Fierce Healthcare
OCTOBER 2, 2024
Humana's stock took a tumble early on Wednesday after it revealed in a filing with the Securities and Exchange Commission that its Medicare Advantage star ratings had declined significantly. | Humana's stock took a tumble early on Wednesday after it revealed in a filing with the Securities and Exchange Commission that its Medicare Advantage star ratings had declined significantly.
Health Care Dive
OCTOBER 2, 2024
The health system has been hit with a combined $895 million in damages this year related to alleged child abuse at some of its behavioral health subsidiaries.
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Fierce Healthcare
OCTOBER 2, 2024
A proposed class action lawsuit brought by healthcare workers accusing UPMC of wielding its market power to suppress the labor market has picked up support from the U.S. Department of Justice. | The federal government filed a statement of interest in support of a proposed class action alleging the large nonprofit used its market power to suppress wages and worker mobility.
Healthcare It News
OCTOBER 2, 2024
Remote surgeries, holographic medical imaging, mixed reality, and patient tracking are some of the emerging 5G-powered healthcare innovations in the Asia-Pacific region. Dr Gao Yujia, Assistant Group CTO, National University Health System; William Chan, CIO, CUHK Medical Centre; Chien-Chang (Paul) Lee, Chief Medical Information Officer, Ministry of Health and Welfare (MOHW), Taiwan; and Terence Wong, Head of APAC 5G Industry, GSM Association, Hong Kong sat together to discuss these innovations d
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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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Fierce Healthcare
OCTOBER 2, 2024
TPG bought a majority stake in health information network Surescripts to fuel more investment in its technology solutions and possible M&A deals, the companies announced Tuesday. | PE firm TPG Capital bought a majority stake in Surescripts to fuel more investment in its technology solutions and possible M&A deals, the companies announced Tuesday.
Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.
Fierce Healthcare
OCTOBER 2, 2024
The Centers for Medicare & Medicaid Services (CMS) rolled out guidance Oct. 2 as stakeholders prep for the second round of the drug price negotiation program. | CMS is looking to increase feedback from drug manufacturers and foster better communication with pharmacies as stakeholders prep for the next round of drug price negotiations.
Health Care Dive
OCTOBER 2, 2024
Mission Hospital’s emergency department is at double capacity as supply shortages create processing delays, nurses told Healthcare Dive.
Fierce Healthcare
OCTOBER 2, 2024
A year ago, Blue Shield of California announced that it would move on from a traditional pharmacy benefit management relationship with CVS' Caremark and instead adopt a new model that leans on mult | The insurer is making one of its first major moves as part of the Pharmacy Care Reimagined model.
Health Care Dive
OCTOBER 2, 2024
It’s the first time this type of model has been used to bring a Humira biosimilar to market, according to the insurer — and it yields a much lower cost than both the brand-name version of the drug and its biologic copycats.
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.
Fierce Healthcare
OCTOBER 2, 2024
The U.S. Consumer Financial Protection Bureau (CFPB) sounded a warning Tuesday for third-party collectors that rely on illegal practices, such as double-dipping, when pursuing medical debts. | The U.S. Consumer Financial Protection Bureau said double billing, exceeded payment caps and misrepresentation will all land third-party medical debt collectors on the wrong side of the law.
Health Care Dive
OCTOBER 2, 2024
The e-prescribing giants’ other investors — CVS Health, Cigna-owned pharmacy benefit manager Express Scripts and two pharmacist trade groups — will retain a minority interest.
HIT Consultant
OCTOBER 2, 2024
What You Should Know: – Proscia , a provider of AI-powered pathology solutions, is accelerating the pace of drug discovery and diagnostic development with the launch of Concentriq® Embeddings and the Proscia AI Toolkit. – These powerful new tools empower life sciences organizations to leverage the full potential of artificial intelligence in pathology, leading to faster breakthroughs and improved patient outcomes.
Home Health Care
OCTOBER 2, 2024
This article is a part of your HHCN+ Membership Electronic Visit Verification (EVV) was established as law in 2016 under the 21st Century Cures Act to address fraud and abuse in home-based care delivery. The law provides federal guidelines, but individual states can determine which service codes are included. However, years after nationwide implementation, EVV still remains a burden for home care providers.
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.
HIT Consultant
OCTOBER 2, 2024
Eben Scanlon, Chief Customer Officer at OneStudyTeam Patient engagement is critical on several levels. It helps inform updates to trial design and processes, it ensures critical data is collected to determine the safety and efficacy of an investigational product, and it supports patient retention for the duration of the trial. That’s why biopharma sponsors and research sites are leaning into technology to facilitate this engagement.
Home Health Care
OCTOBER 2, 2024
As more advanced care moves into the home setting, traditional home-based care providers can ensure they aren’t left behind by forming innovative partnerships. The collaboration between BrightStar Care and Medically Home is one example of this. “More care is moving into the home, and higher acuity care is moving into the home,” Shelly Sun Berkowitz, founder and executive chairwoman of BrightStar Care, said during a panel discussion at Home Health Care News’ FUTURE conference in August.
HIT Consultant
OCTOBER 2, 2024
What You Should Know: – Heart failure patients navigating their condition face multiple issues, including daily care management and monitoring, as well as risk of hospitalization. To improve the care experience for patients living with heart failure, Kettering Health has partnered with Story Health, a digital health company transforming specialty care delivery. – For Kettering Health patients who opt into the program, Story Health will collaborate with Kettering Health providers for
Home Health Care
OCTOBER 2, 2024
This week, New York Attorney General Letitia James and U.S. Attorney for the Eastern District of New York Breon Peace announced a $17.25 million settlement had been reached with two Brooklyn-based home care agencies for allegedly defrauding Medicaid and underpaying thousands of workers. Specifically, Edison Home Health Care of New York and Preferred Home Healthcare of New York allegedly failed to pay full wages and benefits to over 25,000 workers, according to the New York State Attorney General
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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.
The Rand Blog
OCTOBER 2, 2024
The 2024 NATO summit was a display of political unity. To maintain such cohesion, NATO needs to increase its defense industrial base capacity, as well as adopt an acquisition strategy that meets the growing demand for weapons and ammunition. And it needs to do both things in a way that navigates political sensitivities.
HIStalk
OCTOBER 2, 2024
News Microsoft releases a major enhancement to Copilot that adds.
HIT Consultant
OCTOBER 2, 2024
What You Should Know: – Claimable , a healthcare technology innovator, is taking on the pervasive issue of healthcare claim denials with the launch of its AI-powered appeals platform. – This solution leverages advanced AI to analyze clinical research, policy details, appeals data, and patients’ individual medical circumstances to generate and submit customized appeals in mere minutes.
Sequence Health
OCTOBER 2, 2024
What is After Call Work (ACW) in healthcare contact centers? ACW involves updating patient records and documenting call details right after the call ends. This guide explains why it’s crucial for patient care and how it impacts efficiency in healthcare services. Key Takeaways After-call work (ACW) in healthcare contact centers involves critical tasks such as updating patient records, which impacts both agent productivity and service quality.
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.
HIT Consultant
OCTOBER 2, 2024
What You Should Know: – RXNT , a Maryland-based healthcare technology leader, is continuing its path of accelerated growth with the acquisition of Scalabull , a nationwide interfacing network. – The strategic move strengthens RXNT’s ability to connect Electronic Health Record (EHR) systems with clinical laboratories and radiology facilities, streamlining critical diagnostic processes for healthcare providers across the U.S.
Sequence Health
OCTOBER 2, 2024
Knowing how to calculate call center service level is key to evaluating call performance. This guide explains the calculation process step-by-step and highlights its importance in enhancing customer satisfaction and operational efficiency. Key Takeaways Call center service levels in healthcare are vital for ensuring timely patient communication and satisfaction, measured by the percentage of calls answered within a specified timeframe.
HIT Consultant
OCTOBER 2, 2024
What You Should Know: – Rippl , a provider of virtual dementia care raises $23M ina Series A funding round led by Tina Hoang-To, Founding General Partner at Kin Ventures , with participation from existing investors including ARCH Venture Partners , General Catalyst , GV (Google Ventures) , F-Prime , Mass General Brigham Ventures , and 1843 Capital.
Sequence Health
OCTOBER 2, 2024
Workforce management in a call center refers to the strategies and tools used to ensure the right number of agents with the necessary skills are available to handle customer interactions efficiently. This involves scheduling, forecasting call volumes, and optimizing agent performance. Understanding what workforce management in a call center is crucial for maintaining service quality, improving customer satisfaction, and controlling operational costs.
Advertiser: HealthCar
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.
HIT Consultant
OCTOBER 2, 2024
What You Should Know: – Connie Health , a Boston-based tech-enabled Medicare navigation platform, today announced that it has acquired Keen Insurance Services, a company built at Redesign Health. – The acquisition will strengthen Connie Health’s commitment to expanding its reach and helping seniors across the U.S. make informed healthcare decisions.
Sequence Health
OCTOBER 2, 2024
Big data optimizes workforce management in call centers by enabling better staff allocation, real-time adjustments, and enhanced agent performance. This article will explore how big data optimizes workforce management in call centers through data-driven strategies that lead to improved efficiency, reduced costs, and higher customer satisfaction. Learn how predictive analytics, real-time monitoring, and data insights revolutionize call center operations.
Healthcare ECONOMIST
OCTOBER 2, 2024
The time may be fast approaching. A paper by Goh et al. 2024 sampled 50 physicians and examined which was better: physicians alone, physicians with access to GPT-4, or GPT-4 alone. The primary outcome was how well each group diagnosed the case (i.e., diagnostic reasoning score). The authors found that: The median diagnostic reasoning score per case was 76.3 percent (IQR 65.8 to 86.8) for the GPT-4 group and 73.7 percent (IQR 63.2 to 84.2) for the conventional resources group, with an adjusted di
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