July, 2024

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Humana inks multi-year partnership with Google to invest deeper in cloud, gen AI technologies

Fierce Healthcare

Humana inked a new multi-year agreement with Google Cloud to modernize its cloud infrastructure and build out generative AI solutions. | Humana inked a new multi-year agreement with Google Cloud to modernize its cloud infrastructure and build out generative AI solutions.

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Humana expects to lose ‘few hundred thousand’ Medicare Advantage members next year

Health Care Dive

The insurer shrank its plan footprint for 2025 in a bid to improve margins. Now, Humana is giving market watchers loose guidance into how that reduction could affect its enrollment along with second quarter results.

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Emory Healthcare scores with an 'Uber app' for at-home PT

Healthcare It News

Emory Healthcare constantly is evolving and innovating the care it provides. With regard to at-home physical therapy providers, the health system was intrigued to understand how it could expand its service offerings for outpatient care. THE PROBLEM Especially in the last few years, the COVID-19 pandemic accelerated the way Emory thinks about off-site care and forced the health system to reinvent not only how it diagnoses patients, but also how it treats them nonoperatively.

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Step-by-Step Guide to the Process of Medical Billing Services

p3care

If you’re in the healthcare industry, medical billing is the term you would be familiar with. As a physician, you don’t need to go into details as you can outsource the medical billing services process to experts. But, for your information or that of beginner billers interested in the field, this step-by-step guide will make things comprehensive. Let’s get into this.

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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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Home Care’s Industry-Wide Turnover Rate Reaches Nearly 80%

Home Health Care

When it comes to recruitment and retention, disorganized processes are one of the main reasons home care providers often see a revolving door of caregivers. That was one of the key takeaways from Activated Insights’ — formerly Home Care Pulse — 2024 Benchmarking Report. The report found that home care turnover has increased by more than 12% over the past two years.

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Preventing and Mitigating Gun-Related Violence in Hospitals: The Intersection of Proactive and Reactive Security Technologies

HIT Consultant

Dustin Brooks, CCO and co-founder of ZeroEyes Gun-related violence continues to pose a significant threat to society, with the Gun Violence Archive reporting over 650 mass shootings in 2023. Disturbingly, even institutions dedicated to healing and safeguarding individuals, like hospitals, are not immune to these threats; in fact, they’re uniquely susceptible.

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Federal Trade Commission to sue three largest PBMs: WSJ

Health Care Dive

Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.

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Remote patient monitoring reduces blood pressure for patients in New York State

Healthcare It News

Hypertension, the most prevalent risk factor for cardiovascular disease, affects 1.39 billion adults worldwide and has a 46% uncontrolled rate. That poses a substantial burden for hospitals and health systems – and necessitates a paradigm shift in management strategies, clinicians say. THE PROBLEM Uncontrolled hypertension can lead to recurrent heart attacks, strokes, heart failure, chronic kidney disease and death.

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340B costs Medicaid $32b per year

Healthcare ECONOMIST

The 340B Drug Pricing Program is a federal initiative designed to help certain healthcare providers, known as “covered entities,” stretch their resources to better serve vulnerable and underserved patient populations. Created in 1992, the program requires pharmaceutical manufacturers to sell outpatient drugs at significantly discounted prices (typically 25% to 50% off) to eligible hospitals, clinics, and health centers that care for a large number of uninsured and low-income patients

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All The Payment Factors Included In The 2025 Home Health Proposed Rule

Home Health Care

Providers examining the 2025 home health proposed payment rule may be experiencing some déjà vu, according to William A. Dombi, the president of the National Association for Home Care & Hospice’s (NAHC). “Much of what we see in the rule is just, on the payment side of it in particular, an update from ‘23 and ‘24,” he said during a recent webinar hosted by NAHC.

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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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Olympics 2024 Anti-Doping: Why Innovation in Testing Is Key

HIT Consultant

Gabe Baida, Executive Director at InnoVero As we approach the 2024 Summer Olympics, ensuring a clean game is a major priority for the International Olympic Committee. More than 1,000 people will be involved in various anti-doping testing stages, including chaperones, sample collection personnel, and dedicated anti-doping control spaces at each competition venue.

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Global IT outage takes down health system EHRs, forces hospitals to cancel non-emergency services

Fierce Healthcare

A widespread outage to Microsoft systems has impacted health systems, hospitals and clinics as electronic health record software has been knocked offline, forcing providers to cancel non-emergency | A widespread outage to Microsoft systems has impacted health systems, hospitals and clinics as electronic health record software has been knocked offline, forcing providers to cancel non-emergency procedures and services.

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Disadvantaged areas less likely to have high-quality Medicare Advantage plans, study finds

Health Care Dive

The research, which found socially vulnerable counties were more likely to have MA plans rated under 3.5 stars, is the latest highlighting the importance of location in healthcare access.

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Bon Secours taps Philips for 10-year patient monitoring collaboration

Healthcare It News

Cincinnati-based Bon Secours Mercy Health is teaming up with Royal Philips to implement and scale a new patient monitoring platform over the next three years – and then monitor it over the following seven. WHY IT MATTERS One of the nation’s largest Catholic health systems, BSMH has more than 1,200 care sites and 49 hospitals across Florida, Kentucky, Maryland, New York, Ohio, South Carolina and Virginia, as well as in Ireland.

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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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Fiscal Intermediaries Sue NYDOH Over CDPAP Reimbursement Changes

HKLaw

A group of fiscal intermediaries (FIs) on July 22, 2024, filed a lawsuit against the New York State Department of Health (DOH) and its commissioner, Dr. James McDonald, alleging that the defendants disregarded established administrative procedures, acted arbitrarily and misused their discretion in formulating and implementing a new reimbursement methodology for the Consumer Directed Personal Assistance Program (CDPAP).

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Maxim at Home Rebrands To Villi, Bets On In-Home Companion Care

Home Health Care

Maxim at Home has a new name. Now dubbed Villi, the Dallas-based company integrates technology with traditional companion care to keep adults at home, living independently. Villi’s on-demand platform connects individuals with caregivers around the clock, whether it’s a senior needing personal care services or a new mother requiring an extra hand.

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Strengthening Healthcare Resilience: A Vendor Checklist for Data Security and Business Continuity

HIT Consultant

Lizz Fuller, Director of Implementation at MDaudit In the aftermath of the cyber-attack on Change Healthcare by the BlackCat ransomware group, a renewed interest has emerged in protecting operations and ensuring contingencies are in place. For impacted providers, the financial fallout from the attack is estimated at $500 million to $1 billion per day and climbing, driving home the fact that business continuity is everything in the aftermath of a cyber-attack.

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Digital health funding hit $5.7B through June, on track to surpass 2019 and 2023, Rock Health reports

Fierce Healthcare

U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year. | U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year.

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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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Hackensack Meridian Health files lawsuit in wake of Chevron decision

Health Care Dive

Experts predict a wave of litigation will follow the Chevron ruling, which raised the bar for healthcare agencies when implementing laws with unclear intent.

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Bangkok Hospital streamlines patient flow with AI

Healthcare It News

Bangkok Hospital, one of Thailand's largest private healthcare providers, has moved away from the paper and manual process of registering and managing patient flow in its headquarters. AI technologies provided by its partner, local startup Agnos Health, now underpin its patient registration and management systems. HOW IT WORKS As part of its enhanced patient flow system, the tertiary hospital implemented self-service kiosks that run on multiple AI, integrating various registration steps.

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An eye-opening view at the frontlines of care

Meditech

Everything means more on the frontlines. The front lines are where the real pain is felt and where real progress is made, the place where theoretical notions don’t exist and “this might work” isn’t good enough. Everything is in sight, and there’s very little room for error. This is where the next move matters.

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Why Home Health Providers Should Expect To See A ‘Less Draconian’ Final Payment Rule

Home Health Care

As home health providers continue to digest the proposed payment rule for 2025 , National Association for Home Care & Hospice (NAHC) President William A. Dombi believes that the industry will ultimately see a comparatively toned down final rule. “We believe we will not end up with this proposed rule as a final rule,” he said during the opening presentation at NAHC’s Financial Management Conference in Las Vegas on Sunday.

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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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Healthcare Organizations at Risk of Data Breach Due to Insecure File Sharing Practices

HIT Consultant

What You Should Know: – A new report by Metomic , a data security company, reveals concerning vulnerabilities in how healthcare organizations handle sensitive data. – The report, titled “ Healthcare Data Crisis – Uncovering the Alarming Gaps in Data Security and Compliance ,” highlights the prevalence of insecure file-sharing practices that put patient information at risk.

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Humana posts $679M in Q2 profit as it faces continued Medicare Advantage headwinds

Fierce Healthcare

Humana affirmed its guidance for the year as it continues to face headwinds in the Medicare Advantage (MA) space. | Humana affirmed its guidance for the year as it continues to face headwinds in the Medicare Advantage space.

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Mental health benefits at work are getting better. Here’s how we can go further.

Health Care Dive

More employers than ever are focusing on mental health benefits. Congress must invest more and act soon to reauthorize telehealth extensions before it’s too late, argues the director of health policy at the U.S. Chamber of Commerce.

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Ambient voice genAI poised to reduce burnout, says Stanford digital health director

Healthcare It News

Palo Alto, California-based Stanford Health Care is often ahead of the curve when it comes to technology innovation. As a result, health IT leaders at provider organizations across the country can look to Stanford for lessons to be learned. That is the goal of a case study educational session the health system will be leading at the HIMSS AI in Healthcare Forum, scheduled for September 5-6 in Boston.

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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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Climate Change Risk to National Critical Functions

The Rand Blog

The changing climate will strain the basic functions that underpin American society. Core services such as supplying water and electricity, providing medical care, and responding to emergencies like floods will face regional- or even national-level disruptions in the years to come.

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Enhabit Teases Improvements In Home Health, Hospice Segments

Home Health Care

Enhabit Inc. (NYSE: EHAB) continues to improve its financial standing and position with Medicare Advantage (MA) partners as it battles with the activist investor AREX Capital Management. The company released an early snapshot of its second-quarter earnings on Monday, ahead of the full, audited release of earnings on Aug. 6. Of Enhabit’s non-Medicare visits, 43% are now under payer innovation contracts at “improved rates,” according to the company.

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AI Nurses: The Solution to the Nursing Shortage and Beyond

HIT Consultant

Kanwar Kelley, MD, JD, co-founder & CEO of Side Health The healthcare sector is rapidly adopting AI to help improve disease detection and patient care along with delivering efficiency gains. The technology’s potential is fueling an array of investments and innovations in everything from cancer diagnosis to AI nurses. With respect to AI nurses, many believe this application is the only way to ease the industry’s staffing shortages.

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Nearly half of beneficiaries don't know the difference between Medicare and MA: survey

Fierce Healthcare

The U.S. healthcare system remains complex and inaccessible, leaving many seniors feeling uninformed, according to a new survey from digital health company DUOS. | Seniors are growing more comfortable with technology, but many still don't understand key differences between major health programs.

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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!