Mon.Jan 29, 2024

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No Surprises Act prevented 10M surprise bills in first nine months of 2023, insurer groups say

Health Care Dive

AHIP and BCBSA also took aim at providers for allegedly abusing the billing dispute resolution process set up by No Surprises in the latest salvo over the polarizing law.

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Steward Health Care's dire finances have government leaders worried about shutdowns

Fierce Healthcare

Financial troubles and a flurry of planned hospital divestitures have landed for-profit Steward Health Care squarely in the public and lawmakers’ crosshairs. | Millions in unpaid rent and other signs of financial distress have led the for-profit to explore divestitures and other potential strategies in Massachusetts and Texas. Leaders in the former have raised alarms that potential closures could overwhelm other providers.

Hospitals 304
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The AI-powered solution to the medical coding worker shortage

Health Care Dive

Discover how AI-driven platforms are revolutionizing health IT, alleviating the critical shortage of medical coders and significantly boosting efficiency and revenue in healthcare systems.

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MACPAC suggests changes to Medicaid appeals process

Fierce Healthcare

The Medicaid and Chip Payment and Access Commission (MACPAC) voted in favor of seven recommendations during a meeting Jan. 26 that would reshape how beneficiaries are able to appeal for care. | Medicaid advisers want to overhaul the denials and appeals process, partly by implementing a clinician-led independent review.

Medicaid 296
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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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Penn Medicine ends plans to buy hospital from Tower Health

Health Care Dive

Tower — which reported a nearly $193 million operating loss for its fiscal year 2023 — has recently sold other facilities.

Hospitals 290
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Moody's: Why Medicare Advantage's profitability may be on the decline

Fierce Healthcare

Medicare Advantage (MA) continues to grow, but there are signs that its profitability is on the decline, according to a new report from Moody's Investors Service. | Medicare Advantage continues to grow, but there are signs that its profitability is on the decline, according to a new report from Moody's Investors Service.

Medicare 287

More Trending

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Will there be new baselines for nonprofit hospitals’ financial metrics? Fitch weighs in

Fierce Healthcare

Several nonprofit hospitals have found their operations and balance sheets settling into new ranges following a tough couple years, though that doesn’t necessarily mean that credit ratings will div | Whether or not nonprofit hospitals' operating margins will "reset" from 3%+ to 1%-2% due to sustained cost pressures is "the biggest question long term for ratings agencies," Fitch analysts write in a new outlook report.

Hospitals 284
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Healing the system: Advancing economic mobility and healthcare innovation through education partnerships

Health Care Dive

Partnerships between higher education and healthcare organizations can build public trust, enhance economic mobility and rejuvenate the healthcare industry.

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ACOs to receive $20M in advance investment payments

Fierce Healthcare

In 2024, 50 accountable care organizations are new to the Medicare Shared Savings Program and 71 ACOs renewed participation, according to new numbers released by Centers for Medicare & Medicaid | CMS released new data Monday showing ACO participation in the Medicare Shared Savings Program, with 19 ACOs set to participate in a new payment option,

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Television screens in dental offices transform patient engagement and give patients something to smile about

Health Care Dive

Jefferson Dental uses UPshow CONNECT to eliminate stressful content, improve the patient experience, offer seamless branded messaging and turn screens into revenue-generating tools.

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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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MultiCare allegedly allowed neurosurgeon to perform, bill for unnecessary surgeries despite warnings

Fierce Healthcare

MultiCare has been hit with a False Claims Act complaint by federal law enforcement and its home state of Washington over allegations that it is “knowingly endangering patients” by allowing a neuro | A complaint filed Friday by federal and state officials alleged that the 12-hospital nonprofit set aside "serious concerns" to receive "millions of dollars in revenue, while unknowing patients were endangered and harmed.

Hospitals 274
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Introductory Editorial — Critical Psychedelic Studies: Correcting the Hype

Bill Of Health

By Neşe Devenot Since the 2022 publication of “ Preparing for the Bursting of the Psychedelic Hype Bubble ,” a JAMA Psychiatry Viewpoint by David Yaden and colleagues, a wave of scholarship and commentaries has emphasized the ethical importance of nuanced science communication about the still-nascent field of psychedelic medicine. As the journalist Katie MacBride recently described in The Daily Beast , there is now a “growing minority” of scholars and activists in the psychedelics field who are

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HCSC unveils effort to link cancer patients with specialists from around the country

Fierce Healthcare

Health Care Service Corporation recently unveiled a new effort to improve outcomes and reduce the cost of caring for cancer patients. | Fighting cancer costs the United States $208.9 billion dollars a year, and Health Care Service Corporation recently unveiled a new effort to improve outcomes and reduce those expenses.

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Five Home Care Leaders To Watch, According To Other Home Care Leaders

Home Health Care

Home care leaders are not just operating in their own individual bubbles. These leaders are part of a larger ecosystem of organizations that make up the home-based care space. In a sea of providers, the best leaders are the ones who are able to recognize which of their home-based care peers are standouts. The ability to identify what works, and why, is evidence of a keen understanding of the business.

Home Care 122
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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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Humana's CenterWell charts course for latest expansion

Fierce Healthcare

Humana's primary care business, CenterWell, has unveiled its latest expansion plans. | The company will open centers in three new metro areas and will add further locations across eight municipalities, Humana announced on Tuesday.

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Layoffs Hit At-Home Care Innovator DispatchHealth

Home Health Care

DispatchHealth — one of the most successful startups in the home-based care space over the last decade — has reportedly laid off 88 employees. The company itself would not confirm the number of employees laid off. “We are focused on supporting our patients and our mission to deliver trusted, compassionate care in the comfort of home,” a company spokesperson wrote to Home Health Care News in a statement.

Home Care 111
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An Infinite Game: How Vituity Tackles the Just Cause of Improving Lives

Fierce Healthcare

In July 2023, the healthcare landscape was shaken when the private-equity-backed provider group, American Physician Partners (APP), unexpectedly ceased operations immediately and without warning, c | Read how healthcare leaders can work together to create a system that delivers health, joy, and quality of life to communities one patient at a time.

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National Cancer Prevention Month and Its Significance

Healthcare Highways

National Cancer Prevention Month is a poignant reminder that taking proactive steps toward a healthier lifestyle can significantly reduce the risk of cancer. This annual observance encourages individuals, communities, and healthcare professionals to join forces in raising awareness and promoting behaviors that contribute to cancer prevention.

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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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ObjectiveHealth Secures Growth Investment to Expand Innovative Clinical Research Model

HIT Consultant

What You Should Know: ObjectiveHealth , a pioneer in integrated specialty research, today announced a strategic investment from Vitruvian Partners, a renowned global growth equity firm. – This strategic investment will fuel ObjectiveHealth’s expansion and its mission to revolutionize clinical research by seamlessly integrating trials into the practices of community-based physicians.

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Stanford Health Care Details Its Capacity Constraints, Home Health Issues

Home Health Care

Health systems, even after the COVID-19 pandemic, remain overwhelmed. Their discharge partners – such as home health providers – are theoretically supposed to help mitigate the stress they face. That’s a tall task, however, as home health providers are also overwhelmed. Providers are rejecting referrals at a higher rate than ever. In an ideal world, however, the home health agencies that best understand their health system partners will be able to better help them.

Home Care 110
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53% of Psychologists Are Concerned About The Use of AI

HIT Consultant

What You Should Know: – As artificial intelligence (AI) creeps into every corner of life, psychology faces a critical juncture, according to a new study by PsychologyJobs.com reveals a complex and often conflicted landscape among psychologists regarding AI’s potential and perils in their practice. – The study surveyed 100 psychologists across 12 different fields, and the findings paint a fascinating picture.

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Data Augmentation May Improve LLM Generalization on Clinical Notes

Health IT Analytics

Using large language models in a healthcare domain-informed manner could address dataset shifts and enhance generalizability in AI-driven medical note analysis.

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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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Who you are and where you live shouldn’t determine your ability to survive cancer

Healthy Debate

Let us commit to a future in which all people have the resources and support to prevent and treat cancer so that no one is left behind.

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Impact of physician gender on disability evaluations

Healthcare ECONOMIST

Interesting paper by Cabral and Dillender (2024). The randomization of gender assignment occurs since the Texas workers compensation insurance relies on random assignment of doctors to patients through their dispute resolution process. The abstract is below: Little is known about what drives gender disparities in health care and related social insurance benefits.

Doctors 83
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State of Digital Health 2023: From Gold Rush to Consolidation in a Cooling Market

HIT Consultant

What You Should Know: The year 2023 marked a stark shift for digital health, transitioning from the heady days of record-breaking funding to a harsh reality of tightening belts and consolidation, according to a new report from CB Insights. – The CB Insights report, State of Digital Health 2023 , reveals that while the pandemic initially fueled a gold rush of innovation, the tide has turned, leaving a landscape of both challenges and opportunities.

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5 questions to ask when you're at a crossroads in your EHR strategy

Nordic

Healthcare providers are looking for ways to save time, reduce administrative burden, and decrease costs. When an organization is at a crossroads in determining whether to optimize its current electronic health record (EHR) platform or implement new technology, decisions must be made at the start, as this is the ideal time to establish the best means of achieving goals and objectives.

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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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The End of “Chevron” or Its Rebirth?

Triage Health Law

Fishermen in the small town of Cape May, New Jersey, are at the epicenter of a legal challenge that could reshape the landscape of agency authority. The fishermen are challenging the entrenched “ Chevron ” doctrine, which for years has afforded deference to government agencies with respect to reasonable interpretation of ambiguous statutes. Once again, the US Supreme Court is in the spotlight as it hears pivotal cases – Relentless v.

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Complaining, Resisting Change, or Speaking up?

Baird Group

In our fast-paced culture, change is a way of life. One thing I know for certain is that when making changes to systems, processes, and workflows , you must listen first and engage stakeholders. Without stakeholder input at every step of change, you run the risk of alienating the very people who must ultimately own the work. I recently conducted a series of focus groups with physicians and practice managers to gain insight into operational issues that could be hindering appointment access.

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Simple Ways to Align with the 2024 Joint Commission National Patient Safety Goals

PDC Healthcare

Caregivers know that preserving patient safety is instrumental in every hospital. As we enter 2024, new challenges and events in the constantly changing world of healthcare mean that hospital staff must stay up to date with patient safety standards. To start off the new year, the Joint Commission has updated its National Patient Safety Goals®. […] The post Simple Ways to Align with the 2024 Joint Commission National Patient Safety Goals appeared first on connectID - PDC Healthcare Blog.

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Holland & Knight Health Dose: January 30, 2024

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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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.