Wed.Oct 18, 2023

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Medicare Advantage marketing practices draw ire from senators

Fierce Healthcare

Seniors are forced to navigate a convoluted Medicare Advantage (MA) landscape for healthcare coverage, often only to be denied care, experts told legislators during a Senate Finance Committee heari | Senators and experts agreed Wednesday that marketing practices from Medicare Advantage plans are often overwhelming for seniors.

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Premiums rose 7% for employer-sponsored health coverage in 2023

Health Care Dive

The average premium was nearly $8,500 for single coverage and nearly $24,000 for family coverage this year, according to a new study published in Health Affairs.

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Henry Ford Health, Ascension Michigan unveil plans to form $10.5B joint venture

Fierce Healthcare

Henry Ford Health is coming together with several of Ascension Michigan’s hospitals and other facilities to form a joint venture with over $10.5 billion in annual operating revenue, the organizatio | Should the deal close, the resulting organization would span 13 acute care hospitals and over 550 sites of care. The nonprofits stressed that the arrangement is not a merger and that "no cash transaction" would take place.

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Elevance could see $500M quality bonus revenue hit in 2025 from MA star ratings drop

Health Care Dive

The insurer is actively seeking ways to mitigate the financial impact of its star ratings drop, Elevance CEO Gail Boudreaux said during the insurer’s third-quarter earnings call.

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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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CalOptima awards $52.3M to local nonprofits to spur creation of more affordable housing in Southern California

Fierce Healthcare

CalOptima Health, the Medi-Cal managed care plan for Orange County, is awarding $52.3 million in grants to accelerate the creation of affordable and permanent housing. | The grants will go to 15 grantees to acquire, construct and upgrade a total of 706 housing units to support people experiencing homelessness.

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Walgreens, Alignment partner on co-branded MA plans

Health Care Dive

The zero-dollar premium plans will be available in 10 counties in Arizona, California, Florida and Texas starting next year.

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More Trending

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Innovation trends require education for users to keep up

Healthcare It News

According to dHealth Foundation director and cofounder Quy Vo-Reinhard, for regulators and users to keep up with emerging technologies like blockchain and smart contracts there needs to be an emphasis on education.

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Elevance Health boosts guidance as it posts $1.3B in Q3 profit

Fierce Healthcare

Elevance Health reported $1.3 billion in profit for the third quarter, beating the Street but falling short of the prior-year quarter's haul. | Elevance Health reported $1.3 billion in profit for the third quarter, beating the Street but falling short of the prior-year quarter's haul.

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Cybersecurity incident prompts Henry Schein to take systems offline, disrupting operations

Health Care Dive

The incident affected a portion of the company’s manufacturing and distribution businesses.

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Healthcare payments tech company Waystar plans to go public. Is the IPO freeze thawing out?

Fierce Healthcare

Healthcare payment software maker Waystar filed for an initial public offering, signaling a potential end to the dry spell in the health tech IPO market. | Healthcare payment software maker Waystar filed for an initial public offering, signaling a potential end to the dry spell in the health tech IPO market.

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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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Ethiopian Hospitals Use Infection Prevention and Control Practices to Combat Antimicrobial Resistance

CDC

Two hospitals in Addis Ababa, Ethiopia, are demonstrating that even when access to resources is limited, commitment to infection prevention and control (IPC) practices makes combating antimicrobial resistance (AR) possible. Antimicrobial-resistant bacteria can cause severe, hard-to-treat infections. They were associated with almost 5 million deaths worldwide in 2019.

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Conquering 5 Common Healthcare Marketing Challenges

Fierce Healthcare

Conquering 5 Common Healthcare Marketing Challenges | Healthcare marketing is tough. Learn about 5 common healthcare marketing challenges and how health education content helps you face them head-on.

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Why Advocate Health Is Ripe For Home-Based Care Innovation

Home Health Care

While many health systems offloaded ancillary service lines following the pandemic, Advocate Aurora Health and Atrium Health doubled down on home-based care. Those companies merging, and creating “Advocate Health,” has created one of the largest health systems in the U.S. But the merger has also formed an organization with a strong and wide commitment to home-based care.

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Bicycle Health, Override Health team up on chronic pain, OUD care referrals

Fierce Healthcare

Bicycle Health, a virtual provider of opioid use disorder (OUD) care, is teaming up with Override Health, a virtual chronic pain management clinic, for a bidirectional patient referral relationship | Bicycle will refer patients to Override for chronic pain care, while Override will refer patients in need of OUD treatment to Bicycle. The partners’ goal is to increase access to chronic pain care and OUD treatment, two areas they say have a lot of patients in common.

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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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Why Avoiding Costly Coding Mistakes Is More Critical Than Ever

HIT Consultant

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. His crime: performing unnecessary vein ablation procedures on patients, and using incorrect billing codes to receive larger reimbursements. He received $4.5 million in reimbursements from Medicare over a three-year period.

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Memorial Hermann, Midi Health team up to expand access to menopause care in Houston

Fierce Healthcare

On Wednesday, World Menopause Day, two healthcare partners unveiled their collaboration to help patients going through midlife hormonal transitions. | Patients will be able to access Midi’s telehealth services directly through Midi or by getting a referral from their Memorial Hermann-affiliated physician. All services are covered by insurance in Texas under major PPO plans.

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For Home Health Providers, Interoperability ‘Wins’ Have Become Crucial For Referral Relationships, Bottom Lines

Home Health Care

For patients and providers, working through the post-acute health care system in the U.S. is a tall task. It often involves a wide range of providers and vendors. There’s lots of talk around interoperability in these circles, but that goal of seamless coordination is generally not met on the ground. Generally, interoperability refers to the ability of different health care information systems to communicate, exchange data and leverage that information in a way that provides effective care across

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Waymark scores $42M in fresh funding, including investment from CVS

Fierce Healthcare

Waymark, a Medicare-focused provider enablement company, has secured $42 million in fresh funding that it plans to use to continue scaling its offering. | Waymark, a Medicare-focused provider enablement company, has secured $42 million in fresh funding that it plans to use to continue scaling its offering.

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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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InfoBionic Secures Funding to Expand Virtual Telemetry Solution

HIT Consultant

What You Should Know: – InfoBionic , a digital health company focused on virtual telemetry and cardiac remote patient monitoring closes its Series D financing round. The series D funding round includes participation by Security International Investments (SII), Mayo Clinic and Excel Venture Management while distinguished existing investors like Blue Cross Blue Shield of MA (Zaffre Investments), Blue Cross Blue Shield of Kansas and Safeguard Scientifics remain actively involved. – The

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Family premiums in employer plans set to rise 7%: KFF survey

Fierce Healthcare

Family premiums for employer plans are set to rise by 7% on average this year, one year after virtually no growth, according to a

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How To Fight Candida Auris/Fungal Infections In Hospitals

HIT Consultant

Jason Kang, Co-founder & Chief Innovation Officer at Kinnos Concerns about deadly fungal infections are growing nearly as fast as the outbreaks themselves. From popular television shows to recent articles in the Wall Street Journal and Fast Company , the attention has been swift and breathless. Unfortunately, lost in the scramble to highlight their potency and develop a cure has been any agreement on an effective strategy for cutting into their spread.

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AI Pain Recognition Tool Detects Pain Before, During and After Surgery

Health IT Analytics

An automated, AI-based pain recognition system may provide an unbiased approach to assess patients’ pain and decrease hospital length of stay.

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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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Innovation Key to Tackling Medicaid Redetermination Challenge

HIT Consultant

Chris Oskuie, VP, State & Local Government &Education Sales at Software AG Government Solutions As a result of the Families First Coronavirus Response Act (FFCRA), Medicaid programs were required to keep citizens continuously enrolled through the COVID-19 public health emergency (PHE). These continuous enrollments ended on March 31, 2023, resulting in what many call the unwinding of Medicaid.

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Home-Based Care Provider WellBe Senior Medical Continues Nationwide Expansion

Home Health Care

WellBe Senior Medical is expanding its footprint, this time through an entrance into Oregon. “We’re working on additional expansions, likely to come in 2024, that will bring us into Washington, and a couple other states out in the Pacific Northwest,” Mike Stuart, chief growth officer at WellBe, told Home Health Care News. “We’re excited to get started in Oregon.

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We must change our mindset about our health-care system

Healthy Debate

No system can cover all the health needs of every person all the time. It's time for difficult conversations about our health-care system.

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The CBO Report and Lessons for CMMI’s Future

Healthcare Leadership Council

After over a decade of projecting that the models initiated by the Center for Medicare and Medicaid Innovation (CMMI) would reduce Medicare spending, eyebrows were raised in health policy circles when the Congressional Budget Office (CBO) issued a recent report estimating that in its first decade of operation, CMMI’s efforts had actually elevated federal spending by $5.4 billion between 2011 and 2020.

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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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Innovating with Microsoft Industry Clouds next release wave

Cloud Blogs

In the face of an ever-changing and dynamic market, Microsoft Industry Clouds are helping customers and partners across multiple industries thrive. We’re delivering technological innovation to help every organization build resilience to weather uncertainty and accelerate digital transformation. New capabilities within the 2023 release wave 2—coming available from October 1, 2023, to March 31, 2024.

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Healthcare AI News 10/18/23

HIStalk

News OpenAI adds voice capabilities to the ChatGPT mobile app,

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Impact of Semaglutide 2.4 mg on Reducing Health Inequality in the US: A Modeling Study

Healthcare ECONOMIST

That is the title of a study presented this week at the Obesity Week conference. This is work used a distributional cost effectiveness analysis approach for measuring the value of semaglutide 2.4 mg for the treatment of patients with obesity and overweight. It was conducted with co-authors Joshua Toliver, Mads Faurby, Jaehong Kim, Sanjana Muthukrishnan and Sean D.

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Avidex and Artisight Partner to Transform Virtual Care in Hospitals

HIT Consultant

What You Should Know: – Avidex , a provider of audiovisual and interactive patient care solutions, and Artisight , an AI-powered smart hospital platform announced a strategic partnership. – Avidex and Artisight will harness the strengths of both companies to provide a turnkey virtual care solution. Avidex will take on the role of the in-room technology integrator, leveraging its expertise to install and support the solution’s essential AV equipment and platform integration of i

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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.