Mon.Jul 22, 2024

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CMS cracks down on ACA brokers to prevent plan switching

Health Care Dive

Agents and brokers connecting consumers with Affordable Care Act plans now have to jump new hurdles to change their coverage, following mounting complaints about unauthorized plan switching.

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Abridge teams up with Epic, Mayo Clinic to develop gen AI tools for nurses

Fierce Healthcare

Abridge has spent the last six years building generative AI tools to help doctors with medical documentation and is now putting that technology in the hands of hospital nurses. | Abridge has spent the last six years building generative AI tools to help doctors with medical documentation and is now putting that technology in the hands of hospital nurses.

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Healthcare costs could grow up to 8% next year: PwC

Health Care Dive

The growth is driven by inflationary pressures, prescription drug spending and rising utilization of behavioral healthcare, according to the consultancy.

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Advocates meet with White House to urge inclusion of Adderall, other stimulants in upcoming telehealth prescribing rule

Fierce Healthcare

Advocates meet with White House to urge inclusion of Adderall, other stimulants in upcoming telehealth prescribing rule ebeavins Mon, 07/22/2024 - 14:43

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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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Step-by-Step Guide to the Process of Medical Billing Services

p3care

If you’re in the healthcare industry, medical billing is the term you would be familiar with. As a physician, you don’t need to go into details as you can outsource the medical billing services process to experts. But, for your information or that of beginner billers interested in the field, this step-by-step guide will make things comprehensive. Let’s get into this.

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Steward fails to spark competitive auction during first round of hospital sales

Health Care Dive

The bankrupt health system did not receive any qualified bidders in Ohio and Pennsylvania.

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More Trending

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Florida awards additional Medicaid contracts to CVS, UnitedHealth, Molina

Health Care Dive

The three payers were cut out of the state’s first round of contracts divvied out in April.

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Steward Health Care fails to secure bids on Ohio, Pennsylvania facilities

Fierce Healthcare

Embattled Steward Health Care has canceled auctions for its hospitals in Ohio and Pennsylvania after it did not receive qualified bids for those facilities, according to a court filing. | Embattled Steward Health Care has canceled auctions for its hospitals in Ohio and Pennsylvania after it did not receive qualified bids for those facilities, according to a court filing.

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Commure to acquire AI scribe Augmedix in $139M deal

Health Care Dive

The take-private deal would help the firm scale its documentation products to more providers and health systems, CEO Manny Krakaris said.

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Cigna launches impact fund aimed at tackling health disparities

Fierce Healthcare

Cigna has created a new impact fund that aims to address health disparities commonly impacting local communities. | Cigna has created a new impact fund that aims to address health disparities commonly impacting local communities.

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How to Battle Layoffs: The Career Star Accelerator Bootcamp

Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.

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Why Home Health Providers Should Expect To See A ‘Less Draconian’ Final Payment Rule

Home Health Care

As home health providers continue to digest the proposed payment rule for 2025 , National Association for Home Care & Hospice (NAHC) President William A. Dombi believes that the industry will ultimately see a comparatively toned down final rule. “We believe we will not end up with this proposed rule as a final rule,” he said during the opening presentation at NAHC’s Financial Management Conference in Las Vegas on Sunday.

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Large Language Models Fall Short in Medical Accuracy Compared to Medical Professionals, Study Reveals

HIT Consultant

What You Should Know: – Kahun , a company specializing in evidence-based clinical AI, has released a new study comparing the medical capabilities of popular large language models (LLMs) to human experts. – The findings reveal the limitations of current LLMs in providing reliable information for clinical decision-making. The Study: Comparing LLMs to Medical Professionals LLMs Tested: OpenAI’s GPT-4 and Anthropic’s Claude3-Opus Evaluation Method: 105,000 evidence-based medi

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Is Genomic Data the New Oil of the Middle East?

The Rand Blog

Saudi Arabia, Qatar, and the UAE are rushing to develop genomic databases with associated health data. The challenge for the Gulf States will be to translate their skill in gathering data into skills to analyze it to create value.

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Elucid Appoints Dr. Kelly Huang as CEO

HIT Consultant

Dr. Kelly Huang, CEO at Elucid What You Should Know: – Elucid , a company pioneering AI-powered medical technology for cardiovascular disease (CVD), has named Dr. Kelly Huang, PhD as its new President and Chief Executive Officer (CEO). Dr. Huang’s appointment comes at a pivotal moment for Elucid, as they prepare for the commercial launch of their groundbreaking PlaqueIQ software. – Dr.

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5 Essentials for Healthcare CIOs: A Provider Data Management Checklist

Complete and accurate provider data is essential for health organizations to operate effectively. A better understanding of your provider network helps to understand patients and consumers, identify gaps in care, and make the best possible decisions for your businesses. A modern provider data management solution should power a complete and accurate view of each of your providers, make this data easily accessible across functional groups, and be flexible and agile enough to scale. with your needs

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How Poor Insurance Verification Reduces Profits for Cardiology Practices

Clearwave Inc

Reading Time: 4 minutes In the world of cardiac care, cardiology practices are grappling with a myriad of obstacles to maintain their financial health. While many factors contribute to a practice’s bottom line, one critical yet often underestimated element is the accuracy and efficiency of insurance verification processes. Less-than-optimal insurance verification can erode profits and lead to increases in cardiology practice claim rejections.

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HIPAA and Modern Healthcare Realities: Dispelling Data Sharing Myths

HIT Consultant

Timi Leslie, President, BluePath Health and Exec Director of the Connecting for Better Health Coalition Myths in healthcare data sharing often cloud the understanding of permissible practices, but this hesitance usually stems from risk avoidance rather than regulatory constraints. HIPAA (Health Insurance Portability and Accountability Act) stands as a sentinel, guarding the security and privacy of patient information, but its limitations in supporting contemporary information-sharing needs must

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Holland & Knight Health Dose: July 23, 2024

HKLaw

Holland & Knight Health Dose is an in-depth weekly dose of legislative and regulatory insights to keep stakeholders abreast of happenings in Washington, D.C., impacting the health sector.

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Advanced Heart Group Chooses NextGen Healthcare to Enhance Patient Experience and Streamline Operations

HIT Consultant

What You Should Know: – Advanced Heart Group (AHG) , a leading cardiology practice serving Chicago’s southern suburbs for over 23 years, has selected NextGen Healthcare as its new technology partner. – The strategic partnership signifies NextGen’s dedication to supporting cardiology practices nationwide. It comes at a critical time, as heart disease continues to be a major health concern in the United States.

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Level up Culture & EQ | Sign up for the #CultureDrop

Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.

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Hawaii Receives First Medicaid State Plan Amendment for Community Palliative Care Services

NASHP

For the first time, the U.S. Centers for Medicare and Medicaid Services (CMS) has approved a Medicaid state plan amendment (SPA) to establish palliative care services provided in non-hospital settings as a Medicaid covered service. By adding community palliative care as a preventive service in its Medicaid state plan, Hawaii is the first state to be able to comprehensively cover these palliative care services for its Medicaid beneficiaries.

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Curbside Consult with Dr. Jayne 7/22/24

HIStalk

The big news of the weekend was hearing about the.

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Whose health outcomes should be considered for maternal-perinatal interventions delivered during pregnancy or childbirth?

Healthcare ECONOMIST

If a child dies during childbirth, should the impact of the child’s death on parental quality of life be considered? What about interventions that prevent miscarriages; should the health of the fetus be considered or only that of the mother? A paper by Lamsal et al. (2024) conducts a systematic review to examine which individual’s health outcomes are being considered in cost-utility analysis (CUA) of maternal-perinatal interventions.

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CrowdStrike Is Too Big to Fail

The Rand Blog

The CrowdStrike outage underscores that the global economy and U.S. national security are vulnerable to attack. Managing risks will require intragovernmental and perhaps international coordination.

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A Guide to Improved Sepsis Detection & Compliance: 6 Areas You Should Address

This guide highlights key areas that your sepsis detection platform should address to minimize the impact of this leading, entirely preventable cause of in-hospital deaths, as well as how to increase compliance by 20% in 30 days. Download to learn more!

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Readers Write: The Advantages and Misconceptions of Being a 1099 Contractor in Health IT

HIStalk

The Advantages and Misconceptions of Being a 1099 Contractor in.

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New York Governor Kathy Hochul Calls State’s Self-Directed Care Program A ‘Racket’

Home Health Care

New York Gov. Kathy Hochul last week told reporters that the state’s self-directed home care program has become a “racket.” While New York’s program – dubbed the Consumer Directed Personal Assistance Program (CDPAP) – is unique, self- and consumer-directed home care has become a much more popular model over the last few years across the country. Hochul expressed her displeasure with the program during a conversation with Bloomberg News.

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Morning Headlines 7/23/24

HIStalk

Palomar Health restores some systems two months after cybersecurity breach.

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Voices: AJ Leahy, Founder & CEO, POM Safe

Home Health Care

This article is sponsored by POM Safe. In this Voices interview, Home Health Care News sits down with AJ Leahy, Founder & CEO, POM Safe, to learn how providers can use technology to protect home health care workers in the field. He shares key success stories and feedback from partners using POM Safe devices, including how his organization has implemented this feedback to improve the user experience.

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The New Tech Experience: Innovation, Optimization, and Collaboration

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

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Readers Write: Why RCM is the Most Interesting Opportunity in Healthcare

HIStalk

Why RCM is the Most Interesting Opportunity in Healthcare By.

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Sonio Unveils AI-Powered Prenatal Diagnosis Training

HIT Consultant

What You Should Know: – Sonio , a leading MedTech company specializing in women’s and children’s health, has announced the launch of soniopedia, a groundbreaking solution that utilizes artificial intelligence (AI) to revolutionize prenatal diagnosis training. – soniopedia is not a medical device, but rather a powerful training and educational tool specifically designed for maternal-fetal medicine (MFM) experts.