August, 2024

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Epic touts new AI applications to streamline charting and bring research insights to the point of care

Fierce Healthcare

Health IT giant Epic is pushing ahead rapidly to build out artificial intelligence technologies and generative AI features in its electronic health record software. | The goal, according to Epic executives, is to ease the documentation burden for clinicians, streamline charting and coding and bring evidence-based medical insights and research right to doctors' fingertips at the point of care.

Doctors 360
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PBM executives threatened with fines and jail time for alleged perjury in House hearing

Health Care Dive

Testimony from the heads of Express Scripts, Optum Rx and Caremark in July defending pharmacy benefit managers’ business practices could be coming back to bite them.

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AllianceChicago CIO discusses technology-enabled approaches to health equity

Healthcare It News

AllianceChicago is a unique organization. A federally funded health center network of more than 76 community health centers operating in more than 23 states, its work is centered on improving personal, community and public health through innovative collaboration. The collaboration has been in operation for more than 25 years and is committed to developing and implementing systems that promote equity and optimize health and well-being.

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US Patients Show Cautious Optimism Toward Generative AI in Healthcare

HIT Consultant

What You Should Know: – New research from Bain & Company has revealed an intriguing trend in the healthcare industry: U.S. patients are more comfortable with generative artificial intelligence (AI) analyzing their radiology scans and making diagnoses than with AI answering the phone at their doctor’s office. This finding underscores a broader trend where healthcare consumers show a preference for generative AI supporting their doctors rather than interacting directly with the tec

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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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27 Of Home-Based Care’s Fastest-Growing Companies

Home Health Care

Every company has their own unique growth goals, but some companies are hitting goals faster than others. Across home-based care, companies like Traditions Health, Honor, HomeWell and others are seeing tremendous growth. In fact, the industry is well-represented on the Inc. 5000 2024 ranking of the fastest-growing private companies in the country. This year, 27 companies in the broader home-based care space made appearances on the list.

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Respite Care Provider Training Webinar: Lessons from the States

NASHP

Respite is planned or emergency care provided to a child or adult with special needs to provide temporary relief to family caregivers. To recruit and train the respite workforce, ARCH National Respite Network and Resource Center , in partnership with NASHP and the Respite Care Association of Wisconsin , piloted a competency-based respite provider training and recruitment initiative in 10 states.

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More than 700 rural hospitals at risk of closing: report

Health Care Dive

One challenge hospitals face is reimbursement from private payers, which doesn’t cover the higher costs of care in rural areas, according to a report by the Center for Healthcare Quality and Payment Reform.

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HIE pilot tackles emergency response data silos

Healthcare It News

Michigan Health Information Network Shared Services, or MiHIN, has partnered with Beyond Lucid Technologies, a healthcare data exchange and analytics company, as well as the Reading Emergency Unit and South Central-based Hillsdale Hospital. The aim is to facilitate data exchange between REU and the hospital through MiHIN's secure network. Not only will ambulatory medical professionals be able to access a more complete view of the patient, but MiHIN will also route their continuity of care do

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Study: Healthcare Industry Embraces Generative AI with Caution

HIT Consultant

What You Should Know: – A new McKinsey survey reveals that the healthcare industry is increasingly recognizing the potential of generative AI (gen AI) to revolutionize patient care and operational efficiency. – While a majority of healthcare organizations are exploring or implementing gen AI solutions, concerns about risks and challenges remain.

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Georgia-Based Company Hopes To Win New York CDPAP Administration Contract

Home Health Care

Public Partnerships LLC, also known as PPL, is competing to become the exclusive administrator of New York’s Consumer Directed Personal Assistance Program (CDPAP). This program enables seniors and individuals with disabilities to choose their own caregivers, with payment coming from the state’s Medicaid program. New York’s CDPAP has been in the headlines for months.

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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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Zack Kass on seizing the healthcare AI advantage [Podcast]

Meditech

We may not always realize it, but so much of what we do in our day-to-day lives is augmented by AI. However we have yet to experience the full impact of this technology in the healthcare space. But many thought leaders, like Zack Kass, believe that the technological revolution in healthcare is just around the corner.

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Mark Cuban wants to keep shaking up healthcare. Here's Cost Plus Drug's next move

Fierce Healthcare

Entrepreneur and investor Mark Cuban wants to "f--k up" the U.S. healthcare system to make it more affordable, the billionaire told "The Daily Show" host Jon Stewart this week. | Entrepreneur and investor Mark Cuban wants to "f--k up" the U.S. healthcare system to make it more affordable, the billionaire told "The Daily Show" host Jon Stewart this week.

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Unsealed court filings offer details of DOJ investigation into Prospect Medical

Health Care Dive

The documents, released Tuesday, say Prospect is under federal investigation for possible False Claim Act violations, as well as state investigations for failing to safeguard patients’ personal data before a ransomware attack last year.

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Baptist Health brings urgent care waits down to 6 minutes with telemedicine

Healthcare It News

Staffing for urgent care sites has always been a challenge at Baptist Health, which is headquartered in Louisville, Kentucky, and serves that state and Indiana. THE PROBLEM Staff at Baptist Health can look at prior patterns but still struggle at times to predict correctly for specific days and times. Further, with today's healthcare staffing challenges, even if Baptist Health recognizes a need for extra workers, it may not have the resources to upstaff appropriately.

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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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Physician Burnout: Over 25% of Physicians Do Not Utilize Their Annual Vacation Days

HIT Consultant

What You Should Know: – A recent report by G-Med , a global online physician community, sheds light on the alarming issue of physician burnout and its impact on vacation time. The report , based on extensive analysis of peer-to-peer discussions among verified physicians, reveals that a significant number of doctors are not taking all their allotted vacation days, either due to workload pressures or discomfort in requesting time off.

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Medicare Advantage Home Health Utilization Lags Behind Traditional Medicare

Home Health Care

Yet another study suggests that Medicare Advantage (MA) beneficiaries have less access to quality home health services. In a study comparing traditional Medicare beneficiaries and MA beneficiaries in 2019, traditional Medicare beneficiaries were more likely to utilize outpatient, inpatient and home health care services than beneficiaries in MA plans.

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Ukraine Has Found a Path to Victory

The Rand Blog

Ukraine has pulled off an operation that could buy time to regenerate and reequip its forces. The Kursk incursion puts in doubt Russia's ability to launch any major offensives for the rest of the year. Given sufficient Western aid, Kyiv could have the capability to begin restoring its territory in 2025.

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Appeals court upholds ruling that struck down surprise billing arbitration process

Fierce Healthcare

A federal appeals court has upheld a lower court decision that struck down key parts of legislation aimed at reforming surprise medical billing. | A federal appeals court upheld a lower court decision that struck down key parts of legislation aimed at reforming surprise medical billing.

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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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Dissatisfaction with EHR increases nurses’ burnout risk: report

Health Care Dive

Nearly one-third of nurses experiencing burnout said their electronic health record contributed to symptoms, according to Klas Research. Many of those nurses reported they’d likely leave their workplaces soon.

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HEDIS MY 2025: What’s New, What’s Changed, What’s Retired

NCQA

The Healthcare Effectiveness Data and Information Set (HEDIS ® ) is constantly evolving to ensure measures are relevant and represent clinical best practices. For Measurement Year 2025, NCQA added three HEDIS measures, retired four measures and made smaller changes across multiple measures. We also continue the transition to Electronic Clinical Data Systems (ECDS) reporting.

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The Role of AI in Streamlining Drug Discovery and Clinical Trials: A New Era in Pharmaceutical Innovation

HIT Consultant

In the rapidly evolving world of pharmaceuticals, artificial intelligence (AI) is emerging as a game-changer. From accelerating drug discovery to enhancing the efficiency of clinical trials, AI is revolutionizing how new medicines are brought to market. This transformation is not just limited to the research and development phases; AI is also playing a critical role in ensuring that drugs meet regulatory standards.

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How Home-Based Care Providers Are Approaching The GUIDE Model

Home Health Care

This article is a part of your HHCN+ Membership The Centers for Medicare & Medicaid Services (CMS) launched the Guiding an Improved Dementia Experience (GUIDE) Model on July 1, which aims to create more comprehensive, coordinated dementia care. Some home-based care providers have been named participants in the program, and many more plan to get involved.

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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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A Plan to Address Political Violence Before Election Day

The Rand Blog

As the presidential election nears, the threat of political violence looms large. What can be done to protect candidates, election workers, voters, and the electoral process at the heart of American democracy?

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Industry Voices—10 things every healthcare organization can do to defend against cyberattacks

Fierce Healthcare

The healthcare industry confronts a complex, double-barreled challenge as it tries to combat the recent deluge of dangerous and damaging cyberattacks. | Cyber resilience is the ability to recognize threats, respond to them, recover quickly and at scale. The clear goal: fending off attacks more efficiently, limiting damage and restoring normal operations with minimal impact to patients.

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Cigna CEO promises ‘aggressive’ defense of pharmacy benefit managers

Health Care Dive

David Cordani’s comments to investors Thursday come as the payer blew past Wall Street’s expectations for the second quarter, helped by significant growth in its health services division — including PBM Express Scripts.

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Medicare Drug Price Negotiation leads to 38% to 79% price decrease

Healthcare ECONOMIST

Medicare drug price negotiation is here. The maximum fair prices (MFP) set by Medicare lead to discounts between 38% and 79%. In fact, the real discounts are larger since the figures listed in the table below are discounts off of 2023 prices (rather than 2024 prices). How did the negotiation process work? CMS’s fact sheet described the process as follows: CMS held three meetings with each participating drug company to discuss the offers and counteroffers, discuss evidence, and attempt to a

Medicare 101
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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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Opkit Rolls Out Back-of-Office Generative AI Call Center for Medical Practices

HIT Consultant

What You Should Know: – Opkit, a generative AI call center for the healthcare industry, announces its HIPAA-compliant, AI-powered software platform that automates back office phone calls for medical clinics. – The platform manages outbound calls to payers for insurance verification, claims, and prior authorization, as well as calls to pharmacies for prescription checks, and calls to collect medical records.

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Medicare Advantage Plans’ In-Home Health Assessments Remain Under Fire

Home Health Care

Last week, UnitedHealth Group (NYSE: UNH) defended its utilization of in-home health assessments, which are visits used widely by Medicare Advantage (MA) plans looking to fill gaps in patient care. Detractors of this type in-home visit have suggested that plans use them to up risk scores for MA members, which helps maximize reimbursement. In July, a study published in Health Affairs argued that these in-home health risk assessments increase coding intensity in MA, which, in turn, leads to higher

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Teachers Are Still Stressed and Underpaid Post-COVID

The Rand Blog

This school year will be the fifth since COVID emptied classrooms and upended education as we knew it. Student test scores have not recovered. Districts nationwide report lingering staff shortages. And teachers still work long hours, earn low salaries, and are stressed out.

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23andMe to launch GLP-1 telehealth offering, shuts down internal drug development business

Fierce Healthcare

Consumer genetic testing company 23andMe sees an opportunity to get in on the weight loss boom. | 23andMe plans to launch a GLP-1 weight loss telehealth membership through its Lemonaid Health platform by the end of the month.

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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!