Fri.Oct 11, 2024

article thumbnail

‘I’m another statistic. I feel let down’: How HIV prevention stays out of reach for many

Fierce Healthcare

This story was reported in partnership with Uncloseted Media, a nonpartisan, investigative, LGBTQ | Ending the HIV epidemic hinges on both treatment and prevention, particularly through access to PrEP. For at-risk individuals living in the U.S. South—where HIV is a daunting reality—PrEP use is very low compared to the number of new HIV cases.

article thumbnail

Medicare Advantage star ratings fall again in 2025

Health Care Dive

About 40% of MA plans with prescription drug coverage will earn four or more stars, a dip from 42% this year, according to data released by the CMS.

Medicare 306
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Abridge, Wolters Kluwer Health ink partnership to integrate UpToDate with AI medical scribe

Fierce Healthcare

Wolters Kluwer Health, a big player in clinical decision support solutions, is teaming up with Abridge to integrate UpToDate into its AI-based medical note-taking tool. | Wolters Kluwer Health, a big player in clinical decision support solutions, is teaming up with Abridge to integrate UpToDate into its AI-based medical note-taking tool.

article thumbnail

Fresenius Medical Care increasing IV, dialysis solutions production to alleviate shortages

Health Care Dive

B. Braun and Fresenius Medical Care said they will make more crucial products as the U.S. faces shortages following Hurricane Helene’s damage to a Baxter manufacturing facility.

130
130
article thumbnail

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.

article thumbnail

Medicare Advantage star ratings 2025—Who are the winners and losers?

Fierce Healthcare

Analyses of 2025 Medicare Advantage star ratings continue to pour in and not all of it bodes well for the conventional juggernauts. | UnitedHealth and Humana saw star ratings decrease, whereas insurtechs celebrated their scores. We break down how all major insurers—and their investors—are reacting.

Medicare 264

More Trending

article thumbnail

Industry Voices—9 strategies for integrating specialists into accountable care

Fierce Healthcare

Specialty care makes up a significant portion of healthcare spending, yet accountable care organizations (ACOs) often lack a specialty care strategy to lower costs and optimize specialty care.&nbsp | Specialists are pivotal to the care continuum and should be fostered as partners in delivering high-quality care rather than mere cost drivers.

article thumbnail

4 in 5 Surgeons Believe AI Can Bridge The Rural Surgical Gap

HIT Consultant

What You Should Know: – A recent survey of 1,000 U.S. surgeons reveals a strong belief in the power of digital health to reduce disparities in access to surgical expertise, particularly in under-resourced communities. – The State of Surgery survey , commissioned by Medtronic , highlights the potential of live streaming, artificial intelligence (AI) , and virtual reality (VR) to transform surgical care and improve healthcare equity.

article thumbnail

Chutes & Ladders — OMNY, Counterpart Health make C-suite hires; Cityblock taps new president

Fierce Healthcare

Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry. | Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry. Please submit the good news—or the bad—from your shop, and we will feature it here at the end of each week.

130
130
article thumbnail

‘We Need A Break, Please!’: Home Health Providers Sound Off On CMS Over Rate Cuts

Home Health Care

“Opposed.” That was the one-word response a home health provider left for the Centers for Medicare & Medicaid Services’ (CMS) during the comment period on the 2025 home health proposed payment rule. This comment was an anomaly, in terms of its brevity. While most respondents expressed similar sentiments, they chose to utilize more words to do so.

Medicare 102
article thumbnail

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.

article thumbnail

Former Disney CEO Bob Chapek joins SCAN as senior adviser

Fierce Healthcare

SCAN Health Plan is bringing in the former CEO of media giant Disney as a senior adviser as the team pushes to continue enhancing the customer experience. | SCAN Health Plan is bringing in the former CEO of media giant Disney as a senior adviser as the team pushes to continue enhancing the customer experience.

162
162
article thumbnail

What is microRNA and why did its discovery merit this year’s Nobel Prize for Medicine?

Healthcare ECONOMIST

This year, the Nobel Prize in medicine went to Victor Ambros, currently a Professor of Natural Science at the University of Massachusetts Medical School, and Gary Ruvkun , a Professor of Genetics at Harvard Medical School. The two men won the award for their discovery of microRNA. One of the key questions of science is figuring how how can we have such differentiated cells–brain cells, muscle, bone, nerve–when all cells have the same DNA.

article thumbnail

Buyers of digital health plan to up their investment next year, survey finds

Fierce Healthcare

Healthcare purchasers are investing more in digital health technologies and are committed to growing the space, according to a survey from the Peterson Health Technology Institute, an ind | The Peterson Health Technology Institute found that 75% of health plans, employers and health systems have increased their digital health budgets in the last two years.

article thumbnail

Cytovale Secures $100M to Expand Commercialization of FDA-Cleared Sepsis Test

HIT Consultant

What You Should Know: – Cytovale , a medical diagnostics company revolutionizing early disease detection secures $100M in Series D funding round led by Sands Capital with participation from new investor Canada Pension Plan Investment Board (CPP Investments) and existing investors. – The investment will fuel the expansion of Cytovale’s innovative sepsis diagnostic, IntelliSep, to more hospital emergency departments (EDs) and health systems nationwide.

article thumbnail

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.

article thumbnail

Russia's Deflections and Denials About Chemical Weapons Use in Ukraine

The Rand Blog

State parties should demand that Russia stop weakening the global ban on chemical weapons use with its torrent of falsehoods about others, disclose its own secret chemical weapons activities, and lay out a plan for coming into compliance with an accord it helped negotiate.

97
article thumbnail

Future Leader: Michael Martin, VP, Network Management, tango

Home Health Care

The Future Leaders Awards program is brought to you in partnership with Homecare Homebase. The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. To see this year’s Future Leaders, visit [link]. Michael Martin, VP of network management at tango, has been named a 2024 Future Leader by Home Health Care News.

article thumbnail

A Different Kind of Disaster Response: Using Social Media Best Practices to Stem the Tide of Misinformation

The Rand Blog

Engaging on social media is a different type of disaster response than clearing debris and delivering clean water. Stemming the tide of online misinformation is challenging but critical to combat the rumor mill.

88
article thumbnail

Health Literacy Challenges Increase Costs, Client Concerns

Home Health Care

Nearly nine out of 10 adults in the U.S. need help with health literacy. This makes it difficult to understand health coverage and navigate the complex health care system, leading to increased costs and adverse outcomes. This tends to be the case for home care beneficiaries, or potential home care beneficiaries, too. “Health literacy is a state of knowledge and comfort that allows you to navigate the world and achieve wellbeing,” Danielle Brooks, director of quality health equity at AmeriHealth

article thumbnail

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.

article thumbnail

Denial Code OA 23: An Ultimate Guide

Etactics

According to a Premier, Inc. National Survey, private payers initially deny 15% of medical claims. This data comes from reports from hospitals, health systems, and post-acute care providers. These hospitals and health systems fought these denials at an average of $43.84 per claim. This number may not seem like a lot, but factor in the number of claim denials healthcare organizations face in a year.

article thumbnail

Overcoming Population Health’s ‘Trust Factor’ for Effective Case Management

HIT Consultant

Neena Patel, MHA, CSM, VP of Client Success at Chordline As population health initiatives for Medicare and Medicaid members pick up steam, one of the biggest obstacles to care transformation remains a lack of trust among healthcare’s key stakeholders. It’s an issue leaders must address—starting at the user level—if they are to strengthen health outcomes for the country’s most vulnerable patients.

article thumbnail

A Russia–North Korea Alliance in the Works? Don't Be So Sure

The Rand Blog

The new strategic partnership between Russia and North Korea is likely a fragile, convenience-driven relationship. U.S. information campaigns could exploit tensions with China and within the partnership and help speed its demise.

56
article thumbnail

Fullscript Acquires Rupa Health to Expand Whole Person Care Platform

HIT Consultant

What You Should Know: – Fullscript , a leading healthcare platform for whole person care, today announced the acquisition of Rupa Health, a company that helps practitioners order, track and manage more than 3,000 laboratory tests in a single interface. – By combining Rupa Health’s best-in-class lab and educational platform with Fullscript’s whole person care platform, Fullscript will be able to quickly scale and expand its comprehensive platform for whole person care.

article thumbnail

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.

article thumbnail

The Middle Road: Why the United States Needs a Dynamic Approach to Its Foreign Policy

The Rand Blog

The two tickets in the upcoming U.S. election offer largely contrasting stances for America's position on the international stage. However, must America's approach to its role on the international stage be one of two extremes, or can it be more nuanced?

51