Tue.Jan 09, 2024

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JPM24: Cigna's top brass says PBM Express Scripts is poised to weather industry reform

Fierce Healthcare

Last August, Blue Shield of California made headlines when it rev | As the market shifts toward greater transparency, Express Scripts has rolled out multiple programs in the past year that aim to address some of the central criticisms of the industry.

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Mortality rates low for hospital-at-home patients, study finds

Health Care Dive

The study could support extending acute hospital care at home, researchers said. Currently, a pandemic-era waiver for the programs is set to expire at the end of the year.

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Study: Drug interventions appear to have fewer disparities than other types of obesity care

Fierce Healthcare

Pharmacological interventions demonstrate fewer disparities in obesity treatment than behavioral and surgical treatment, a new literature review has found. | While most behavioral and surgical treatment studies reveal disparities in weight loss and clinical outcomes, pharmacological studies reveal minimal to no evidence of disparities and favorable outcomes for minorities.

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Walgreens to pay Humana $360M to settle drug pricing dispute

Health Care Dive

The settlement is a little over half of what Walgreens was originally ordered to pay, after an arbiter said the retail pharmacy chain overcharged Humana for prescription drugs for more than a decade.

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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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Mass General Brigham CMIO on AI: 'exciting, but a little anxiety-provoking'

Healthcare It News

Editor's Note: This is the fifth in a series of features on top voices in health IT discussing the use of artificial intelligence in healthcare. To read the first feature, on Dr. John Halamka at the Mayo Clinic, click here. To read the second interview, with Dr. Aalpen Patel at Geisinger, click here. To read the third, with Helen Waters of Meditech, click here.

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Digital health funding reached lowest level since 2019 last year: report

Health Care Dive

Startups turned to “creative” funding mechanisms like unlabeled and silent rounds to buy time in 2023, but those strategies likely won’t work again this year, according to a report by Rock Health.

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Most nonprofit hospitals and health systems had ‘strong’ cash reserves in 2022, KFF finds

Health Care Dive

An analysis of cash on hand suggests that, despite declining operating margins, some nonprofit health systems had enough of a financial cushion to weather tough operating conditions in 2022.

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China doubles down on smart medicine

Healthcare It News

More healthcare stakeholders in China are contributing to the government's vision to make smart Chinese medicine popular and standardised. In December, the Hong Kong Baptist University (HKBU) and China Resources Research Institute of Science and Technology, a subsidiary of consumer goods conglomerate China Resources Enterprise (CR Enterprise), entered into an R&D agreement to establish the CR-BU Joint Innovation Centre on Smart Chinese Medicine.

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CMS opens door for New York Medicaid investments

Fierce Healthcare

Centers for Medicare & Medicaid Services approved New York's amended Medicaid section 1115 demonstration on Tuesday, spurring the agency to invest in behavioral health and health equity initiat | CMS is helping revamp Medicaid in New York, including more than $3 billion in investments for high-risk social needs services.

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Engaging with People with Lived Experience in Opioid Settlement Decision-Making

NASHP

As states administer opioid settlement funds, they are seeking ways to engage people who have been affected by the opioid epidemic in decision-making, policy development, and program implementation. In many states, legislation or memoranda of agreement creating administrative structures for distributing settlement funds require representation of people with lived experience* on advisory boards and other decision-making bodies.

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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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JPM24: Jefferson Health says LVHN merger would double its insurance business within 2 years

Fierce Healthcare

To diversify its revenue stream, the Philadelphia-based nonprofit wants to make health insurance a much larger part of its business.

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Mayo Clinic, Techcyte Partner to Create AI-Powered Pathology Platform

HIT Consultant

What You Should Know: – Mayo Clinic Platform v and Techcyte have joined forces to revolutionize the field of pathology by creating a digital pathology platform. This platform aims to pioneer the next generation of pathology services through an open, AI-driven solution, enhancing treatment, efficiency, and accuracy globally. – By enabling healthcare organizations to economically digitize their pathology practices, the platform integrates innovative technical and AI workflow solutions.

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JPM24: Scripps Health strengthens digital fortifications with ex-FBI cybercrime lead

Fierce Healthcare

SAN FRANCISCO — Scripps Health’s 2021 cyberattack was a ma | After a disastrous 2021 attack threw its systems into disarray, the San Diego nonprofit's executives said they have been planning for an inevitable next strike.

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Say Goodbye to Tremors: FDA Greenlights Medtronic’s Percept RC with BrainSense

HIT Consultant

What You Should Know: Medtronic , a global leader in healthcare technology, today announced the U.S. Food and Drug Administration (FDA) approval of its Percept™ RC Deep Brain Stimulation (DBS) system. The rechargeable neurostimulator is the latest innovation in the Medtronic Percept™ family, which includes the Percept™ PC neurostimulator, BrainSense™ technology, and SenSight™ directional leads.

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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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JPM24: Centene CEO London sees growing bipartisan backing for the ACA's exchanges

Fierce Healthcare

Enrollment in plans through the Affordable Care Act's exchanges continues to grow, and Centene CEO Sarah London said she is seeing growing bipartisan support for the individual market in tandem.

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How AI is Changing the Conversation Around Hospital Denials – and Improving Financial Implications in the Process

HIT Consultant

Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, Sr. Director of Revenue Integrity at XSOLIS Of the many complexities within the healthcare industry, medical necessity determinations can be the most challenging – and pose one of the greatest barriers to efficient revenue cycle processes and appropriate reimbursement. Complex medical necessity policies that differ between payer, diagnosis, and presentation have muddled utilization review (UR) and revenue cycle processes for years, driving waste and fric

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JPM24, Day 2: Cigna, major providers take the conference stage

Fierce Healthcare

It's officially a new year for the healthcare industry, as biopharma executives, investors, reporters and others make the annual trek to the Westin St. | Get the latest healthcare and health tech news from the J.P. Morgan Healthcare Conference in San Francisco.

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HRS Applauded by Frost & Sullivan for Transforming Remote Care Delivery

Health Recovery

HRS’ RPM solutions enhance patient outcomes and satisfaction, optimize hospital bed utilization, improve quality, reduce costs, and curb readmissions across diverse healthcare settings.

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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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Industry Voices—Collective action is the key to decarbonizing healthcare

Fierce Healthcare

This year’s United Nations Climate Change Conference, better known as COP28, featured its first official Health Day. | The healthcare sector, contributing to 8.5% of U.S. national emissions, must actively tackle the intersection of environmental and public health challenges through collaborative decarbonization efforts.

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Making Informed Decisions: What You Need to Know Before Hiring a Software Expert for a Healthcare Project

HIT Consultant

Marcin Wudarczyk, PhD, CEO of GoSolve Hiring professional software experts is crucial for business owners looking to develop or enhance their software systems. However, finding the right vendor is often a daunting challenge that may lead to long-term consequences. This article provides comprehensive guidelines on what healthcare business owners need to know before choosing the right software vendor.

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Payer Roundup–Liviniti, Noom enter partnership; Michigan plans must cover cancer therapies

Fierce Healthcare

Below is a round-up of payer-centric news for the week of Jan. 8., 2024 UPDATED: Tuesday, Jan. 9 at 3:00 ET | This week, PBM Liviniti has announced a partnership with Noom, Michigan regulators take insurers to task for not covering cancer therapies and self-funded employer-sponsored insurance plans saw an uptick in enrollment.

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How Gender Diversity Improves Defense Operations

The Rand Blog

It's U.S. defense policy to make sure women play a meaningful role in matters of war, peace, and security. This includes embedding women's perspectives in decisionmaking. Real-world examples show the benefits of applying a gender lens to military planning and operations.

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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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JPM24: Cityblock inks partnership with Centene plan in Ohio to serve Medicaid patients

Fierce Healthcare

Cityblock Health is expanding its services to Medicaid patients in Ohio through a partnership with Centene subsidiary Buckeye Health Plan.

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Clinical Trial Payments: Optimizing the Path Forward for Site Payments

HIT Consultant

Jim DiCesare, Sr. Director, Study Operations, IQVIA Clinical Trial Payments Escalating competition for clinical trial sites, in tandem with other industry-wide challenges such as changing regulations; a lack of bandwidth and resources; identifying ideal sites and recruiting and retaining patients, are posing significant obstacles for sponsors and site teams within a global study portfolio, particularly in relation to clinical trial payments.

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Quantifying The Value of Reduced Health Disparities: Low-Dose CT Lung Cancer Screening of High-Risk Individuals within the US

Healthcare ECONOMIST

That is the title of a paper currently published (well, in pre-prints) at Value in Health. Co-authors include Jaehong Kim, Moises Marin MA, Sangeetha Ramsagar, Mark Lloyd Davies, Kyana Stewart, Iftekhar Kalsekar and Anil Vachani. The abstract is below: Objective To measure the value of increasing lung cancer screening rates for high-risk individuals and its impact on health disparities.

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Preparing for Climate Change Risks to the 2024 Elections

The Rand Blog

A natural disaster could quickly overwhelm a voting district and render prior planning moot. Officials should plan and practice how they will conduct elections in the wake of a disaster that displaces voters, destroys blank ballots, or damages election equipment.

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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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AI-Driven ECG Analysis Accurately Predicts Right-Side Heart Issues

Health IT Analytics

A deep learning-based electrocardiogram model may enhance clinical evaluations of the heart’s right ventricle, providing a potential alternative to complex imaging.

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Top Home Care Trends For 2024

Home Health Care

This article is a part of your HHCN+ Membership The rising costs of home care were a trend in 2022 and 2023. They will remain one in 2024, and could finally come to a head. That’s only one trend, of many, that will impact home care providers in the new year. Sign up for HHCN+ to read this exclusive content. Get Membership Already a member? Login The post Top Home Care Trends For 2024 appeared first on Home Health Care News.

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Toddlers put everything in their mouths: Babies and the risks of microplastics

Healthy Debate

The post Toddlers put everything in their mouths: Babies and the risks of microplastics appeared first on Healthy Debate.

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News 1/10/24

HIStalk

Top News Amazon adds Health Conditions Programs to its Health.

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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.