Wed.Oct 23, 2024

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PBM model is a ‘dead man walking.’ What comes next?

Health Care Dive

Executives from Amazon, Walgreens, Blue Shield of California and PhRMA weighed in on how to fix the much-scrutinized pharmacy benefit manager model during HLTH 2024.

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HLTH24: Atropos Health unveils chat-based AI co-pilot for real-world evidence

Fierce Healthcare

LAS VEGAS—Atropos Health's large language model for real-world evidence is now ready for prime time after a successful beta program. | Atropos Health's large language model for real-world evidence is now ready for prime time after a successful beta program.

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Insurer lobby blames government policies for 2025 Medicare Advantage market makeup

Health Care Dive

The Better Medicare Alliance is warning of disruptions to care for America’s seniors, though MA premiums and major benefits are essentially unchanged next year.

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Blue Cross plan accused of fraud in 'ghost network' class-action lawsuit

Fierce Healthcare

Anthem Blue Cross Blue Shield of New York’s directory of doctors is thoroughly inaccurate and forces patients to seek costly out-of-network care and delay care, a class-action lawsuit alleges. | Anthem Blue Cross Blue Shield of New York is making it hard for members to receive care from mental health professionals due to poorly run provider directories, or ghost networks, a lawsuit claims.

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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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Centene sues HHS over Medicare Advantage star ratings fall

Health Care Dive

Centene is emulating other insurers unhappy with how regulators handled quality ratings for 2025. The flurry of complaints is “symptomatic of what appear to be systemic issues” with CMS calculations, Centene said.

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HLTH24: Employers still in an 'experimental' mode around GLP-1s

Fierce Healthcare

LAS VEGAS — Demand for GLP-1s has not slowed, and employers still have not cracked the code on the perfect solution for medications that represent a growing portion of spend. | LAS VEGAS — Demand for GLP-1s has not slowed, and employers still have not cracked the code on the perfect solution for medications that represent a growing portion of spend.

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More Trending

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Sanford Health, Marshfield Clinic Health System officially ink merger agreement

Fierce Healthcare

Sanford Health and Marshfield Clinic Health System have signed a merger agreement, the health systems announced on Wednesday, after first revealing their intent to combine in July. | Sanford Health and Marshfield Clinic Health System have signed a merger agreement, the health systems announced on Wednesday, after first revealing their intent to combine in July.

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The Rise of AI in Telemedicine: Enhancing Efficiency and Accessibility

HIT Consultant

Chu Canh Chieu, Director of Global Healthcare Center, FPT Software One of the silver linings of the COVID-19 pandemic was the rise of telemedicine. The constraints imposed by the pandemic sparked a lasting trend of patients willing and able to seek healthcare solutions virtually. Since the pandemic, the rise of AI and its integration with telemedicine and digital health has seen significant investment growth, leading to enhanced patient care and reduced operation costs for healthcare providers a

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Not to be left out, Centene sues CMS over 2025 star ratings

Fierce Healthcare

Centene is taking the federal government to court over the scoring of next year’s star ratings, as the latest major insurer to cry foul over the results. | Centene is joining the ranks of frustrated insurers who say misclassified secret shopper calls are causing profound financial damage that should be rectified.

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Compassus To Gain 24 New Home Health Locations In Latest JV With Providence

Home Health Care

Compassus has signed an agreement to form a joint venture with the health system Providence. The partnership will include home health care, hospice, community-based palliative care and home care services. It is the latest example of Compassus’ overarching joint venture growth strategy. “Providence at Home with Compassus” will be the name of the venture.

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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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Report: The State of AI During the Great Burnout in Healthcare

HIT Consultant

What You Should Know: – Innovaccer Inc., a healthcare AI company, has released a new research report, “ The State of AI During the Great Burnout in Healthcare , ” shedding light on the increasing role of AI in addressing the challenges faced by healthcare professionals. – The report, based on a survey of 568 healthcare professionals, reveals that AI is being embraced as a crucial tool for reducing administrative burden, improving operational efficiency, and mitigating cli

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Deep Dive into the Recent CMS Changes: Strategic Implications for Laboratory Directors

Advanced Data Systems

The recent updates to the Clinical Laboratory Improvement Amendments (CLIA) by the Centers for Medicare & Medicaid Services (CMS) represent a significant overhaul, with implications that extend deep into laboratory management, personnel qualification, and operational compliance. Understanding these changes in-depth will be crucial for laboratory directors to navigate the new regulatory landscape effectively.

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How Home-Based Care Providers Survived Devastating Hurricanes In The Southeast

Home Health Care

Hurricane Helene and Hurricane Milton forced home-based care providers in the impacted areas to up their games, to go even further to care for their clients and patients. Helene and Milton had devastating impacts on the Southeast. The former resulted in loss of more than 200 lives, and the latter is considered one of the worst storms to reach Florida in recent years.

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mPATH Health Secures $3M to Enhance Cancer Screening and Equity

HIT Consultant

What You Should Know: – mPATH® Health , a digital health company dedicated to improving cancer screening, is thrilled to announce the successful closure of $3 million in funding, which will accelerate the company’s mission to enhance cancer prevention and improve health equity. – This funding includes a $2 million Small Business Technology Grant from the National Cancer Institute (NCI) and a $1 million equity investment led by Oncology Ventures, an oncology-focused venture cap

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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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Help At Home Adds 1,300 Caregivers, 1,500 Clients Through Latest Acquisition

Home Health Care

Help at Home, one of the largest home care providers in the country, is expanding its reach in the state of Florida through its acquisition of Caregiver Services Inc. “When we evaluate any organization for a possible acquisition, it’s important for us to have a cultural connection with that company,” Ray Smithberger, chief operating officer of Help at Home, told Home Health Care News.

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ConcertAI’s TeraRecon Streamlines Cardiac MR Workflows with Intuition 4.10

HIT Consultant

What You Should Know: – TeraRecon , the leader in medical imaging advanced visualization, clinical AI, and workflow automation, today announced updates to its Intuition platform with new best-in-class cardiac magnetic resonance (MR) medical imaging capabilities. – These clinical innovations are now available across all deployment models and on the latest cloud infrastructure.

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Healthcare AI News 10/23/24

HIStalk

News Amazon One Medical launches AI tools for its 1Life.

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Children’s National Hospital Awarded $8M to Advance AlgometRx Nociometer

HIT Consultant

What You Should Know: – Children’s National Hospital has received a $8M award from the Advanced Research Projects Agency for Health (ARPA-H) to further develop the AlgometRx Nociometer , a device designed to objectively measure pain. – Led by Dr. Julia Finkel, a pediatric anesthesiologist at Children’s National, aims to transform pain management and address the unmet needs of patients, particularly women, who often experience disparities in pain assessment and treatment.

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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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Everybody Mad at Japan's New Prime Minister Needs to Relax

The Rand Blog

Japan's new PM, Shigeru Ishiba, faces criticism for controversial proposals. However, as he transitions from campaign to governance, his policies may become more pragmatic.

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HCA Healthcare, Commure to Deploy Ambient AI Platform Across Enterprise

HIT Consultant

What You Should Know: – HCA Healthcare, one of the nation’s largest healthcare providers has selected Commure to develop and deploy an ambient AI platform across its vast network of healthcare professionals. – By automating clinical documentation and streamlining workflows, this innovative platform has the potential to transform healthcare delivery and improve patient outcomes across HCA Healthcare’s vast network of facilities.

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Putin's Drone Strategy Shows the Cracks in Russia's War Machine

The Rand Blog

Russia's efforts to boost drone production face challenges due to reliance on foreign parts, especially from China. Despite ambitions to produce 1.4 million drones, systemic issues and sanctions hinder domestic output. Moscow's dependency on China may grow as it struggles to meet targets.

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DUOS Launches Chat 2.0: AI-Powered Healthcare for Older Adults

HIT Consultant

What You Should Know: – DUOS , a digital health innovator, is transforming how older adults access healthcare with the launch of its next-generation AI platform, Chat 2.0. – Built on the success of its predecessor, Chat 1.0, leverages advanced AI technology to provide a more personalized, intuitive, and actionable healthcare experience for seniors.

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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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Readers Write: Primary Care Mental Health Support Requires a Whole-Person Care Approach

HIStalk

Primary Care Mental Health Support Requires a Whole-Person Care ApproachBy.

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Bioptimus and Proscia Accelerate AI Development in Pathology with H-optimus-0 Integration

HIT Consultant

What You Should Know: – Bioptimus , a French startup developing cutting-edge AI foundation models for biology, has announced a strategic partnership with Proscia , a provider of AI-enabled pathology solutions. – The collaboration integrates Bioptimus’ H-optimus-0 foundation model into Proscia’s Concentriq® Embeddings, empowering researchers and data scientists to achieve breakthroughs in AI development at an unprecedented pace.

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Morning Headlines 10/24/24

HIStalk

PEO-DHMS to Award Leidos Follow-On MHS GENESIS System Support Contract.

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Andros Arc™: AI-Powered Platform Optimizes Provider Network Management

HIT Consultant

What You Should Know: – Andros , a provider of provider network management solutions, has announced the launch of Andros Arc™, a cutting-edge platform designed to optimize provider networks for health plans. – The solution combines data synchronization, intelligent insights, and automated workflows to empower health plans to navigate the evolving healthcare landscape and enhance their network performance.

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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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We Are Stressed in America – APA’s 2024 Stress in America Survey on “A Nation in Turmoil”

Health Populi

Two in three people in the U.S. are dealing with Presidential Election Stress — a significant contributor to Americans’ overall stress we learn from the American Psychological Association’s study into Stress in America 2024. I’ve covered the APA’s Stress in America studies for many years, appreciating the role that anxiety and stress play in peoples’ overall health status and well-being.

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Net Health Integrates Tali’s AI-Powered Ambient Scribing to Transform EHR Documentation

HIT Consultant

What You Should Know: – Net Health , a provider of specialized healthcare software solutions, has announced a strategic partnership with Tali , an AI assistant and ambient clinical documentation company. – The partnership will integrate Tali’s voice-enabled AI assistant into Net Health’s EHR software, transforming documentation processes and empowering clinicians to focus more on patient care.

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HLTH24: Jill Biden announces $110M ARPA-H funding award, prods industry to invest in women's health

Fierce Healthcare

LAS VEGAS—First lady of the U.S. | LAS VEGAS—“The women of America are waiting on you,” Jill Biden said in her speech at HLTH 2024, calling on the healthcare industry to make women’s health research and development a bigger priority.

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Archy Raises $15M to Optimize Dental Practices with AI-Powered Automation

HIT Consultant

What You Should Know: – Archy , a pioneer of cloud-based automation software for dental practices, today announced it has raised $15M Series A funding in a round led by Entrée Capital with participation from Bessemer Venture Partners, CRV, Alven, 20VC Growth fund and several angel investors and dental professionals. -The investment will advance further development of the Archy product, embedding AI across various areas to make dental practices more efficient and allowing dental teams to fo

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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.