Mon.Sep 16, 2024

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KFF: Insurers set to rake in $11.8B in Medicare quality bonus payments for 2024

Fierce Healthcare

Health plans are set to rake in $11.8 billion in Medicare Advantage quality bonus payments, according to a new analysis from KFF.

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Walgreens settles allegations of fraudulent billing with DOJ

Health Care Dive

The Illinois-based pharmacy giant has agreed to pay almost $107 million to settle claims it billed Medicare, Medicaid and other government programs for prescriptions that were never dispensed.

Medicaid 284
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Hackensack Meridian Health inks partnership with K Health to roll out virtual primary care service

Fierce Healthcare

New Jersey-based Hackensack Meridian Health is teaming up with K Health to launch a new 24/7 virtual primary care service to provide easier access to the health system's clinicians. | New Jersey-based Hackensack Meridian Health is teaming up with K Health to launch a new 24/7 virtual service to provide easier access to the health system's clinicians for primary care.

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The power of resilient and redundant healthcare technology systems

Health Care Dive

How resilient and redundant systems keep health data flowing during a crisis (like cyber-attacks).

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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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NCQA released its annual health plan rankings. Here's how payers fared

Fierce Healthcare

The National Committee for Quality Assurance (NCQA) on Monday released its annual insurance rankings, with just five plans evaluated earning top marks. | The National Committee for Quality Assurance on Monday released its annual insurance rankings, with just five plans evaluated earning top marks.

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The Light Collective amplifies its call for patient data rights

Healthcare It News

To mark World Patient Safety Day on September 17, the patient-led Light Collective plans to lead discussions in Washington, D.C., designed to help ensure that patient concerns about health data aggregation are given the stage. WHY IT MATTERS Large corporations and social media platforms continue to aggregate patient data and profit from it, the collective says.

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Moving aging patients from confusion to the point of care

Healthcare It News

There's help for providers who want to help aging patients navigate complex government websites and access the information and resources they need to overcome isolation, lack of transportation and limited financial resources barring full access to healthcare opportunities. By making use of technologies such as artificial intelligence, providers can empower senior patients with the extra guidance and support that informs them and gets them to the point of care, according to Karl Ulfers, cofou

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Walgreens agrees to $107M whistleblower settlement over undispensed prescription allegations

Fierce Healthcare

Walgreens has agreed to a $106.8 million settlement over drug prescriptions that were billed to government programs but never dispensed, the Department of Justice announced Friday. | The government acknowledged Walgreens' cooperation in disclosing its improperly received payments and refunding $66 million, for which it received a credit toward the settlement amount.

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Why mentorship matters: Elevating healthcare through connection and support

Health Care Dive

Learn how mentorship drives success in healthcare. Dr. Theo Koury shares his personal journey and insights.

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Cigna taps MDLIVE for new 'E-Treatment' virtual care offering

Fierce Healthcare

Cigna is rolling out a new "E-Treatment" program for its members in partnership with its MDLIVE unit. | Cigna is rolling out a new "E-Treatment" program for its members in partnership with its MDLIVE unit.

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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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HIMSSCast: How care collaboration impacts patients and providers

Healthcare It News

Enterprise Taxonomy: Interoperability Quality Care Data and Information Care Node settings: Exclude from Accelerate RSS feed

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Combating healthcare burnout while enhancing patient care

Fierce Healthcare

Combating healthcare burnout while enhancing patient care cbroadwell Mon, 09/16/2024 - 12:49

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Did AI Cause HIPAA Fines to Double in a Single Year?

HIT Consultant

Aidan Simister, Co-Founder and CEO of Lepide In 2023, HIPAA fines amounted to $4,176,500, which is a rise of over $2,000,000 in 2022. So yes, HIPAA fines have doubled. But why? Technology in healthcare has been a constant battle between progress and pain, and the relationship has grown increasingly complex over recent years. The Health Insurance Portability and Accountability Act (HIPAA) is one of the most well known regulatory frameworks in the healthcare industry, and it establishes safeguards

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Scriptology acquires RxLive to build out its tech stack

Fierce Healthcare

Tech-enabled medication management company Scriptology has acquired competitor RxLive. | Scriptology is a tech-enabled medication management platform. The acquisition of RxLive, announced Monday, will expedite the company's growth, executives said.

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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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Why is the market design for innovative pharmaceuticals not well understood?

Healthcare ECONOMIST

That is the title of a fantastic editorial from Olivença et al. (2024). A lot of people when they look at pharmaceutical prices think they are ‘too high’ or ‘too low’ But the question is, too high or too low relative to what? What are our goals in pharmaceutical pricing. The editorial clearly articulates the issue as one of a market design problem.

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Russia Is Riding an Anti-Colonial Wave Across Africa

The Rand Blog

Modern authoritarian regimes exploit anti-colonial rhetoric to advance their own geopolitical agendas and undermine Western influence. Unlike the genuine anti-colonial movements of the Cold War, today's wave is driven by opportunistic regimes using propaganda and disinformation to inflame grievances and distract from their own interventionist actions.

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Aegis Ventures Appoints Murray Brozinsky as Partner to Drive Healthcare Transformation

HIT Consultant

Murray Brozinsky, Partner at Ageis Ventures What You Should Know: – Aegis Ventures , a prominent venture studio based in New York, announced today that Murray Brozinsky has joined its leadership team as a Partner. – Brozinsky brings a wealth of experience in launching, leading, and successfully exiting several health technology companies, including Healthline, Talix, and Conversa Health.

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The ROI of Interoperability in Home Health

Home Health Care

Today’s home-based care organizations know there is value in interoperability among their technology vendors. Allowing for seamless data integration as well as ease-of-use for staff and clinical professionals, interoperability is an important consideration for technology decisions in today’s operating environment. But what is the true value of interoperability, and how can home-based care agencies measure their return on investment?

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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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Healthcare Analytics Adoption: 5 Tips for Healthcare Organizations

HIT Consultant

Ryan Self, VP Advisory Services at Strata Decision Technology Healthcare organizations have access to a wealth of data, yet 92% of healthcare professionals say organizations should do more to leverage financial and operational data to inform strategic decisions, according to a recent report. Integrating financial analytics into decision-making processes is increasingly vital as hospitals and health systems nationwide contend with high costs, narrow margins, shifts in patient demand, and other fi

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HIStalk Interviews Frank McGillin, CEO, The Clinic by Cleveland Clinic

HIStalk

Frank McGillin, MBA is CEO of The Clinic by Cleveland.

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AI-Powered Sonio Detect Granted CE Mark

HIT Consultant

What You Should Know: – Sonio , a medtech company dedicated to women’s and children’s health, announced today that it has received CE marking for its innovative product, Sonio Detect. – The AI-powered software, already available in the United States, is now poised to enhance ultrasound examinations and improve care quality in France and throughout Europe.

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Is AI Threatening Health Care Jobs? Or Just Changing Them?

The Rand Blog

Are artificial intelligence (AI)–based chatbots coming for your health care job? As with any new technology, fears over potential unintended consequences of AI abound, but haven't been realized—for now.

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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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Hackensack Meridian Health Launches 24/7 AI-Powered Primary Care Access

HIT Consultant

What You Should Know: – New Jersey’s leading health network, Hackensack Meridian Health, is set to revolutionize primary care access with the upcoming launch of HMH 24/7, an AI-driven platform that seamlessly integrates virtual and in-person care. – This new primary care initiative is a response to the evolving landscape of healthcare delivery, offering patients a convenient and connected way to manage their health.

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Home Care Worker, Client Bonds Increase Job Satisfaction And Retention

Home Health Care

Today’s caregivers face many workforce challenges – from low wages to burnout – but new data from HHAeXchange shows that, despite these challenges, they are passionate about what they do and the impact that they have on clients. “Individuals go into the role of being a caregiver, normally because they have a passion for helping other people,” HHAeXchange President Stephen Vaccaro told Home Health Care News.

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Efficiently Sustainable: How Hospitals Can Create Operational Sustainability

HIT Consultant

Connie Moser, Chief Executive Officer, Navenio If any sector requires process improvement, it’s healthcare. There are well publicized NHS waiting list woes and A&E delays, but behind these figures are workforce and operational issues that create real stress on clinical staff and impacts patient satisfaction. Nurses spend 10% of their time searching for equipment (according to a 2009 study ) and sadly little has changed in more than a decade.

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Investment Firm KKR Strikes Massive Deal To Acquire Shares Of BrightSpring From Walgreens

Home Health Care

The investment firm KKR & Co. Inc. (NYSE: KKR) announced Friday that it had entered an agreement to acquire 11,619,998 shares of BrightSpring Health Services (Nasdaq: BTSG) stock from Walgreens Boots Alliance (Nasdaq: WBA). KKR is an existing backer of BrightSpring, which had a share price of $13.85 as of market close on Friday. Based in Louisville, BrightSpring provides home- and community-based pharmacy and health care services for complex populations.

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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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Curbside Consult with Dr. Jayne 9/16/24

HIStalk

I haven’t heard much chatter in the informatics community about.

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HHS Announces Updates to Policies on Research Misconduct

HKLaw

HHS Office of Research Integrity released Public Health Service Policies on Research Misconduct to respond to technological changes and clarify requirements for addressing research misconduct.

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Jack Nathan Health® Explores Strategic Alternatives

HIT Consultant

What You Should Know: – Jack Nathan Medical Corp. (TSXV: JNH; OTCQB: JNHMF), operating as Jack Nathan Health®, a leading Canadian healthcare network has entered into a non-binding letter of intent (LOI) for a proposed transaction. This development follows the company’s recent announcements regarding the exploration of strategic alternatives. – A 30-day exclusivity period has been agreed upon with the other party involved in the LOI.

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Massachusetts Board of Pharmacy to Take a Big Step: Licensing Nonresident Pharmacies

HKLaw

In a move that could reshape the regulatory landscape for pharmacies servicing Massachusetts residents, the Massachusetts Board of Pharmacy has announced that it will soon begin licensing nonresident pharmacies and requiring at least one nonresident pharmacist to be licensed in Massachusetts, thereby finally establishing a procedure to implement a statute that has been on the books for almost 10 years.

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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.