Fri.Oct 06, 2023

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DEA extends pandemic rules for telehealth prescribing through 2024 as agency irons out new policies

Fierce Healthcare

The Drug Enforcement Administration (DEA) said Friday it will extend telehealth flexibilities that enable clinicians to virtually prescribe controlled medications to their patients through 2024 as | The DEA announced Friday that it is extending pandemic rules for prescribing controlled substances via telemedicine through the end of next year.

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Aetna may have received $25.5M in MA overpayments for 2015 and 2016, audit finds

Health Care Dive

Medical records provided by the insurer didn’t support certain diagnosis codes, resulting in overpayments, according to an audit from the HHS’ Office of the Inspector General.

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Patients benefit from AI-powered care navigator at Columbia Memorial Health

Healthcare It News

Albany Med - Columbia Memorial Health (CMH) in Hudson, New York, is a community hospital and health system serving more than 100,000 residents in Columbia and Greene counties. THE PROBLEM CMH’s digital presence was not able to capture all the business opportunities in its area of influence. Patients would look for their symptoms on Google and seek care at other hospitals and health systems in the region that had a stronger digital presence.

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Physician burnout rate doubled between 2019 and 2021, study finds

Health Care Dive

Women physicians, less tenured clinicians and those working in primary care were more likely to report higher levels of burnout, according to research published in JAMA Network Open.

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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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Kaiser Permanente, UPMC among 13 major health systems to sign interoperability pact with VA

Fierce Healthcare

Thirteen major health systems have signed on to a pledge agreeing to work toward sharing patient care data with the Department of Veterans Affairs (VA) in a bid to improve veterans’ cross-organizat | By working toward seamless, secure data exchange, the organizations hope to better coordinate the care veterans seek from community providers and ensure they benefit from cost-saving VA policies.

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Novant Health cuts 160 jobs, citing a ‘challenging healthcare environment’

Health Care Dive

The layoffs come after the North Carolina-based nonprofit system reported rising salary and employee benefit expenses in quarterly earnings this year.

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How AI can surface patient self-harm risks

Healthcare It News

"We can identify things earlier compared to when a human would see it," said Gil Margolin, CTP with Talkspace, which uses linguistic regression to analyze de-identified behavioral health messages and alert providers to patients at risk for self-harm.

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OIG audit: Aetna may have raked in $25.5M in MA overpayments in 2015, 2016

Fierce Healthcare

A new federal audit estimates that Aetna may have received at least $25.5 million in overpayments from Medicare Advantage in 2015 and 2016. | A new federal audit estimates that Aetna may have received at least $25.5 million in overpayments from Medicare Advantage in 2015 and 2016.

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Leadership 101: Emeritus Healthcare’s Ranil Herath on the skills executives need in 2023

Health Care Dive

Herath, the president of education program provider Emeritus Healthcare, discussed healthcare executive burnout and the skills clinicians need in an age of virtual care and AI-powered tools.

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Comprehensive primary care model drives better health outcomes for women, Tia data shows

Fierce Healthcare

Primary care integrated with gynecological care and mental health and wellness drives better health outcomes for women compared to national standards, a new study from startup Tia found. | Primary care integrated with gynecological care and mental health and wellness drives better health outcomes for women compared to national standards, a new study from startup Tia 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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What Walmart’s Look at Ozempic Users Tells Us About Health/Care Consumers

Health Populi

“We definitely do see a slight change compared to the total population, we do see a slight pullback in overall basket,” the CEO of Walmart US is quoted in Bloomberg. “Just less units, slightly less calories.” With patients’ use GLP-1 drugs such as Ozempic, Wegovy, and Mounjaro fast-rising in the pharmacy market, so are the concerns of companies that stock the-middle-of-the-grocery-store aisles for processed foods like sweet and salty snacks.

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'Podnosis': Gaming for better healthcare

Fierce Healthcare

In this week's episode of "Podnosis," we explore how video game training can captivate users' minds while also expediting the adoption of new skills and treatments in medicine. | In this week's episode of "Podnosis," we explore how video game training can captivate users' minds while also expediting the adoption of new skills and treatments in medicine.

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PayZen adds BNPL card for medical expenses

Health Care Dive

The debit card allows patients to swipe first, then pick a payment plan later, PayZen CEO Itzik Cohen said.

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Evernorth rolls out measurement-based care program for behavioral health

Fierce Healthcare

Cigna's Evernorth is launching a new, value-based care management program for its behavioral health network. | Cigna's Evernorth is launching a new, value-based care management program for its behavioral health network.

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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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GE HealthCare imaging CEO Jan Makela talks Mayo Clinic partnership

Health Care Dive

GE and Mayo Clinic plan to collaborate on imaging, artificial intelligence and cancer treatment.

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Chutes & Ladders—Reproductive health provider Wisp names first female CEO

Fierce Healthcare

Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry.

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Psychedelics Are Cheap. Psychedelic Treatment Is Not.

Bill Of Health

By Vincent Joralemon Psychedelics hold immense potential to address an array of conditions that are otherwise challenging to treat, but accessing these therapies can be costly, which means that potential benefits will be stratified along the lines of socioeconomic status. This is an acute concern, because many with conditions that psychedelics may help to treat — such as post-traumatic stress disorder , postpartum depression , treatment-resistant depression , and alcohol use disorder — lack the

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Cigna Reaches $172 Million Settlement Over False Claims Act Allegations

Home Health Care

Insurance giant Cigna (NYSE: CI) has reached an agreement with the U.S. government over claims it overcharged the Medicare Advantage (MA) program by misrepresenting patients’ conditions. As part of the agreement, Cigna will pay more than $172 million to the government and will also enter into a corporate integrity agreement with the U.S. Department of Health and Human Services Office of the Inspector General (OIG).

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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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UnitedHealthcare Launches No Deductible Health Plan, Surest

HIT Consultant

What Should Know: – UnitedHealthcare has announced the Surest™ health plan leads to more preventive care, improves satisfaction and lowers costs for members and employers. – UnitedHealthcare’s Surest, which eliminates deductibles and offers upfront pricing information to people in advance of treatment, helps members more frequently access preventive care services and lower out-of-pocket costs, according to recent data. – Hundreds of employers with a combined workforce of more t

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How to Build Stackable Credentials

The Rand Blog

Many states and colleges are investing to build out stackable credential pathways. It will be important to continue to build evidence on whether these programs are achieving their aims of improved economic circumstances for individuals and better addressing workforce needs.

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The Business of Health Care — NASHPCONF23 Opening Plenary 

NASHP

The business of health care continues to challenge states. States are wrestling with consolidation across the health care market that is driving price and affordability challenges, market disruptors, and the increased involvement of venture capital and private equity. NASHP’s opening plenary for the 2023 Annual Health Policy Conference featured experts on the business of health care and its impact on patients, employers, and the economy.

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A Matter of Trust: More Delays for the VA's EHR System

The Rand Blog

Given how long it's taken to get five Veterans Affairs (VA) hospitals online, the path to around 170 hospitals using the VA's new electronic health record system seems hard to envision. The next step won't even come until March. Until then, veterans just have to wait as fixes are made, money is spent, and patients are hopefully kept safe.

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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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State Employee Plans and Value-Based Insurance Design — Connecticut and Minnesota 

NASHP

Value-based insurance design (VBID) is a term used to describe health plan benefit design that encourages use of high-value services by lowering or eliminating employee cost sharing obligations for those services and potentially increasing cost sharing on lower-value services. VBID programs are generally voluntary. According to the University of Michigan’s Center for Value Based Insurance Design , the intent is to encourage use of high-value services to motivate health and to reduce the use of

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M&A: Netsmart Acquires Netalytics to Advance SUD Solutions

HIT Consultant

What You Should Know: – Netsmart announced it has acquired Netalytics, a South Carolina-based addiction treatment software and practice management company, dedicated to developing technology for substance use disorder (SUD) providers focused on opioid addiction treatment. – This acquisition will further extend the Netsmart CareFabric platform by enabling interoperable data sharing between opioid treatment program (OTP) facilities and the providers that treat and coordinate other ty

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[ANSWERED] What Does a Clearinghouse Do During Claim Submissions?

Etactics

Providers process millions of medical insurance claims each day, and as of 2022, 11% of those are denied claims. Rejected claims are an unfortunate reality when working in the medical coding and billing field, and that is why clearinghouses are so pivotal. Healthcare providers are not only battling with revenue issues after all - they are dealing with expense issues as well.

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Samsung Launches Open Innovation Initiative with MIT Media Lab, Brigham & Women’s Hospital, Tulane University School of Medicine

HIT Consultant

What Should Know: – Samsung announced a new Open Innovation Initiative in partnership with leading universities and academic hospitals – with the ultimate goal of enhancing the digital health ecosystem and delivering new approaches to wellness. – Collaborating with the MIT (Massachusetts Institute of Technology) Media Lab, Brigham & Women’s Hospital, Tulane University School of Medicine and Samsung Medical Center, the new research program will explore enhancements to the digita

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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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Screen, stream, support: The tech-driven future of mental health

Nordic

The mental health crisis in the United States is a pressing concern. In June of 2023, the U.S. Preventive Services Task Force recommended that all adults under the age of 65 be screened for anxiety disorders. While screening can help identify who needs help (and the true magnitude of the problem), disparities in access to and affordability of care continue to exacerbate the issue.

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Can Vietnam Help America Counter China?

The Rand Blog

The United States should not count on Vietnam to help counter China. But the fact that Hanoi chose to elevate the U.S.-Vietnam partnership is a strong indication of its growing concerns about Beijing's rising assertiveness. If China becomes more aggressive, it could create new opportunities for Hanoi to strengthen the U.S. relationship.

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Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits

Briggs Healthcare

Transmittal 12286 Date: October 5, 2023 Change Request 13360 The purpose of this Change Request (CR) is to update current Common Working File (CWF) Edits for Skilled Nursing Facility (SNF) PDPM interrupted stay claims.

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Nuclear Deterrence, Russia and Iran, Deepfakes: RAND Weekly Recap

The Rand Blog

This weekly recap focuses on how much is “enough” for U.S. nuclear forces, the budding Russia-Iran partnership, the challenge of detecting deepfakes, and more.

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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.