Fierce Healthcare

SEPTEMBER 23, 2024

What began as a dispute between two health tech companies over healthcare data exchange practices has now led to a federal lawsuit alleging antitrust violations. | Venture-backed health tech company Particle Health filed an antitrust lawsuit against Epic in the Southern District of New York alleging that the electronic health records giant is trying to muscle out competition in the payer platform market.

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Health Care Dive

SEPTEMBER 12, 2024

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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Healthcare It News

SEPTEMBER 19, 2024

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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Health Populi

SEPTEMBER 22, 2024

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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Speaker: Kaitlin Ruby Carroll

Fertility benefits have become a crucial component of employee well-being and retention strategies. In today’s competitive landscape, creating a fertility benefits program that aligns with both employee needs and organizational goals can be more complex than it seems. From cycle-based to flat-dollar and telehealth models, each solution offers unique advantages and challenges that directly affect employee satisfaction and financial well-being.

Home Health Care

SEPTEMBER 27, 2024

As more home health providers participate in value-based care arrangements, leaders are learning what works, and what falls flat. Enhabit Inc. (NYSE: EHAB) has been active in the value-based care space. The company has a small – but growing – number of value-based contracts on the Medicare Advantage (MA) side, as well as Accountable Care Organization (ACO) partnerships.

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Fierce Healthcare

SEPTEMBER 20, 2024

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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Health Care Dive

SEPTEMBER 18, 2024

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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Healthcare It News

SEPTEMBER 5, 2024

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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CDC

SEPTEMBER 13, 2024

For the last seven years, Get Ahead of Sepsis has encouraged patients, their loved ones, and healthcare professionals to know the risks, spot the signs and symptoms, and act fast if they suspect sepsis during Sepsis Awareness Month and year-round. Anyone can get an infection, and almost any infection can lead to sepsis. Some people are at higher risk, including children younger than one.

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Hospitals Healthcare 104

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Home Health Care

SEPTEMBER 11, 2024

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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HIT Consultant

SEPTEMBER 11, 2024

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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Fierce Healthcare

SEPTEMBER 26, 2024

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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Health Care Dive

SEPTEMBER 25, 2024

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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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.

Healthcare It News

SEPTEMBER 17, 2024

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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HKLaw

SEPTEMBER 30, 2024

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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Healthcare 98

Home Health Care

SEPTEMBER 30, 2024

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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HIT Consultant

SEPTEMBER 26, 2024

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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Fierce Healthcare

SEPTEMBER 27, 2024

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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Health Care Dive

SEPTEMBER 26, 2024

The legislation, sponsored by Sens. Ron Wyden and Mark Warner, would direct the HHS to develop minimum cybersecurity standards for providers, health plans, claims clearinghouses and business associates.

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Healthcare It News

SEPTEMBER 27, 2024

Australian gov't urged to raise My Health Record funding An organisation of general practitioners in Australia has called on the federal government to upgrade the country's digital health record system. "We’re calling for the federal government to overhaul My Health Record to improve its useability for Australians, GPs, and other health professionals," said RACGP President Dr Nicole Higgins in a statement.

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Healthcare ECONOMIST

SEPTEMBER 23, 2024

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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Healthcare

Home Health Care

SEPTEMBER 23, 2024

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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HIT Consultant

SEPTEMBER 26, 2024

What You Should Know: – WellSpan Health , a leading integrated healthcare provider known for its innovation, is partnering with Hippocratic AI , a pioneer in healthcare-focused large language models, to introduce a groundbreaking clinical GenAI healthcare agent. – The conversational AI-powered service will directly interact with patients, enhancing healthcare access, equity, and outcomes.

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Fierce Healthcare

SEPTEMBER 19, 2024

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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Health Care Dive

SEPTEMBER 25, 2024

Aberrant billing for urinary catheters last year could have made it harder for ACOs in Medicare to bring in shared savings. That’s no longer the case under a new final rule.

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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.

Healthcare It News

SEPTEMBER 16, 2024

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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The Rand Blog

SEPTEMBER 17, 2024

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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Home Health Care

SEPTEMBER 5, 2024

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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