Thu.Jul 18, 2024

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Optum lays off more employees at Landmark, OptumInsight

Fierce Healthcare

The sprawling enterprise that is UnitedHealth Group is undergoing more layoffs under its Optum umbrella. | UnitedHealth's Optum is again laying off workers, with the scope unconfirmed. Landmark Health is downsizing once again and leaving major metropolitan areas.

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Humana inks minority investment in Medicare choice tool Healthpilot

Health Care Dive

The company uses AI to recommend Medicare Advantage, Medicare supplement and prescription drug plans based on enrollees’ healthcare preferences and needs.

Medicare 266
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The states with the best and worst women's health outcomes, per new scorecard

Fierce Healthcare

A new nationwide scorecard ranks the state of women’s health and reproductive care. The results reveal a deep geographic divide in women’s healthcare access and outcomes. | The state-by-state rankings found “significant” disparities between states and deepening racial and ethnic gaps in outcomes. The findings suggest these gaps could widen further, especially for women of color and those with low incomes in states with restricted access to reproductive care.

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Instacart partners with Northwell Health to bolster food access

Health Care Dive

The tie-up with New York’s largest healthcare provider is focusing first on supporting expecting mothers in Black and Brown communities who are food insecure.

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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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Hospitals push back on CMS' proposed mandatory organ transplant model

Fierce Healthcare

The hospital industry is warning that a proposed mandatory model for kidney transplants could introduce “unnecessary disruption and uncertainty to the transplant ecosystem” and ultimately undercut | Hospital lobbyists wrote that the Increasing Organ Transplant Access (IOTA) Model "is not fully developed and contains fundamental flaws” that would lead to a “potential negative impact on patient outcomes.

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Healthcare is an ‘easy victim’ for ransomware attacks. How hospitals can mitigate the damage.

Health Care Dive

Limited resources in a highly connected ecosystem can make hospitals vulnerable, but planning ahead and implementing key protections could help thwart attack.

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More Trending

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UnitedHealthcare, Neighborhood Health Plan win Rhode Island Medicaid contracts

Health Care Dive

The state’s managed care organizations handle health benefits for 90% of its Medicaid beneficiaries each year.

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Senate HELP Committee announces vote to investigate Steward Health Care, compel CEO testimony

Fierce Healthcare

The Senate Health, Education, Labor and Pensions (HELP) Committee is on course to launch an investigation of Steward Health Care and its CEO Ralph de la Torre, M.D. | Heads of the influential Senate committee said "it is time" for CEO Ralph de la Torre to answer "a number of questions" about his health system's bankruptcy.

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Providence names new CEO

Health Care Dive

Erik Wexler, currently the health system’s COO, will step into the CEO role on Jan. 1.

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Boehringer Ingelheim, GoodRx team to boost access to Humira biosimilars

Fierce Healthcare

GoodRx is joining forces with drugmaker Boehringer Ingelheim to make its Humira biosimilar adalimumab available at an affordable price. | GoodRx is joining forces with drugmaker Boehringer Ingelheim to make its Humira biosimilar adalimumab available at an affordable price.

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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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6 Ways to Sharpen Your Skills As a Medical Professional

HIT Consultant

For medical professionals, maintaining high-quality care in a field that is developing quickly is a constant struggle. To keep ahead of the ever-evolving landscape, they must constantly hone their talents. Lifelong learning is more than just a trendy idea; it’s a necessity for keeping up with technology improvements and satisfying patients’ ever-growing expectations.

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Remote monitoring code changes could make it into CY2026 fee schedule, at the earliest

Fierce Healthcare

The American Medical Association’s coding panel, which is responsible for creating medical billing codes, is set to meet September 19-21 in Albuquerque where it will consider yet another proposal t | The American Medical Association's coding panel will discuss a code change application for remote monitoring codes at its September meeting in Albuquerque.

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AliveCor Receives Category III CPT Codes for AI-Powered Kardia 12L ECG

HIT Consultant

What You Should Know: – AliveCor , the global leader in AI-powered cardiology, today announced that the American Medical Association (AMA) has granted new Category III Current Procedural Terminology (CPT) codes that are applicable to the company’s Kardia™ 12L ECG System, which received FDA clearance in June 2024. – In accordance with the AMA semi-annual early release schedule, the new codes will be effective January 1st, 2025 and published in the 2025 CPT Code book.

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Intermountain to use NeuroFlow tech to support integrated behavioral health in primary care

Fierce Healthcare

Intermountain Health and NeuroFlow have teamed up to bring behavioral health screening and analytics to primary care patients in Colorado. | NeuroFlow will integrate behavioral health analytics into care workflows and engage patients with relevant digital resources and interventions. It will also provide suicide prevention services to patients and offer outreach from trained crisis professionals.

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Level up Culture & EQ | Sign up for the #CultureDrop

Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.

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Inaccurate Provider Directories: A Major Headache for Patients and Policymakers, HiLabs’ AI Study Reveals

HIT Consultant

What You Should Know: – Incorrect data in health plan physician directories is a pervasive problem, according to new research conducted by researchers at University of Colorado and HiLabs. – The study, published in BMC Health Services Research , leverages HiLabs AI algorithms to compare data for >40% of US physicians across five large health plan directories.

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Humana makes investment in AI-powered Medicare enrollment platform Healthpilot

Fierce Healthcare

Humana has made a minority investment in Healthpilot, an AI-enabled platform that makes it easier for people to search for and enroll in Medicare plans. | Humana has made a minority investment in Healthpilot, an AI-enabled platform that makes it easier for people to search for and enroll in Medicare plans.

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The Evolution of Voice AI in Healthcare: Enhancing Patient Care and Streamlining Operations

Advanced Data Systems

In the rapidly evolving healthcare landscape, voice AI technology is a transformative force, reshaping how care is delivered and managed. As we delve into the myriad ways voice AI enhances patient experiences and streamlines healthcare operations, it becomes clear that this technology is not just an adjunct tool but a central component of modern healthcare systems.

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Advance Detection and Reporting Are Key to Preventing Attacks

The Rand Blog

Shootings, bombings, and the like are most commonly prevented when members of the public report their suspicions. What kinds of warning signs should we all be on the lookout for in the weeks and months ahead?

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A Guide to Improved Sepsis Detection & Compliance: 6 Areas You Should Address

This guide highlights key areas that your sepsis detection platform should address to minimize the impact of this leading, entirely preventable cause of in-hospital deaths, as well as how to increase compliance by 20% in 30 days. Download to learn more!

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What’s Expected to Drive Up Health Plan Costs in 2025: GLP-1s, Behavioral Health, and Inflationary Pressures for Hospitals and Doctors – PwC’s Behind the Numbers 2025

Health Populi

The U.S. Bureau of Labor Statistics had good news for American consumers long-facing inflation for household spending over the past couple of years, announcing on July 11, 2024, that the general consumer price index (CPI) fell, lowering real prices for people buying airline tickets, used cars and trucks, communication, and petrol to fill auto tanks.

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What ‘Leveling Off’ Medicare Advantage Penetration Would Mean For Home Health Providers

Home Health Care

This article is a part of your HHCN+ Membership The Centers for Medicare & Medicaid Services (CMS) isn’t letting up on cuts to home health payments, but its recent rulemaking in Medicare Advantage (MA) may end up benefiting home health providers indirectly. As MA plans become more scrutinized by regulators and lawmakers – and payment updates come with more meager increases – MA penetration is likely to plateau, or at least slow down in its rate of increase.

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Insurance Insights: Dr Jason Shafrin Estimates DMD Insurance Value

Healthcare ECONOMIST

That is the title of the podcast episode I was on for AJMC’s Managed Care Cast. We discuss my recently published paper on insurance value in Duchenne’s Muscular Dystrophy (DMD). To learn more about research in DMD, check out AJMC’s DMD compendia page. The full podcast is below.

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Texas A&M Health and Burst IQ Partner to Optimize Clinical Genomics Research

HIT Consultant

What You Should Know: – Texas A&M Health and BurstIQ, a leader in advanced data management, today announced a partnership to leverage LifeGraph®, a graph-powered, end-to-end data management platform, to transform clinical research. -This collaboration aims to enhance patient and researcher interactions while ensuring the highest standards of patient privacy and data rights.

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The New Tech Experience: Innovation, Optimization, and Collaboration

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

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Accountable care from concept to reality. Interview with CVS’s Dr. Mohamed Diab

Health Business Group

Can value-based care transform the American healthcare system? In this episode, we dive deep into this pressing question with Dr. Mohamed Diab , president of CVS Accountable Care. Dr. Diab highlights systemic challenges, such as physician burnout and the inadequacies of primary care funding. With an emphasis on primary care's critical role in managing chronic conditions and preventing illness, he reveals how a shift to value-based care can lead to better health outcomes by focusing on holistic,

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Intermountain Health Partners with NeuroFlow to Improve Behavioral Health Integration in Primary Care

HIT Consultant

What You Should Know: – Intermountain Health announced a partnership with NeuroFlow , a company specializing in behavioral health technology and analytics. – The strategic collaboration aims to proactively identify and address behavioral health needs within Intermountain’s primary care patient population in Colorado. Behavioral Health Integration in Primary Care People with combined physical and behavioral health conditions often experience higher healthcare costs.

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Empath Health Vet Joins New Day Healthcare; Welcome Health Appoints Chief Growth Officer

Home Health Care

New Day Healthcare has made Jeff Bonham its senior leadership executive and operations project specialist. He will head up the company’s strategic initiatives around Medicare Advantage (MA), and a virtual home health model to support MA business. “Bringing Jeff on board is a huge lift for New Day as we continue to ‘Burn the Ships’ and change the way home health care is delivered,” New Day CEO G.

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Thoughtful AI Secures $20M, Launches Human-Capable RCM AI Agents

HIT Consultant

What You Should Know: – Thoughtful AI , a provider of AI-powered revenue cycle automation (RCM), has announced a series of exciting developments, including the launch of the world’s first fully human-capable AI Agents for healthcare RCM, exceptional growth metrics, and $20 million in Series A funding. – Thoughtful AI’s groundbreaking AI Agents, CAM, EVA, and PHIL, are tackling the burden of repetitive RCM tasks like claims processing, patient eligibility verification, and

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Strategies to Deal with Collaborative Healthcare Communication

Speaker: Dr. Ugo Uwaoma, MD, MBA

Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.

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Why Being Good to Your Workers Is Good for Your Stock Price

The Rand Blog

Companies that invest in their frontline workers—and are clearer about where/how—could see a meaningful uptick in their stock value, while also becoming more attractive to job candidates in a tight labor market. And those investments for employees can have transformative effects on people's lives and economic mobility.

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Suki to Deploy AI Assistant to Underserved Communities

HIT Consultant

What You Should Know: – Suki , the leader in voice artificial intelligence (AI) technology for healthcare, today announced its collaboration with several Federally Qualified Health Centers (FQHCs) and Community Health Centers, including Utah Navajo Health System (UNHS), CenterPlace Health, Access Health Louisiana, and PrimeCare Health, to assist providers in addressing the significant volume of patients seeking quality care in underserved areas.

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With Eyes Set On Value-Based Care Success, Alivia Care Introduces Alivia Care @ Home

Home Health Care

Alivia Care has launched Alivia Care @ Home, an initiative aimed at reaching patients earlier. CEO Susan Ponder-Stansel described Alivia Care @ Home as an additional support choice. “We’re in the Medicare-certified home health business, and we’re in the private-duty business, and we’ve had palliative care for a very long time,” she told Home Health Care News.

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Astrana Health and Elation Health Partner to Build Value-Based ACOs, CINs

HIT Consultant

Astrana Health What You Should Know: – Astrana Health ( NASDAQ: ASTH), a provider-centric healthcare company, today announced a strategic partnership with Elation Health , a clinical-first technology company specializing in primary care. – The partnership focuses on supporting independent physicians by providing them with the tools necessary to thrive in value-based care arrangements.

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Top 12 Telehealth KPIs Every Health Tech Leader Should Know

Speaker: Matt McBride, CEO and Co-Founder of Mend

Patient engagement happens before, during, and after interactions. Consumer research has found that in 2021, 64% of US households reported using Telehealth services. In addition 34% of patients would prefer Telehealth visits to in-office visits. Accessible patient engagement technology can help you improve your relationships with your patients while also improving your KPIs.