Mon.Oct 28, 2024

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Survey: Employers fear rising health costs could force trade-offs with wages, salaries

Fierce Healthcare

Employers are concerned that rising healthcare costs could force them to rethink salary or wage increases, according to a new study. | Employers are concerned that rising healthcare costs could force them to rethink salary or wage increases, according to a new study.

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AI could be a game changer, but healthcare needs to be ‘exceedingly careful’

Health Care Dive

Artificial intelligence tools could help solve workforce challenges. Implementation, however, can be difficult, pushing organizations to consider less risky administrative and back-office tasks first.

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Biden administration launches pilot to mitigate pediatric cancer drug shortages

Fierce Healthcare

As President Joe Biden prepares to leave office at the end of this year, he is taking final steps to push one of his signature domestic priorities to accelerate the fight against cancer. | As President Joe Biden prepares to leave office at the end of this year, he is taking final steps to push one of his signature domestic priorities to accelerate the fight against cancer.

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Oracle Health to apply for QHIN status under TEFCA data sharing framework

Health Care Dive

The Trusted Exchange Framework and Common Agreement went live in December with five Qualified Health Information Networks, and two more were added early this year.

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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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UnitedHealth, Amedisys to meet with regulators in hopes of pushing $3.3B merger over finish line: report

Fierce Healthcare

Leaders at UnitedHealth Group and Amedisys are set to meet with the Department of Justice this week in hopes of avoiding a potential attempt to block their $3.3 billion merger deal, according to me | Leaders at UnitedHealth Group and Amedisys are set to meet with the Department of Justice this week in hopes of avoiding a potential attempt to block their $3.3 billion merger deal, according to media reports.

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Tech companies pitch AI platforms for healthcare, outline plans for responsible rollout

Health Care Dive

Google, Microsoft and GE Healthcare say they’ll power the next wave of AI advancement. But executives are split on how to offer the tools to providers responsibly — and whether all clinicians are equally ready for them.

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5 steps to navigate the FDA’s new lab developed test rule

Health Care Dive

Laboratories face a series of upcoming deadlines to comply with stricter FDA oversight of in-house tests. Here are five strategies labs can take to be ready.

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Elevance Health to scoop up value-based care company CareBridge

Fierce Healthcare

Elevance Health plans to acquire home health company CareBridge in a deal that's reportedly worth $2.7 billion. | Elevance Health plans to acquire home health company CareBridge, a deal that's reportedly worth $2.7 billion.

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Walgreens Retreats On Its Health Care Services Plan

Home Health Care

Earlier this month, Walgreens Boots Alliance (Nasdaq: WBA) CEO Tim Wentworth laid the groundwork for a company turnaround. Part of that included a shift away from certain health care services, which the company pivoted toward in the wake of the COVID-19 pandemic. After that, at the HLTH conference in Las Vegas, Mary Langowski – the president of Walgreens’ U.S.

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Remote monitoring for hypertension has little value without medication management: PHTI

Fierce Healthcare

Remote monitoring tools combined with a dedicated medication management team deliver better results than the standard of care, a new report found.

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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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Medicare Advantage In-Home Health Assessments Continue To Raise Questions 

Home Health Care

Medicare Advantage (MA) companies receive higher risk-adjusted payments from the Centers for Medicare & Medicaid Services (CMS) for sicker enrollees. This helps ensure that plans receive sufficient payments to cover increased care costs and that enrollees have access to plans. However, a new report states that taxpayers are footing the bill for billions of dollars in overpayments to these companies every year based on unsupported diagnoses for MA patients.

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Industry Voices—Cancer is always a catastrophe. But one provision of the Inflation Reduction Act is trying to change that

Fierce Healthcare

Industry Voices—Cancer is always a catastrophe.

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How Home-Based Care Providers Hurdle Tricky Payment Issues

Home Health Care

This article is a part of your HHCN+ Membership Whether it’s Medicare, Medicaid, Medicare Advantage (MA) or private pay, home care and home health leaders are both navigating tricky payer environments in their respective sectors. MA penetration continues, as do cuts to traditional Medicare payments in home health care. In home care, billing rates have recently risen on the private-pay side, while Medicaid payment continues to be inconsistent.

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SmarterDx Launches AI-Powered Appeals Solution to Fight Payer Denials

HIT Consultant

What You Should Know: – SmarterDx , a provider of clinical AI for revenue integrity, has announced the launch of SmarterDenials , an innovative AI-driven solution designed to help hospitals fight unjust claim denials. – With denials on the rise, causing operational disruptions and revenue loss for healthcare providers, SmarterDenials empowers hospitals to generate stronger clinical appeal letters and secure faster and more accurate reimbursements.

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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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Best practices for conducting a scoping review

Healthcare ECONOMIST

Scoping reviews are a type of knowledge synthesis, which follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. The Canadian Institutes of Health Research ( CIHR ) defines a scoping review as: ‘exploratory projects that systematically map the literature available on a topic, identifying key concepts, theories, sources of evidence and gaps in the research’ and notes ‘They are often preliminary to full syntheses,

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AI Washing in Healthcare: How to Identify and Avoid Empty Promises

HIT Consultant

Dr. Hugh Cassidy, Head of Artificial Intelligence and Chief Data Scientist at LeanTaaS The costs of care are rising, and with them, the pressure on healthcare systems to manage resources effectively. Between 2019 and 2022 alone, overall hospital expenses surged by 17.5%, while hospital labor costs grew by 20.8%, according to a recent report from the American Hospital Association.

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Recent Hurricanes and Geoengineering

The Rand Blog

Recent hurricanes sparked false conspiracy theories about government-created disasters via geoengineering. These unfounded theories highlight geoengineering risks, which remain with limited international regulation.

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Oracle Health to Apply for TEFCA QHIN Status

HIT Consultant

What You Should Know: – Oracle Health today announced that it intends to begin the process to become a Qualified Health Information Network (QHIN) as a part of the Trusted Exchange Framework and Common Agreement (TEFCA). – Becoming a QHIN will allow Oracle Health to directly enable its healthcare customers to participate in the U.S. government’s nationwide approach to offer secure, smooth, and standardized sharing of health information between providers and payers, pharmaceutical com

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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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North Carolina Case Study: Improving Access to Contraceptive Care through Pharmacist Prescribing

NASHP

Access to contraceptive care has been shown to have many health and economic benefits. However, many individuals experience barriers to accessing contraceptive care. In the context of a shifting contraceptive care landscape, including legal considerations and challenges, workforce shortages, health care deserts, innovations in care delivery, and financing constraints, many states have proposed or enacted policy changes to improve contraceptive care access.

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AMA Approves CPT Code for Cleerly’s AI-Powered Solution

HIT Consultant

What You Should Know: – Cleerly , a pioneer in advanced cardiovascular imaging, is celebrating a significant victory in the adoption of artificial intelligence (AI) in healthcare. The American Medical Association (AMA) has officially approved a Category I CPT code for Cleerly’s AI-QCT advanced plaque analysis. – The decision, effective January 1, 2026, marks a major step forward in recognizing and reimbursing AI-driven technologies that improve patient outcomes in cardiovascula

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Protecting Your Sleep During the Election Season

The Rand Blog

Election stress can impact sleep as news and social media fuel anxiety. Limiting media before bed, engaging in civic activities, and maintaining a sleep routine can improve well-being and resilience during tense times.

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Introducing the First Cohort of the Bulk FHIR Quality Coalition

NCQA

NCQA’s Bulk FHIR ® Quality Coalition is evaluating FHIR data quality and identifying common gaps and challenges that might limit organizations from fully utilizing FHIR data for quality measurement. Participants will perform end-to-end testing of regulated FHIR data using the real-world use case of digital HEDIS ® measurement. The coalition will have multiple cohorts—each comprising a health care payer and a care delivery organization—working to create a FHIR data pipeline by sharing data direc

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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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eClinicalWorks Unveils Transformative AI Enhancements

HIT Consultant

What You Should Know: – More than 4,000 healthcare professionals and staff from across the nation attended the 2024 eClinicalWorks and healow National Conference, where eClinicalWorks® , the largest ambulatory cloud EHR, unveiled a series of transformative AI-powered enhancements and solutions designed to optimize practice and provider efficiency. – eClinicalWorks and healow® also announced their expected growth, with a projected record-high $1 billion in revenue in 2024 compared t

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States Advance Policies to Strengthen Contraceptive Care

NASHP

States play a central role in supporting access to contraceptive care through the administration of state Medicaid and public health programs, as well as through regulation of public (Medicaid and Children’s Health Insurance Program) and private health insurance. Many states are advancing innovative policies and programs to strengthen access to contraceptive care in a shifting landscape, influenced by factors such as primary and maternity care workforce shortages, long travel distances to contra

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Teledentistry Platform Grin Secures Investment from CareQuest Innovation Partners to Expand Access to Virtual Dental Care

HIT Consultant

What You Should Know: – Grin , a virtual care platform for oral health, has secured a significant investment from CareQuest Innovation Partners. This funding will accelerate Grin’s mission to improve access to dental care, particularly for underserved communities, and further develop its innovative teledentistry solutions. – CareQuest Innovation Partners is dedicated to supporting and scaling transformative solutions to improve oral health.

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State Approaches to Pharmacist Prescribing of Hormonal Contraceptives

NASHP

Introduction and Background Many states have expanded scope of practice laws to allow pharmacists to prescribe hormonal contraceptives as one in an array of strategies to increase access to contraceptives. States determine the scope of practice and services that can be delivered by licensed pharmacists through state law and regulations. States have authorized pharmacist prescribing and administration of certain medications (e.g., Paxlovid, naloxone), vaccinations (e.g., pneumonia, COVID-19), an

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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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The Double-Edged Sword of GenAI in the Life Sciences Sector

HIT Consultant

Rob Juncker, CTO of Code42 (now part of Mimecast) It’s said that data is the lifeblood of the modern enterprise. While that’s certainly true, it’s also true that there is perhaps no industry as dependent on data – and protecting it – as the life sciences sector. Of course, the very nature of data has evolved significantly over the past few years. What once consisted of straightforward records and research results has now expanded to include highly complex and distributed datasets generated by a

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How to Improve Your AHT in a Call Center: Top Strategies

Sequence Health

Looking to reduce the Average Handle Time (AHT) in your healthcare call center? This article offers practical steps on how to improve your AHT by streamlining call handling processes and enhancing efficiency, ensuring better patient satisfaction. Key Takeaways Average Handle Time (AHT) is critical for healthcare call center performance, comprising talk time, hold time, and wrap-up time, which collectively affect patient satisfaction and operational efficiency.

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Can Community Pharmacies Help Address the NHS's Growing Challenges?

The Rand Blog

Community pharmacies are seen as vital to easing NHS pressure, with expanded roles like prescribing. However, challenges such as funding cuts and lack of integration persist. Greater cooperation, improved data sharing, and public awareness are needed.

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What Does a Call Center Supervisor Do?

Sequence Health

In the healthcare industry, the call center supervisor’s job is pivotal in ensuring smooth operations and delivering exceptional patient care. These supervisors manage daily activities, oversee call center agents, handle patient escalations, and track performance metrics, which are among the key center supervisor responsibilities. This blog will delve into their key responsibilities, essential skills, and the unique challenges they face within healthcare settings.

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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.