Mon.Apr 01, 2024

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Medicare Advantage rate cut remains as feds keep up pressure

Fierce Healthcare

Insurers will feel resentful Monday as the feds opted to not reverse its decision to decrease Medicare Advantage benchmark payments by 0.16%, the Centers for Medicare and Medicaid announced. | CMS is not deviating from its January proposal to modestly rein in Medicare Advantage. Benchmark payments will still decrease 0.16% but the feds expect it will still pay up to $600 billion in payments to plans in 2025.

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4 ways generative AI is transforming healthcare

Health Care Dive

Learn about a few of the many ways AI tools are helping to transform healthcare — and how they benefit physicians and patients along the way.

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UHS to appeal 'unexpected' $535M negligence decision against behavioral health subsidiary

Fierce Healthcare

Universal Health Services (UHS) was caught off guard by a $535 million jury decision against one of its behavioral health subsidiaries and plans to contest the case which could have a material adve | One of the for-profit chain's behavioral health facilities was found to be negligent in a rape involving two underaged patients. UHS said it plans to appeal as the size of the award "was unexpected for a single-plaintiff injury case of this type.

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Ready or not: How healthcare infrastructure can brace for 5G acceleration

Health Care Dive

To safeguard M&A activity, CISOs and security teams must have a seat at the table to implement proper IT visibility.

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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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Jury finds Henry Ford Health 'unnecessarily delayed' C-section, awards $120M damages

Fierce Healthcare

A Michigan jury has found Detroit-based Henry Ford Health and some of its practitioners to be negligent in a case involving a delayed caesarean section and resulting severe disability. | A C-section was not performed for over two hours after being ordered, leading to the child's asphyxiation and severe, lifelong disability, the plaintiffs argued.

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UCLA Health acquires California hospital from HCA

Health Care Dive

The purchase of the 260-bed facility will help address inpatient capacity needs, UCLA said.

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Heart Disease: Still the Silent Killer Despite Prevention Options

HIT Consultant

John Auerbach, SVP Federal Health, ICF Given the attention paid to the devastating impact of COVID-19, one might assume it was the leading cause of death in the US. But while the fatalities were stark – almost 1.2 million Americans died of COVID in the last 4 years – heart disease remains the largest cause of death and by a landslide. In 2021, the year with the most COVID-19 deaths (416,893), heart disease claimed 60% more lives (695,000) in the US.

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Molina Healthcare, Cityblock partner to give dual eligibles increased SDOH assistance

Fierce Healthcare

Tech-driven and value-based care provider Cityblock Health is teaming up with Senior Whole Health by Molina Healthcare in Massachusetts to help members connect with resources they need. | Cityblock Health and Molina Healthcare are joining forces to provide better care to dually eligible members.

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Consumers Are So Over Their Paper Chase in Health Care Payments

Health Populi

As we start the month of April 2024 in the U.S., it’s tax season in America with Federal (and other) income taxes due on the 15th of the month. This is also the time my research clock alarm goes off for an important annual report that describes the latest profile of the patient-as-payer in the U.S. ‘Tis the season for J.P. Morgan’s InstaMed team to analyze health care payments data, describing the experiences of consumers, providers and payers in the Trends in Healthcare Paymen

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Healthcare Dealmakers—Elevance to acquire Kroger Specialty Pharmacy; Optum to buy Steward's physician group and more

Fierce Healthcare

Healthcare mergers and acquisitions are in no short supply as providers, health tech companies, retailers and other industry players look to expand their businesses and gain a competitive edge. | RevSpring switches private equity owners, Tenet sells off more hospitals, a $21 billion healthcare real estate merger and more dealmaking news from the month of March.

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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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TRG Settles for $3.1M Over Alleged Improper Billing Practices

HIT Consultant

What You Should Know: – The Radiology Group (TRG), a teleradiology company based in Atlanta, Georgia, has agreed to pay $3.1M to settle a civil fraud lawsuit filed by the U.S. Attorney’s Office for the Southern District of New York. – The settlement amount of $3.1M will be divided between the US government and various states. Key Allegations The lawsuit alleged that TRG engaged in improper billing practices related to radiology services provided to hospitals and other healthcar

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KFF: Part D spending on Ozempic skyrocketed between 2018 and 2022

Fierce Healthcare

Spending on GLP-1 drugs in Medicare Part D has spiked massively over the past several years, according to a new analysis from KFF.

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The Operational Advantages Of Hiring Seniors To Provide Home Care

Home Health Care

Seniors Helping Seniors has long distinguished itself from other home care companies by hiring active seniors to serve as caregivers. Josh Obeiter — an owner of one of the company’s franchise locations — has seen even more added value from this strategy as the industry at large combats labor shortages. At Seniors Helping Seniors, the average age of an employee is around 70 years old, and 80% of caregivers are in their 60s and 70s, according to Obeiter.

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Intermountain Deploys Remote Patient Monitoring for Older Adults with Chronic Conditions

HIT Consultant

What You Should Know: – Intermountain Health , a healthcare system forms a strategic partnership with Sensorum Health , a healthcare technology company specializing in remote patient monitoring. – The strategic collaboration aims to improve health outcomes and primary care access for older adults living independently with multiple chronic conditions.

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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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Can AI make health care more efficient?

Healthcare ECONOMIST

People won’t be surprised to learn that AI could improve the accuracy of diagnosis, expedite the rates of drug discovery, or even replace some (or many) activities typically done by doctors. However, can AI save the health care system money? That is the question asked by a recent article in The Economist titled “ Can artificial intelligence make health care more efficient?

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After Empath Health, Trustbridge Complete Affiliation, ‘Home Health Is High On Priority List’

Home Health Care

Last September, the post-acute providers Empath Health and Trustbridge signed a memorandum of understanding to begin an affiliation process. On Monday, that affiliation process was completed, forming the largest nonprofit post-acute provider organization in the state of Florida. Together, the organization will care for 5,000 patients daily and employ more than 5,000 staff members and 3,000 volunteers.

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QuickMD Acquires Project Recovery, Expanding Access to Telehealth Addiction Treatment in South Dakota

HIT Consultant

What You Should Know: – QuickMD , a leader in telehealth addiction treatment, has announced the acquisition of Project Recovery , a well-respected addiction treatment clinic in South Dakota. This strategic move strengthens QuickMD’s commitment to making high-quality addiction treatment accessible and compassionate for individuals battling substance use disorders. – The acquisition allows QuickMD to offer a seamless continuum of care, from telehealth consultations to in-person a

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Delight or Drudgery? How Employees View Training Matters

Baird Group

Many things in healthcare require skill development and reinforcement. Sometimes those things require mandatory training to ensure quality and safety. But just because it’s mandatory doesn’t mean it can’t be enjoyable. When you hear the word “mandatory,” how do you react? During focus groups, I have asked staff members to share their reactions to the word mandatory.

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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 Caring Senior Service Moved Away From Being An ‘Order Taker’ In Home Care

Home Health Care

In his many years in personal home care, Caring Senior Service CEO Jeff Salter has seen trends come and go. One he has stuck with, however, is a constant commitment to searching for the next advancements in technology. Between recruiting, onboarding and care management plans, Caring Senior Service have prided themselves on leveraging technology to stay ahead of the curve.

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NIH funding development of AI tools for health disparity research

Health IT Analytics

The “Trustworthy AI to Address Health Disparities in Under-resourced Communities,” project is set to enhance the explainability of AI-driven risk prediction models.

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Shared Imaging Services

Wisconsin Healthcare Leadership

Shared Imaging Services was established in 1982 to meet the diagnostic radiology needs of rural hospitals. Modalities include nuclear medicine, cardiac echo and ultrasound services. Shared Imaging Services is also a joint venture partner with hospitals to provide MRI services with in-house MRI scanners. Shared Imaging Services has some of the most tenured and experienced technologists in their field.

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April is PARKINSON’S AWARENESS MONTH

Briggs Healthcare

Parkinson’s is a neurodegenerative disorder. Over time, this slowly progressing condition causes tremors, gait and balance issues, limb stiffness or rigidity, and a slow muscle movement. According to the Parkinson’s Foundation, approximately 60,000 Americans are diagnosed with the disease each year. Our goal is to further your knowledge about this disorder – to help you understand Parkinson’s disease.

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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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Curbside Consult with Dr. Jayne 4/1/24

HIStalk

I’ve spent the last couple of weeks catching up.

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UPDATED AGENDA: The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for Tuesday, April 2, 2024, 2:00 PM – 3:00 PM Eastern Time (ET)

Briggs Healthcare

The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for: Date: Tuesday, April 2, 2024 Start Time: 2:00 PM – 3:00 PM Eastern Time (ET); Please dial-in at least 15 minutes before call start time. Conference Leaders: Todd Smith & Jill Darling **This Agenda is Subject to Change** Opening Remarks Chair – Todd Smith (Center for Medicare) Moderator – Jill Darling (Office of Communications) Announcements & Updates FY 2025 SNF PPS Proposed Rule Payment Rat

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Morning Headlines 4/2/24

HIStalk

Solventum Begins Trading on the New York Stock Exchange Solventum,

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