Wed.Nov 08, 2023

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Senate votes to reform PBMs again, stop $16 billion in hospital cuts

Fierce Healthcare

Legislative spotlight was put back on pharmacy benefit manager reform and mental health in a comprehensive draft packaged presented by the Senate Finance Committee, which was passed Wednesday 26-0. | A comprehensive healthcare package garnered near unanimous approval on Wednesday, which could lead to big changes for PBMs down the road.

Hospitals 330
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Healthcare financial strain is ‘widespread’ in U.S., study finds

Health Care Dive

The analysis adds to a growing body of research highlighting the burden of healthcare costs in the U.S., even for families with higher incomes.

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Mass General Brigham taps Best Buy Health to scale up its at-home care services

Fierce Healthcare

Mass General Brigham tapped retailer Best Buy Health to scale up its Healthcare at Home services to meet growing demand for home-based care and address workforce shortages. | Mass General Brigham tapped retailer Best Buy Health to scale up its Healthcare at Home services to transition more medical care to patients' homes while also addressing workforce shortages.

Home Care 314
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Biggest takeaways from health insurers’ third-quarter earnings

Health Care Dive

Many payers beat Wall Street expectations in the quarter, despite ongoing utilization concerns. Other hot topics? Medicare Advantage stars, Medicaid redeterminations, individual exchange growth and GLP-1s.

Medicaid 276
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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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Nonprofit hospital sector to stabilize in 2024 amid rising reimbursement, volumes, Moody's predicts

Fierce Healthcare

Moody’s Investor Services is forecasting stronger financials across the nonprofit hospital sector in 2024 thanks to upticks in reimbursement rates and volumes that will outpace continued labor expe | The ratings agency said it anticipates a 10% to 20% increase in nonprofit providers' median operating cash flow during the coming year. Median operating revenue is projected to grow between 4% and 6% while median operating costs are forecasted between 3% to 5%.

Hospitals 276
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How St. Joseph Hospital achieved a 420% increase in patient philanthropic aid

Healthcare It News

Covenant Health is a Massachusetts-based multistate health system with deep roots in the communities it serves. The organization currently has 100 physician practices and clinics, along with more than 5,000 employees and providers. THE PROBLEM St. Joseph Hospital, a member of Covenant Health, faced a significant challenge in connecting patients to much-needed financial aid.

Hospitals 239

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Amazon discounts One Medical membership for Prime customers to $9 a month

Health Care Dive

The move could further integrate the retail giant’s healthcare ambitions with its core e-commerce business.

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How the Leading Companion Care Platform is Unlocking a New Workforce to Address Unmet Social Needs

Fierce Healthcare

A Trust and Safety Q&A with Papa and The Purple Method | In this Q&A, Papa and The Purple Method discuss best-in-class trust and safety solutions for a new kind of caregiver changing how healthcare happens.

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FTC challenges patents held by nine big drugmakers, citing unfair competition

Health Care Dive

The agency claims intellectual property for emergency allergy shot EpiPen and asthma medication Advair was “improperly listed” in a Food and Drug Administration database.

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Prioritizing mental health: the management of depression

Fierce Healthcare

One out of every 5 adults in the United States experienced mental illness in 2021—that’s nearly 60 million people. However, most of those adults did not receive treatment for their mental illness. | With depression on the rise, now’s the time to prioritize mental health. Take action on serious mental health conditions.

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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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Best Buy inks third health system product development deal, with Mass General Brigham

Health Care Dive

The tech retailer notched similar partnerships to co-develop home care products with Geisinger and Atrium earlier this year.

Home Care 162
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Genomics data startup launches out of stealth with global partners to drive precision medicine for women

Fierce Healthcare

Cercle, a new AI company focused on advancing healthcare for women, launched out of stealth Wednesday. | Leveraging AI, Cercle collects billions of de-identified biomedical and genomics data points drawn securely from healthcare clinics and research labs around the world and converts them to insights for researchers and clinicians.

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Water pollution may have bigger health impacts than previously thought

Healthcare ECONOMIST

At least that is according to an NBER working paper by DiSalvro and Hill (2023). The abstract is below: Previous research in the US has found negative health effects of contamination when it triggers regulatory violations. An important question is whether levels of contamination that do not trigger a health-based violation impact health. We study the impact of drinking water contamination in community water systems on birth outcomes using drinking water sampling results data in Pennsylvania.

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Bright Health Group bullish on future EBITDA profitability as it touts ACO performance

Fierce Healthcare

Bright Health Group posted a $462.8 million operating loss in the third quarter as it continues to wind down its Affordable Care Act (ACA) business and navigates the sale of its Medicare Advantage | Bright Health Group posted a $462.8 million operating loss in the third quarter as it continues to wind down its Affordable Care Act business and navigates the sale of its Medicare Advantage arm.

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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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Cercle Launches AI-Powered Biomedical Graph for Fertility & Women’s Healthcare

HIT Consultant

What You Should Know: Cercle, an AI technology company unlocking comprehensive and secure data insights for the healthcare industry, announced its launch today. Its technology platform, the Cercle™ Biomedical Graph, is the first and only of its kind, harnessing and connecting billions of anonymized biomedical and genomics data points drawn securely from healthcare clinics and research labs around the world.

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Enhabit Touts Improved Labor Numbers, New MA Contracts Amid Strategic Review

Home Health Care

Amid a strategic review that could end in a merger or sale , Enhabit Inc. (NYSE: EHAB) leaders are happy with the company’s progress, specifically on the labor and clinical outcome fronts. Enhabit CEO Barb Jacobsmeyer refrained from diving into much detail on the strategic review, but did say that “discussions with interested parties are ongoing.” She did get into third-quarter hiring numbers, however.

Medicare 105
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Alarming Wait Times and Persistent Inequities Obstructing Early Autism Diagnosis, Study Exposes

HIT Consultant

What You Should Know: Cognoa, a leading child development and behavioral health company, today published a new report, The State of Pediatric Autism Diagnosis in the U.S.: Gridlocks, Inequities and Missed Opportunities Persist, that underscores the longstanding waitlist crisis for children and their families seeking a diagnosis of developmental delays and autism evaluation.

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For The Pennant Group, Home Health Final Rule Is Far From The Be-All, End-All

Home Health Care

The Pennant Group Inc. (Nasdaq: PNTG) leaders believe that they’re in the middle of a constantly changing home health market. They also believe it’s an environment the company can survive and thrive in based on its operating model. “Our model enables us to adapt and respond to changing circumstances and market needs on a macro and local level,” Pennant CEO Brent Guerisoli said Wednesday during the company’s third-quarter earnings call.

Medicare 111
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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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Creating Accessible Digital Signage in Healthcare

HIT Consultant

Rolando Irizarry, Product Manager – Healthcare at Spectrio I have heard the word “Inclusion” quite a bit lately, and I’ve noticed that people seem to be throwing the word around as though everyone knows what it means. Many organizations claim to be inclusive while doing little to actually prove it. This occurs in all industries, but the problem is particularly consequential in health care, where there’s a lot more on the line: patient outcomes and recovery rates.

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Best Buy Health Partners With Mass General Brigham, Enters Into Medicare-Certified Home Health Care

Home Health Care

Best Buy Health is teaming up with yet another health system to help augment home-based care services. What’s of note, however, is that in Best Buy Health’s partnership with Mass General Brigham, it will also be aiding in the Medicare-certified home health arena. The two organizations announced the collaboration Wednesday. In addition to a home health arm – which is the largest home health business in New England – Mass General Brigham already has a robust hospital-at-home program.

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Virtual Reality Can Enhance Relationships Between Caregivers and Aging Population, Study Finds

HIT Consultant

What You Should Know: Virtual Reality (VR) technology is not just for the young. It’s paving the way for enhancing relationships between the aging population and their caregivers, as research from the Virtual Human Interaction Lab (VHIL) at Stanford University demonstrates. The study sought to understand older adults’ attitudes towards new technologies, including virtual reality, and how professional caregivers felt about facilitating VR experiences for older adults.

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Healthcare AI News 11/8/23

HIStalk

News OpenAI announces significant new ChatGPT features at its first.

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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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KLAS: Impact Advisors, Guidehourse, Chartis Rates High for Financial Improvement Consulting Engagements

HIT Consultant

What You Should Know: Healthcare organizations are facing unprecedented financial pressure; several macroeconomic factors—including the COVID-19 pandemic, inflation, and staffing shortages—have forced organizations to work around decreased revenues and increased costs. At this critical time, organizations are looking to consulting firms to help improve their financial performance and circumnavigate obstacles.

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Inside Health Care #118: Collaboration Is the Key to Interoperability and Equity for All

NCQA

In this episode, we explore a much-discussed Inside Health Care topic: interoperability. Within the process of health care digitalization, interoperability deals with the multi-lane, multi-directional transfer of electronic health records, or EHRs. But more and more, in that transfer process, companies discover data they hadn’t considered using, data needing refinement, and data that tells stories of patients being overlooked and left behind.

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Generative AI Takes on Cardiology Care Gaps in Agamon Health and Mayo Clinic Collaboration

HIT Consultant

What You Should Know: – Agamon Health , a healthcare technology company, is collaborating with Mayo Clinic to use Generative AI and workflow automation to improve patient adherence to follow-up in cardiology. – Delayed or insufficient follow-up care for patients with valvular heart disease can have severe consequences, such as increased hospitalization, worsening heart failure, and death.

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End of Life Care with Seung Eli Oh | E. 92

Vie Healthcare

Episode Introduction Seung explores the need for more medical training on end of life care, and why quality of life should be considered in patient treatment decisions. He also encourages all families and patients to have timely conversations about their wishes, discusses the importance of dignity in death, and welcomes the return of spiritual care for terminally ill patients.

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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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KLAS: Impact Advisors, Guidehouse, Chartis Rates High for Financial Improvement Consulting Engagements

HIT Consultant

What You Should Know: Healthcare organizations are facing unprecedented financial pressure; several macroeconomic factors—including the COVID-19 pandemic, inflation, and staffing shortages—have forced organizations to work around decreased revenues and increased costs. At this critical time, organizations are looking to consulting firms to help improve their financial performance and circumnavigate obstacles.

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Long-Term Care Pharmacy Billing: An Ultimate Guide

Etactics

In the United States, there are over 26,500 nursing homes. These long-term care (LTC) facilities serve about 1.4 million residents, each of which has its own diagnoses, treatment plans, and prescriptions. So you can imagine that the prescription billing for these facilities can be quite complex. Different from retail pharmacies, LTC pharmacies face a very specific set of billing challenges and intricacies that can affect the efficiency of their operation.

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Corundum Neuroscience Launches Neuroscience Venture Builder & Fund

HIT Consultant

What You Should Know: – Corundum Neuroscience , formerly Joy Ventures launches a new neuroscience-focused venture builder and fund to spur neuroscience research and innovation. – The newly rebranded Corundum Neuroscience works with researchers and entrepreneurs with commercially applicable ideas to build and grow companies developing innovative solutions spanning a range of health and disease areas, including anxiety, depression, PTSD, chronic pain, sleep and neurodegenerative disord

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CMS Issues Final Rule Remedying Underpayments to 340B Covered Entities

HKLaw

The Centers for Medicare & Medicaid Services (CMS) released a final rule detailing how the agency will remedy underpayments from 2018 to 2022 for drugs acquired via the 340B Drug Pricing Program.

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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.