Thu.Nov 30, 2023

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Ardent Health struggles to get systems back online as hospitals reopen emergency rooms

Fierce Healthcare

Hospitals across multiple states have reopened their emergency rooms but continue to face disruptions after parent company Ardent Health Services was hit by a ransomware attack a week ago. | Hospitals across multiple states have reopened their emergency rooms but continue to face disruptions after parent company Ardent Health Services was hit by a ransomware attack a week ago.

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Medicare Advantage rate change bedevils UnitedHealth’s 2024 outlook

Health Care Dive

UnitedHealth’s MA growth could be depressed next year thanks to a rate notice from the CMS that’s deeply unpopular with insurers, management said during their investor day.

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Walgreens rolls out Rx Savings Finder tool for prescription drug discounts as pharmacy competition heats up

Fierce Healthcare

Walgreens launched a new digital marketplace designed to help customers save money on prescription medications. | Walgreens launched a new digital marketplace designed to help customers save money on prescription medications. The move from Walgreens comes as brick-and-mortar retail pharmacies are feeling the heat from new online pharmacies that focus on lowering drug costs.

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Lawmakers stress data privacy in health AI oversight

Health Care Dive

Legislators expressed concern over patient data not protected under federal privacy law and said that Congress should take steps to regulate artificial intelligence in healthcare.

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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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UnitedHealth hosted its investor conference this week. Here are 4 things to know

Fierce Healthcare

Healthcare giant UnitedHealth Group hosted its annual investor conference this week, where it detailed key strategic initiatives ranging from value-based care to consumerism. | Healthcare giant UnitedHealth Group hosted its annual investor conference this week, where it detailed major strategic initiatives ranging from value-based care to consumerism.

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A Comprehensive Timeline Review for MIPS 2023 Reporting

p3care

Following the systematic plan of QPP reporting, we are now at the end of the MIPS 2023 performance year. We already know the MIPS has strict timelines and deadlines that more or less remain the same. A MIPS participant moves from one benchmark to another throughout their participation. And CMS releases news updates regarding every stage. These updates are available on the QPP’s official website.

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Patient portal opens new entry points to care at Lurie Children's Hospital

Healthcare It News

Prior to the growth, adoption and use of its patient portal, Ann & Robert H. Lurie Children's Hospital of Chicago had only two entry points for patients looking to receive care – calling the centralized access center or walking into the emergency room. THE PROBLEM There were multiple phone numbers that linked to each of the separate specialties with complex phone trees that sometimes rerouted to the centralized access center or sometimes would land with the specialty that a patient

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Reaching the summit of healthcare, one step at a time

Fierce Healthcare

By Marcus Perez, President, Altera Digital Health | Elevating healthcare for all starts with your EHR. With better usability, interoperability and infrastructure, next-level healthcare is within reach.

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Providence, struggling to rebound, posts more losses in Q3

Health Care Dive

The Washington-based nonprofit battled rising expenses despite having targeted recovery plans in place.

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Blue Shield of California makes Wellvolution program available to Spanish speakers

Fierce Healthcare

Wellvolution, a digital health platform by Blue Shield of California, will now be more inclusive and accessible for Spanish speakers. | Blue Shield of California is aiming to make its Wellvolution offerings available to more members by including Spanish language capabilities and access to Dario.

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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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Mission Hospice & Home Care, By the Bay Health, Hope Hospice To Merge

Home Health Care

Three California-based providers — By the Bay Health, Mission Hospice & Home Care and Hope Hospice — announced they will merge, creating the largest nonprofit hospice network in northern California. Leaders of all three agencies said the merger will make them stronger competitors in the marketplace, and also improve access to care in the communities they serve.

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Highmark's revenue tops $20B through three quarters

Fierce Healthcare

Highmark Health brought in $20.3 billion in revenue and $431 million in net income for the first three quarters of 2023, the company said this week. | Highmark Health brought in $20.3 billion in revenue and $431 million in net income for the first three quarters of 2023, the company said this week.

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How A Cigna-Humana Combination Could Alter Home-Based Care In The US

Home Health Care

This article is a part of your HHCN+ Membership Over the last week, a potential Cigna Group (NYSE: CI) and Humana Inc. (NYSE: HUM) combination has gone from a rumor to a real possibility. After I reported on the topic for Home Health Care News on Tuesday , Reuters and The Wall Street Journal confirmed that the two companies were in talks, on Wednesday and Thursday, respectively.

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Harness cloud-based AI/ML to make home care more effective

Fierce Healthcare

Artificial intelligence is everywhere now, from automated chatbots on customer service websites to novelty computer-generated images meant mostly for their entertainment value. | AI and the machine learning technologies behind it are starting to find their way into healthcare, taking some of the drudgery out of producing clinical notes and billing claims, as well as helping researchers unlock some of their data.

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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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Sampling of data for improvement measures

Life Qi

Designing your measurement plan is oft en one of the most challenging parts of any improvement work. This is true for a single project, and even more so when working on large cross-team or multi organisation collaborative efforts. One of the challenges can be in overcoming ‘ data-overload ’, which can be a source of wasted time and effort and potentially distract from the purpose of the work , especially when rapid cycle of change and analysis of results is needed.

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Providence's operations down $857M in 9 months, but execs say strategic efforts yielding 'appreciable improvements'

Fierce Healthcare

Renton, Washington-based Providence’s operations tallied $310 million of net losses (-4.3% operating margin) during the third quarter and now sit $857.3 million in the hole (-4% operating margin) t | The western U.S. Catholic health system has launched a flurry of strategic initiatives that leadership says is helping right the course after a disastrous $1.7 billion operating loss across 2022.

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AI Tool May Help Breast Cancer Patients Avoid Unnecessary Chemotherapy

Health IT Analytics

A Northwestern University artificial intelligence tool can combine cancerous and non-cancerous cell patterns to predict the course of invasive breast cancer.

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Hospitals' operating margins, volumes hold steady through October, Kaufman Hall finds

Fierce Healthcare

Hospitals’ operating margins and volumes held steady in October and remain elevated over what the sector faced through much of the pandemic, according to Kaufman Hall’s latest monthly report. | Operating stability, particularly compared to 2022, is leading many hospitals to turn their efforts toward resilience investments.

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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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Dedalus, Ibex Launches AI-powered Digital Pathology Solution for Cancer Diagnosis

HIT Consultant

Ibex Logo What You Should Know: – Dedalus Group , an anatomic pathology information systems provider in Europe, and Ibex Medical Analytics , a market leader in AI-powered cancer diagnostics, have jointly launched an integrated End-to-End AI-powered Digital Pathology Solution for cancer diagnosis. A New Standard for Anatomic Pathology Lab Digitization The new solution is now commercially available in major European markets and sets a new standard for anatomic pathology lab digitization by s

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Cleveland Clinic cuts Q3 operating loss to $15M thanks to 10% rise in revenues

Fierce Healthcare

The Cleveland Clinic logged another negative operating margin and nine figures of net losses during the three months ended Sept. | The nonprofit health system credited "strong demand for services" for its incremental performance boost, though its bottom line for the quarter was dragged down to a $127.4 million net loss due to investment markets.

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Vivodyne Secures $38M for AI-Powered Drug Discovery Platform

HIT Consultant

Vivodyne started as an idea between Co-Founders Andrei Georgescu (left), now Vivodyne’s CEO, and UPenn Professor Dan Huh (right), now Vivodyne’s CSO, while Andrei performed his Ph.D. graduate studies in Huh’s bioengineering research lab. Photo credit: Penn Engineering What You Should Know: – Vivodyne , a biotech company that accelerates drug discovery by testing therapies on lab-grown human organs raises $38M in total seed financing, led by Khosla Ventures , with participation from Kairos

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TytoCare's at-home smart clinic to be offered to St. Luke's employees, plan members

Fierce Healthcare

TytoCare, at at-home virtual care company, has joined forces with St. Luke’s Health System to give its employees and members of St. Luke’s Health Plan access to its Home Smart Clinic. | TytoCare's primary care offering includes an FDA-cleared hand-held solution for remote physical exams and diagnoses as well as AI-enabled diagnostic support and a suite of user engagement services.

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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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Humana Partners With CINQCARE To Deliver Home-Based Care To Medicare Advantage Members

Home Health Care

Humana Inc. (NYSE: HUM) has formed a partnership with CINQCARE, a health care company that delivers care in the home and community. “At Humana, our unwavering commitment has always been to provide high-quality care and improve health outcomes,” Julie Mascari, president of Humana Northeast regional Medicare, said in a press statement. “By combining our expertise and resources, Humana and CINQCARE hope to make significant strides in improving the health and well-being of the diverse population of

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Championing medical equity with AMN Healthcare Language Services

Fierce Healthcare

Communication is critical to positive healthcare outcomes. | Jacobia Solomon sits down to talk about the importance of communication in delivering better outcomes, and how specialist services are helping to overcome language barriers and level up the delivery of care.

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Culmination Bio Raises $10M to Bring Longitudinal Health Data to Biopharma

HIT Consultant

What You Should Know: Culmination Bio, a company building the largest disease-agnostic patient data intelligence platform, today announced a $10 million investment from Merck Global Health Innovation Fund (Merck GHI) and Amgen Ventures. As a spinoff from Intermountain Health , Culmination Bio maintains exclusive rights to a physical library and cloud-based data lake covering over 40 years of de-identified patient electronic health records and biospecimen data.

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Talking partnerships with AllMed Healthcare Management

Fierce Healthcare

Dr. | Vice President and Medical Director Dr. Kathryn Kolonic gives her perspective on what makes for successful partnerships in the healthcare ecosystem.

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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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Avreo & Annalise.ai Integrate to Optimize Radiology Triage

HIT Consultant

What You Should Know: Avreo, a leading US healthcare workflow solution provider, announced an exciting integration partnership with Annalise.ai, a pioneer in artificial intelligence for medical imaging. This collaboration aims to revolutionize radiology triage for US healthcare centers through the distribution of Annalise.ai’s cutting-edge solution with a focus on teleradiology providers.

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Links

Healthcare ECONOMIST

How CADTH thinks about equity. FDA-approved pharmaceuticals for dogs. State Freedom Index. Ho-hum: another $10 billion deal in pharma. Sociopath or saint?

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[ANSWERED] Do HIPAA Laws Apply to Employers?

Etactics

If you’re reading this blog, chances are that the company you work for works with HIPAA in some type of way. If not, while the content within this post might not apply to you, it’s still good information to know! HIPAA is short for the Health Insurance Portability and Accountability Act of 1996. It’s a federal law that protects sensitive patient information within the healthcare industry.

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CMS Releases Proposed Exchange Guidance for 2025

Health Policy News

CMS Releases Proposed Exchange Guidance for 2025 The Centers for Medicare and Medicaid Services (CMS) released its annual proposed guidance for Exchanges and Qualified Health Plans (QHPs) this month –.

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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.