Wed.Nov 01, 2023

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CVS Health beats the Street with $2.3B in Q3 profit

Fierce Healthcare

CVS Health beat the Street on both earnings and revenue in the third quarter, reporting $2.3 billion in profit. | By comparison, the company reported a $3.4 billion loss in the third quarter of 2022 as it paid out its part in a global settlement over the opioid crisis.

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HHS announces first ransomware settlement

Health Care Dive

Doctors’ Management Services agreed to settle claims it did not comply with HIPAA breach rules and failed to identify risks after a cyberattack exposed the information of more than 200,000 patients.

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How behavioral health tech can help overcome adoption hurdles among neurodiverse populations

Fierce Healthcare

Technologies like wearables and virtual reality could become key tools in engaging neurodiverse patient populations, streamlining provider workflows and tracking outcomes, payers, therapists and te | Speakers at a virtual roundtable commended technologies like wearables and virtual reality (VR) for their potential to engage neurodiverse patients, streamline provider workflows, and measure and improve outcomes.

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Humana reports medical cost growth from MA utilization

Health Care Dive

The payer expects higher levels of Medicare Advantage utilization to continue for the remainder of the year, outgrowing past expectations.

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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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CMS finalizes $140M increase to home health payments

Fierce Healthcare

Centers for Medicare & Medicaid Services (CMS) released a rule Wednesday that increases the 2024 home health payments by 0.8%, or $140 million. | CMS' new proposed rule will increase home health payments by 0.8%, or $140M, among other changes.

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Health AI startup Olive to shut down

Health Care Dive

The startup was once valued at $4 billion during the height of the digital health funding boom.

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More Trending

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CVS beats expectations in Q3, but high costs weigh on profit outlook

Health Care Dive

The company is prepared for potential legislation forcing transparency in its pharmacy benefit manager business practices later this year, CEO Karen Lynch said on Wednesday.

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'Podnosis': A look at Blue Shield of California's new pharmacy benefits model

Fierce Healthcare

In this week's episode of “Podnosis,” we explore Blue Shield of California's plan to transform its pharmacy model. | In this week's episode of “Podnosis,” we explore Blue Shield of California's plan to transform its pharmacy model. This includes a shift away from the traditional PBM relationship in favor of forming partnerships with five companies: Amazon Pharmacy, Abarca, Mark Cuban Cost Plus Drugs Company, CVS Caremark, and Prime Therapeutics.

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“My Doctor’s Office” Should Accept Wearable Tech Health Data, Most Patients Say

Health Populi

“Do personal health trackers belong in the doctor’s office?” Software Advice wondered. “Yes,” the company’s latest consumer survey found, details of which are discussed in a report published on their website. Unique to this study is the patient sample polled: Software Advice surveyed 876 patients in September 2023 to gauge their perspectives on wearable tech and health.

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Sempre Health partners with Organon on pricing program that ties patient copays to adherence

Fierce Healthcare

Sempre Health launched eight years ago with a text-based solution that gives patients a financial incentive to refill medications on time. | Sempre Health has added two of Organon's asthma therapies to its platform that gives patients a financial incentive to refill medications on time.

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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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CMS Finalizes 0.8% Home Health Payment Increase For 2024, Additional PDGM Cuts

Home Health Care

The U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2024 home health final payment rule Wednesday. It comes with an estimated aggregate increase to 2024 home health payments of 0.8%, or $140 million, compared to 2023 aggregate payments. “The $140 million increase in estimated payments for CY 2024 reflects the effects of the CY 2024 home health payment update percentage of 3.0% ($525 million increase), an estimated 2.6% decrease that reflects the effects of the permanent b

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Health tech company IKS Health picks up AQuity for $200M to broaden its reach to hospitals

Fierce Healthcare

IKS Health, a company that provides administrative, clinical, operational and revenue tech solutions, acquired AQuity Solutions for $200 million to broaden its services from ambulatory care provide | IKS Health, a company that provides administrative, clinical, operational and revenue tech solutions, acquired AQuity Solutions for $200 million to broaden its services from ambulatory care providers to hospitals.

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Walmart Health Expands Affordable Access to Healthcare in Florida

HIT Consultant

What You Should Know: – Today, Walmart Health announced it is entering into a relationship with both Ambetter from Sunshine Health , which provides insurance to individuals through the Florida health insurance marketplace, and Orlando Health , a private, not-for-profit network of community and specialty hospitals across Florida, through Care Coordination Agreements. – These collaborations will help Floridians gain access to affordable healthcare options with the type of convenience c

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Healthcare Dealmakers—UnityPoint, Presbyterian's $11B merger called off; Olive AI's sell-off and more

Fierce Healthcare

Healthcare mergers and acquisitions are in no short supply as providers, health tech companies, retailers and other industry players look to expand their businesses and gain a competitive edge. | Henry Ford Health's $10.5 billion joint venture with Ascension Michigan, BCBSNC's urgent care purchase and more merger and acquisition deals announced in October.

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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 Big Plans To Optimize CenterWell Home Health, Drive Value-Based Care

Home Health Care

To bolster value-based care, Humana Inc. (NYSE: HUM) is launching a comprehensive initiative to reimagine its home health operations. Humana’s home health engine — CenterWell Home Health — continues to be one of its strongest performing arms. In its fee-for-service business, year-to-date episodic admissions are up 8.6%, while total admissions are up 5.1%.

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First CPT Code for AI Prostate Cancer Imaging Issued for Avenda Health

HIT Consultant

What You Should Know: – Avenda Health’s AI mapping tool for prostate cancer, Unfold AI™, has received significant recognition by obtaining a new Category III CPT code in the 2024 Current Procedural Terminology (CPT) code set, signifying its status as a cutting-edge medical technology. – The new Category III CPT code, X237T, outlines the tool’s capabilities, describing it as a non-invasive prostate cancer estimation map that is derived from an augmented analysis of image-g

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With Signify Health Under Its Belt, CVS Health Continues To Get Creative

Home Health Care

CVS Health (NYSE: CVS) is ramping up efforts around two of its most recently acquired home-based care and primary care assets. “We are scaling capabilities to accelerate growth at both Signify and Oak Street,” Karen Lynch, president and CEO of CVS Health, said during he company’s third-quarter earnings call Wednesday. CVS Health originally completed its $8 billion acquisition of Signify Health — a value-based platform that offers at-home health risk assessments, among other services — in March.

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Healthcare AI News 11/1/23

HIStalk

News A White House executive order on responsible use of.

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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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AdaptX Secures $10M for AI-Powered, Self-Serve Clinical Management

HIT Consultant

What You Should Know: – AdaptX , a self-serve clinical management solution company raises $10M in funding led by Cercano Management and included participation from notable entities, such as Memorial Hermann Health System , Morningside Ventures , and returning investors Founders’ Co-op, Fortson VC , Star Equity, and WRF Capital. The company’s focus is on using AI-driven technology to enable clinical leaders to make data-informed decisions and optimize patient care processes with

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HIStalk Interviews B.J. Schaknowski, CEO, Symplr

HIStalk

B.J. Schaknowski, MBA is CEO of Symplr of Houston, TX.

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Covera Health Secures Up to $50M to Revolutionize Radiology Nationwide

HIT Consultant

What You Should Know: – Covera Health , an AI-enabled diagnostic technology company, has announced securing up to $50M in additional Series C funding. This substantial funding aims to support their mission of reshaping the role of radiology on a national scale. – The company’s platform employs advanced data analytics and AI to enhance the quality and efficiency of radiology services.

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Readers Write: Surviving the Blizzard: How Technology Can Ease Specialty Medication Re-Enrollment Season

HIStalk

Surviving the Blizzard: How Technology Can Ease Specialty Medication Re-Enrollment.

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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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75% of Healthcare Organizations Hit by Ransomware Attacks, Sophos Survey Finds

HIT Consultant

What You Should Know: – Cybercriminals have been highly successful in their ransomware attacks on healthcare organizations, according to a new survey conducted by Sophos. “ The State of Ransomware in Healthcare 2023 , report reveals nearly 75% of the surveyed healthcare organizations reported that their data was successfully encrypted by the attackers. – In addition, only 24% of healthcare organizations were able to disrupt a ransomware attack before the attackers encrypted their da

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Readers Write: Bracing for the Silver Wave: How to Design a Healthcare Technology Stack Built for the Future

HIStalk

Bracing for the Silver Wave: How to Design a Healthcare.

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Waystar Postpones U.S. IPO in Response to Market Turbulence

HIT Consultant

What You Should Know: – Waystar , a healthcare payments company, has decided to postpone its initial public offering (IPO) due to the ongoing market turmoil in the United States, according to a confidential source. Reuters first reports the company plans to revive its IPO efforts, but it is likely to wait until December at the earliest or possibly until 2024. – The decision to delay the IPO was made in response to the volatility in the broader market.

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Proposed Rule Change Would Make U.S. Healthcare System Even More Complicated and Potentially More Costly

Healthcare Leadership Council

The last thing the U.S. healthcare system needs is more paperwork. Unfortunately, the federal Centers for Medicare & Medicaid Services (CMS) is proposing a policy change that would assign more “busy work” to key players across the health sector. The proposal specifically targets Medicaid, the government program that provides health care for millions of low-income Americans and people with disabilities.

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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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Understaffed RCM Payment Teams Need a New Way Forward

HIT Consultant

Shantanu Gangal, CEO, Prodigal Last year, only 8% of healthcare executives said their RCM or billing departments were adequately staffed, and a stunning 48% said the employee shortage was “severe,” according to a survey cited in MedCityNews. RCM teams are the engine that allows the machinery of healthcare organizations to run. Without effective billing and payment processes that deliver positive patient financial experiences, everything grinds to a halt.

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Morning Headlines 11/2/23

HIStalk

AdaptX raises $10M to expand its AI-driven medical data analysis.

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Emory Health Taps DrFirst to Leverage Clinical-Grade AI for Medication Adherence & Affordability

HIT Consultant

What You Should Know: – Emory Healthcare , a comprehensive academic health system in Georgia, is collaborating with healthcare technology pioneer DrFirst to help patients access and adhere to affordable, appropriate prescription medications for their health conditions and ailments. – As part of the collaboration, Emory Healthcare will leverage three medication management services offered within Fuzion by DrFirst, a software platform that uses clinical-grade artificial intelligence (A

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White House orders HHS to collect reports on healthcare AI safety

Health Care Dive

President Joe Biden outlined the planned program as part of an executive order on “safe, secure, and trustworthy” artificial intelligence.

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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.