Mon.Oct 21, 2024

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Senate report slams Medicare Advantage insurers for using predictive technology to deny claims

Health Care Dive

UnitedHealth, CVS and Humana used technology to increase MA prior authorization denials for post-acute services, boosting profits, according to a report from a Senate subcommittee.

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Amazon One Medical, Cleveland Clinic to open primary care clinics in Northeast Ohio

Fierce Healthcare

Academic health system Cleveland Clinic is teaming up with an industry disruptor to expand primary care services in Northeast Ohio. | Academic health system Cleveland Clinic is teaming up with an industry disruptor to expand primary care services in Northeast Ohio.

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Humana sues HHS over calamitous Medicare Advantage star ratings decrease

Health Care Dive

It’s the latest in a string of lawsuits from health insurers scrambling to protect their prized quality scores and the money that ratings represent.

Medicare 293
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HLTH24 Day 2: Google Cloud, Recursion expand tech partnership; HealthEx raises $14M

Fierce Healthcare

LAS VEGAS—Recursion and Google Cloud have expanded their tech partnership to use cloud technologies to power Rcursion's drug discovery platform. | On the second day of HLTH, Recursion announced it was deepening its partnership with Google Cloud and HealthEx unveiled a $14 million funding round.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva 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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Cybersecurity in healthcare: How hackers get in and how organizations can protect themselves

Health Care Dive

A cybersecurity expert explains why healthcare organizations are vulnerable to cyberattacks — and how they can strengthen their defenses.

More Trending

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Health startups need consolidation after pandemic funding ‘sugar high’

Health Care Dive

M&A could allow startups to add products and capabilities in a more restrained funding environment, panelists said at HLTH.

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US government proposes birth control, HIV preventive service protections

Fierce Healthcare

With just 15 days until the presidential election, the federal government is proposing new rules that aim to bolster protections around birth control and other preventive services. | The U.S. federal government is attempting to ease access to birth control products and HIV prevention drugs in a newly proposed rule.

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HLTH: Aidoc and NVIDIA Partner to Develop BRIDGE Guideline for Accelerated AI Adoption in Healthcare

HIT Consultant

What You Should Know: – Aidoc , a clinical AI company, and NVIDIA , a pioneer in AI technology, have joined forces to develop BRIDGE, a groundbreaking guideline designed to accelerate the adoption and scaling of AI solutions in healthcare. – The development of the BRIDGE guideline will involve close collaboration with healthcare providers, academic partners, and industry leaders.

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HLTH24: NationsBenefits taps Uber Health to expand access to rides and grocery delivery

Fierce Healthcare

LAS VEGAS—A new partnership aims to make it simpler for plans to integrate ancillary benefits such as transportation for health-related social needs and grocery delivery into their packages. | A new partnership aims to make it simpler for plans to integrate ancillary benefits such as transportation for health-related social needs and grocery delivery into their packages.

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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.

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GE HealthCare Launches AI Innovation Lab to Accelerate Healthcare Advancements

HIT Consultant

What You Should Know: – GE HealthCare (Nasdaq: GEHC) announced the launch of its AI Innovation Lab, an initiative aimed at accelerating early-stage AI innovations across medical devices, digital tools, and clinical workflows. – The lab is integral to GE HealthCare’s broader strategy to integrate AI across the care continuum, enhancing clinical decision-making, streamlining operations, and improving patient outcomes.

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HLTH24: A look at outcomes in Highmark's new behavioral health program

Fierce Healthcare

LAS VEGAS — A year ago at HLTH, Highmark and Spring Health announced a partnership that aimed to boost access to behavioral healthcare. | LAS VEGAS — A year ago at HLTH, Highmark and Spring Health announced a partnership that aimed to boost access to behavioral healthcare. Now, the Pittsburgh-based insurer is offering the first look at how the program is working for patients.

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Gesund.ai’s Open-Source Library Aims to Standardize AI Validation in Healthcare

HIT Consultant

What You Should Know: – Gesund.ai , the clinical AI validation company, today announced the open sourcing of a comprehensive library of evaluation methodologies and frameworks to help developers and users address AI performance and potential bias across patient cohorts for the FDA-regulated AI solutions on the market. – As part of its mission to standardize AI validation, Gesund.ai is also announcing it has joined the Coalition for Health AI, after partnering with public and private

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Humana joins chorus of lawsuits over sinking star ratings

Fierce Healthcare

Humana, one the country’s largest Medicare Advantage organizations, is suing the Centers for Medicare & Medicaid Services over its 2025 star | Humana, one the country’s largest Medicare Advantage organizations, is suing the Centers for Medicare & Medicaid Services over its 2025 star ratings results.

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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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HLTH: Uber Health and NationsBenefits Partner to Provide Seamless Access to Transportation and Grocery Benefits

HIT Consultant

What You Should Know: – Uber Health and NationsBenefits today announced a partnership to enable millions of NationsBenefits members to use their flex cards for rides on Uber and same-day delivery of grocery items on Uber Eats. The partnership unlocks seamless and convenient access to these two ancillary benefits for millions of NationsBenefits members. – The two companies will also work together to enable members to shop directly for groceries on the Uber Eats app through the Nations

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HLTH24: GE Healthcare unveils iPhone-like AI platform, CareIntellect

Fierce Healthcare

LAS VEGAS – GE Healthcare unveiled its new generative AI platform, CareIntellect, on stage at HLTH 2024 on Monday. The first application available on the platform is for oncology. | GE Healthcare aims to make integrating generative AI into healthcare delivery less clunky through its new CareIntellect platform, which will eventually host a range of clinical and operational AI solutions.

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HLTH: Withings Launches First Cellular Blood Pressure Monitor with Patient Insights

HIT Consultant

What You Should Know: – Withings Health Solutions , a leader in connected health, has announced the launch of BPM Pro 2, a revolutionary cellular blood pressure monitor that sets a new standard for patient-centric care. – The device not only provides highly accurate measurements but also incorporates a unique Patient Insights feature to gather contextual information about patients’ daily lives, empowering healthcare providers with a more holistic view of their health.

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HLTH24: Blue Shield of California, Salesforce join forces to streamline prior authorization

Fierce Healthcare

LAS VEGAS — Blue Shield of California and Salesforce are teaming up to simplify and streamline the prior authorization experience. | LAS VEGAS — Blue Shield of California and Salesforce are teaming up to simplify and streamline the prior authorization experience.

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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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HLTH: Cleveland Clinic, Amazon One Medical Partner to Expand Primary Care Access in Northeast Ohio

HIT Consultant

What You Should Know: – Academic health system Cleveland Clinic and Amazon One Medical , a hybrid virtual and in-person primary care provider, are collaborating to improve access to seamless and coordinated care in Northeast Ohio. – The strategic partnership will leverage the strengths of both organizations to offer patients a comprehensive and convenient healthcare experience.

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Rethinking Mental Health Reform: A case for reviving community-based care

Bill Of Health

by Zain Khalid October 10th marked the first anniversary of California’s Senate Bill 43 (SB 43), a major revision of the landmark Lanterman-Petris-Short Act of 1967, a de-institutionalization era law designed to “end the inappropriate, indefinite, and involuntary commitment of persons with mental health disorders.” The law loosened eligibility standards for civil commitment by expanding the existing “grave disability” criterion, making it easier to detain and hospitalize persons with mental illn

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HLTH: Waltz Health and Noom Partner to Offer Affordable GLP-1 Weight Loss Program

HIT Consultant

What You Should Know: – Waltz Health , a digital health company specializing in medication pricing and distribution, and Noom , a leader in digital health and chronic disease prevention, have announced a unique partnership to provide employers and health plans with a comprehensive and affordable weight loss program. – The collaboration will leverage Waltz Connect, Waltz Health’s innovative platform, to streamline access to GLP-1 medications, making them more accessible and cost

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FAQ: Engaging People with Lived Experience of Incarceration

NASHP

States are seeking ways to include people with lived experience (PwLE) of incarceration in reentry policy development, decision-making, and program implementation. Multiple new reentry policy changes are taking place at the federal and state level, bringing new opportunities to improve health and safety. The National Academy for State Health Policy (NASHP) and the Health and Reentry Project (HARP) are partnering to support states in these efforts through our State Reentry Learning and Action Net

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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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HLTH: General Catalyst Spinout HealthEx Launches with $14M for AI-Generated Consent Platform

HIT Consultant

What You Should Know: – HealthEx , a new healthcare technology company, has emerged from stealth mode with $14M in Seed and Series A funding. – The company, hatched by General Catalyst with participation from Electric Capital , is building a global consumer preference and consent platform designed to simplify and streamline data access in healthcare.

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The Future of Medicare’s Coverage with Evidence Development Policy

Healthcare ECONOMIST

That is the title of an interesting panel from USC Schaeffer Center on Coverage with Evidence Development (CED). It includes an interview with Tamara Syrek Jensen, Director, of the Coverage & Analysis Group within the Centers for Medicare & Medicaid Services. After the interview, there is a panel discussion with Darius Lakdawalla of USC, Peter Neumann of Tufts University, and Joshua Makower of Stanford University.

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Medbridge Acquires Rehab Boost, Launching AI-Powered Motion Capture for Enhanced Patient Care

HIT Consultant

What You Should Know: – Medbridge , a leading provider of healthcare technology solutions, has acquired Rehab Boost, an innovative motion capture and movement-based AI company. Financial details of the acquisition were not disclosed. – The strategic acquisition will relaunch Rehab Boost as Medbridge Motion Capture, a key component of Medbridge AI.

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‘First Of Its Kind’ Home-Based Care Workforce Initiative Launches In Indiana

Home Health Care

The Indiana Association for Home and Hospice Care (IAHHC) has introduced C.A.R.E. (Creating Action and Resources for Employees) Connect, a new workforce support program for direct caregivers. Funding for the program is provided by UnitedHealthcare. C.A.R.E. Connect, which officially launched last week, is an employee assistance program that gives each region of Indiana a dedicated consultant who meets with individuals to provide one-on-one counseling.

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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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Value-Based Care is Growing – Is Your Data Ready?

HIT Consultant

Rahul Sharma, CEO of HSBlox The famous quote “What gets measured, gets managed” is often incorrectly attributed to business guru Peter Drucker. Although Drucker may not believe that maxim entirely, when it comes to value-based care (VBC), only care quality that can be measured and reported matters. Whether it is capitated, bundled, pay-for-performance, or hybrid VBC reimbursement models, the Centers for Medicare and Medicaid Services (CMS) and other payers typically have significant demands rega

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Transactions: Help At Home To Buy Helpmates; Prime Home Health Acquires VNASI Assets

Home Health Care

This article is a part of your HHCN+ Membership Help at Home has agreed to acquire Penn Highlands Healthcare’s Helpmates, which is a personal care provider. The deal was announced Oct. 17 and will be finalized on or around Dec. 9, pending government approval. “The acquisition of Helpmates enables our health system to focus and grow the core services of Healthcare at Home, which includes home health and hospice,” Cheryl Mitchell, Penn Highlands Healthcare at Home service line leader, said in a st

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Holland & Knight Health Dose: Pre-Election Outlook

HKLaw

Holland & Knight Health Dose is an in-depth weekly dose of legislative and regulatory insights to keep stakeholders abreast of happenings in Washington, D.C., impacting the health sector.

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