Thu.May 09, 2024

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Justice Department 'upping its game' on healthcare antitrust enforcement with new task force

Fierce Healthcare

The U.S. Department of Justice announced Thursday it has established a new task force to take on healthcare monopolies and collusion. | The U.S. Department of Justice announced Thursday it has established a new task force to take on healthcare monopolies and collusion.

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House committee advances bill that would extend telehealth flexibilities

Health Care Dive

The legislation would extend a number of Medicare flexibilities through 2026. Lawmakers have until year-end to take action before the pandemic-era rules will expire.

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A CPT code for prior authorization? Here’s how it could happen

Fierce Healthcare

One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—and the proposal could pass this week at an American Medical Association | A New York urologist believes prior auth CPT codes will realign incentives and better support patients and physicians.

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CMS proposes mandatory kidney care model with financial risk for hospitals

Health Care Dive

The model, if finalized, will test whether putting hospitals on the hook for kidney transplant access and quality might improve the nation’s shoddy system of organ procurement and transplantation.

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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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Ways and Means Committee's rural care markups win hospital industry praise

Fierce Healthcare

A slew of bills targeting enhanced access to care within rural communities have, to the applause of the hospital industry, passed through committee to the full House of Representatives. | A handful of bills sent to the full House Wednesday would extend or expand greater funding for various types of rural hospitals. In statements to the legislative committee, AHA and FAH broadly applauded the bills but outlined some suggestions that would preserve hospital lobby interests.

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Ascension hit by cybersecurity incident affecting clinical operations

Health Care Dive

The major nonprofit health system detected “unusual activity” on some network systems Wednesday.

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Steward’s landlord Medical Properties Trust posts $736M loss in Q1 as hospitals flounder

Health Care Dive

The real estate investment trust reported nearly $700 million in impairments related to Steward. However, executives said rental agreements are not what drove the troubled health system to bankruptcy.

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Where participation in clinical trials for cancer lacks, Triomics could step in

Fierce Healthcare

Triomics, an oncology-focused artificial intelligence company, raised $15 million to help automate cancer providers’ workflows. | Triomics raised $15 million for its oncology-focused generative AI. Academic literature supports the model's accuracy and efficacy in matching oncology patients with a ranked list of clinical trials.

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The Vitamin Shoppe launches telehealth service

Health Care Dive

Whole Health Rx connects users with licensed healthcare providers in real time and will initially focus on weight management solutions.

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Fierce Healthcare layoff tracker—Highmark axes 200 jobs since March; Kaiser Permanente plans to lay off 76

Fierce Healthcare

Last year, the Fierce Healthcare team compiled a running tally of lay | Stick with this tracker for the latest layoff and workforce updates from across healthcare.

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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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Spotting medical provider burnout: A call to action

Meditech

A couple of weeks ago I published a post on LinkedIn that seemed to strike a chord with my followers. It wasn’t just the topic. We all know that the healthcare industry as a whole has been struggling with the issue of clinician burnout for at least a decade. It was my 5-point list of recommendations that seemed to resonate with people.

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Community Health Systems adds another antitrust lawsuit to MultiPlan's collection

Fierce Healthcare

Community Health Systems (CHS) is the latest health system to allege that MultiPlan’s data-driven claims repricing business meets the bar for antitrust violation. | CHS is the third health system to allege that MultiPlan's claims repricing business and deals with major payers are anticompetitive.

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2024 MedTech Breakthrough Award Winners Announced

HIT Consultant

What You Should Know: – MedTech Breakthrough , a market intelligence organization focused on healthcare technology, today revealed the winners of its prestigious 8th annual awards program. – These awards recognize the most innovative and impactful companies, technologies, and products shaping the future of digital health and medical technology globally.

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A deep dive into health system and health plan Q1 earnings

Fierce Healthcare

In this week’s episode of "Podnosis," you'll hear from Paige Minemyer and Dave Muoio, two journalists from the Fierce Healthcare team. | In this week’s episode of "Podnosis," Paige Minemyer and Dave Muoio, two journalists from the Fierce Healthcare team, dive into first-quarter earnings updates from some of the largest health plans and health systems, sharing their key insights and the trends they've identified.

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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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64% of Women Want to Talk More About Their Health, Report Finds

HIT Consultant

What You Should Know: – A new report by Solera Health , a digital health platform, highlights a critical gap in communication surrounding women’s health. The Women’s Health report, titled “ Human Centered Design: A Women’s Health Case Study ,” was developed through a comprehensive research effort. – The survey of over 2,300 women across all adult life stages reveals a strong desire for more open conversations but also identifies factors that prevent women from

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When AI Gets It Wrong, Will It Be Held Accountable?

The Rand Blog

RAND researchers fielded their survey to provide the first nationally representative look at what people will actually do when faced with an unfair AI outcome.

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Harnessing Clinical Intelligence to Advance Health Plan Member Education

HIT Consultant

Tim Price, Chief Product Officer at Infermedica In an era where accessing health information is easier than ever, determining what is reliable poses increasing difficulty for health plan members. The complexity of modern health plans and their myriad of services further compounds confusion, creating a paradox of choice. This is where clinical intelligence tools prove transformative by revolutionizing how members access, comprehend, and leverage health data to make informed care decisions.

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Why Enhabit’s Strategic Review Did Not End With A Transaction

Home Health Care

Enhabit Inc. (NYSE: EHAB) announced Wednesday the result of its strategic review. It was not a sale or a merger, but instead a commitment to the path forward as an independent public company. On Thursday, company leaders explained the rationale behind that decision, which was made unanimously by the board. Part of it is tied to external factors that make a large-scale transaction difficult right now, and part of it is tied to the success Enhabit has had in changing its business model.

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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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Limited English Proficiency Patients Face Challenges with Telehealth Visits

HIT Consultant

What You Should Know: – A new study led by Brigham and Women’s Hospital, a member of the Mass General Brigham healthcare system, reveals that patients with limited English proficiency (LEP) have a less positive experience with virtual healthcare visits compared to English-proficient patients. – This study highlights the importance of designing inclusive telehealth solutions.

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CMS Guidance on IRA Price Negotiation: Part 1

Healthcare ECONOMIST

CMS released guidance on IRA price negotiation last week. Below are some highlights regarding how drugs will be selected. Which drugs are eligible for negotiation? For small molecules, drugs have to be (i) FDA-approved, (ii) be FDA-approved at least 7 years ago, and (iii) have no generic equivalent on the market. For biologic molecules, drugs have to be (i) FDA-approved, (ii) be FDA-approved at least 11 years ago, and (iii) have no biosimilar equivalent on the market.

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Telehealth Legislation Passes Ways & Means, As GLP-1s Are Fast-Meshing with Telemedicine in the Marketplace

Health Populi

Yesterday, the U.S. House Committee on Ways and Means passed six pieces of legislation that would bolster telehealth in the U.S. for the next two years, assuring several aspects of access for health citizens across the country. “One of our top priorities on this Committee is helping every American access health care in the community where they live, work, and raise a family,” Committee Chairman Jason Smith (R-Mo.) explained in his introductory statement.

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EPtalk by Dr. Jayne 5/9/24

HIStalk

The American Medical Informatics Association is working with the Patient.

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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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‘Our Business Is Demonstrating Signs Of Recovery’: Aveanna Making Progress On Turnaround Goals, Led By Private-Duty Services Business

Home Health Care

Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH) continues to chip away at its turnaround goals, with the Atlanta-based company’s leadership team seeing particular progress on its preferred-payer strategy and the industry-wide labor landscape. Contextually, 2024 marks Year 2 of the home health, hospice and private-duty services company’s strategic transformation initiative.

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Triomics Secures $15M to Automate Oncology Workflows with GenAI

HIT Consultant

Triomics co-founders: Sarim Khan and Hrituraj Singh What You Should Know: – Triomics , a company leveraging generative AI to revolutionize cancer care, today announced securing $15 million in funding led by prominent Silicon Valley firms like Lightspeed , Nexus Venture Partners , General Catalyst, and Y Combinator. – Triomics partners with leading academic cancer centers and researchers to develop generative AI performance and safety benchmarks and best practices.

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Mathematica and NASHP: Using the NASHP Hospital Cost Tool to Examine National Hospital Direct Patient Labor Costs and Other Indicators

NASHP

Mathematica and NASHP prepared a labor cost data brief using the NASHP Hospital Cost Tool (HCT). The brief examines the national trends of hospital revenue, profit, and labor cost from 2011 to 2022, which highlight the impact of federal and state COVID-19 relief funds and more. State officials interested in specific hospital direct care labor cost trends and profit margins can check out the visual dashboards within the HCT and even use the downloadable data set.

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Ascension Investigating Cybersecurity Event Potentially Affecting Clinical Operations

HIT Consultant

What You Should Know: – Ascension , one of the nation’s largest nonprofit and Catholic health systems, announced today they are investigating a potential cybersecurity event detected on Wednesday, May 8th. – According to a statement released by Ascension, unusual activity was identified on specific technology network systems. The nature of this activity suggests a potential cyberattack, though the investigation is ongoing.

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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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13 Excellent Ethics Training Examples

Etactics

An LRN survey reports that 82% of employees would receive less compensation for a more ethical work environment. We all make moral choices every day, and the workplace is not exempt from this. From this survey, we can observe that strong ethics in the business place is very important to employees. The old saying, “It’s not personal, it’s just business” no longer flies in today’s ever-changing political environment.

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Interview with Mindful Care CEO Dr. Tamir Aldad

Health Business Group

In this episode, Dr. Tamir Aldad , founder and CEO of Mindful Care , joins me to discuss strategies for addressing the challenges in mental health accessibility and costs. Dr. Aldad brings a unique blend of medical insight and business expertise, advocating for and implementing a model that integrates social impact with economic viability. He shares a tragic experience from his residency that exposed significant shortcomings in our mental healthcare system, which motivated the creation of Mindfu

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Reproductive Healthcare Privacy Rule Brings New Requirements for All Providers

HKLaw

The HIPAA Privacy Rule To Support Reproductive Health Care Privacy has broad-reaching implications for all healthcare providers, not just reproductive care providers.

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News 5/10/24

HIStalk

Top News Ascension’s 140 hospitals and 2,600 healthcare sites in.

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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.