Fri.Jul 26, 2024

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Growth in ACA plans keeps Medicaid giant Centene from worst of redeterminations impact

Health Care Dive

Centene continued to deal with a mismatch between Medicaid rates and patient acuity in the second quarter, but still exceeded Wall Street’s expectations thanks to Affordable Care Act growth.

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Centene posts $1.1B in Q2 profit as it faces down Medicaid headwinds

Fierce Healthcare

Centene beat the Street even as Medicaid redeterminations pose a significant headwind heading into the back half of 2024, according to its

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The Power of a Homepage Refresh

Healthcare Success

The Raleigh House, a valued client and marketing partner, had a clear vision: elevate their website's user experience and project an image of luxury and exclusivity. This, they believed, would resonate with their target audience and boost engagement. While a complete website redesign was on the table, we knew we could achieve some "quick wins" first.

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Senate committee subpoenas Steward CEO over bankruptcy

Health Care Dive

A Senate committee launched an investigation into the health system’s alleged financial mismanagement after issuing its first subpoena since 1981.

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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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Empath Health, Trustbridge Leaders Are Setting Home Health Sights High After Integration

Home Health Care

Empath Health is a company in transition. In the spring, it completed an affiliation process with Trustbridge, which formed the largest nonprofit post-acute provider organization in the state of Florida. The Clearwater, Florida-based Empath Health offers hospice, home health care, palliative care, grief services, Program of All-Inclusive Care for the Elderly (PACE), adult day services, primary care services and more.

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Ascension offloads Illinois hospitals, continuing selling spree

Health Care Dive

The Catholic health system will sell nine Illinois hospitals and four care sites to Prime Healthcare.

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Astrana Health Acquires Collaborative Health Systems to Expand Care Delivery Network

HIT Consultant

What You Should Know: – Astrana Health , a leading technology-powered healthcare company acquires Collaborative Health Systems (CHS) , a management services organization serving over 129,000 beneficiaries across 17 states. – The strategic move will significantly expand Astrana’s care delivery capabilities and solidify its position as a key player in the value-based care market.

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Lawmakers Introduce Bill That Would Reduce Red Tape For PACE Providers, Patients

Home Health Care

Lawmakers have introduced a new bill that aims to improve access to the Program of All-Inclusive Care for the Elderly (PACE). Home-based care providers operate – and partner with – PACE programs on a regular basis. On Thursday, U.S. Senators Bob Casey (D-Penn.) and Mike Braun (R-Ind.) — chairman and ranking member of the U.S. senate special committee on aging — introduced the bipartisan PACE Anytime Act.

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CoachCare Secures $48M to Expand Remote Patient Monitoring Platform

HIT Consultant

What You Should Know: – CoachCare , a provider of remote patient monitoring (RPM) and virtual care management solutions raises $48M in strategic growth investment led by Integrity Growth Partners (IGP). The funding will fuel the company’s expansion and enhance its platform to meet the growing demand for remote care solutions. Addressing the Rise of Chronic Disease The increasing prevalence of chronic conditions such as obesity, hypertension, and diabetes has placed a significant burden on

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6 Undeniable Benefits of Revenue Cycle Management

Etactics

A 2023 survey reports that the median loss per physician (for system-affiliated groups) is more than $249,000. This is due to the increase of operating expenses outpacing revenue gains. This is just one of the many challenges healthcare providers face daily. Providing quality and cost-effective care is the ultimate goal of all healthcare organizations.

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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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Humana to Leverage Google Cloud’s GenAI Capabilities to Improve Member Experiences

HIT Consultant

What You Should Know: – Humana Inc. (NYSE: HUM) announced a strategic multi-year agreement with Google Cloud to accelerate healthcare innovation through advanced cloud infrastructure and AI capabilities. This expanded partnership builds upon an existing collaboration between Humana and Google Health, focused on population health and AI solutions. – While the financial terms of the agreement were not disclosed, the partnership underscores both companies’ commitment to transformi

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Combining Technology and Human Connection to Improve Member Health

NCQA

In a recent episode of the Quality Matters podcast, NCQA’s Andy Reynolds spoke with Tam Ward, Senior Vice President of Insurance Business Operations at Oscar Health, a health care technology company. The interview was the first in a two-part series: “In Data We Trust.” Oscar Health provides health insurance to 1.4 million members in 20 states. Its mission is to make a healthier life accessible and affordable for everyone.

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How did scope of practice law changes impact use of dental hygienists?

Healthcare ECONOMIST

There has been much debate about whether we should increase the use of nurse practitioners and physician assistants in medical care. Proponents argue that doing so may reduce cost and increase access, while critics would say that quality may decrease. An analogous issue in the dental space is use of dental hygienists as compared to dentists. One historical limitation placed on dental hygienists is that they were not permitted to administer local anesthesia or nitrous oxide; this limits the scope

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UMPC, TGH Invests in Medicom’s Enterprise Imaging Interoperability Platform

HIT Consultant

What You Should Know: – Medicom , a health tech company specializing in enterprise imaging interoperability, announced the successful completion of an oversubscribed strategic financing round. The funding round saw significant participation from healthcare industry leaders, including UPMC Enterprises and Tampa General Hospital Ventures along with expanded participation from existing investors Cone Health Ventures , Oval Park Capital and Grayhawk Capital , as well as local Triangle venture

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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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Was the Supreme Court’s decision in the Idaho abortion case really about abortion?

Bill Of Health

by Leslie P. Francis Right at the end of its term, the Supreme Court evaded resolving a conflict between Idaho and the federal government about abortions in emergencies. The immediate conflict in Moyle v. United States is whether federal restrictions on Medicare funds may require hospitals to perform abortions needed to prevent significant deterioration of a woman’s health.

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Markey, Jayapal introduce bill to regulate private equity-owned facilities

Fierce Healthcare

On Thursday, Massachusetts Democratic Senator Ed Markey introduced strengthened legislation to reign in the actions of private equity firms that invest in healthcare facilities. | Following a bipartisan vote to launch an investigation into Steward Health Care, Senator Ed Markey and Representative Pramila Jayapal introduced legislation that would give HHS more authority over private equity investors in healthcare.