August, 2023

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Healthcare workers are fed up and fighting back

Center for Health Progress

A year ago, I sat in a hospital waiting room for hours into the night in Denver, only to leave after my intense stomach pains had lessened and my fears about an overwhelming medical bill set in. My frustrations increased as the time passed…Why can’t I just see a doctor? Who is even working here? I unfairly started to blame the doctors, nurses, and other hospital staff.

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How next-generation AI and digital tools are transforming healthcare

Cloud Blogs

In the midst of an ever-evolving healthcare industry with mounting demands, healthcare frontline workers have emerged as true champions helping to carry the industry forward. This year has been a whirlwind of challenges and uncertainties, but these remarkable individuals continue to display unwavering flexibility and perseverance. They stand at the forefront of patient care, skillfully navigating the changing landscape of the industry.

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Can Artificial Intelligence Replicate The Human Touch in Healthcare Provision?

HIT Consultant

Ivor Campbell, CEO of Snedden Campbell Anyone who recalls the ‘turbo’ trend of the 1980s will have a foreboding sense of déjà vu about the sudden ubiquity of artificial intelligence in every aspect of our lives. What began with the Swedish motor manufacturer, Saab, unveiling its 99 Turbo Coupé in 1977, suddenly had manufacturers scrambling for their own version of the latest technological buzzword in everything from alarm clocks to hairdryers.

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Resilient Healthcare Partners With Community Hospital Corporation To Scale Hospital At Home Nationwide

Home Health Care

Resilient Healthcare has teamed up with Community Hospital Consulting – a Community Hospital Corporation (CHC) organization – on a joint venture partnership. The JV, which will be dubbed Resilient Community LLC — would expand CHC’s health-at-home program across more than 40 states. CHC owns and manages hospitals in the community health space. The organization has been looking to provide an innovative hospital-at-home community care model for their hospitals.

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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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Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

Cloud Blogs

An unprecedented amount of data exists in healthcare. Health organizations are often challenged with collecting, collating, assimilating, and making valuable use of that data. Care management in healthcare involves a complex web of patient information, communication, and manual processes that without integration can hinder the delivery of efficient and coordinated care.

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Leveraging API Infrastructure to Avoid Healthcare Data Silos

HIT Consultant

Erica Jain, CEO and co-founder of Healthie Healthcare providers depend on comprehensive patient data to make fast, informed decisions. Unfortunately, our existing healthcare ecosystem has evolved into a collection of data silos that have, over the years, multiplied because of legacy healthcare systems that have stacked on top of one another. These silos of data were constructed around intentional business decisions to hold data, making it harder for new entrants – both EHR platforms and pr

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Employers should focus on provider quality to cut low-value care in plans, report finds

Health Care Dive

In the employer-sponsored insurer market, employers play a “critical” role when it comes to quality and outcomes, according to a report by Morgan Health and Embold Health.

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Significant Role Play of Medical Billing And Coding for Revenue Cycle

p3care

Medical billing and coding lay a strong foundation for smooth AR management. A refined revenue cycle strengthens the practices and improves their revenue. We require a fine medical billing service to meet compliance standards and reduce claim denials. Do you know why we get claim denials? It’s simple—we get them due to gaps somewhere in the clinical documentation.

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At Denver Health, telehealth education and equipment help close equity gaps and boost engagement

Healthcare It News

The COVID-19 public health emergency prompted a rapid shift to telemedicine as both a replacement and adjunct to usual in-person care. However, based on the National Institute on Aging's National Health and Aging Trends Study , researchers estimated roughly one-third of older adults in the U.S. are not ready to participate in video visits. THE PROBLEM Inexperience with technology was the major barrier – those who were older, Black or Hispanic tended to have less education and lower inc

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Humana launches in-home primary care through CenterWell

Fierce Healthcare

Humana's senior-focused primary care business, CenterWell, is bringing its services into patients' homes. | Humana's senior-focused primary care business, CenterWell, is bringing its services into patients' homes.

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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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CMS suspects auto-renewal process at fault for wrongful Medicaid disenrollments

Fierce Healthcare

In a letter sent to all states (PDF), the Centers for Medicare & Medicaid Services ( | As more Medicaid beneficiaries are wrongly kicked off the program, CMS is requiring states to reevaluate its eligibility systems and auto-renewal process.

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Providers can now see patients' insurance coverage in GoodRx's cost comparison tool

Fierce Healthcare

GoodRx has launched a new feature to allow healthcare professionals to see the cost of a patient’s prescription with their insurance. | The feature, embedded in GoodRx's provider solution, surfaces a patient’s coverage and benefits at the point of care with the goal of increasing price transparency and access to drugs.

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How behavioral health app BeMe is aiming to connect with teens

Fierce Healthcare

In order to address deteriorating adolescent mental health, interventional behavioral health app BeMe Health moved to meet teens where they’re at—online. | In order to address deteriorating adolescent mental health, interventional behavioral health app BeMe Health moved to meet teens where they’re at—online. Amd according to new research, this methodology is proving successful.

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Headspace, Intermountain's Castell team up to expand behavioral health access

Fierce Healthcare

Digital mental health company Headspace is teaming up with Castell, Intermountain Healthcare’s value-based care subsidiary, to expand access to virtual mental health services. | The partnership will provide members of select insurance plans in Utah access to Headspace’s self-guided content, behavioral health coaching and therapy in an outcomes-based payment model.

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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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Google Cloud, HCA team up to deploy AI in the emergency department

Fierce Healthcare

Earlier this year, HCA Healthcare launched a pilot program that equipped 75 emergency room physicians at four hospitals with Google’s AI technology, utilizing an ongoing partnership with Google Clo | HCA Healthcare wants to spread generative AI tools beyond four hospitals in an initial pilot program, as well as incorporate Google's medical LLM.

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Coalition of 33 organizations endorses CMS' proposal to quickly cover new medical devices

Fierce Healthcare

The American Telemedicine Association, the College of Healthcare Information Management Executives (CHIME) and Otsuka America Pharmaceutical are among the groups in support of the Centers for Medic | Organizations signed a letter pledging support for a CMS-backed transitional coverage for emergency technologies pathway, which they say could improve patient care, prevent hospitalizations and reduce costs.

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As large employers back away from self-insurance, small- and medium-sized ones embrace it: EBRI

Fierce Healthcare

As large employers take a step back from self-insurance, small- and medium-sized employers are taking a step forward in embracing that coverage option, according to an issue brief by the Employee B | The share of large employers offering self-insurance options to employees steadily declined since the passage of the Affordable Care Act, with it dropping to 72% in 2022, the lowest it’s been since 2010, according to the EBRI.

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Prisma Health files suit against UnitedHealthcare, alleging ‘bad faith’ contract negotiation tactics

Health Care Dive

The South Carolina-based health system alleges that the insurer broke its contract and gave "false and misleading" statements to the press about Prisma’s proposed rates for 2024.

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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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CDC calls for hospitals to 'raise the bar on sepsis care' with new program guidance

Fierce Healthcare

Sepsis is a factor among roughly 1 in 3 hospital deaths, yet, as of last year, more than a quarter of hospitals didn’t have a formal sepsis committee in place and nearly half said they did not prov | The agency's Hospital Sepsis Program Core Elements is a free resource center for hospitals beginning or refining their efforts to identify and address sepsis in their facilities.

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Google expands generative AI model Med-PaLM to more health customers

Health Care Dive

A limited group of Google Cloud clients, including systems HCA and Mayo Clinic, have been testing the large language model since April in a variety of use cases.

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Morgan Health: How employers can take a greater role in improving care quality

Fierce Healthcare

Employers fund huge swaths of the healthcare system, yet the quality of care their employees receive varies widely. | Employers fund huge swaths of the healthcare system, and yet the quality of care their employees receive varies widely, a new study shows.

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Rite Aid reportedly plans bankruptcy filing to restructure debt, halt pending opioid lawsuits

Fierce Healthcare

Rite Aid is reportedly preparing to file for bankruptcy within a few weeks to help restructure its debt and potentially halt ongoing lawsuits. | The bankruptcy would reportedly pause the many legal claims against the retailer and allow it to consolidate and resolve them in one place.

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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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L.A. Care invests $4M in street medicine to expand unhoused's access to care

Fierce Healthcare

L.A. Care Health Plan is investing $4.05 million in a street medicine initiative to expand access to care for unsheltered people. | Nine organizations offering street medicine services will each receive up to $500,000 from the health plan. The program aims to beef up street medicine teams serving LA, as well as to ensure people without stable housing do not drop off Medi-Cal amid Medicaid redeterminations.

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Bon Secours Mercy Health sues Anthem over $93M in alleged unpaid claims

Fierce Healthcare

Bon Secours Mercy Health took its ongoing spat with regional Elevance Health plans to the next level on Monday, filing suit against the insurer alleging that it owed more than $93 million in unpaid | Bon Secours Mercy Health took its ongoing spat with regional Elevance Health plans to the next level on Monday, filing suit against the insurer alleging that it owed more than $93 million in unpaid claims.

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'Tsunami of exclusion': Patients shut out while payers cut obesity drug coverage

Fierce Healthcare

As health plans drop costly GLP-1 drugs, controversially leaving people without access to potentially life-changing therapies, health companies are hoping to fill the marketplace void to provide be | Obesity impacts roughly 40% of Americans, but insurers are becoming less willing to cover weight loss drugs for the disease. Health companies are looking to bridge the gap.

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GoodRx adds patient insurance information to drug cost platform for providers

Health Care Dive

The addition of insurance pricing is a key differentiator for GoodRx’s medication comparison platform, an executive said. It should also increase the company’s revenue opportunities.

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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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Overcoming the challenges of HIPAA-compliant marketing, analytics & advertising

Fierce Healthcare

Healthcare providers continue to misuse patient data | HIPAA compliance is challenging, but healthcare organizations must cultivate it in all their operations, including marketing activities.

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Chutes & Ladders—CEOs on the move at Cano Health, Ascertain and more

Fierce Healthcare

Welcome to this week's Chutes & Ladders, our roundup of hirings, firings and retirings throughout the industry.

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How Biden admin rules could pave way for Medicaid to be a major housing player

Fierce Healthcare

Health plans would play a vital role in extending Medicaid benefits to include housing, a possibility that’s gotten a boost from certain initiatives by the Biden administration, according to

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Fewer, but larger, healthcare data breaches reported in 2023 with hackers often targeting 3rd parties

Fierce Healthcare

The healthcare industry has suffered fewer but larger cybersecurity breaches in the first half of 2023, suggesting a shift in targets and tactics among attackers, wrote cybersecurity firm Critical | An analysis of 308 reported data breaches suggests cyberattackers have shifted their focus from email phishing to network servers as well as to vulnerabilities in the healthcare supply chain.

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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!