , with participation from Whistler Capital Partners , Nashville Capital Network , Company Ventures , and individual healthcare angels. – The funding fuels the company’s mission to

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.