Tue.Aug 06, 2024

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Appeals court upholds ruling that struck down surprise billing arbitration process

Fierce Healthcare

A federal appeals court has upheld a lower court decision that struck down key parts of legislation aimed at reforming surprise medical billing. | A federal appeals court upheld a lower court decision that struck down key parts of legislation aimed at reforming surprise medical billing.

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Southern blood center recovering from ransomware attack

Health Care Dive

OneBlood, which serves hundreds of hospitals in the southeastern U.S., had to implement manual methods for processing blood after the cyberattack, which reduced its capacity.

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FDA releases roster of digital health advisory committee, chaired by American College of Cardiology innovation officer

Fierce Healthcare

FDA releases roster of digital health advisory committee, chaired by American College of Cardiology innovation officer ebeavins Tue, 08/06/2024 - 10:26

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Appeals court hands providers latest win in No Surprises litigation

Health Care Dive

The 5th Circuit Court’s decision vacates instructions that arbiters should first consider the qualifying payment amount in deciding payments over contested out-of-network bills. Providers argued that unfairly advantaged insurers.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva 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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UnitedHealth institutes gold card program to address prior authorization concerns

Fierce Healthcare

UnitedHealthcare will launch a national program Oct. 1 for physicians to override traditional prior authorization requirements. | Physician practices in good standing will be able to skip prior authorization for some services, the insurer recently announced.

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More Trending

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New mandatory bundled payment model for hospitals

Fierce Healthcare

This week on “Podnosis” we're discussing a new payment model that could affect thousands o | This week on “Podnosis” we're discussing a new payment model that could affect thousands of hospitals across the country. It's called TEAM, and it stands for Transforming Episode Accountability Model. It's a mandatory bundled payment program that covers five common procedures.

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Healthcare drones aid hospital-at-home caregivers

Healthcare It News

Enterprise Taxonomy: Telehealth Operations Quality Care Workflow Digital Health Emerging Technologies Patient Access Business Care Process Technology Node settings: Exclude from Accelerate RSS feed

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Bloomberg Philanthropies commits $600M to historically Black medical schools

Fierce Healthcare

The country’s four historically Black medical schools have received a total of $600 million in an investment by Bloomberg Philanthropies. | The funding will go to Meharry Medical College, Charles R. Drew University of Medicine and Science, Howard University College of Medicine and Morehouse School of Medicine. The foundation also gave seed funding to help start a new medical school at Xavier University of Louisiana in New Orleans -- a collaboration between Xavier and Ochsner Health.

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Mass General Brigham Lands $4.6M To Study Rehab Care At Home

Home Health Care

Mass General Brigham has been awarded a $4.6 million grant to examine the delivery of short-term rehab care at home as an alternative to skilled nursing facilities (SNFs). The funds come from the Massachusetts Executive Office of Health and Human Services (EOHHS). In the U.S., 40% of older adults leaving the hospitals need some form of post-hospital care.

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Fertility Benefits Playbook: How HR Leaders Are Delivering Value in 2025

Speaker: Kaitlin Ruby Carroll

Fertility benefits have become a crucial component of employee well-being and retention strategies. In today’s competitive landscape, creating a fertility benefits program that aligns with both employee needs and organizational goals can be more complex than it seems. From cycle-based to flat-dollar and telehealth models, each solution offers unique advantages and challenges that directly affect employee satisfaction and financial well-being.

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Hims & Hers projects 2024 revenue to hit $1.37B buoyed by demand for weight loss drugs

Fierce Healthcare

Hims & Hers launched a virtual weight management program in December, adding injectable weight loss drugs in May, and that investment is quickly paying off. | Hims & Hers launched a virtual weight management program in December, adding compounded GLP-1 medications in May, and that investment is quickly paying off.

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Study: Healthcare Industry Embraces Generative AI with Caution

HIT Consultant

What You Should Know: – A new McKinsey survey reveals that the healthcare industry is increasingly recognizing the potential of generative AI (gen AI) to revolutionize patient care and operational efficiency. – While a majority of healthcare organizations are exploring or implementing gen AI solutions, concerns about risks and challenges remain.

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Steward Health Care making 'significant progress' on deals to sell MA hospitals, physician group

Fierce Healthcare

Steward Health Care has made "significant progress" on deals to sell five Massachusetts hospitals and its physician group to enable the facilities to remain open under new operators, an attorney fo | Steward Health Care has made "significant progress" on deals to sell five Massachusetts hospitals and its physician group to enable the facilities to remain open under new operators,

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Pediatric Care Emerges As Next In-Home Service Line Ripe For Growth

Home Health Care

This article is a part of your HHCN+ Membership Pediatric home health care is a tough business to be in, but it’s also one filled with opportunity if providers can find operating models that work. The U.S. pediatric home health care market was estimated to be valued at $12.53 billion in 2023. It is expected to grow at a compound annual growth rate of 7.85% from 2024 to 2030, according to a report from Grand View Research.

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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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WebMD Ignite rolls out tech solutions to help health systems drive physician referrals

Fierce Healthcare

WebMD Ignite developed a new suite of tech tools it says will help health systems supercharge provider referrals. | WebMD Ignite developed a new suite of tech tools it says will help health systems supercharge provider referrals.

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Addus Continues Striking While The Iron’s Hot With Acquisitions

Home Health Care

On Tuesday, Addus HomeCare Corp. (Nasdaq: ADUS) leaders explained the reasoning behind the pending acquisition of Gentiva’s personal care assets. They also suggested more acquisitions could be on the way. The main reasons behind a more aggressive acquisition strategy are the Medicaid Access Rule and value-based care opportunities, according to Addus CEO Dirk Allison.

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These advances in digital health solutions are the answer to a better patient experience

Fierce Healthcare

These advances in digital health solutions are the answer to a better patient experience cbroadwell Tue, 08/06/2024 - 07:50

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Enhabit CFO Crissy Carlisle Steps Down, Search For Replacement Underway

Home Health Care

Enhabit Inc. (NYSE: EHAB) has announced that its CFO, Crissy Carlisle, will step down from her role. Carlisle has been the chief financial officer of Enhabit since it spun off from Encompass Health Corp. (NYSE: EHC) in 2022. The company has initiated a search to find her replacement. “Crissy has made important contributions to Enhabit since we became a public company just over two years ago,” Enhabit President and CEO Barb Jacobsmeyer said in a statement.

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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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LLMs Outperforms Clinicians in Predicting Mental Health Crises, Study Reveals

HIT Consultant

What You Should Know: – Brightside Health , a telemental health company released research demonstrating the potential of large language models (LLM) in predicting mental health crises. – The study, published in JMIR Mental Health , compared the performance of OpenAI’s GPT-4 to human clinicians in identifying patients at risk of suicide.

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The Cost of GLP-1 Drugs on Payers’ Minds as Nearly 1/3rd of U.S. Consumers Could Become Users

Health Populi

With 70 different clinical trials for GLP-1 drugs in process with the FDA, payers — and other stakeholders in the health care ecosystem — have the semaglutide-SENSE top of mind, based on my ongoing updating of this fast-moving market space. For overall market context on pace-of-growth in adoption, check out this chart from a JAMA Health Forum research letter on Prescription Fills for Semaglutide Products by Payment Method , published August 2nd.

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The National Collaborative on Gun Violence Research: Five Years of Accomplishments

The Rand Blog

Just five years ago, little scientific evidence existed on the effects of gun laws in the United States. Since 2019, the National Collaborative on Gun Violence Research has allocated more than $24 million to fund research projects on gun violence prevention, resulting in a windfall of new scientific results, with more to come.

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Do State Out-Of-Pocket Caps On Insulin Costs Improve Access?

Healthcare ECONOMIST

Perhaps not. At least that is according to a paper by Anderson et al. (2024). The authors use a difference-in-difference approach with 2018-2021 claims data. A summary of the results are below. Approximately one-quarter of patients who use insulin report underuse because of cost. In response, more than twenty states have implemented monthly caps on insulin out-of-pocket spending, ranging from $25 to $100… State-level caps on insulin out-of-pocket spending for commercial enrollees did not s

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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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International healthcare organisations embrace digital solutions and bring transformative technology to global communities

Meditech

Technology is transforming healthcare around the globe , and MEDITECH is proud to play an instrumental role in extending the reach of these innovations to our international customers. Our customers span 27 countries and territories, including the United Kingdom, South Africa, Australia, and Singapore – all united by their investment in digital solutions that will improve the lives of their patients.

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Remove the Ghosts from Haunted Provider Directories: 5 Things Payers Should Know

HIT Consultant

Meghan Gaffney, CEO and co-founder, Veda Payers place many resources—including time, personnel, and money—into maintaining provider networks for their plans and members. What is the intended goal after negotiating and contracting with networks? An accurate and comprehensive provider directory containing in-network clinicians and specialists that members can effectively use to “find a doctor” when they need care.

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Designing for Health: Interview with David Berger, MD [Podcast]

Nordic

Promoting a healthy workplace culture is one of the key components of any successful health system. However, defining and understanding that culture can be a real challenge, especially in a hospital's fast-paced environment. A strong workplace culture can have exponentially positive downstream effects, from improving clinician morale to enhancing hospital safety and ultimately improving patient outcomes.

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Patients Demand Personalized Obesity Care, New Survey Finds

HIT Consultant

What You Should Know: – Phenomix Sciences , a precision medicine biotechnology company, released findings from a new survey revealing a growing demand for personalized obesity care. – The survey of 475 patients explored attitudes toward weight management, treatment preferences, and information sources. Key Findings: Patients Seek Medical Guidance: A majority of respondents (66%) prefer guidance from healthcare providers to manage weight loss, highlighting the need for a more clinical

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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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News 8/7/24

HIStalk

Top News OneBlood, a blood center that serves 250 hospitals.

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Guidehealth Secures $14M for AI-Powered Value-Based Care

HIT Consultant

What You Should Know: – Guidehealth , an AI-powered healthcare services provider raises $14M in seed funding led by Memorial Hermann Health System , with participation from healthcare entrepreneur Sidd Pagadipati and other industry leaders. – The funding will accelerate Guidehealth’s mission to improve health outcomes and increase access to care through value-based care (VBC) models.

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Morning Headlines 8/7/24

HIStalk

OneBlood’s Critical Software Systems Back Online Following Ransomware Event OneBlood,

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