Tue.Aug 27, 2024

article thumbnail

Feds killed plan to curb Medicare Advantage overbilling after industry opposition

Fierce Healthcare

A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars—only to abruptly back off amid an “uproar” fr | Filings and testimonies in a multibillion-dollar Justice Department civil fraud case against UnitedHealth Group outline industry pressure that led the government to bury a proposed rule on Medicare Advantage chart reviews.

Medicare 329
article thumbnail

Semaglutide coverage for weight loss could cost Medicare billions: study

Health Care Dive

If all newly eligible patients received semaglutide, Medicare Part D spending could increase by $34 billion to $145 billion each year, according to new research.

Medicare 280
Insiders

Sign Up for our Newsletter

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

article thumbnail

TennCare violated healthcare rights of Tennessee Medicaid beneficiaries, judge rules

Fierce Healthcare

TennCare, the state of Tennessee’s Medicaid program, intentionally prevented families from receiving healthcare coverage and benefits, a federal district judge determined Aug. 26. | TennCare, the Tennessee state Medicaid program, was found to have intentionally prevented families from receiving healthcare coverage and benefits, a federal court found.

Medicaid 307
article thumbnail

New cancer patients check EHRs twice as often

Healthcare It News

Once a cancer diagnosis is confirmed, a patient's life is not only altered but there is a lot to learn as they make care decisions. "For cancer survivors and those managing a recent diagnosis, having access to online medical records via patient portals or smartphone-based health apps is critical," said researchers from the U.S. Health and Human Services in a new report that examines the use of electronic health information.

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

UnitedHealth report: Disparities persist in maternal, infant health

Fierce Healthcare

UnitedHealth Group's philanthropic arm has released a new | UnitedHealth Group's philanthropic arm has released a new deep dive into maternal and infant health, underscoring socioeconomic disparities in women's health.

167
167
article thumbnail

Pfizer launches DTC service for migraine, COVID drugs

Health Care Dive

The platform is similar in concept to a service launched this year by Eli Lilly, and aims to give consumers easier access to Pfizer’s migraine, COVID-19 and flu treatments.

150
150

More Trending

article thumbnail

Johns Hopkins, CareFirst, Techstars launch healthcare AI accelerator

Health Care Dive

The 13-week program will offer funding and guidance to up to 12 health tech, medtech and biotech startups working on AI tools.

article thumbnail

Better cancer outcomes from driving behavioral change

Healthcare It News

Enterprise Taxonomy: Quality Care Operations Health and Wellness Population and Public Health Patient safety Strategic Planning Digital Health Care Business Organizational Governance Technology Node settings: Exclude from Accelerate RSS feed

article thumbnail

Northwell-Nuvance deal gets green light from state attorneys general

Health Care Dive

To gain regulatory approval, Northwell agreed to invest in women’s health services and maintain staffing levels at Nuvance hospitals in the years following the merger, among other terms.

Hospitals 140
article thumbnail

KFF: A look at narrow networks in ACA marketplace plans

Fierce Healthcare

People enrolled in Affordable Care Act marketplace plans had access to 40% of the local physicians in-network, according to a new analysis from KFF.

130
130
article thumbnail

How to Battle Layoffs: The Career Star Accelerator Bootcamp

Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.

article thumbnail

Physician Burnout: Over 25% of Physicians Do Not Utilize Their Annual Vacation Days

HIT Consultant

What You Should Know: – A recent report by G-Med , a global online physician community, sheds light on the alarming issue of physician burnout and its impact on vacation time. The report , based on extensive analysis of peer-to-peer discussions among verified physicians, reveals that a significant number of doctors are not taking all their allotted vacation days, either due to workload pressures or discomfort in requesting time off.

Doctors 108
article thumbnail

FTC Targets Care.com For ‘Unlawful Practices,’ Orders $8.5M Refund For Users 

Home Health Care

The Federal Trade Commission (FTC) has taken action against Care.com, alleging that the company’s platform systematically deceived caregivers seeking jobs and failed to provide a simple way for families to cancel their paid memberships. Care.com is an online platform that connects people seeking to hire workers for various jobs – such as child and older adult care, care for individuals with special needs and pet sitting – with those looking for work.

article thumbnail

Ultrahuman Ring AIR Lands in Verizon Stores for Health Tracking

HIT Consultant

What You Should Know: – Ultrahuman , a leader in wearable health technology announced the availability of its innovative Ultrahuman Ring AIR in select Verizon stores nationwide. – By adding the Ultrahuman Ring AIR to its product lineup, Verizon continues to demonstrate its dedication to enhancing the lives of its customers through future-first wearable tech.

article thumbnail

Reimagining The Health Care System, With The Home At The Center

Home Health Care

This article is a part of your HHCN+ Membership Dr. Pippa Shulman, the chief medical officer at Medically Home, believes the home will eventually become the lynchpin of the U.S. health care system. “What you’re going to see is a full shift to the idea of hospitals, as a place where you seek ICU care, surgical care and emergency care for trauma, but that everything else can be delivered in the home,” she recently told Home Health Care News.

article thumbnail

5 Essentials for Healthcare CIOs: A Provider Data Management Checklist

Complete and accurate provider data is essential for health organizations to operate effectively. A better understanding of your provider network helps to understand patients and consumers, identify gaps in care, and make the best possible decisions for your businesses. A modern provider data management solution should power a complete and accurate view of each of your providers, make this data easily accessible across functional groups, and be flexible and agile enough to scale. with your needs

article thumbnail

Elation Health Launches AI-Powered Note Generation Tool

HIT Consultant

What You Should Know: – Elation Health, the clinical-first technology company powering innovation in primary care, today announced the release of its ambient note generation product called Note Assist, an embedded artificial intelligence (AI) solution for its Electronic Health Record (EHR) platform, designed for the complex patient visit requirements of primary care. – With Elation’s Note Assist, the details of the physician-patient visit are ambiently transcribed and intelligent

article thumbnail

Best Buy Health’s Latest Insights into Technology and Care at Home

Health Populi

In the U.S., aging in and staying at home is a priority for most people over the age of 45 — and for nearly one-half of younger people between 18 and 44 — we learn in Best Buy Health’s Research Brief discussing the company’s survey of 1,000 U.S. consumers. Best Buy Health, the health-focused operation which is part of the electronics retailer Best Buy, worked with Sage Growth Partners to assess 1,000 U.S. consumers, 18 years and over, on their perspectives on health care

article thumbnail

The Importance of Between-Visits Appointments and Mental Health

HIT Consultant

Loren Larsen, CEO, Videra Health The causes and effects of America’s mental health crisis are well-documented. Easing access to necessary clinical help has not grown in tandem. A study by the National Council for Mental Well-Being reveals that mental health services in the U.S. are insufficient despite more than half of Americans (56 percent) seeking help, with limited options and long waits becoming the norm.

Doctors 75
article thumbnail

Navigating the new Epic Gold Star criteria with strategic approaches

Nordic

At Epic’s User Group Meeting 2024 , Epic announced new criteria for Gold Star, its 10-level continuous improvement program designed to help customers stay updated on the latest Epic functionality. While the program previously focused on organizations installing new features, it is expanding to include user adoption and measurable impact on clinical and financial performance.

article thumbnail

Level up Culture & EQ | Sign up for the #CultureDrop

Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.

article thumbnail

Achieving cost savings and elevated care with the Expanse MaaS model

Meditech

From improved scalability and financial savings to enhanced service delivery and operational efficiency, the MEDITECH as a Service (MaaS) model is proving to be a game changer for organizations looking to stay ahead in a rapidly evolving landscape. Here are a few recent MaaS customers who are already poised to transform their care delivery.

64
article thumbnail

Hinge Health, Midi Health Partner to Address Menopause-Related Musculoskeletal Issues

HIT Consultant

What You Should Know: – Hinge Health , a leading digital musculoskeletal care provider, and Midi Health , a virtual clinic specializing in menopause care, announced a strategic partnership to address the significant healthcare gap for women experiencing menopause-related musculoskeletal issues. – Menopause can significantly impact musculoskeletal health, leading to joint pain, muscle aches, and other discomfort.

article thumbnail

Special Touch Home Care CEO Looks Toward Expansion, Technology And The Next 150,000 Patients

Home Health Care

New York State has recently faced its share of challenges, including Gov. Hochul’s 2025 budget and the effort to reduce Medicaid spending, which directly impact the state’s Consumer Directed Personal Assistance Program (CDPAP). It seems the only constant in the state is change. Home Health Care News recently spoke with Special Touch Home Care CEO Evan Ostrovsky about the company’s 40-year history, serving 150,000 patients, its expansion into New York’s Consumer Directed Personal Assistance Progr

article thumbnail

Vouched Appoints Peter Horadan as New CEO

HIT Consultant

Peter Horadan, CEO at Vouched What You Should Know: – Vouched , the leading provider of AI-powered identity verification solutions for healthcare, banking, and financial services, has announced the appointment of Peter Horadan as its new Chief Executive Officer. – Vouched, founder John Baird will become the company’s Chairman of the Board and Chief Strategy Officer.

article thumbnail

A Guide to Improved Sepsis Detection & Compliance: 6 Areas You Should Address

This guide highlights key areas that your sepsis detection platform should address to minimize the impact of this leading, entirely preventable cause of in-hospital deaths, as well as how to increase compliance by 20% in 30 days. Download to learn more!

article thumbnail

Momentum is Not Enough: A Call for Consistency in Psychedelic Legislation

Bill Of Health

by Karina Bashir The law helps establish legitimacy and inform societal norms—a role that becomes particularly pronounced in the field of psychedelics. Lingering stigma from the War on Drugs , despite the promising scientific potential of psychedelics, hinders the growth of the psychedelic industry and its public acceptance.

article thumbnail

Priority Health and Curai Offer Free Virtual Visits to Uninsured Michigan Residents

HIT Consultant

What You Should Know: – Priority Health , a nationally recognized nonprofit health plan serving more than 1.3 million members, and Curai Health, a leading virtual care provider, have announced a new partnership to offer free virtual visits to Michigan residents 18 and older who are without health coverage – an estimated 400,000 people. – The free virtual visits will be available through December 31, 2024.

article thumbnail

News 8/28/24

HIStalk

Top News An ASTP/ONC study finds that 60% of people.

77
article thumbnail

ZBiotics Raises $12M to Expand First Genetically Engineered Probiotics

HIT Consultant

What You Should Know: – ZBiotics , the pioneers carving a new category of genetically engineered probiotics, today announced the close of its $12M Series A funding round, led by Spring Tide Capital. The oversubscribed round also includes participation by Access Capital, Seamless Capital, Goat Rodeo Capital, and Seaside Ventures. – The company will use the funds to meet growing consumer demand, spearhead retail expansion, and drive continued research and development in a new secto

article thumbnail

The New Tech Experience: Innovation, Optimization, and Collaboration

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

article thumbnail

Don't Ever Invade China: Xi Jinping Prioritizes Border, Coastal, and Air Defense

The Rand Blog

China's national defense policy prioritizes safeguarding national territorial sovereignty and maritime rights with an emphasis on border, coastal, and air defense. Leader Xi Jinping underscored mainland defense in a recent speech. What does Beijing’s carefully crafted, high-profile political signaling tell us?

40
article thumbnail

Morning Headlines 8/28/24

HIStalk

Access and Use of Electronic Health Information by Individuals with.

44
article thumbnail

Cultivating the Magic Sauce for Surviving Out-of-Hospital Cardiac Arrest

The Rand Blog

Survival rates for out-of-hospital cardiac arrest vary significantly by location, highlighting the need to identify and disseminate best practices from high-performing communities. What are the key factors that improve survival?

article thumbnail

The Importance of Accurate Patient Matching for AI Projects

HIT Consultant

Avi Mukherjee, Chief Product and Technology Officer of Verato Andy Dé, Chief Marketing Officer of Verato. Famous artificial intelligence (AI) errors such as a Google search recommendation to put glue on a pizza to keep the cheese from falling off may cause a smile. However, when AI is mentioned in conjunction with healthcare, the stakes become serious — quickly since ‘hallucinations’ are not an option in healthcare!

article thumbnail

Strategies to Deal with Collaborative Healthcare Communication

Speaker: Dr. Ugo Uwaoma, MD, MBA

Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.