Tue.Oct 24, 2023

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2.3M people would gain coverage if 10 remaining states expanded Medicaid, report finds

Health Care Dive

Black people, young adults and women, especially those of reproductive age, would see the biggest coverage gains, according to the Robert Wood Johnson Foundation and the Urban Institute.

Medicaid 312
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Labor shortages, claims denials, supply chain still hamstring hospital margins, survey shows

Fierce Healthcare

Healthcare’s days of widespread contract labor reliance may be over, but hospitals and health systems are still frequently reporting labor shortages and other operating hurdles keeping them from he | Contract labor reliance may be largely in the past, but hospital leaders say there's still plenty of hurdles ensuring “a slow climb" to long-term operational sustainability.

Hospitals 315
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Prospect Medical Holdings clear to seek buyer for Crozer Health

Health Care Dive

The private equity firm has nine months to find a buyer for its struggling four-hospital health system under an agreement announced by the Pennsylvania attorney general last week.

Hospitals 299
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Teladoc brings in $660M in Q3 revenue, reaches 90M members as executives focus on boosting bottom line

Fierce Healthcare

Teladoc's third-quarter revenue grew 8% to reach $660 million, boosted by solid performance in its chronic condition management business and steady membership growth as the company now touts 90 mil | Teladoc's scale, strong financial position and free cash flow performance put the company in a competitive position compared to many virtual care startups struggling in the current macroeconomic environment, executives said.

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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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Patient outcomes point to efficacy of telehealth and virtual care

Healthcare It News

The emergence of telehealth during the COVID-19 pandemic and the resulting surge in the adoption of telemedicine are helping address patients’ needs without major signs of safety concerns, according to a study by Kaiser Permanente. WHY IT MATTERS The study, published in the Annals of Internal Medicine, analyzed more than 1.5 million adult patients at Kaiser Permanente Northern California in 2021, and compared treatment and follow-up visits among primary care telemedicine (video and telepho

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Direct Contracting model reaches nearly $500M in net savings

Fierce Healthcare

The Center for Medicare and Medicaid Innovation (CMMI) unveiled 2022 calendar year results for the Direct Contracting Model on Monday. | More than three-quarters of those who participated in the program reaped savings, data from CMMI revealed.

Medicaid 291

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Independent pharmacies sue Express Scripts, allege price-fixing

Fierce Healthcare

Several independent pharmacies have filed suit against pharmacy benefit management giant Express Scripts, alleging that the company colluded with Prime Therapeutics to fix reimbursement rates. | Several independent pharmacies have filed suit against pharmacy benefit management giant Express Scripts, alleging that the company colluded with Prime Therapeutics to fix reimbursement rates.

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Exclusive: Caregiver support platform Helpful partners with VNS Health

Healthcare It News

Users of Helpful can now access a loved one's benefit information about their New York-based health plan and select medical records through its app.

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HCA Healthcare's newly consolidated physician staffing venture is bleeding $50M per quarter, execs tell investors

Fierce Healthcare

Editor's note: Updated at 12:15 p.m. Oct. 24 with commentary from HCA Healthcare's Q3 earnings call. | The for-profit system celebrated "continued solid demand for our services" during its Q3 2023 earnings call, but had to defend its decisions surrounding Valesco Physician Services to analysts and investors.

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Making SDOH resource matching better with AI

Healthcare It News

DUOS uses large language models to leverage social determinants of health and enhance care-navigation access for Medicare beneficiaries. Feedback from platform users improves the artificial intelligence, said Karl Ulfers, cofounder and CEO.

Medicare 235
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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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UnitedHealthcare adding 4 new states to ACA exchange footprint for 2024

Fierce Healthcare

UnitedHealthcare is expanding its footprint on the Affordable Care Act (ACA) exchanges to four new states in 2024, the insurance giant

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Centene beats Q3 forecasts despite stars, redeterminations pressures

Health Care Dive

The payer’s Medicare Advantage star ratings have improved slightly, but “certainly do not reflect the ambitions of our company,” CEO Sarah London said.

Medicare 147
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Centene boosts guidance on the back of $469M in Q3 profit

Fierce Healthcare

Centene Corporation posted $469 million in profit for the third quarter, according to its earnings report released Tuesday morning.

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HCA misses Q3 expectations on costs from staffing firm Valesco

Health Care Dive

The for-profit reported operational strains associated with its physician staffing firm in its third-quarter earnings.

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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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Elevance Health's CarelonRx the latest PBM to embrace Humira biosimilars

Fierce Healthcare

Elevance Health's CarelonRx is the latest pharmacy benefit manager to put biosimilars for popular drug Humira on its formulary, the company said this week. | Elevance Health's CarelonRx is the latest pharmacy benefit manager to put biosimilars for popular drug Humira on its formulary, the company said this week.

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Drug-Free Weight Loss: Managing Obesity Through Telehealth

Health Recovery

Obesity is a global epidemic, affecting not only wealthy nations but countries of all economic levels. According to 2017–2018 data from the National Health and Nutrition Examination Survey (NHANES), more than two in five adults (42.4%) in the United States are obese—and these numbers have almost certainly increased since then.  By 2030 , researchers predict that 50% of the US population will be obese.

Hospitals 105
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3 in 4 Patients Don’t Trust AI in Healthcare Setting

HIT Consultant

What You Should Know: Carta Healthcare®, a company whose mission is to improve patient care by harnessing the value of clinical data, today announced the results of a survey measuring American perception and trust of artificial intelligence (AI) in healthcare. Propeller Insights conducted an online survey of 1,027 U.S. consumers between August 18 and August 29, 2023.

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With Optum Acquisition Pending, Amedisys Continues To Grow Non-Medicare, High-Acuity Care Revenue

Home Health Care

Amedisys Inc. (Nasdaq: AMED) continues to make significant process in its high-acuity care business through its subsidiary Contessa Health. The company posted its third-quarter earnings late Tuesday , which highlighted 35% year-over-year growth in the high-acuity care segment. Overall, Amedisys admitted 580 high-acuity patients in the quarter in 11 JV markets.

Medicare 105
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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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Israel Defense Forces to Utilize UltraSight’s PoCUS Devices in Combat

HIT Consultant

What You Should Know: – UltraSight – an AI-powered micro-ultrasound company that is revolutionizing cardiac sonography to enable more accurate and timely clinical decisions – is now offering its services to the Israel Defense Forces (IDF). The device has FDA clearance and is now available in Israel, the UK, and the US. – Many of the IDF soldiers will now have an ultrasound in their pocket.

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Using QI to deliver cost savings

Life Qi

The healthcare industry is constantly evolving, with providers facing the dual challenge of delivering high-quality care while managing costs effectively. One powerful strategy to address this challenge is the use of quality improvement projects. These initiatives not only improve patient outcomes but also contribute significantly to healthcare cost savings.

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Do doctors know enough about the commercial determinants of health?

Healthy Debate

Private sector activities have a real impact on health. We need cross-industry regulation to challenge private interests in health policy.

Doctors 109
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AI Model Finds 55% of Commercially Insured Women Unlikely to Get a Mammogram

HIT Consultant

What You Should Know: – Cedar Gate Technologies’ advanced AI analytics platform has identified that 55% of commercially insured women are unlikely to get a mammogram. Leveraging this proprietary AI, Cedar Gate evaluated nearly 2.4 million women in its national healthcare benchmark database. – The model surfaces a probability score for whether or not a woman is likely to get a mammogram based on U.S.

Doctors 97
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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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Introduction to the Symposium: From Principles to Practice: Human Rights and Public Health Emergencies

Bill Of Health

By Roojin Habibi, Timothy Fish Hodgson, and Alicia Ely Yamin Today, as the world transitions from living in the grips of a novel coronavirus to living with an entrenched, widespread infectious disease known as COVID-19, global appreciation for the human rights implications of public health crises are once again rapidly fading from view. Against the backdrop of this burgeoning collective amnesia, a project to articulate the human rights norms relevant to public health emergencies led to the devel

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A Global Food Retailer Connects Climate Change and ESG to Consumers’ Health

Health Populi

In the food sector, “the opportunity for us and the role that we play is to connect climate and health,” Daniella Vega of Ahold Delhaize told Valerio Baselli during the Morningstar Sustainable Investing Summit 2023. In a conversation discussing the importance of non-financial metrics in companies’ ESG efforts, Vega connected the dots between climate change, retail grocery, and consumers’ health and well-being.

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HHCN FUTURE: From Crisis to Success – Unlocking the Power of Outsourcing, Insourcing, and Technology in Home Health and Hospice

Home Health Care

This article is sponsored by CareXM. This article is based on a Home Health Care News discussion with Mike Kearns, vice president of sales at CareXM and Ellen Kuebrich, chief governance officer at CareXM. This discussion took place on August 30, 2023 during the HHCN FUTURE Conference. The article below has been edited for length and clarity. Home Health Care News: What do you see as the main challenges right now in the home healthcare space?

Nursing 103
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Barriers Preventing State Medicaid Agencies from Harnessing the Potential of AI

HIT Consultant

Tim Taylor, Principal Industry Consultant at SAS Victor Sterling, Principal Industry Consultant at SAS State Medicaid agencies are responsible for health services that touch the lives of every American, making the potential benefits of modern technology tools, such as artificial intelligence (AI) and machine learning (ML), enormous. However, despite the promise of increased effectiveness with the same or fewer resources, modernization, and digital transformation do not come easily – or nat

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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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Use of Conditionally Essential Amino Acids and the Economic Burden of Postoperative Complications After Fracture Fixation: Results from a Cost Utility Analysis

Healthcare ECONOMIST

That is the title of my new paper out in ClinicoEconomics and Outcomes Research. This work was done with co-authors Kyi-Sin Than, Anmol Kanotra, Kirk W Kerr, Katie N Robinson, Michael C Willey. The abstract is below. Objective: To measure the economic impact of conditionally essential amino acids (CEAA) among patients with operative treatment for fractures.

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Making Rounds: Lab information, at your service [Podcast]

Nordic

As with many other aspects of modern healthcare, laboratory information systems (LIS) have gone on a journey from basic pen-and-paper records to highly advanced digital systems. This digital evolution hasn’t just brought convenience; the applications to both individual and population health have grown exponentially with the availability of more data.

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OrbiMed Secures $4.3B to Invest in Healthcare Startups Globally

HIT Consultant

What You Should Know: – OrbiMed , a global healthcare investment firm raises $4.3B in commitments across its four investment funds: OrbiMed Private Investments IX, OrbiMed Asia Partners V and OrbiMed Royalty & Credit Opportunities IV. – The $4.3B will be used to invest globally, from the seed stage for start-ups incubated by OrbiMed through growth capital opportunities.

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OHCA’s Revised Regulations Following Comments from Industry Stakeholders

Sheppard Health Law

As we anticipated in our previous blog article , the Office of Health Care Affordability (OHCA) made revisions to its proposed regulations following the public workshop hosted by the California Department of Health Care Access and Information (HCAI) in August. On October 9, 2023, HCAI and OHCA published a revised draft of the regulations. Our August blog article outlined the substance of the original draft regulations; this article summarizes the critical takeaways regarding the revisions.

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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.