Thu.Aug 01, 2024

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Cigna CEO promises ‘aggressive’ defense of pharmacy benefit managers

Health Care Dive

David Cordani’s comments to investors Thursday come as the payer blew past Wall Street’s expectations for the second quarter, helped by significant growth in its health services division — including PBM Express Scripts.

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CVS Health now tracks extreme heat to warn at-risk patients with personalized resources

Fierce Healthcare

CVS Health has launched an environmental health impact program to help vulnerable Americans during extreme weather events. | Using advanced environmental data analytics and patients' medical and pharmacy data, CVS Health offers timely excessive heat alerts and outreach to at-risk patients up to a week before the event.

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Average cost of healthcare data breach nearly $10M in 2024: report

Health Care Dive

Though expenses declined since last year, healthcare is still the costliest industry for data breaches — a spot the sector has held since 2011.

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Alignment Healthcare raises full-year guidance after favorable star rating recalculations

Fierce Healthcare

Plan membership at Alignment Healthcare is again higher than previously expected, the company announced ahead of its second-quarter earnings call. | Alignment Healthcare says it is on pace for full-year adjusted EBITDA guidance and increasing its membership outlook after its second-quarter earnings call.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva 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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Baptist Health brings urgent care waits down to 6 minutes with telemedicine

Healthcare It News

Staffing for urgent care sites has always been a challenge at Baptist Health, which is headquartered in Louisville, Kentucky, and serves that state and Indiana. THE PROBLEM Staff at Baptist Health can look at prior patterns but still struggle at times to predict correctly for specific days and times. Further, with today's healthcare staffing challenges, even if Baptist Health recognizes a need for extra workers, it may not have the resources to upstaff appropriately.

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Judge approves Steward’s plan to close 2 hospitals by month’s end

Health Care Dive

Steward also provided an update on increasingly tense negotiations with its landlord about how to distribute proceeds from sales.

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Bipartisan Policy Center urges Congress to extend Medicare hospital at home, telehealth policies by end of year

Fierce Healthcare

The Bipartisan Policy Center released a report on Wednesday that recommends that C | The Bipartisan Policy Center released a report on Wednesday that recommends Congress extend the Medicare Acute Hospital Care at Home waiver for five years to increase uptake.

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Epic and UW research: Healthcare AI must be equitable, transparent, regulated

Healthcare It News

From enhancing efficiency to helping organizations strengthen essential face-to-face human interactions, artificial intelligence holds significant promise for healthcare. But strong regulation and clear definitions of the technology's use and capabilities will be required. WHY IT MATTERS Those were among the conclusions drawn from a roundtable discussion , featuring two dozen leading experts on healthcare AI, hosted this summer by Epic and UW Health, the integrated health system of the Unive

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TowerBrook, CD&R take health tech company R1 RCM private in $8.9B deal

Fierce Healthcare

R1 RCM, a company that provides revenue cycle and billing services to hospitals, will be acquired for $8.9 billion and taken private. | R1 RCM, a company that provides revenue cycle and billing services to hospitals, will be acquired for $8.9 billion and taken private.

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Fertility Benefits Playbook: How HR Leaders Are Delivering Value in 2025

Speaker: Kaitlin Ruby Carroll

Fertility benefits have become a crucial component of employee well-being and retention strategies. In today’s competitive landscape, creating a fertility benefits program that aligns with both employee needs and organizational goals can be more complex than it seems. From cycle-based to flat-dollar and telehealth models, each solution offers unique advantages and challenges that directly affect employee satisfaction and financial well-being.

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Teladoc withdraws 2024 outlook, logs impairment charge amid downturn at BetterHelp

Health Care Dive

During a second-quarter earnings call Wednesday, new CEO Chuck Divita said the virtual care company is “not yet delivering on its fullest potential.

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Many patients are hit with claims denials. But few challenge the decisions, study finds

Fierce Healthcare

Close to half of adults said they received a medical bill or a copayment for a service that they expected to be free or covered by insurance. | Close to half of adults said they received a medical bill or a copayment for a service that they expected to be free or covered by insurance. However, relatively few challenge these bills, a new survey from the Commonwealth Fund shows.

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Amwell boosts 2024 adjusted earnings outlook, narrows net loss in Q2

Health Care Dive

During a second-quarter earnings call Wednesday, CFO Robert Shepardson said reducing headcount was “one of the big drivers” for improving the guidance.

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Evernorth drives double-digit revenue growth at Cigna in Q2

Fierce Healthcare

Revenue at Cigna grew 25% year over year as its Evernorth division continues to build momentum, according to the company's earnings report.

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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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Health and wealth

Healthcare ECONOMIST

Are wealthier people healthier? If so, how strong is this relationship? Does it vary across countries? That is what a paper by Kyriopoulos et al. 2024 aims to answer. They measure health and wealth using a “concentration index” (CI) which is calculated as follows: CI is estimated with reference to the concentration curve, which illustrates the cumulative percentage of a health status variable in relation to the cumulative percentage of the population, with individuals ranked from the

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HHS' health IT office makeover may tip the scales in historic funding battle

Fierce Healthcare

The Department of Health and Human Services’ (HHS') technology office is poised to bring significant technological expertise to the department, which the Office of the National Coordinato | HHS tech policy office failed to receive consistent funding bumps from Congress since 2004. The recent revamp could change that.

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HEDIS MY 2025: What’s New, What’s Changed, What’s Retired

NCQA

The Healthcare Effectiveness Data and Information Set (HEDIS ® ) is constantly evolving to ensure measures are relevant and represent clinical best practices. For Measurement Year 2025, NCQA added three HEDIS measures, retired four measures and made smaller changes across multiple measures. We also continue the transition to Electronic Clinical Data Systems (ECDS) reporting.

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NATO Bolsters Its Eastern Flank

The Rand Blog

Reinvigorated in large part because of Russian aggression against Ukraine, the North Atlantic Treaty Organization (NATO) is stronger now than at any time since the end of the Cold War. Its 75th anniversary summit in July dwelt on bolstering its eastern flank and supporting Ukraine.

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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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More States Join In Effort To Bolster The Home-Based Care Workforce

Home Health Care

Multiple states are taking initiative to address home-based care staffing woes, addressing a long-time need that exists across the country. After a competitive bidding process, the Carmel, Indiana-based Syra Health Corp. (Nasdaq: SYRA) has been granted a $5.8 million contract to train home health care professionals providing care to residents at home or in community-based facilities.

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Digital tools keep patients and care teams connected in the hospital and home

Healthcare It News

Enterprise Taxonomy: Operations Quality Care Business Care Node settings: Exclude from Accelerate RSS feed

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‘We Didn’t Know What We Were Doing’: Where Home-Based Care Agencies Fall Short In Dementia Care

Home Health Care

In 2023, an estimated 6.7 million people in the U.S. were living with Alzheimer’s disease. That number is projected to increase to 14 million by 2060, according to the Centers for Disease Control and Prevention (CDC). “Very few people don’t know someone who has been affected by this,” AlzBetter CEO Gary Skole told Home Health Care News. “People are living longer.

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The Complete Guide to Medical Billing for Behavioral Health Practices

Advanced Data Systems

Navigating the complexities of medical billing for behavioral health can be a daunting task. At Advanced Data Systems Corporation (ADSC), we understand the intricacies involved and are committed to helping providers streamline their billing processes to maximize efficiency and reimbursement.

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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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Hospital-At-Home Leader Medically Home Names New CEO

Home Health Care

Medically Home’s board of directors has appointed a new president and CEO. Graham Barnes will take the helm of the company, effective immediately. “[Graham Barnes’] track record of growing and nurturing health care companies gives us deep confidence in his ability to elevate Medically Home and build on the strong market position that has been achieved to date,” Maneesh Goyal, chairman of the board of directors for Medically Home, and COO of the Mayo Clinic Platform at the Mayo Clinic, said in a

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AI-Assisted Diagnostic’s Intersection with Risk Assessment: The Future of Medical Device Technology

HIT Consultant

Dr. Sriram Rajagopalan, Head of Training & Learning Services at Inflectra From predictive analytics to personalized treatment plans, we’ve probably all heard about AI’s potential to revolutionize medical diagnostics and treatment. As discussed in a recent NIH study , “more recently, state-of-the-art computer algorithms have achieved accuracies which are at par with human experts in the field of medical sciences.

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NIST SP 800-171A Rev 3 Mapping to Rev 2 Assessment Objectives: A Thorough Guide

Etactics

In May 2024, the NIST published revision 3 of Special Publication (SP) 800-171. Revision 3 supersedes Revision 2 published in early 2020 and updated in early 2021. The Defense Federal Acquisition Regulations Supplement (DFARS) has driven the adoption of these requirements. The DFARS safeguarding requirements apply to contractors and suppliers handling covered defense information.

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Bridging the digital divide: prioritizing digital health literacy to enhance patient-centered care

Nordic

From Zoom exercise classes and trivia nights to streaming music and taking online courses, my 97-year-old grandmother’s life has been enriched by technology. While these tools bring her joy and connection, a patient portal that’s difficult to navigate or a home monitoring device that doesn't consider visual, hearing, and sensory impairment can leave her feeling helpless and hopeless.

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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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Blue Cross Blue Shield of TN Launches Statewide Food as Medicine Initiative to Combat Food Insecurity

HIT Consultant

What You Should Know: – FarmboxRx , a pioneer in food-as-medicine solutions, announced a new partnership with Blue Cross Blue Shield of Tennessee (BCBST) to address food insecurity and improve health outcomes for Tennesseans. – Through this collaboration, BCBST members will receive fresh produce and condition-specific health education delivered directly to their homes.

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Online Group Therapy: Opportunities and Challenges for Effective Treatment

Icanotes

Online Group Therapy: Navigating Opportunities and Challenges for Effective Treatment Online group therapy is a wonderful treatment modality for clients and the therapists treating them. By gathering clients with similar concerns in the same place at the same time, group therapy can be very rewarding. With an increase in virtual treatment over recent years, online group therapy is growing more popular, but it comes with a unique set of opportunities and challenges.

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The Sequoia Project Launches Pharmacy Workgroup to Enhance Patient Care Through Interoperability

HIT Consultant

What You Should Know: – The Sequoia Project, a leading advocate for health information technology (health IT) interoperability, announced the launch of a new Pharmacy Workgroup as part of its Interoperability Matters program. – The strategic initiative aims to improve patient care by fostering collaboration between pharmacies and the broader healthcare ecosystem.