September, 2024

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FTC formally sues PBMs over insulin prices and warns manufacturers

Fierce Healthcare

The Federal Trade Commission is suing the titans of the pharmacy benefit manager industry for anticompetitive practices and artificially raising the price of insulin drug prices, the agency announc | As expected for weeks, the Federal Trade Commission is taking legal action against the biggest three PBMs and its related group purchasing organizations.

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PBM executives decline to revise controversial testimony to House committee

Health Care Dive

The leaders of Caremark, Optum Rx and Express Scripts had until Wednesday to walk back statements they made in July — or face potential legal action. However, the executives are sticking to their guns.

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Epic and Oracle Health sign on to Veteran Interoperability Pledge

Healthcare It News

A little less than a year ago, the U.S. Department of Veteran Affairs announced its Veteran Interoperability Pledge – an effort to boost information exchange between its own facilities and participating health systems, with the aim of improving care coordination for veterans receiving care at both the VA and in their communities. More than a dozen major health systems – Emory Healthcare, Inova, Jefferson Health, Sanford Health, UC Davis, Intermountain, Mass General Brigham, Rush Heal

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The Evolution of Search & Its Impact on SEO

Healthcare Success

Search technology has evolved drastically in recent years. “Stop talking about keywords, start talking about queries,” I said in a meeting. What started as simple keyword matching has transformed into a complex, AI-driven system, significantly impacting how we approach digital marketing and SEO. In this two-part series, I explore the evolution of organic and paid search, discuss its impact on your SEO strategy, and share how your healthcare organization can navigate these changes to enhance onli

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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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Break the Behavior of People Pleasing

Pro CRNA

By Thomas Davis, DNAP, MAE, CRNA Do you have difficulty saying no when someone imposes on you? Do you feel responsible for how others feel, and do you say that you agree when you don’t? Do you avoid conflict and accept fault when you aren’t to blame? If so, you are not alone. According to a 2020 survey by YouGov, 49% of US adults classify themselves as people pleasers so you are in good company.

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Pursuing an Interstate Medical Telemedicine Registration Compact

Bill Of Health

by Tara Sklar Because I believe strongly in the benefits of telehealth, I have obtained licenses in six states through the Interstate Medical Licensure Compact. Doing this took months, cost thousands of dollars, and still leaves me unable to care virtually for patients in 43 states. The process is so cumbersome that less than 1% of physicians use it.

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US is drastically behind other wealthy nations on healthcare, despite spending the most

Health Care Dive

The Commonwealth Fund analyzed the healthcare systems of 10 nations and found the U.S. ranked last in access to care, health outcomes and overall. The U.S. “really is in a class by itself,” one researcher said.

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Patients want healthcare's use of AI to be clear

Healthcare It News

BOSTON – The ability to change how healthcare providers communicate with patients with artificial intelligence isn't just about accuracy, transparency, fairness and data model maintenance, it's figuring out how to meet personalization challenges. What patients want to know and when adds a larger degree of complexity – one that challenges the healthcare AI industry to consider both expected and unexpected patient points of view, according to panelists Thursday at the HIMSS AI

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How Hospitals Can Safely Use AI for Content Creation

Healthcare Success

AI is flooding the internet with low-quality healthcare content that hasn’t been medically reviewed for accuracy. While this can (and should) be viewed as a big problem, it’s also a unique opportunity for hospitals and healthcare systems to stand out as trusted patient resources. We recently sat down with Ed Bennet, Founder of MarTech.Health and a respected voice in healthcare marketing, to discuss how hospitals can use AI tools strategically to outrank unverified AI content.

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All Heart – Thinking Hearts, Health, and Love in Valencia, Spain

Health Populi

The clinical evidence base continues to grow making the case that art and creativity can be drivers for health and well-being — as it’s proven to me in my own life. Most recently, cases have been made by Emily Peters, documented in her book Remaking Medicine ; by Robin Strongin, advocate for arts, medicine, and well-being from her base in Washington, DC; and, by my Belgium-based colleague and friend Koen Kas whose book addressing themes of art and health will soon be published.

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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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CPT 2025 Code Set Released, Featuring AI Integration, Digital Medicine

HIT Consultant

What You Should Know: – The American Medical Association (AMA) has released the CPT® 2025 code set , a comprehensive update that reflects the latest advancements in medical procedures and services. – This year’s release features 420 total changes, including 270 new codes, 112 deletions, and 38 revisions. Key Updates in CPT 2025 CPT codes are essential for data sharing, billing, and reimbursement in the healthcare industry.

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Morehouse School of Medicine launches pain equity course focused on racial healthcare disparities

Fierce Healthcare

One of the first pain equity courses for medical students is launching at the Morehouse School of Medicine this fall. | The course offers insights into fostering safe, trustworthy, transparent and empathetic patient-provider interactions. It also emphasizes how to address the unique preferences and needs of Black patients in pain.

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Providers say claims denials are increasing: survey

Health Care Dive

Nearly three in four providers surveyed by Experian Health said the number of claims denied by payers shot up between 2022 and 2024.

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Chronic disease 'patient burnout' – a silent issue that must be tackled

Healthcare It News

While clinician burnout is well known, "patient burnout" within the chronic disease population is an equally critical but silent issue. Managing chronic conditions, especially diabetes, is complex and overwhelming. Nonadherence affects 12% of the U.S. population with Type 2 diabetes ; 42% of patients with chronic conditions manage at least two or more.

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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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Breaking Down the New FTC Ruling on Fake Reviews & Testimonials

Healthcare Success

On August 14, 2024, the Federal Trade Commission (FTC) introduced a rule banning fake reviews and misleading testimonials to improve marketing transparency and authenticity. As a healthcare organization, you already prioritize ethical practices and HIPAA compliance due to the nature of your business. It’s important to adapt to these new changes to maintain patient trust and remain competitive.

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Healthcare spending for individuals with FSAs and HSAs

Healthcare ECONOMIST

In the U.S., health insurance premiums are tax deductible–if paid through out of pocket expenses–but out-of-pocket expenses are not. However, there are exceptions to this rule. These include two often-used tax-favored accounts: Flexible savings accounts (FSA). These accounts allow employees to set aside a portion of their pretax income to cover qualified medical expenses; however, if the employee does not use these funds by the end of the year, they are forfeited.

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Beyond FHIR: AI’s Potential to Revolutionize Healthcare Data Insights

HIT Consultant

Chief Clinical Innovation Officer, Access TeleCare For decades, one of the most daunting tasks in healthcare has been managing and making sense of the vast amounts of data generated annually. From patient and outcomes data to billing and scheduling data, the list goes on and on. The predominant challenge lies not just in quantity but like this data: much if not most of it is unstructured, i.e., data that isn’t predefined and searchable on a table, such as text messages, images, videos, audio fil

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Half of women skip or delay care due to 'triple threat' of factors, report finds

Fierce Healthcare

Half of women in the U.S. skip or delay medical care due to the “triple threat” of affordability, access challenges and past negative experiences, a new Deloitte report finds. | The Deloitte report, based on a survey of more than 2,000 consumers, found that 50% of women report skipping or delaying medical care and are 35% more likely to skip care than men.

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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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House committee passes telehealth flexibility extension

Health Care Dive

The bill would extend pandemic-era telehealth flexibilities in Medicare for another two years, averting a looming year-end deadline.

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What it takes to engage clinical workforces on AI

Healthcare It News

BOSTON – When asked about the evolution of artificial intelligence and when sentient AI would become integral to the fabric of healthcare, Dr. Patrick Thomas, director of digital innovation in pediatric surgery at the University of Nebraska Medical Center College of Medicine, said clinical training needs revamping. "We need to prepare clinical students to go into the real world that they are moving into," he said at the HIMSS AI in Healthcare Forum on Thursday.

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13 Pitfalls That Spell Doom for Google Ad Conversions & How to Fix Them

Healthcare Success

Managing successful Google Ads campaigns is more than just winning clicks—it’s about converting those clicks into results (e.g., new patients or B2B inquiries). At Healthcare Success, we manage millions of dollars in Google Ads spend for our healthcare clients. We often see the following 13 mistakes tank conversion rates. But don’t worry—13 isn’t unlucky here.

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Top Home Health Operators: If You’re Not Really Good At Something, Ditch It

Home Health Care

Yet another significant cut to home health payments has been proposed by the Centers for Medicare & Medicaid Services (CMS) for 2025. For providers, that means more pushback against cuts is in order, locally and in Washington, D.C. But it also means preparing for a world where Medicare fee-for-service is no longer a reliable backbone. CMS proposed a permanent prospective adjustment to the CY 2025 home health payment rate of -4.067% back in June.

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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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The Imperative to Stay the Course on Value-Based Transformation

HIT Consultant

Courtney Fortner, President and Chief Executive Officer at Navvis Is value-based care still the right strategy to reduce U.S. healthcare costs? Or is it time to move to what comes next in the generation-long battle to constrain total medical spending? The question is being increasingly asked and with good reason. For 2024 medical costs are projected to rise 7.0% year over year for Individual and Group markets.

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UTHealth Houston collaborates with OpenAI to offer clinicians HIPAA-compliant ChatGPT solutions

Fierce Healthcare

UTHealth Houston unveiled a partnership with OpenAI on Friday to build and deploy algorithms for use in medical training and at the patient’s bedside. | UTHealth Houston, an academic medical center in Texas, is partnering with OpenAI to give clinicians, faculty and students access to ChatGPT tools to build custom, HIPAA-compliant AI solutions.

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Healthcare labor shortage predicted by 2028, with uneven state impacts: report

Health Care Dive

Certain states and specialties will face acute shortages, while others will see a surplus of workers, according to a new study from Mercer.

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Patients with sensitive health issues more comfortable making appointments with chatbots

Healthcare It News

Nearly two-thirds (66%) of U.S. patients with sensitive health issues are more comfortable making appointments with chatbots than with staff, according to the Talkdesk U.S. Consumer Healthcare Survey, conducted in August 2024 on the online platform Pollfish. Talkdesk received responses from 1,000 men and women aged 18 and over. Meanwhile, 62% of patients felt support provided by their healthcare organizations has either worsened or remained stagnant in the past year, the survey found.

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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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Indiana insurers, hospitals accused of Medicaid fraud in giant whistleblower lawsuit

Fierce Healthcare

Major Indiana managed care organizations and health systems are blamed for defrauding the state Medicaid system by tens, if not hundreds, of millions of dollars, says a newly unsealed whistleblower | A newly unsealed lawsuit alleges major health insurers and health systems defrauded Indiana Medicaid by hundreds of millions of dollars, with the government office likely influenced by corporate lobbying.

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Express Scripts files suit against FTC, demands retraction of report on PBM industry

Fierce Healthcare

Express Scripts has filed suit against the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry. | Express Scripts is suing the Federal Trade Commission, demanding that the agency retract a damning report on the pharmacy benefit management industry.

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Healthcare conferences to put on your calendar for 2024-2025

Fierce Healthcare

Looking for healthcare events in the fall of 2024 and 2025? We rounded up some of the top conferences, both virtual and live, that are on the calendar. | Here's our roundup of some of the top events in healthcare scheduled in the fall of 2024 and 2025.

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Nvidia's venture arm backs $17M investment in Hippocratic AI to build out generative AI healthcare agents

Fierce Healthcare

Three months ago, startup Hippocratic AI released its first commercial product, a generative AI-based, task-specific healthcare agent. | Nvidia's venture capital arm, NVentures, along with Greycroft and Lee Shapiro of 7Wire Ventures, backed a $17 million investment in Hippocratic AI to fuel its product development of generative AI "agents.

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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!