June, 2024

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Supreme Court overrules Chevron deference, dealing blow to federal healthcare agencies

Fierce Healthcare

The U.S. Supreme Court, by a vote of 6-3, has overturned the Chevron deference, stripping power from federal agencies to interpret and enforce regulations. | The U.S. Supreme Court is overruling long-standing precedent. Here's how it could affect healthcare policy.

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Humana and CVS are downsizing their Medicare Advantage plans for 2025. Which insurers could benefit?

Health Care Dive

Hundreds of thousands of seniors could switch plans during next year’s open enrollment, depending on how drastically the MA market giants slash benefits in an attempt to improve profits.

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HIMSSCast: Fighting back against healthcare misinformation in the era of social media and genAI

Healthcare It News

Dr. Geeta Nayyar – known by many as "Dr. G" – has a long track record as a physician IT leader, who thinks creatively about the intersection of technology and healthcare. Her jobs over the years have included serving as chief medical officer of tech giants such a AT&T and Salesforce and AT&T. She sits on the board of the American Telemedicine Association.

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CMS Proposes Over 4% Cut To Home Health Medicare Payments In 2025

Home Health Care

The U.S. Centers for Medicare & Medicaid Services (CMS) published its FY 2025 home health proposed payment rule Wednesday. With it, the agency signaled that more significant cuts could be on the way for providers. To rebalance the Patient-Driven Groupings Model (PDGM) and make it budget neutral, at least according to its internal methodology, CMS is proposing a permanent prospective adjustment to the CY 2025 home health payment rate of -4.067%.

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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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Seven States Selected to Participate in NASHP and HARP’s State Reentry Learning Collaborative

NASHP

This project is a partnership between NASHP and The Health Reentry Project (HARP). The National Academy for State Health Policy (NASHP), in collaboration with The Health and Reentry Project (HARP) and with the generous support from Arnold Ventures, is pleased to announce the following seven states have been selected to participate in the State Reentry Learning Collaborative, a multi-state technical assistance opportunity to support states seeking to implement Medicaid reentry waivers: Californi

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Why Patient Engagement Must Be at the Center of Value-Based Care

HIT Consultant

Dave Bennett, Executive Vice President – Healthcare, pCare by Uniguest In the dynamic and ever-changing landscape of the healthcare industry, patient engagement continues to emerge as a pivotal element of the value-based care (VBC) model. Value-based care seeks to improve health outcomes by leveraging the Quintuple Aim framework – focusing on the patient experience, population health success, cost reduction, team wellbeing, and health equity.

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Appeals court upholds ACA’s preventive services mandate, but opens door to future challenges

Health Care Dive

The Fifth Circuit Court of Appeals’ decision Friday is a win for the upwards of 150 million people that receive health insurance through their employers. However, it paves the way for future lawsuits from opponents of the ACA.

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OSF deploys care transition program, reduces readmission rate from 29% to 9%

Healthcare It News

OSF HealthCare, a health system that serves Illinois and Michigan, had a big challenge: Managing the high rate of patient readmissions from hospitals to skilled nursing facilities and eventually to home care. THE PROBLEM This issue stemmed largely from gaps in continuous care during transitions between these settings. Patients discharged from hospitals often were readmitted due to complications that could have been prevented with better monitoring and more proactive management, said Matt Nieukir

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How The Independent Horizon Care Services Is Zagging In A ‘Ruthless’ Florida Home Care Market

Home Health Care

In a day and age where more private-pay home care providers are trying to lock in up-front payments and longer commitments from clients, Horizon Care Services is trying to double its revenue through more flexibility, not less. More flexibility, both for itself and for clients. Andrea Albertini, the CEO of Horizon Care Services, started the company two decades ago in Florida’s Palm Beach County.

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State Strategies for Preventing Substance Use and Overdose Among Youth and Adolescents

NASHP

Substance use in youth can lead to a variety of negative outcomes, including health issues, poor academic performance, and increased risk of addiction and overdose. Primary prevention is a public health strategy of intervening before negative health effects occur, including delaying or preventing young people’s use of harmful substances that may lead to overdose or other substance-related harms.

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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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Verily Launches AI-Powered Chronic Care Solution, Lightpath

HIT Consultant

What You Should Know: – Verily , Alphabet’s precision health subsidiary, today announced Lightpath , a next-generation chronic care solution designed to address the evolving needs of health plans and their members. – The initial offering, Lightpath Metabolic, focuses on empowering individuals with cardiometabolic conditions to achieve and maintain their health goals.

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Color Health taps OpenAI to generate screening plans for cancer patients

Fierce Healthcare

Color Health is working with OpenAI to test out computer-generated personalized care plans for cancer patients. | Color developed a new copilot app that leverages GPT-4o to identify missing diagnostics and create tailored workup plans for patients.

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SCOTUS strikes down Chevron doctrine, curbing federal agency power

Health Care Dive

The court’s controversial decision raises the bar for healthcare regulators when they’re implementing laws with undefined terms — and opens the door for stakeholders in the industry to sue when they’re unhappy with an agency’s reading of statute.

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AI has a role to play during the patient intake process

Healthcare It News

Patient intake, and the associated manual tasks that come upfront before a medical visit, represents a key component of a health system's operational efficiency and clinical quality. As a result, some hospitals and primary care clinics are experimenting with artificial intelligence and large language models to focus on note-taking and scribe work.

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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!

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Mass General Brigham’s Hospital-At-Home Nurses Unionize, Home Care Segment Moves To Follow Suit

Home Health Care

Nurses of Mass General Brigham’s hospital-at-home program have voted to unionize, and the clinicians at the health system’s home care segment are hoping to follow suit. The efforts to unionize first started in February. On May 16, 80 of the health system’s home-at-hospital nurses voted to join the Massachusetts Nurse Association (MSA). That same month, the National Labor Relations Board certified the union to be representatives for the nurses.

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Improving communication with robust technology means better care. Read this to find out why

Spok Inc

How does communication technology enhance clinical communication and care team collaboration? To give you some tangible examples, our mobility solutions expert examines three clinical workflows to show how communication technology fills the gaps created by the EHR by connecting care teams and systems to deliver information quickly and securely into the hands of those who need to act on it.

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Healthcare’s Data Deluge is Intensifying Misdiagnosis

HIT Consultant

Eli Ben-Joseph, co-founder and CEO of Regard In 2019, my aunt was admitted to the hospital with heart failure. It was a harrowing experience for everyone involved. My family, desperate for answers, waited for hours for a doctor to check-in. When they finally did, their time was limited and felt rushed. But the whole time, we couldn’t shake the uncomfortable feeling that we were nuisances, that our welcome had run its course.

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Google-backed startup Heyday Health banks $12.5M to scale house calls combined with telehealth

Fierce Healthcare

Heyday Health launched three years ago to provide primary care to seniors by blending traditional house calls with 21st-century innovation via telehealth visits. | Heyday Health bills itself as a "virtual-forward, value-based care provider" designed to meet patients where they are, providing care in the comfort of their homes.

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The New Tech Experience: Innovation, Optimization, and Collaboration

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

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Walgreens to reduce stake in VillageMD, close stores

Health Care Dive

Walgreens is refocusing on pharmacy operations after failing to make inroads in healthcare services. The company will sell its majority stake in VillageMD and is no longer looking to invest in medical offices, executives said.

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Patients are bullish on the benefits of genAI, but still have qualms

Healthcare It News

U.S. consumers remain optimistic about the potential of generative artificial intelligence to address healthcare access and affordability challenges, the new 2024 Deloitte Center for Health Solutions consumer survey shows. But they still have some misgivings about AI tools. WHY IT MATTERS Despite a general sense of optimism, the public's use of genAI tools for health-related reasons has dipped a bit since the initial rush of interest that showed in the previous year's Deloitte study &nda

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CMS Set To Close Multi-Billion Dollar Change Healthcare Cyberattack Relief Program

Home Health Care

The Change Healthcare cyberattack disrupted health care providers across the board, including home-based care providers. Soon, one of the government-backed efforts to offer assistance to those organizations will end. The U.S. Centers for Medicare & Medicaid Services (CMS) announced Monday that its advanced and accelerated payment program tied to the cyberattack will end July 12.

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With Approval of Its 1332 Waiver, New York Expands Basic Health Program

NASHP

New York’s health insurance marketplace recently announced it received approval of its 1332 State Innovation Waiver to further expand its Basic Health Program (BHP). What is the Basic Health Program, and how does it work? Under the Affordable Care Act (ACA), states have the option to implement a BHP, which offers health coverage to residents whose incomes are too high for Medicaid but who are otherwise eligible to enroll in coverage through the health insurance marketplace.

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Level up Culture & EQ | Sign up for the #CultureDrop

Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.

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Cognizant Unveils Healthcare Large Language Models (LLMs) on Google Cloud’s GenAI Platform

HIT Consultant

What You Should Know: – As part of an expanded partnership announced last August, Cognizant (NASDAQ: CTSH) has launched the first set of healthcare large language model (LLM) solutions on Google Cloud’s generative AI (genAI) technology, including the company’s Vertex AI platform and Gemini models, aimed at redesigning healthcare administrative processes and improving experiences. – Google Cloud has awarded Cognizant “2024 Industry Solution Services Partner of the Year – Healthc

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Amazon Pharmacy expands RxPass subscription service to Medicare patients

Fierce Healthcare

Amazon Pharmacy is expanding its prescription drug subscription program, called RxPass, to Prime members on Medicare insurance. | The RxPass program, launched in January 2023, provides unlimited access to 60 eligible generic medications and will ship the medications to customers' homes for a flat monthly fee of $5.

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National health spending reached $4.8T last year, CMS actuaries estimate

Health Care Dive

More Americans had insurance in 2023 than at any other time in the nation’s history, spurring medical utilization and accelerating healthcare spending faster than growth in the overall economy, according to government projections.

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Change Healthcare has responsibility to notify patients data breach, says OCR

Healthcare It News

The U.S. Department of Health and Human Services’ Office for Civil Rights updated its Change Healthcare cybersecurity incident frequently asked questions page on Friday to address questions the agency has received asking which entities are responsible for performing breach notification to HHS, affected individuals and where applicable, the media.

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Strategies to Deal with Collaborative Healthcare Communication

Speaker: Dr. Ugo Uwaoma, MD, MBA

Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.

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Hospital At Home’s Popularity Among Patients Is The Best Thing Going For The Model

Home Health Care

Amid efforts to push back the expiration date of the Centers for Medicare & Medicaid Services’ (CMS) Acute Hospital Care at Home waiver, more patients are expressing their desire to participate in hospital-at-home programs. That’s according to a new survey from Vivalink, a digital healthcare solutions company that offers remote patient monitoring (RPM).

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A Bridge for Ukraine into NATO

The Rand Blog

If NATO is serious about bringing Ukraine in as a member, then it must be clear-eyed about the risks, develop a concrete plan in support of a broader strategy, and commit itself to success. Anything less is likely to lead to failure.

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3 Ways AI Can Reduce Relapse Rates in Behavioral Health

HIT Consultant

What You Should Know: – Relapse rates in behavioral health treatment are a persistent hurdle. Up to 80% of people with substance use disorders will relapse at some point, causing discouragement for both patients and providers. However, a new weapon is emerging in the fight for sustained recovery: Artificial Intelligence (AI). Early Intervention: Catching Relapse Before it Starts Videra Health , an AI-powered mental health assessment platform, highlights how AI can play a crucial role in re

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Teladoc research shows AI-powered 'nudges' can improve diabetes members' engagement, health outcomes

Fierce Healthcare

Artificial intelligence can play a key role in diabetes management programs by enabling more personalized health "nudges" for members, which drives higher engagement and better health outcomes, acc | Artificial intelligence can play a key role in diabetes management programs by enabling more personalized health "nudges" for members, which drives higher engagement and better health outcomes, according to new data released by Teladoc Health.

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Top 12 Telehealth KPIs Every Health Tech Leader Should Know

Speaker: Matt McBride, CEO and Co-Founder of Mend

Patient engagement happens before, during, and after interactions. Consumer research has found that in 2021, 64% of US households reported using Telehealth services. In addition 34% of patients would prefer Telehealth visits to in-office visits. Accessible patient engagement technology can help you improve your relationships with your patients while also improving your KPIs.