Tue.Mar 05, 2024

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Insurers report significant reduction in claims data following Change Healthcare hack

Fierce Healthcare

Humana and Elevance Health said they are seeing a 15% to 20% reduction in data from providers after the Change Healthcare hack, company execs said during an industry conference March 5. | Both Humana and Elevance Health said the Change Healthcare cyberattack is affecting its claims data from providers. The plans are increasingly relying on Availity, a competing clearinghouse to handle claims processing.

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Toward new telehealth strategies at the HIMSS24 Virtual Care Forum

Healthcare It News

As healthcare organizations underwent a significant shift towards virtual care delivery during the pandemic, the need for seamless integration into the digital health ecosystem came to the fore. Even if some telehealth stats have come back down to earth , policy and legislation such as the Telehealth Extension and Evaluation Act, have made virtual care's expansion imminent – prompting a critical examination of its processes and technologies.

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Medicare Advantage beneficiaries receive fewer home health visits, study finds

Health Care Dive

Medicare Advantage beneficiaries were also less likely to improve self-care and mobility function, according to research published in JAMA Health Forum.

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Walgreens plans strategic review of business, including the role of its retail stores, healthcare assets, CEO says

Fierce Healthcare

Walgreens is gearing up for a strategic review of its business, including the role of its retail pharmacy stores and its healthcare assets, as company leadership and the board plot the future direc | The drugstore retail giant making moves to improve its financial performance after a massive growth spurt in which it expanded its healthcare business segment.

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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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Zocdoc launches advanced partner program aimed at specialty care

Healthcare It News

Zocdoc, which partners with electronic health records and practice management software vendors to give providers real-time online scheduling and other free tools that complement their existing workflows, announced a new partner program Tuesday that it said can drive revenue and growth for scheduling software companies and providers. WHY IT MATTERS EHR and PM vendors enable providers to seamlessly integrate their scheduling software with Zocdoc to surface their real-time appointment availability

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Memorial Hermann taps Charlie Health to fill gaps in critical mental health services

Fierce Healthcare

Houston-based Memorial Hermann Health System is partnering with Charlie Health to expand access to outpatient mental health treatment for teens and young adults. | "Partnering with Charlie Health excited us because they offer newer technology, evidence-based care in a virtual setting and data that support their treatment program," Dr. Victoria Regan, vice president, women's and children's service line at Memorial Hermann said.

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Mayo Clinic closed out 2023 with $18B in revenue, 6% operating margin

Fierce Healthcare

Rochester, Minn.-based Mayo Clinic reported revenue of $17.9 billion in 2023, outpacing expenses by over $1 billion and resulting in what the health system called a “mission-sustaining” 6% operatin | Rochester, Minn.-based Mayo Clinic reported revenue of $17.9 billion in 2023, outpacing expenses by over $1 billion and resulting in what the health system called a “mission-sustaining” 6% operating margin.

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CMS rolls out provider flexibilities amid fallout from Change cyberattack

Health Care Dive

Provider groups said the government should go further to financially bolster providers during the outage at Change Healthcare.

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Experts offer Medicare Advantage quality bonus program recommendations

Fierce Healthcare

A new-look Medicare Advantage (MA) quality bonus program would better incentivize insurers and help individuals choose a more appropriate plan, a report from Urban Institute finds. | A new report looks at how the Medicare Advantage quality bonus program could be improved, including taking the star ratings reporting private.

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Elevance gains $190M on revised MA star ratings

Health Care Dive

It’s a positive development for the insurer, which sued the government earlier this year after its quality scores fell dramatically.

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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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Change management strategies for care at home

Healthcare It News

"Implementation of Novel Home-Based Care Programs" is scheduled for Friday, March 15, 10:30-11 a.m. ET in W208C at HIMSS24 in Orlando. Learn more and register.

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HHS announced new flexibilities to support providers amid the Change Healthcare cyberattack. But they say it's not enough

Fierce Healthcare

HHS announced new flexibilities to support providers amid the Change Healthcare cyberattack.

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Zocdoc launches advanced partner program

Healthcare It News

Zocdoc, which partners with electronic health records and practice management software vendors to give providers real-time online scheduling and other free tools that complement their existing workflows, announced a new partner program Tuesday that it said can drive revenue and growth for scheduling software companies and providers. WHY IT MATTERS EHR and PM vendors enable providers to seamlessly integrate their scheduling software with Zocdoc to surface their real-time appointment availability

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FarmboxRx launches customizable maternal health program to pair nutritious foods with education

Fierce Healthcare

FarmboxRx, a food delivery service partnering with government plans, is launching a maternal health program designed to pair nutritious foods with tailored education for pregnant people. | The program will focus on promoting prenatal and postpartum care visit compliance, mental health, immunizations, newborn and delivery readiness, nutrition and education on government support programs.

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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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Kaiser lays off IT workers for a second time in 4 months

Health Care Dive

The Oakland, Calif.-based nonprofit health system continues to downsize its tech department in a bid to increase efficiencies and cut costs.

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Healthcare Dealmakers—Tenet's selloff frenzy; Elevance, BCBSLA's second merger call-off 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. | Northwell Health's push into Connecticut, R1 RCM's $5.8 billion go-private offer and more healthcare merger and acquisition news from February.

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SHEER: Good practices for incorporating family and caregiver spillovers into health economic evaluations

Healthcare ECONOMIST

Illnesses impact not only the patients, but oftentimes impact caregivers and family members as well. However, most economic analyses do not incorporate a diseases’ spillover impacts on caregivers. …a recent review of NICE evaluations revealed that only 3% of technology appraisals included caregiver health-related quality of life (HRQoL) in cost-utility analyses (CUAs).

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Trauma center hospitals have higher prices for nontrauma care, study finds

Fierce Healthcare

Hospitals designated as trauma centers are charging more than their counterparts for nontrauma admissions and emergency department visits, suggesting that the local monopolies over trauma services | A new analysis of about 2,000 hospitals suggests that hospitals' regulator-granted monopoly over trauma care can extend into other types of services.

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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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3 Ways to Get Started With AR and VR Technology in Healthcare

HIT Consultant

Jessica Rengstorf, Director of US Healthcare Strategy at Endava Augmented reality and virtual reality are innovative technologies that can provide tremendous benefits to the healthcare industry, bringing a deeper understanding of complex medical concepts to healthcare professionals and patients alike. Already, the integration of data analytics, artificial intelligence, machine learning, telemedicine, and interoperability have begun to shift how healthcare is delivered; away from care that’

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How Leaders Can Build Psychologically Safe Workplaces

GoMoHealth

By Sue Zbikowski, PhD Founder, inZights Consulting Advisor, GoMo Health As a leader , how do you build a team culture that is safe and inclusive? In this blog , Dr. Sue Zbikowski, PhD, B ehavior al S cientist , F ounder of inZights Consulting and advisor at GoMo Health , will dive into what exactly a psychologically safe workplace looks like and why it is so important to organizational culture , and employee health and wellbeing , a s well as how you as a leader can begin to foster a psychologic

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Humana & Strive Health Offers Value-Based Kidney Care to More Medicare Advantage Members

HIT Consultant

What You Should Know: – Humana Inc. (NYSE: HUM) and kidney care provider Strive Health announced today a new multi-state, value-based care agreement for kidney care to more Medicare Advantage members. – This expanded value-based kidney care partnership extends access to Strive’s innovative kidney care model to Humana Medicare Advantage HMO and PPO plan members living with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) across five states.

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How Trinity Health At Home Is Putting Value-Based Care, Virtual Care, Retention Initiatives To Work

Home Health Care

A part of the Catholic health system Trinity Health, Trinity Health At Home is one of the largest home health providers in the country. The Livonia, Michigan-based company provides more than 1.9 million home health and hospice visits every year. Trinity Health, meanwhile, has 149 continuing care facilities and operates in over a dozen states. Today, the provider is going through a transition.

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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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The Metaverse Experiences Benefiting the Aging Population

HIT Consultant

Bent Philipson, Founder of Philosophy Care Have you ever envisioned a world where age doesn’t restrict exploration? Where do the boundaries of reality dissolve and everybody, young and old, have access to boundless opportunities? The metaverse is this transformative realm. And it’s not just for the tech-savvy youth, either. It’s also become a territory brimming with promise for the elderly.

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Geisinger Health taps new CEO

Health Care Dive

Terry Gilliland will replace Jaewon Ryu, who will lead Risant Health.

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Tiny Health Secures $8.5M for At-Home Gut Microbiome Testing

HIT Consultant

What You Should Know: – Tiny Health , a pioneer in at-home gut microbiome testing for babies, announced today the successful closing of an $8.5M Series A funding round. – Led by Spero Ventures , this round brings Tiny Health’s total funding to $13M, further fueling the company’s mission to revolutionize gut health innovation and address the growing crisis of pediatric chronic conditions.

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Outlive by Peter Attia: A Book Review

Bill Of Health

By Bobby Stroup If you want to read a book about how to guarantee a 100-year lifespan, Peter Atta’s Outlive is going to disappoint you. But if you want to learn about Medicine 3.0, the four horsemen diseases, and how you might increase your healthspan, then you should get a copy of the book today. Outlive is not a book on public health policy so much as it is an exploration of personal health policy.

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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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Healthee Secures $32M to Revolutionize Employee Healthcare Navigation

HIT Consultant

What You Should Know: – Healthee , a healthcare technology company, announced today the successful closing of its Series A funding round, securing $32M from a renowned group of investors. – The Series A round was co-led by Fin Capital, Glilot Capital Partners , and Group11 , with participation from strategic partner TriNet (NYSE: TNET) that will empower Healthee to accelerate its mission of transforming the way employees navigate the healthcare system.

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Breaking the Logjam: How to Start a Process That Leads to Negotiations

The Rand Blog

It is too early to begin real talks between Russia and Ukraine. And Kyiv would have to be in the lead when they begin. But all parties should take steps now to bring about the possibility of talks in the future.

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Limbic Secures $14M to Expand AI-Powered Mental Health in U.S.

HIT Consultant

What You Should Know: – Limbic , a London-based provider of clinical mental health AI technology raises $14M led by Khosla Ventures. – The funding, which also includes participation from Gaingels and Illusian , will fuel Limbic’s expansion into the US healthcare market. Proven Success in the UK, Expanding to the US Limbic’s clinical AI platform has already positively impacted over 260,000 patients within the UK’s National Health Service (NHS) Talking Therapies progr

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Designing for Health: Interview with Sarah KrĂĽg [Podcast]

Nordic

In the world of design, a tried and true method of crafting clear communication for a given client is to help the stakeholder stop overthinking things by asking them simple questions: In layman’s terms, what would you want me to know about your product? What do you want to say? How would you describe this to a friend? The same methodology can be used in healthcare, where patient advocates can ask unintimidating questions and use data-driven research to rip up patient problems at their root, whil

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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.