Fri.Nov 15, 2024

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Chutes & Ladders—Centene president to retire, Abridge and AccessHope tap industry execs

Fierce Healthcare

Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry. | Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry. Please submit the good news—or the bad—from your shop, and we will feature it here at the end of each week.

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CHS is gearing up to play offense again in hospital M&A game, CFO says

Health Care Dive

The Franklin, Tennessee-based operator has not purchased a hospital in years. That may soon change as CHS' margins improve.

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Kaufman Hall: Performance stable, but high labor costs challenge hospitals

Fierce Healthcare

Though hospital performance has remained relatively stable, high labor costs continue to challenge hospitals’ bottom line, according to September figures from Kaufman Hall. | Labor expenses from providers accounted for 84% of medical groups’ total expenses. The median subsidy per employed physician was $304,312, rising above $300,000 for the first time.

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Report: Gen Z Leaving Healthcare in Droves Due to Toxic Culture

HIT Consultant

What You Should Know: – A new report from Soliant Health reveals a concerning trend: healthcare professionals across all age groups are leaving the industry due to job stress, poor work-life balance, and unhealthy workplace cultures. – Surprisingly, Gen Z (ages 18-27) is leading the exodus, with over 22% planning to leave their healthcare jobs within the next 1-3 years.

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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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ClearWellness Takes Minimalist Technology Approach To Help Home Care Recipients, Agencies 

Home Health Care

As people age, they face various challenges, including a strong desire to maintain their independence, growing feelings of loneliness, and the reality that family members who wish to help are often busy with their own work and home responsibilities. ClearWellness aims to address these issues by using the smallest amount of technology possible to connect seniors with their families and support them in achieving their wellness goals.

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HCAOA Throws Weight Behind Legislation That Would ‘Redefine’ Private Duty Nursing Services

Home Health Care

The Home Care Association of America (HCAOA) is backing home care-focused legislation introduced by Vice President-elect J.D. Vance (R-OH) and Senator Maggie Hassan (D-NH). The Continuous Skilled Nursing Quality Improvement Act (S.4122) was introduced back in April, and would redefine “private duty nursing services” as “continuous skilled nursing services.

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SOFHA and Lumeris Partner to Enhance Value-Based Care in Tennessee and Virginia

HIT Consultant

What You Should Know: – State of Franklin Healthcare Associates (SOFHA) , the largest employee-owned, physician-led multi-specialty primary care group in the nation, has announced a new partnership with Lumeris, a leading value-based care enablement company, to improve healthcare delivery and outcomes in Northeast Tennessee and Southwest Virginia communities beginning in 2025. – By combining SOFHA’s exceptional provider care with Lumeris’ expertise in population health management an

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VitalCaring Rebuts The DOJ, Makes Case For Itself As Worthy Divestment Partner 

Home Health Care

VitalCaring Group – the home health and hospice company led by April Anthony – got caught in the crosshairs of the U.S. Department of Justice (DOJ) this week. The company responded, however, defending its current state and re-emphasizing where it plans to go. VitalCaring agreed to acquire divested assets from Amedisys Inc. (Nasdaq: AMED) in June. So long as UnitedHealth Group’s (NYSE: UNH) takeover of Amedisys went through, VitalCaring would be the beneficiary of certain Amedisys locations.

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HealthEdge, Codoxo Partner for GenAI-Driven Payment Integrity

HIT Consultant

What You Should Know: – HealthEdge® and Codoxo announce a strategic partnership to provide healthcare payers with the industry’s most cutting-edge solutions and services. – This partnership will streamline and enhance their respective end-to-end payment integrity processes by leveraging HealthEdge Source™ in conjunction with Codoxo’s GenAI-driven Unified Cost Containment Platform.

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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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NCQA’s Proposed Timeline for Retiring and Replacing HEDIS Hybrid Measures

NCQA

NCQA is collaborating with health care organizations across the industry to make HEDIS reporting fully digital by MY 2030. The evolution of HEDIS—and digital quality measurement, in general—leverages available electronic health data to make quality measurement more accurate, actionable, timely and affordable. As we move toward a fully digital state, NCQA plans to phase out the hybrid method by MY 2029.

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8 Most Common Healthcare Reimbursement Issues

Etactics

Did you know that over 80% of medical bills have at least one error? As you can imagine, these errors cause serious issues when it comes to a healthcare organization’s revenue. Simply put, if medical billing errors exist…they’re not going to get paid. You see, healthcare organizations need to collect payment from two separate sources every time they provide services.

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Public Comment Open: Changes to 2025 and 2026 Health Plan Ratings

NCQA

NCQA’s public comment period is open and ready for your input on proposed measure updates for Health Plan Ratings. NCQA seeks comments on proposed measure changes for: 2025 Health Plan Ratings, using results from HEDIS Measurement Year 2024. 2026 Health Plan Ratings, using results from HEDIS Measurement Year 2025. About Health Plan Ratings and Public Comment NCQA’s Health Plan Ratings evaluate the quality of care provided by commercial, Medicare Advantage and Medicaid health plans.

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2025 NASHP ELC Fellowship: Request for Applications

NASHP

The 2025 ELC fellowship runs from February through December 2025 and requires fellows to commit approximately 35 hours a month to fellowship work. Each fellow is provided a total stipend of $6,300, plus travel expenses to attend NASHP’s annual health policy conference, an on-site meeting in Washington, D.C. for program activities, and a visit to the state of their advisor.

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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.