September, 2024

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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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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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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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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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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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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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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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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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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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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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‘Society Will Greatly Benefit’ From The Transformative Hospital-At-Home Movement

Home Health Care

This article is a part of your HHCN+ Membership Hospital at Home (HaH) is a sustainable, innovative and next-generation health care model. From the physician’s perspective, it offers person-centered medical care and keeps patients out of the hospital, away from possible complications and on to better outcomes. However, there are still plenty of challenges for providers to work through.

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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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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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Remote patient monitoring in Medicare needs more oversight: OIG

Health Care Dive

Regulators say Medicare needs more data and oversight to avoid fraud and misuse. Digital health advocates argue the service is still crucial for managing chronic conditions.

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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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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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California Governor Vetoes Assembly Bill 3129: What's Next?

HKLaw

California Gov. Gavin Newsom vetoed Assembly Bill 3129 on Sept. 28, 2024, citing the state's Office of Health Care Affordability's (OHCA) role in studying healthcare consolidation and transactions.

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‘This Feels Different’: Lawmakers Push Federal Legislation To Tackle Health Care Workforce Crisis

Home Health Care

Lawmakers have introduced federal legislation that aims to address the shortage of health care professionals, including home-based care professionals. On Wednesday, Rep. James Comer (R-Ky), and co-sponsor Morgan McGarvey (D-Ky), introduced H.R.9812 into the House of Representatives. The bill is looking to tackle the dearth of nurses, nurse aides and more, by incentivising states to develop health care workforce partnerships.

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Cloud Development Environments: A New Frontline in Healthcare Cybersecurity

HIT Consultant

Tim Quinlan, Sr. Technical Manager at Coder It’s no surprise that one of healthcare leaders’ biggest fears is having customer data stolen, leaked or exposed. As large healthcare breaches hit record highs, hacks are affecting more individual records than ever – 136 million in 2023, more than double the previous year. This has triggered a wave of class action lawsuits , disruptions in billing cycles , and major service impacts at healthcare institutions.

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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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Telehealth groups urge Congress, White House to extend controlled substance virtual prescribing

Health Care Dive

More than 300 telehealth and provider groups say time is running out for regulators to propose a rule before pandemic-era flexibilities expire at the end of the year.

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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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Ukraine's 'Masterstroke' Kursk Offensive Is About Geometry, not Geography

The Rand Blog

Ukraine's Kursk offensive was a tactical masterstroke that changed the geometry of the battlefield by extending Russian lines and obliging them to rethink their force allocation assumptions. This changes the military calculus.

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As CMS Cuts Payments, Home Health Patients Are Seeing Reduced Access To Care

Home Health Care

Patients are receiving less access to Medicare-certified home health care in recent years, according to a new data analysis. The data analysis – which comes from the Partnership for Quality Home Healthcare (PQHH) and CareJourney by Arcadia – examines Medicare home health fee-for-service claims from 2022 through 2023, in order to determine access to care, and how it has been impacted by payment rate cuts.

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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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FOMO Drives AI Investment in Healthcare, Despite Trust Concerns

HIT Consultant

What You Should Know: – A new study by intelligent automation company ABBYY reveals that fear of missing out (FOMO) is a major factor driving AI investment in healthcare. – The study reveals that 57% of global healthcare providers expressed concern that their organizations will fall behind if they don’t embrace AI. Efficiency and Patient Service as Key Drivers While FOMO plays a role, over half (52%) of healthcare leaders also cite increased efficiency and improved patient serv

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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 sues FTC over report damning pharmacy benefit managers

Health Care Dive

The major pharmacy benefit manager said its lawsuit is necessary to protect against misinformation about the controversial drug middlemen, while the FTC promised to defend its research.

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The Light Collective amplifies its call for patient data rights

Healthcare It News

To mark World Patient Safety Day on September 17, the patient-led Light Collective plans to lead discussions in Washington, D.C., designed to help ensure that patient concerns about health data aggregation are given the stage. WHY IT MATTERS Large corporations and social media platforms continue to aggregate patient data and profit from it, the collective says.

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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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Proposed Bill Aims to Resolve CDPAP Controversies and Address Critical Concerns in New York

HKLaw

A new bill was introduced in the New York State Senate last week in an attempt to address recent changes made to the Consumer Directed Personal Assistance Program (CDPAP), which effective April 1, 2025, will allow only a single statewide fiscal intermediary (FI) to administer the program.

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How CenterWell Can Prove Home Health Care’s Worth Within Humana

Home Health Care

This article is a part of your HHCN+ Membership Earlier this year, I had the chance to interview CenterWell President Sanjay Shetty on stage and off stage at the Digital Healthcare Innovation Summit in La Jolla, California. Last month, at Home Health Care News’ FUTURE conference in Nashville, I did the same with Kirk Allen, the president of home solutions at Humana Inc.

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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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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!