Health Care Dive

SEPTEMBER 25, 2024

Nearly three in four providers surveyed by Experian Health said the number of claims denied by payers shot up between 2022 and 2024.

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Fierce Healthcare

SEPTEMBER 25, 2024

While consumers give telehealth high marks for convenience, overall experience is fairly mixed, according to a new report. | While consumers give telehealth high marks for convenience, overall experience is fairly mixed, according to a new report.

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Health Care Dive

SEPTEMBER 25, 2024

Regulators say Medicare needs more data and oversight to avoid fraud and misuse. Digital health advocates argue the service is still crucial for managing chronic conditions.

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Medicare Regulations 300

Fierce Healthcare

SEPTEMBER 25, 2024

Startup Medicare Advantage insurer Zing Health banked a $140 million funding round it intends to use to enhance its special needs plans. | Startup Medicare Advantage insurer Zing Health banked a $140 million funding round it intends to use to enhance its special needs plans.

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Medicare 305

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

Patient Experience

Health Care Dive

SEPTEMBER 25, 2024

Aberrant billing for urinary catheters last year could have made it harder for ACOs in Medicare to bring in shared savings. That’s no longer the case under a new final rule.

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Accountable Care Accountability Medicare 268

Fierce Healthcare

SEPTEMBER 25, 2024

Recent survey and system data are again suggesting that payers’ increasing claims denials are a pain point for healthcare providers. | A new revenue cycle leadership survey from Experian Health, monthly dashboard updates from Kodiak Solutions and other recent commentary paint a picture of more demanding payers.

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Healthcare Providers Healthcare 293

Fierce Healthcare

SEPTEMBER 25, 2024

The nonprofit hospital sector’s tax exemptions provide billions in estimated benefits, but about half of those exemptions are enjoyed by just a couple hundred hospitals, according to a newly publis | The analysis, meant to serve as a guide for policymakers, noted that the tax breaks are "highly concentrated" and vary "substantially" from state to state.

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Hospitals 288

Health Care Dive

SEPTEMBER 25, 2024

CEO Lars Fruergaard Jørgensen told lawmakers the company would consider new talks with insurers about the list prices of Wegovy and Ozempic if they pledge to keep the medicines on their formularies.

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Healthcare It News

SEPTEMBER 25, 2024

Are you exploring how your organization can best leverage AI tools? If you weren’t able to attend this year’s HIMSS AI in Healthcare Forum, catch up on the highlights in this podcast. Join Chris Gervais, Chief Technology Officer at CodaMetrix, to hear about use cases for AI and to get insights into how companies can leverage these technologies to improve staff and patient experiences, enhance efficiency and drive long-lasting value.

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Healthcare Health Analytics Patient Experience Nursing 185

Health Care Dive

SEPTEMBER 25, 2024

The funds will go toward expanding substance use disorder treatment and maternal healthcare services, as well as helping rural hospitals keep their doors open.

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Healthcare Hospitals 168

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

Fierce Healthcare

SEPTEMBER 25, 2024

Certain cancer rates are on the rise, and outcome inequities remain a major public health | In this week's "Podnosis," Fierce Healthcare’s Anastassia Gliadkovskaya talks to BrightEdge’s Alice Pomponio about investing in cancer-fighting startups and measuring impact.

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Health Care Dive

SEPTEMBER 25, 2024

The home health aide provider allegedly terminated the assignments of Black and Hispanic aides to accommodate patients’ and family members’ racial preferences, the Equal Employment Opportunity Commission said.

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Home Care 154

HIT Consultant

SEPTEMBER 25, 2024

Chief Clinical Innovation Officer, Access TeleCare For decades, one of the most daunting tasks in healthcare has been managing and making sense of the vast amounts of data generated annually. From patient and outcomes data to billing and scheduling data, the list goes on and on. The predominant challenge lies not just in quantity but like this data: much if not most of it is unstructured, i.e., data that isn’t predefined and searchable on a table, such as text messages, images, videos, audio fil

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Healthcare Integration Hospitals 116

Home Health Care

SEPTEMBER 25, 2024

This article is a part of your HHCN+ Membership Hospital at Home (HaH) is a sustainable, innovative and next-generation health care model. From the physician’s perspective, it offers person-centered medical care and keeps patients out of the hospital, away from possible complications and on to better outcomes. However, there are still plenty of challenges for providers to work through.

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Hospitals Medicare Patient Safety Nursing 109

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HIT Consultant

SEPTEMBER 25, 2024

MJ Stojak, Managing Director of the Data, Analytics and AI Practice for Pivot Point Consulting Much has been discussed about artificial intelligence (AI) and the impressive proliferation of Generative AI (GenAI) over the last several months. It is staggering. As I think about the potential changes and impacts of leveraging AI and GenAI within a healthcare organization, I can’t help but think about the good, the bad, and the ugly.

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Life Qi

SEPTEMBER 25, 2024

In this article we're helping you to find out where to focus your quality improvement efforts showcase some real-life examples from leading organisations.

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Quality Improvement 96

HIT Consultant

SEPTEMBER 25, 2024

What You Should Know: – Mount Sinai Health System , a leading U.S. healthcare provider, and Noom , a pioneer in digital health and chronic disease prevention, have joined forces to offer patients a comprehensive approach to achieving and maintaining a healthy weight. – The partnership aims to bridge the gap between doctor visits by providing patients with continuous digital support for behavior change while keeping their physicians informed of their progress.

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Doctors Patient Experience Prevention Integration 96

HIStalk

SEPTEMBER 25, 2024

News The New York Times covers physician use of Epic’s.

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Healthcare 85

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.

Home Health Care

SEPTEMBER 25, 2024

The Future Leaders Awards program is brought to you in partnership with Homecare Homebase. The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. To see this year’s Future Leaders, visit [link]. Sarah Jacob, chief product officer at MedBridge, has been named a 2024 Future Leader by Home Health Care News.

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Home Care Hospice Care Integration Nursing 81

Healthcare ECONOMIST

SEPTEMBER 25, 2024

This questions may be harder to answer than it may seem. While some physicians are fully independent, and others are full employees, other physicians can be affiliated with hospitals, without being hospital-employed. There are various approaches for measuring whether a physician is integrated within a hospital system: Basic TIN-based measure. The standard approach to identifying whether a physician is integrated into a hospital is to examine whether that physicians billed exclusively or primaril

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Integration Hospitals Medicare Medical Services 59

HIT Consultant

SEPTEMBER 25, 2024

What You Should Know: – Qure.ai , a prominent global innovator in healthcare AI, has successfully closed a $65M in Series D funding round led by Lightspeed and 360 ONE Asset , with contributions from Merck Global Health Innovation Fund and Kae Capital. The round also included participation from existing investors, including Novo Holdings , HealthQuad , and TeamFund. – This substantial investment will accelerate the company’s expansion into the US market and other regions, boost

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Healthcare Regulations Hospitals 59

Meditech

SEPTEMBER 25, 2024

Today’s EHRs are more than just patient records. They are powerful and intelligent decision-making tools that clinicians rely on daily to make the best decisions for their patients and their healthcare organizations. But what makes an EHR intelligent?

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Healthcare 57

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.

HIT Consultant

SEPTEMBER 25, 2024

What You Should Know: – Zing Health , a trailblazing Medicare Advantage insurer, has announced a successful $140M funding round. The round includes participation from Health 2047 Capital Partners , CRG , and First Trust Capital Partners , alongside existing investors Newlight Partners , Town Hall Ventures , Health 2047 , and Leavitt Equity Partners. – The investment will fuel the expansion of Zing Health’s integrated, chronic special needs-focused plans to reach more beneficiar

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Medicare Doctors Integration Healthcare 52

HIStalk

SEPTEMBER 25, 2024

Global healthcare AI innovator Qure.ai completes $65 million Series D.

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Healthcare 45

HIT Consultant

SEPTEMBER 25, 2024

What You Should Know: – Edifecs and HealthEdge , two leading healthcare technology companies, have announced a strategic partnership to natively integrate Edifecs’ EDI Gateway offerings with HealthEdge’s HealthRules Payer claims adjudication system. – This partnership will enable organizations to confidently navigate complex regulatory landscapes while also laying the foundation for future advancements in healthcare administration.

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Healthcare Integration Regulations 52

Bill Of Health

SEPTEMBER 25, 2024

By Zack Buck Yet another case that examines the authority of administrative agencies to interpret health care laws will make its way to the Supreme Court next term. And the case could have major implications for hospital financing as well. In June 2024, the U.S. Supreme Court granted cert in Advocate Christ Medical, et al. v. Becerra , a case that centers on the appropriate calculation of so-called disproportionate share hospital (DSH) payments, which are made to hospitals that treat a high perc

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Medicare Medicaid Hospitals 40

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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.

Healthcare

HIT Consultant

SEPTEMBER 25, 2024

What You Should Know: – Pomelo Care , a provider of evidence-based maternity care, has acquired The Doula Network , the largest network of credentialed, in-network doulas in the United States. – The acquisition expands Pomelo’s reach to over 15 million covered lives, including more than 1 in 6 Medicaid beneficiaries nationally. ​​ By integrating doula care into its evidence-based, hybrid care model, Pomelo is expanding access to high-quality care, improving outcomes for mothers

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Medicaid Integration Nursing Healthcare 52

Fierce Healthcare

SEPTEMBER 25, 2024

It's now 40 days until the Nov. | A group of women healthcare leaders banded together to form Women Healthcare Leaders for Progress to call attention to what they see as critical healthcare issues at stake and on the ballot, namely, women’s healthcare.

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Healthcare 262

Home Health Care

SEPTEMBER 25, 2024

Having an eye towards growth also means being aware of potential roadblocks that could obstruct forward momentum. Home care leaders at companies like Comfort Keepers, Nova Leap and TheKey are navigating various barriers amid their efforts to further scale. At Comfort Keepers, the Ensuring Access to Medicaid Services rule is top of mind. Specifically, the rule’s 80-20 provision, which requires providers to earmark 80% of reimbursement for home- and community-based services (HCBS) to caregiver wag

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Home Care Medicaid 90

Health Populi

SEPTEMBER 25, 2024

Lululemon has published the 2024 Global Well-Being Report , a study into peoples’ perspectives on their personal health from the company best known for athleisure wear and self-care. This year’s report is titled, The Pressure to Be Well. That pressure is coming from peoples’ experiencing “well-being burnout.” In the company’s fourth annual report on well-being, Lululemon learned that most people have tried to adopt personal strategies to bolster their health, and one-half of th

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Life Sciences Nursing Hospitals Patient Experience 62

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.

Integration