Thu.Oct 31, 2024

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UnitedHealth Group, University of Minnesota partner to launch course on value-based care

Fierce Healthcare

Making true progress toward value-based care requires buy-in and understanding from physicians — and for them to be willing to find common ground with insurers for collaborating. | UnitedHealth Group partnered with the University of Minnesota's medical school to launch a four-week elective course that exposes fourth-year medical students to value-based care and has them working in person with Optum clinicians.

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Pennsylvania attorney general sues Prospect Medical alleging ‘corporate greed’

Health Care Dive

The lawsuit argues Prospect broke the terms of its agreement to purchase Pennsylvania system Crozer Health and seeks to stop the hospital operator from closing more facilities.

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Optum Rx rolling out new initiatives aimed at supporting independent pharmacists

Fierce Healthcare

Optum Rx is rolling out a slate of new programs that seek to support independent pharmacies in managing costs and more complex patient needs. | Optum Rx is rolling out a slate of new programs that seek to support independent pharmacies in managing costs and more complex patient needs.

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Cigna CEO tamps down on Humana deal speculation

Health Care Dive

Despite reports this fall that the two payers had reopened merger talks, Cigna plans to use excess cash to buy back its shares, David Cordani told investors.

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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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Cigna posts $739M in Q3 profit despite taking a $1B hit from VillageMD investment

Fierce Healthcare

The Cigna Group reported $739 million in profit for the third quarter, a figure that accounts for a $1 billion after-tax investment loss tied to VillageMD. | The Cigna Group reported $739 million in profit for the third quarter, a figure that accounts for a $1 billion after-tax investment loss tied to VillageMD.

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Vendor AI Roundup: Enhanced EHR offerings designed to give practices a leg up

Healthcare It News

Each week, more healthcare technology vendors add artificial intelligence enhancements to their products to optimize healthcare practice and provider efficiencies and personalize patient care. To that end, eClinicalWorks announced a series of artificial intelligence enhancements to its electronic health record products, including healow Genie – a fully integrated 24/7/365 contact center system while athenahealth launched Ambient Notes into the athenaOne platform.

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Medicare saves record $2.1 billion from largest accountable care program

Health Care Dive

Citrus ACO in Central West Florida had the highest savings rate, while Health Connect Partners — an ACO operated by hospital giant Providence — had the highest total savings in the Medicare Shared Savings Program last year.

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Bridging the Divide: How Objective Analytics Unites Providers and Payers

Fierce Healthcare

The relationship between health systems and health plans has historically been fraught with tension, as each side tries to outmaneuver the other. | The relationship between health systems and health plans has historically been fraught with tension, as each side tries to outmaneuver the other. The latest secret weapon each side has been deploying? Artificial intelligence.

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Expert Marketing Insights to Grow Your Behavioral Health Business

Healthcare Success

The stigma surrounding behavioral health is finally fading, consumers are seeking help, and all types of behavioral health businesses are booming. Our Senior Account Director Paul Knipe, Josh Weum, and I were among the presenters at this year’s INVEST Conference, where we shared pivotal strategies to reshape your marketing approach—emphasizing the critical role of authentic branding, effective SEO, and targeted advertising in building meaningful patient relationships.

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Startup Hello Patient launches out of stealth to roll out generative AI phone agents for medical practices

Fierce Healthcare

Even as the world is going digital, medical practice staff still spend a lot of time communicating over the phone. | Startup Hello Patient built generative AI agents to do the work of traditional support staff at medical practices, freeing them up for more valuable, patient-facing work.

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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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Ensure a Healthy Bottom Line with the Marketing Minimum Daily Requirement

Healthcare Success

Whenever we partner with multilocation healthcare providers, we know that some of their locations will need more marketing “nutrition" than others. Still, we often must persuade leadership that all their locations need at least some love—even those with a full census. How can you invest your marketing dollars and energy appropriately across your multilocation portfolio?

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Ayble Health, Cleveland Clinic collab to bring virtual behavioral health, nutrition counseling to GI patients

Fierce Healthcare

Cleveland Clinic is collaborating with Ayble Health, a digital health platform focused on chronic gastrointestinal conditions, to support patients in a more holistic way. | Participating individuals can go through Ayble Health's content, co-developed with the Cleveland Clinic, at their own pace and connect with Ayble’s team to help with education or goal setting.

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Walgreens to lay off over 250 people

Health Care Dive

The decision follows a recent announcement that the pharmacy retailer plans to close 1,200 stores over the next three years.

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Thrive Global adds Function Health lab tests to employer offerings

Fierce Healthcare

Behavioral health tech company Thrive Global and preventive health management platform Function Health are banding together in a new health coaching partnership. | Eligible members in the program can skip Function Health's long waitlist and gain access to more than 100 lab tests aimed at preventing chronic disease.

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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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How Bayada Plans To Overcome Home Health Care’s Long-Lasting Challenges

Home Health Care

This article is a part of your HHCN+ Membership Home health care has some hardwired challenges. But there are also other challenges that can be overcome, that can be largely erased in the future. Artificial intelligence’s capabilities, for example, are cause for hope. The same goes for value-based care opportunities. Unlocking those opportunities is going to take time, effort and focus.

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The 76 Dangerous Days Between the Election and the Inauguration

The Rand Blog

The most dangerous period America faces in terms of election violence isn't before Election Day, but the 76 days after. Rising threats and domestic violence may intensify post-election, fueled by disinformation, claims of fraud, and potential foreign interference.

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How Healthcare IT Teams Can Secure Executive Buy-in for Critical Cybersecurity Investments

HIT Consultant

Dmitry Sotnikov, Chief Product Officer at Cayosoft It’s well known that ransomware is on the rise across industries. Healthcare organizations experienced more ransomware attacks than any other critical infrastructure sector last year, according to the FBI’s 2023 Internet Crime Report. Given the wide-reaching consequences and direct patient impact of such attacks, it’s become clear that investing in cybersecurity is a critical priority.

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HCBS Waiting Lists Remain ‘An Incomplete Picture Of Need’

Home Health Care

The number of states with waiting lists for people in need of home- and community-based services (HCBS) hasn’t seen much variation between 2016 and 2024, according to a new data analysis from the KFF. In fact, there have been about 700,000 people on waiting lists, or interest lists, in most years since 2016. Total enrollment in waiting lists went up by 2.6% between 2023 and 2024.

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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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How AI Can Drive the Transition to Value-Based Care

HIT Consultant

Robert Connely, Global Industry Market Leader for Healthcare at Pega The healthcare industry is at a crossroads, grappling with the dual challenges of declining health quality metrics and skyrocketing care costs. The reality is that health outcomes are driven more by what patients do than by what providers or payers do. It is estimated that 80% of health outcomes are driven by non-medical factors – often social or behavioral risks that impact health and lead to poor outcomes and high costs.

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EPtalk by Dr. Jayne 10/31/24

HIStalk

It’s Halloween, and there’s nothing spookier to me than.

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XiFin Launches Payor Intelligence Hub, Expands Payor Rate Transparency Monitor

HIT Consultant

What You Should Know: – XiFin, Inc., a leading provider of innovative healthcare information technologies and services that deliver artificial intelligence (AI)-enabled operational efficiency, interoperability, and simplicity, announced it has significantly enhanced its Payor Rate Transparency Monitor , adding two major payors—Humana and Blue Shield of California (BSCA)—to provide healthcare organizations with deeper insights into in-network contracted rates across millions of payor-repo

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Can the United Kingdom and France Team Up in the Third Nuclear Age?

The Rand Blog

France and the United Kingdom, Europe's nuclear powers, have a history of cooperation in nuclear deterrence. Despite political challenges, they can deepen ties by focusing on research, regional strategies, and security cooperation, enhancing Europe's global strategic role.

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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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GoodRx Launches E-Commerce Solution with Opill

HIT Consultant

What You Should Know: – GoodRx , a leading prescription savings platform in the U.S., is expanding its offerings with the launch of a new e-commerce solution. This service allows consumers to purchase eligible health products and medications directly on the GoodRx platform and have them shipped to their homes. – Opill® , the first FDA-approved daily oral contraceptive available over the counter, will be the inaugural product offered through this new service.

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Health Innovation Summit Kicks Off in Nashville: Day 1 Highlights

NCQA

NCQA’s Health Innovation Summit is underway in Nashville, Tennessee! To kick off the event, Dr. Victor Wu, Chief Medical Officer of TennCare, welcomed NCQA and our guests to his home city and introduced the four key themes of the conference: digital quality, health equity, value-based care and behavioral health. He then spoke about the progress Tennessee is making in each area, and the state’s long-standing partnership with NCQA.

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Ready to Change Your Pharmacy Strategy? It’s Time for Analytics, Data, and AI

HIT Consultant

Kayt Leonard, Global Health Care Strategic Advisor at SAS When you think about pharmacy, the first thing that comes to mind is data, right? Admittedly, it’s not my first thought either. But for organizations that are chasing after stronger, more integrated strategies to deliver care to patients, a pharmacy data strategy – and pharmacy partnership with analytics platforms – is often the first area of focus to drive change and deliver stronger outcomes.

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Future Leader: Michael Hietala, Senior Director Of Financial Strategy, Innovive Health

Home Health Care

The Future Leaders Awards program is brought to you in partnership with Homecare Homebase. The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. To see this year’s Future Leaders, visit [link]. Michael Hietala, senior director of financial strategy at Innovive Health, has been named a 2024 Future Leader by Home Health Care News.

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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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Accenture Invests in 1910 Genetics to Accelerate AI-Powered Drug Discovery

HIT Consultant

What You Should Know: – Accenture has made a strategic investment, through Accenture Ventures , in 1910 Genetics , a biotechnology company revolutionizing drug discovery with its AI-powered platform. Terms of the investment were not disclosed. – The strategic collaboration will combine Accenture’s expertise in scaling AI solutions with 1910 Genetics’ innovative technology to help biopharmaceutical companies accelerate drug development, reduce costs, and deliver more effec

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Links

Healthcare ECONOMIST

Mental health from remote educational instruction. Halloween health tips. “Dreamers” and ACA plan eligibility. Using muons to ‘x-ray’ the pyramids of Egypt. A Milwaukee legend.

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Q/A: Amp Health’s VP Talks How Industrial COEs Are Transforming Workforce Wellness

HIT Consultant

Rich Walsh, VP of Business Development at Amp Health In today’s demanding industrial landscape, the urgency of establishing Industrial Labor Centers of Excellence (COEs) has never been greater. COEs—specialized programs or facilities that provide high-quality, mulit-disciplinary care—are at the forefront of revolutionizing how we approach workforce wellness and safety by integrating technology, data, and proactive interventions.

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State Approaches to Covering Extended Supplies of Hormonal Contraceptives

NASHP

Introduction and Background Many states have adopted policies requiring public insurance coverage and/or state-regulated private health insurance coverage of an extended supply of certain hormonal contraceptives methods (e.g., the pill, patch, ring, self-administered injection) dispensed at one time for up to a 12-month supply. Policies requiring insurers to cover an extended supply of contraceptives are one of many strategies states may use to increase access to contraceptive care.

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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.