Tue.Nov 05, 2024

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MACPAC calls for greater transparency amid steep rise in Medicaid directed payments

Health Care Dive

Dramatic growth in an opaque Medicaid funding mechanism is exacerbating concerns about the program’s fiscal integrity — while spurring financial gains for the hospital industry.

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Elevance Health says star ratings snub cost insurer $375M

Fierce Healthcare

Yet another major insurer is taking the federal government to court over all-important star ratings results. | Elevance Health is hitting back at CMS star ratings over statistical variation and inability of replication in the latest lawsuit to face the feds.

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Federal government notches rare win in surprise billing lawsuit

Health Care Dive

Last week, the 5th Circuit Court of Appeals sided with the federal government’s original interpretation of the No Surprises Act in determining how a key metric in billing disputes is calculated.

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Best practices for health system-startup partnerships

Fierce Healthcare

Introducing new technology in the healthcare sector can be a challenge, especially when t | This week on "Podnosis," we explore how startups can better align with providers to create impactful tools that integrate seamlessly into healthcare workflows.

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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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MedStar extends acute care at home to Baltimore

Healthcare It News

MedStar Health announced Monday that its acute care at home is now available to Baltimore patients of its Franklin Square Medical Center, Good Samaritan, Harbor and Union Memorial hospitals. WHY IT MATTERS Through the collaboration, Dispatch Health offers pre-scheduled home visits daily, including weekends and holidays, following discharge from emergency departments and inpatient hospital units – typically within 72 hours – MedStar said.

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Socially Determined's platform now stratifies social risks for minors

Fierce Healthcare

Socially Determined, a social risk analytics company, has launched a new platform feature offering visibility into the drivers of health for minors. | The goal of Socially Determined’s My Minors app is to provide healthcare providers with data to design and advertise targeted programs and benefits.

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As presidential election looms, disparate approaches to cyber policy come into focus

Health Care Dive

Government officials and security leaders are hoping the nation’s need for cyber resilience will transcend partisan politics regardless of the election results.

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Choice Health at Home Acquires Accentra, Sets Stage For Further M&A In 2025

Home Health Care

Choice Health at Home is acquiring the Oklahoma City-based Accentra Home Health and Hospice. The company has also closed on $260 million of new leveraged capital to continue expanding throughout the Southwestern U.S., Choice CEO David Jackson told Home Health Care News. Since its founding, Choice has executed nearly 50 deals. Since its recapitalization – it is backed by Coltala Holdings and Trive Capital – the company has executed 20 deals.

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Novant Health closes UCI Medical Affiliates acquisition

Health Care Dive

The deal includes more than 70 urgent care and physical therapy clinics, which Novant said would complement its portfolio in South Carolina.

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Addus Leaders Dive Further Into Gentiva Deal, ‘Historically Low’ Turnover Rates

Home Health Care

Completing the acquisition of Gentiva’s personal care operations is still top of mind at Addus HomeCare Corp. (Nasdaq: ADUS). The $350 million transaction was first announced in June. Addus Chairman and CEO Dirk Allison explained how he believes the deal will better position the company for the impacts of the “ Ensuring Access to Medicaid Services ” rule.

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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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Epic Unveils Expanded APIs for Healthcare App Developers

HIT Consultant

What You Should Know: – EHR leader Epic announced the expansion of its Application Program Interfaces (APIs) for healthcare app developers. – These APIs, available at no cost, will enable developers to access a more comprehensive view of the patient, supporting the latest standards in data exchange. Enhanced Interoperability for Personalized Care The expanded APIs are designed to support version 3 of the United States Core Data for Interoperability (USCDI v3).

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Kim Jong-un's Risky Business in Russia

The Rand Blog

North Korea is sending 12,000 troops to Russia to aid in its fight against Ukraine. This deployment reveals Kim Jong-un’s desperation for cash but presents significant risks for his regime.

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4 Steps to Patient-Centric Incident Response in Healthcare

HIT Consultant

Mike Donahue, Chief Delivery Officer, CloudWave The healthcare industry reported more ransomware attacks than any other critical infrastructure sector in 2023. With the escalation of attacks in scale and intensity, it is clear that conventional healthcare cybersecurity methods have proven inadequate. A significant shift is required to combat increasingly sophisticated attacks.

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Keep Calm and Carry On – Election Day Anxiety Hacks from Calm, Aloft Hotels, and Sesame Street

Health Populi

As my phone keeps pinging today with texts of friends and colleagues sharing #Election2024 angst, I am grateful to the folks at Calm for providing some moments of silence. Here’s their share to help us cope with political stress today. Calm provided similar support previously in 2020 when the meditation app collaborated with the media network CNN on election anxiety management — covered here in Health Populi.

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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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Nurse Capital Invests in Wave Therapeutics & The Nursing Beat

HIT Consultant

What You Should Know: – Nurse Capital, a venture capital firm dedicated to supporting nurse-led healthcare innovation, has announced its first seed-round investments in two promising startups: Wave Therapeutics and The Nursing Beat. These investments highlight the growing influence of nurses in shaping the future of healthcare. – Nurse Capital is a women-founded and managed venture capital fund that invests in nurse-led startups with high growth potential.

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News 11/6/24

HIStalk

Top News Online mental healthcare company Cerebral will pay $3.6.

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2024 CHIME Digital Health Most Wired Survey: Governance and Automation Shape Healthcare IT

HIT Consultant

What You Should Know: The College of Healthcare Information Management Executives (CHIME) has released its annual Digital Health Most Wired (DHMW) survey report , providing valuable insights into the digital health progress of healthcare organizations (HCOs) worldwide. – The 2024 survey reveals a significant shift towards governance and automation in key digital domains, reflecting a growing emphasis on leveraging technology to improve patient care and operational efficiency.

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A Retrospective Claims Analysis of the Rate of Complications in Patients Undergoing Treatment for Paroxysmal Nocturnal Hemoglobinuria

Healthcare ECONOMIST

That is the title of my recent paper with co-authors Denise Clayton, Glorian Yen, Lincy Geevarghese, Yulin Shi Anem Waheed. The abstract is below. Introduction Paroxysmal nocturnal hemoglobinuria (PNH) is a rare blood disease associated with complications that increase morbidity, such as thrombosis and chronic kidney disease. Limited data exist regarding complications among treated patients outside of clinical trials, especially for patients treated with ravulizumab.

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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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Debunking the Myths of Self-Directed Care

HIT Consultant

Vince Coppola, President & CEO of PPL Self-directed care remains one of the best-kept secrets in long-term care, and though it’s steadily growing, overall enrollment – and awareness – remains relatively low. From 2019 to 2023, the U.S. saw a 23% increase in people self-directing their long-term services and supports (LTSS). Yet, because many eligible individuals remain unaware of self-direction, vulnerable populations, including individuals with intellectual, developmental, and physical disa

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Business Owner Accused Of $3 Million In Home Care Fraud

Home Health Care

A St. Louis business owner was indicted on Oct. 30 by a federal grand jury after allegedly defrauding Missouri Medicaid out of more than $3 million over a decade. Camille S. Childress was indicted on four counts of health care fraud. The indictment says Childress owned Inspiring Angels LLC, a home care company based in Hazelwood, Missouri, but concealed her ownership from state officials due to a previous criminal conviction.

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EveLab Insight Optimizes Skin Analysis with AI-Powered Neck Scan

HIT Consultant

What You Should Know: – EveLab Insight, a pioneer in the beauty tech industry, has introduced a game-changing advancement to its Eve V Panoramic AI Skin Analysis System: a comprehensive neck analysis feature. – The innovation elevates the system’s capabilities beyond facial analysis, setting a new standard for precision and detail in evaluating neck wrinkles and fine lines.

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Morning Headlines 11/6/24

HIStalk

Once-growing diabetes startup backed by Blue Cross files for bankruptcy.

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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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SimonMed Imaging Adopts cmAngio for Early Breast Cancer Detection

HIT Consultant

What You Should Know: – CureMetrix , an innovator in AI-driven mammography solutions, has partnered with SimonMed Imaging, a prominent provider of outpatient medical imaging services in the United States. – The strategic collaboration will bring CureMetrix’s cutting-edge AI technology, cmAngio, to SimonMed Imaging’s extensive network of facilities across the nation. cmAngio: Enhancing Breast Cancer Detection with AI cmAngio is an FDA-cleared AI-powered software designed t

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Epic APIs move to USCDI v3

Healthcare It News

Epic has introduced new capabilities supporting Version 3 of the United States Core Data for Interoperability. They're available more than a year before the federally required December 2025 date to support the new data set. WHY IT MATTERS The new data elements – tribal affiliation, disability status, caregiver relationships, preferred language and more – of USCDI v3 are now part of Epic's set of application programing interfaces, the vendor announced Monday.

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PrognomiQ Raises $34M to Advance Multi-Omics Early Detection Test for Lung Cancer

HIT Consultant

What You Should Know: – PrognomiQ , a healthcare company pioneering multi-omics approaches to disease detection, has secured $34M in Series D funding led by Seer, Inc. , with participation from a new strategic investor and existing investors including Catalio Capital Management , aMoon , Invus and Bruker. – The funding brings PrognomiQ’s total funding to more than $135M and will accelerate the development of PrognomiQ’s early detection test for lung cancer.

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HGP Releases Health IT Private Equity Investment Trends for 2024

HIT Consultant

privat What You Should Know: – Healthcare Growth Partners (HGP) and Eliciting Insights surveyed private equity investment professionals focused on the Healthcare and Health IT sectors. – The 2024 Health IT Private Equity Survey aimed to capture the “new normal” of the market, considering the current point in the interest rate cycle, economic fluctuations, and the upcoming U.S. presidential election.

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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.