Wed.Aug 21, 2024

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CMS closes thousands of No Surprises Act complaints, directs $4M in relief

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) issued a new report Tuesday detailing total complaints related to the No Surprises Act and Affordable Care Act compliance. | A new CMS report outlines the types of No Surprises Act complaints resolved by the federal agency since June 30.

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Large employers forecast 7.8% hike in health costs next year, thanks to rising pharmacy spend

Health Care Dive

The growing burden of pharmaceuticals is expected to be the primary driver of higher healthcare spending in 2025, mostly due to expensive GLP-1 drugs in demand for weight loss, according to the Business Group on Health.

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Federal judge blocks FTC's nationwide noncompete ban

Fierce Healthcare

A Texas federal judge has struck down the Federal Trade Commission’s rule broadly banning employers’ noncompete agreements 15 days before it was set to go into effect nationwide. | U.S. District Judge Ada Brown ruled that the FTC exceeded its statutory authority and failed to present sufficient evidence for its sweeping ban. Mixed rulings among other district courts and comments from a regulator spokesperson suggest an appeal is likely.

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Judge strikes down FTC noncompete ban nationwide

Health Care Dive

Obviating the ban has big implications for U.S. healthcare, an industry that frequently relies on noncompetes to lock medical workers into employment agreements with hospitals, insurers and other employers.

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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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Tackling the Prior Authorization Problem with Innovative Technologies

Fierce Healthcare

By: Christie Callahan, Chief Operating Officer, Arrive Health | Tackling the Prior Authorization Problem with Innovative Technologies

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Hira 'paused' following budget recall

Healthcare It News

The project building New Zealand's national health information platform has been put on hold following budget cuts for digital health. In a statement to Healthcare IT News , Michael Dreyer, director of the Digital Channels sector at Te Whatu Ora (Health New Zealand), confirmed that the Hira project has been suspended. "After completing the first stage of Hira and creating a strong foundation for the project, it is now paused while we look at plans for the future.

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Sesame to offer compounded semaglutide 'at cost' as weight loss drug competition heats up

Fierce Healthcare

Virtual marketplace Sesame rolled out a new weight loss program that gives eligible consumers access to compounded semaglutide, an ingredient in blockbuster obesity drugs Wegovy and Ozempic, for $2 | Virtual marketplace Sesame rolled out a new weight loss program that gives eligible consumers access to compounded semaglutide, an ingredient in blockbuster obesity drugs Wegovy and Ozempic, for $249 a month.

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Keep patients digitally empowered and engaged in their care

Healthcare It News

As healthcare costs continue to rise, patients expect the same convenience, personalization and accessibility from providers that they get from other service sectors. To stay competitive, healthcare organizations must deliver enhanced patient experiences and offer on-demand patient engagement through digital channels. Join Cisco’s Global Healthcare CPaaS Director, Kenny Bloxham, and Head of Global Solutions Engineering, Dave Jennings, as they talk about how providers can empower patients a

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Intermountain Health, Story Health expanding virtual heart failure management program

Fierce Healthcare

Intermountain Health is taking its partnership with digital specialty care platform Story Health systemwide following a strong heart failure pilot program the pair

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3 tips to building a robust AI security strategy

Health Care Dive

Organizations can reap bigger benefits from AI with guardrails and effective risk management strategies.

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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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How incentives engage and keep patients healthy 

Fierce Healthcare

When it comes to health and wellbeing, good habits are everything. | This week on "Podnosis," we look at how healthcare companies are incentivizing consumers to more proactively take care of themselves by forming lasting healthy habits.

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AccentCare Home Health President On Acquiring Talent, Learnings From Time At Optum, Value-Based Care

Home Health Care

For AccentCare, a new leader at the helm of its home health business means a readjustment – or reaffirming – of the company’s priorities. Last month, Chris Mayne stepped into the role of home health president at AccentCare. Mayne comes armed with industry experience from his previous roles at UnitedHealth Group’s (NYSE: UNH) Optum. Now that Mayne is at AccentCare, his focus lies on high-quality care and ensuring that the company has a strong clinical team in place.

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A Plan to Address Political Violence Before Election Day

The Rand Blog

As the presidential election nears, the threat of political violence looms large. What can be done to protect candidates, election workers, voters, and the electoral process at the heart of American democracy?

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Ciba Unveils Thrive: AI-Powered Disease Prevention Platform

HIT Consultant

What You Should Know: – Ciba Health , a digital health company transforming healthcare with root-cause medicine and leveraging cutting-edge technology AI/ML, announced today its launch of Thrive by Ciba (Thrive), a data-powered, customizable disease prevention platform to help people live longer and healthier lives. – Thrive offers deeply-personalized, comprehensive blood work, offering 100+ labs along with on-demand education to help members better understand their health and trea

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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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Continuing to Understand MACRA and MIPS with Key Updates for 2024 and Beyond

Advanced Data Systems

You know that the healthcare landscape is continually evolving, where “evolving” really means, among other things, staying informed about regulatory changes.

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Critical Challenges and Solutions for Inpatient Capacity Management, Report Reveals

HIT Consultant

What You Should Know: – LeanTaaS , a provider of AI-powered capacity management solutions for healthcare, today released its comprehensive report, The State of Inpatient Capacity Optimization. – The report delves into the pressing challenges faced by health systems nationwide and offers insights into effective strategies for addressing these issues.

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Americans Who Perceive Negative Medical Treatment Due to Weight, Insurance Status, and Identity Metrics – YouGov Insights

Health Populi

Millions of Americans believe they have been treated negatively by a physician due to their weight, insurance status, physical appearance and/or state of mental health, according to a YouGov poll published August 6, 2024. To gauge U.S. health citizens’ perceptions of fair and unfair treatment in the health care system, YouGov conducted this research among 1,200 U.S. adults 18 and over online in late June 2024.

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Heart Health in the GLP-1 Era: The Role of Remote Patient Monitoring

HIT Consultant

Antoine Robiliard, VP of Withings Health Solutions According to the American Heart Association, nearly half of all adults in the U.S. have high blood pressure. Recent studies have suggested that effectively treating obesity with GLP-1 agonists may be key to improving overall heart health. These findings are promising — but additional study is necessary, further highlighting the need for accurate GLP-1 patient data and consistent at-home health monitoring.

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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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Healthcare AI News 8/21/24

HIStalk

News Epic R&D SVP Seth Hain, MS gives UGM attendees.

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Mid-week links

Healthcare ECONOMIST

Biosimilar may no longer need to run switching studies. Price responsiveness to telehealth cost sharing. Getting charged for two surgeries rather than one. When is high income inequality a good thing? Passwords vs. passkeys.

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Nine Months of Impact: Celebrating Victories in CHP’s Campaigns

Center for Health Progress

Nine months ago, we launched our most ambitious agenda ever: Four bold healthcare accountability campaigns led by our grassroots members. Since then, we’ve been hard at work. We’ve delivered key victories and made progress across all our campaigns. We trained and invested in our members as they took on key leadership roles. We significantly grew CHP’s power–and we’re hungry for more.

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Memory Care Innovation Award Winner: Amy Kowinsky, Executive Director, Dementia360, Presbyterian SeniorCare

Home Health Care

The Memory Care Innovation program is designed to recognize passionate and innovative industry members who are shaping the future of cognitive care across behavioral health, home health and home care, hospice and palliative care, senior housing, and skilled nursing. To see this year’s inaugural Memory Care Innovation Award winners, visit [link]. Amy Kowinsky, the executive director of Dementia360 at Presbyterian SeniorCare, has been named a 2024 Memory Care Innovation Award Winner.

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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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Let’s Talk Digital Quality at the Health Innovation Summit

NCQA

The transition to digital quality measurement is top of mind for everyone in the industry. If you’re wondering what that transition will look like—and what it means for your organization—NCQA’s Health Innovation Summit is the place to get answers. From October 31–November 2, leaders from across the health care ecosystem will gather in Nashville, Tennessee, to advance health care quality and leverage technology solutions.

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Mandatory Coverage of Certain Pre-Release Services for Medicaid and CHIP Eligible Youth

Health Policy News

Mandatory Coverage of Certain Pre-Release Services for Medicaid and CHIP Eligible Youth States have just a handful of months left to come into compliance with new requirements related to coverage.

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PreciseDx Raises $20.7M for AI-Powered Cancer Risk Assessments

HIT Consultant

What You Should Know: – PreciseDx , a pioneering company in oncology diagnostics utilizing artificial intelligence (AI) raises $20.7M in Series B funding led by Eventide Asset Management with participation from Labcorp , Quest Diagnostics , GenHenn Capital Venture , and existing investors. This brings the company’s total funding to date to $31.5M. – The new funding will enable PreciseDx to accelerate its growth and expand its operations.

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In Win For Home Care Providers, US Judge Strikes Down Non-Compete Ban

Home Health Care

A federal judge this week barred the Federal Trade Commission’s (FTC) non-compete ban from moving forward. It was set to take effect in early September. While certain leaders may have celebrated the FTC’s vote to ban non-competes across the country, home care providers were concerned over what the ban would mean for non-solicitation agreements. Broadly, non-solicitation agreements keep home care clients from cutting out the agency and hiring their assigned caregiver directly.

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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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CancerIQ Raises Growth Capital for Personalized Cancer Detection

HIT Consultant

What You Should Know: – CancerIQ , a Chicago, IL-based precision health platform focused on empowering healthcare providers to personalize cancer prevention and early detection announced it has secured a growth funding package from Decathlon Capital Partners. – While specific financial details of the transaction were not disclosed, the investment will enable CancerIQ to further develop its digital tools, introduce new offerings, and strengthen partnerships with healthcare providers n

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Morning Headlines 8/22/24

HIStalk

Telehealth company Truepill gets swallowed for $525 million At-home testing.

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Intermountain Expands Virtual Cardiology Care Program with Story Health

HIT Consultant

What You Should Know: – Story Health , a digital health company transforming specialty care delivery, and Intermountain Health, one of the nation’s premier nonprofit health systems, today announced an expanded relationship that will increase patient access to Intermountain’s nationally-recognized cardiology care across the health system. – The expansion follows a highly successful pilot program launched by Intermountain and Story Health in January 2023 for patients with a new hear

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Amedisys’ Contessa Health To Become A GUIDE Model Participant 

Home Health Care

Contessa Health, a subsidiary of Amedisys Inc. (Nasdaq: AMED), has been selected by the Centers for Medicare & Medicaid Services (CMS) to participate in its Guiding an Improved Dementia Experience (GUIDE) Model. The model aims to create more comprehensive and coordinated dementia care. The company joins nearly 400 participants in developing nationwide dementia care programs (DCPs).

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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.