Thu.Oct 24, 2024

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Dyania Health pockets $10M to automate patient chart review with AI

Fierce Healthcare

Dyania Health is using artificial intelligence to automate manual patient chart review, boosting providers' ability to comb through medical records and speeding up medical research. | Dyania Health is using artificial intelligence to automate manual patient chart review, boosting providers' ability to comb through medical records and speeding up medical research.

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State Medicaid directors concerned about program’s stability: KFF

Health Care Dive

The presidential election, loss of higher federal funding, inflationary pressures and other challenges are leaving state regulators uncertain about Medicaid’s “new normal.

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AMA leads new antitrust lawsuit against MultiPlan and price-fixing cartel

Fierce Healthcare

MultiPlan destroys market competition and engages in price-fixing with major insurers, a lawsuit from the American Medical Association (AMA) and the Illinois State Medical Society alleges.

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Roundup: Health systems embracing AI imaging tools

Healthcare It News

Health systems that embrace artificial intelligence tools can not only improve radiology operations and quality but patient follow-up as well, which can result in greater staff efficiencies, higher patient completion rates and better access and outcomes for patients. A collaboration between East Alabama Medical Center, Inflo Health and the American College of Radiology Learning Network began using machine language models and advanced natural language processions to extract data from radiology re

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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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Medicare Advantage plans received billions from Medicare for home visits. The feds are skeptical

Fierce Healthcare

Medicare Advantage (MA) insurers, namely industry titans UnitedHealth Group and Humana, could be using health risk assessments and chart reviews to inflate payments from Medicare through upcoding, | A federal watchdog is questioning whether UnitedHealthcare, Humana and other Medicare Advantage payers are either creating diagnoses out of thin air to inflate payments from Medicare or are not providing adequate care to sick members.

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‘AI arms race’ underway as payers, providers jockey for upper hand in claims review

Health Care Dive

Payers currently have a leg up when using AI to review claims, but providers could soon catch up, experts say.

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More Trending

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Zoom, Suki partner to deploy AI clinical documentation

Health Care Dive

The deal is Suki’s largest provider collaboration. Nearly 140,000 healthcare institutions use the Zoom platform.

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Molina Healthcare stock soars after beating Q3 earnings

Fierce Healthcare

California-based Molina Healthcare is seeing its stock rise dramatically after the company easily beat third quarter earnings expectations Oct. 24. | Molina Healthcare posted an adjusted earnings per share of $6.01 and $10.34 billion in total revenue.

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Change Healthcare data breach officially affects 100M

Health Care Dive

The breach marks the largest ever reported to a portal managed by federal regulators.

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The Case For Stronger Caregiver Vetting In Home Care 

Home Health Care

Direct care workers are, in many ways, the collective face of home-based care organizations. They are who clients and patients interact with. Therefore, regulators and providers are increasingly taking a closer look at who they’re hiring in the first place. While it is shocking to see caregivers commit crimes against clients, it does happen. About one in six people aged 60 and older experienced some form of abuse during 2023, according to the World Health Organization.

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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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Employees are asking about GLP-1 coverage. What should employers do?

Health Care Dive

Experts said GLP-1 coverage needs to be holistic to ensure long-term success.

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Abbott Launches Clinical Trial to Optimize Heart Failure Treatment with AI-Powered Monitoring

HIT Consultant

What You Should Know: – Abbott , a global healthcare leader, has announced a new clinical trial, TEAM-HF, designed to improve outcomes for patients with worsening heart failure. – The first-of-its-kind trial will leverage AI and Abbott’s CardioMEMS™ HF System to identify patients who may benefit from earlier intervention with advanced therapies, such as a HeartMate 3™ left ventricular assist device (LVAD).

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Molina ‘beating the odds’ in Medicaid

Health Care Dive

Conservative planning and continued business growth helped Molina keep an ongoing mismatch between payment rates and member acuity from dinging its bottom line in the third quarter.

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General Catalyst Raises $8B w/ $750M for Health Assurance Fund

HIT Consultant

What You Should Know: – General Catalyst (GC) , a global venture capital firm, has announced a significant milestone with the raise of $8B in new capital consisting of $6B for GC’s latest fund – Fund XII – and $2B in separately managed accounts). – The substantial investment will accelerate GC’s mission to advance health assurance and drive transformative innovations across various sectors, including AI, healthcare, and global resilience. $750M Allocated to Health A

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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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What Does Elon Musk Want? SpaceX CEO May Pose a Risk to National Security

The Rand Blog

Having shown they can build ingenious technologies, SpaceX and other companies have become critical government partners. If those partnerships are to remain sustainable, both industry and government need to better understand what makes partners reliable. For any organization, that means prioritizing the health, skills, and needs of its workforce.

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Philips, Medtronic Neurovascular Partner to Advocate for Improved Stroke Care

HIT Consultant

What You Should Know: – Philips and Medtronic Neurovascular, an innovator in neurovascular therapies, have announced a strategic partnership to advocate for improved stroke care worldwide. – Recognizing the critical need for timely diagnosis and treatment of stroke, the two companies are joining forces to raise awareness, improve access to care, and leverage technology to enhance stroke outcomes.

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How My Classroom Became a Laboratory for Countering Truth Decay

The Rand Blog

The erosion of truth is not just about losing respect for facts, it's also about the dignity we're discarding along the way. Truth Decay isn't a problem that any one person can solve, but helping society learn how to ferret out the truth is a good place to start.

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LiveWell Partners Acquires Hope Home Care, Expands Midwestern Footprint

Home Health Care

LiveWell Partners recently acquired Hope Home Care, an Ohio-based home health provider. The deal is one of many finalized in recent weeks, reflecting a strengthened M&A environment in home-based care. The transaction will allow LiveWell Partners to expand its footprint in Ohio, which is a market key to the company’s growth strategy. “When you think about Ohio, it really is the outer edge of where we’re focusing strategically for our geographic scope,” LiveWell Partners CEO Jason Growe

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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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PeopleOne Health Raises $32.3M to Reimagine Value-Based Primary Care

HIT Consultant

What You Should Know: – PeopleOne Health , a pioneer in value-based primary care, has secured up to $32.3M in Series B funding led by GV (Google Ventures) , with participation from notable investors including healthcare entrepreneur Glen Tullman. – The funding will accelerate PeopleOne Health’s mission to transform primary care by providing a comprehensive, patient-centric, and cost-effective health benefit.

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How to Get Started with AI in Your Podiatry Practice

Advanced Data Systems

Integrating Artificial Intelligence (AI) into a podiatry practice can significantly enhance operational efficiency, improve patient outcomes, and streamline administrative tasks. However, the transition to AI-powered systems can seem daunting. Here are detailed, actionable steps to help you seamlessly integrate AI into your podiatry practice.

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Authenticx Launches Ava, an AI-Powered Assistant for Healthcare Insights

HIT Consultant

What You Should Know: – Authenticx, a top conversation intelligence platform for healthcare organizations, today announced the launch of Ava , an AI-powered in-app assistant that helps users quickly answer their most pressing business questions while serving up meaningful insights from their own data. – The AI assistant can analyze call transcripts, interpret correlations between AI models, provide coaching feedback on agent performance, and recommend strategic actions to take base

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Healthcare ECONOMIST - Untitled Article

Healthcare ECONOMIST

TL;DR A paper by Ress and Wild (2024) provide the following recommendations. When aiming to control for a large covariate set, consider using the superlearner to estimate nuisance parameters. When employing the superlearner to estimate nuisance parameters, consider using doubly robust estimation approaches, such as AIPW and TMLE. When faced with a small covariate set, consider using regression to estimate nuisance parameters.

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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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Dyania Health Secures $10M for AI-Powered Chart Review

HIT Consultant

What You Should Know: – Dyania Health , an AI-powered healthcare data company, today announced the close of its $10 million Series A funding round led by HealthX Ventures with Tech Square Ventures and Cleveland Clinic Ventures, along with significant participation from existing investors. – Dyania’s Series A is driven by the growing demand for innovative solutions that address inefficiencies in healthcare data management and clinical research, positioning Dyania Health as a lead

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Health Policy News October 2024

Health Policy News

Health Policy News October Hello readers! In this month’s edition of Health Policy News, our subject matter experts highlight opportunities in advancing oral health coverage. We also share information about.

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The Role of Incentives in Member Activation and Behavior Change

HIT Consultant

Heather Cox, President of Insights & Empowerment, a division of Zelis When members are engaged in proactive care, it can improve clinical outcomes and reduce costs. Still, despite health plans’ many efforts to modernize and improve the member experience, motivating members to be active participants in their healthcare remains a challenge. Much of this challenge stems from a lack of clarity and transparency (what will something cost, which doctors or specialists are in the network, how to fin

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Social Determinants of Health and Substance Abuse: Understanding the Intersection

Icanotes

Social Determinants of Health and Substance Abuse: Understanding the Intersection Social determinants of health (SDOH) significantly influence substance abuse patterns and outcomes. For behavioral health clinicians treating substance abuse , understanding these social determinants—factors like economic stability, education, social support, and access to healthcare—is essential for effective assessment and treatment.

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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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Pangea and Knight Cancer Institute collab to advance precision oncology for metastatic cancer

HIT Consultant

What You Should Know: – Pangea Biomed , the startup behind the advanced cancer response prediction platform ENLIGHT, today announced the beginning of a pilot collaboration with the Knight Cancer Institute at Oregon Health and Science University (OHSU). – This collaboration will explore the ability to predict personalized cancer treatment response using data processed through the Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) Clinical Trials Progr

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Conference Round Up

Health Policy News

Conference Round Up PCG staff shares insights from additional conferences in another round up this month. This article includes key highlights from conferences we have attended on a range of.

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Cognosos Acquires Cox Prosight, Enhancing RTLS for Hospitals

HIT Consultant

What You Should Know: – Cognosos , a provider of real-time location services (RTLS) for healthcare, has acquired Cox Prosight , an award-winning RTLS platform specifically designed for hospitals. – This strategic acquisition combines Cognosos’ AI-powered location technology with Cox Prosight’s robust platform, creating a cutting-edge solution to address the operational challenges faced by hospitals today.

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State Policy Opportunities in Oral Health

Health Policy News

In 2024, CMS announced new policies intended to expand access to dental services though Marketplace plans, creating an opportunity for states to impact oral health directly and broader outcomes indirectly.

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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.