Wed.Nov 06, 2024

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CVS taps former UnitedHealthcare CEO Steve Nelson to lead Aetna

Fierce Healthcare

CVS Health announced two key leadership appointments as it continues the push to improve its financial performance. | CVS Health announced two key leadership appointments as it continues the push to improve its financial performance.

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Few state Medicaid programs cover GLP-1s for obesity: KFF

Health Care Dive

Still, gross spending on the drugs increased by more than 500% from 2019 to 2023, according to the health policy research firm.

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US Supreme Court reviews case impacting billions in Medicare DSH payments for hospitals

Fierce Healthcare

The U.S. Supreme Court heard oral arguments Monday in a case centered on Congress’ formula for calculating disproportionate share hospital payments. | The U.S. Supreme Court heard oral arguments Monday in a case centered on Congress’ formula for calculating disproportionate share hospital payments.

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CVS appoints new Aetna head following mixed third-quarter results

Health Care Dive

This year has been defined by an unsuccessful fight against elevated medical costs for CVS. The third quarter was no different.

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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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Clover Health pushing for growth, shows 74% net income boost

Fierce Healthcare

Medicare Advantage insurer Clover Health believes its AI assistant platform has positioned the company toward success next year. | Clover Health feels its in a strong position with a robust star ratings performance and its proprietary AI. The company recorded a net loss of $8.8M this quarter.

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OpenNotes partners with Abridge to study how AI-generated notes can benefit patients

Fierce Healthcare

There's currently a big focus on using artificial intelligence to reduce administrative burdens for clinicians, especially with medical notetaking and clinical summaries. | OpenNotes, a health transparency research group, is partnering with AI medical scribe startup Abridge to evaluate AI-generated patient visit summaries, but from a patient-centric lens.

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Amid Company Turmoil, CVS Health’s New CEO Sees Signify Health As A Bright Spot

Home Health Care

Amid several recent developments at CVS Health (NYSE: CVS), Signify Health and Oak Street Health have been bright spots, according to company leaders. “Signify delivered another strong quarter,” CVS Health President and CEO David Joyner said during the company’s third-quarter earnings call. “Aetna members served by Signify have nearly doubled compared to last year, supported by our ability to utilize touch points across CVS Health.

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CVS holds back guidance as it outlines plan to right the ship at Aetna

Fierce Healthcare

CVS did not release formal guidance for 2024 as part of its earnings call Wednesday morning as it continues to navigate headwinds at the insurance business. | CVS did not release formal guidance for 2024 as part of its earnings call Wednesday morning as it continues to navigate headwinds at the insurance business.

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Premier to Deploy TeleVox’s AI Chatbots to Hospitals Nationwide

HIT Consultant

What You Should Know: – TeleVox , a provider of omnichannel patient relationship management platforms, has recently secured a national group purchasing agreement with Premier, Inc., a healthcare improvement company. – The strategic collaboration aims to make TeleVox’s AI-powered chatbots more accessible to Premier’s vast network of hospitals and healthcare providers.

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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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The Future of Healthcare is Handheld: How Butterfly Network’s Approach to Point-of-Contact Ultrasound is Redefining Patient Care

Fierce Healthcare

The Future of Healthcare is Handheld: How Butterfly Network’s Approach to Point-of-Contact Ultrasound is Redefining Patient Care jpiatt Wed, 11/06/2024 - 12:42

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AdventHealth Manchester Opens First Telehealth Primary Care Clinic in Walmart

HIT Consultant

What You Should Know: – AdventHealth Manchester announced the opening of its first telehealth primary care clinic, AdventHealth Clinic Corbin , located within the Corbin Walmart. – The telehealth primary care clinic aims to provide accessible and high-quality healthcare services to the community of Corbin and the surrounding areas. AdventHealth Clinic Corbin Services The AdventHealth Clinic Corbin leverages the latest technology to connect patients with experienced healthcare provide

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CMS Releases CY 2025 OPPS and ASC Final Rule

HKLaw

CMS has released the calendar year 2025 Hospital Outpatient Prospective Payment System OPPS and Ambulatory Surgical Center ASC Payment System Final Rule.

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Japan’s National Cancer Center Selects Paradigm for Nationwide Clinical Trial Network

HIT Consultant

What You Should Know: – A new cancer treatment and research era is dawning in Japan with the launch of LC-SCRUM-CD (Lung Cancer Genome Screening Project for Individualized Medicine – Clinical Development). – The nationwide clinical trial network is a collaborative effort between the National Cancer Center (NCC) , Precision Medicine Asia Co., Ltd.

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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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How’s Life? Around the World – In the U.S., It’s the Sadness That Stands Out

Health Populi

A new report from the OECD asks the question, “How’s Life?” with the tagline letting us know the plotline focuses on “well-being and resilience in times of crisis.” The Organization of Economic Cooperation and Development (OECD) has tracked the well-being of member nations for the past six years, taking a broad view on the definition of holistic health — including physical, mental, financial, and social aspects of people living in OECD countries.

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The Invisible Summit: Why the Mountain is Too High for Women in the Quest for Leadership

The Rand Blog

Women face invisible barriers to leadership, with biases affecting their advancement. Black women encounter dual biases of race and gender, leading to higher turnover and fewer promotions. Overcoming these requires recognizing and addressing these systemic challenges for genuine inclusivity.

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Health Catalyst Acquires Intraprise Health, Enhancing Cybersecurity Capabilities

HIT Consultant

What You Should Know: – Health Catalyst , a provider of data and analytics technology and services to healthcare organizations, has announced the acquisition of Intraprise Health , a leading healthcare cybersecurity provider. – Health Catalyst funded the acquisition with a mix of cash and stock. The acquisition is expected to close in the fourth quarter of 2024.

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The Value of Caregivers to Veterans' Health, Wellness, and Recovery

The Rand Blog

More than 14 million Americans are caring for a service member or veteran. They provide services worth billions of dollars every year, often at tremendous financial and emotional costs to themselves. They need better access to mental health care, compensation, and other support.

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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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Moving Forward With Person-Centered Outcome Measures

NCQA

We all know what it’s like to be invested in a goal—that feeling of anticipation as you make progress, the motivation to keep going as you get closer to achieving it. Yet the idea of setting goals in a health care setting may be unfamiliar to many people, and can be challenging to navigate. This is especially true for older adults with complex health needs—including behavioral or social needs—who may not have the opportunity to participate in authentic conversations about what matters to them an

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Q/A: Vim CEO Talks Solving the Rising Tide of Healthcare Claim Denials

HIT Consultant

Oron Afek, CEO of Vim The U.S. healthcare system is grappling with a surge in claim denials and prior authorization requirements, creating significant challenges for both providers and patients. To shed light on this pressing issue, we spoke with Oron Afek , CEO of Vim , a company that assists over 20,000 providers and 80% of the largest U.S. payers with prior authorizations.

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A Behavioral Health Clinician’s Guide to the Kids Online Safety Act

Icanotes

A Behavioral Health Clinician's Guide to the Kids Online Safety Act Many parents are concerned about their children's online safety. The internet can be a great place to access free information and grow knowledge, but it can also be dangerous for children. Social media content and targeted advertisements can have harmful effects on young children, especially those who are able to access mature content.

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Healthcare AI News 11/6/24

HIStalk

News Adventist Health Rideout uses Viz.ai to reduce the time.

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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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How does competition impact community health center quality of care?

Healthcare ECONOMIST

That is the question posted by a recent paper by Li and Dor (2024). However, they define competition not just by the number of community health center (CHC) competitors or market concentration (e.g., Herfindahl-Hirschman Index, HHI) but also the quality of care provided by their competitors. A key methodological question is how this should be measured.

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Morning Headlines 11/7/24

HIStalk

VitalHub Announces Acquisition of Strata Health Health and human services.

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Insurers prep for Trump admin friendly to Medicare Advantage and mergers, hostile to Medicaid and ACA

Fierce Healthcare

President Donald Trump has won back the White House, and with his win, many health plans are seeing their stocks rise. | Major health insurers are seeing stocks increase as investors ready for a Trump term receptive to Medicare Advantage and mergers. Health plans reliant on Medicaid and the ACA saw their stocks dip.

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HIStalk Interviews Kyle Kiser, CEO, Arrive Health

HIStalk

Kyle Kiser is CEO of Arrive Health. Tell me about.

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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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What The Election Result Means For Home-Based Care Providers

Home Health Care

Donald Trump will take over the presidency again in January. There will be many implications for home-based care providers, and details from Trump’s first presidency will help project those. In the weeks leading up to the Nov. 5 election, Trump and Kamala Harris battled over home-based care. Specifically, Harris suggested a personal home care benefit under Medicare, while Trump’s campaign focused on economic points that it claimed would make home care more affordable, expanded benefits under Med

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