Sat.Jul 20, 2024 - Fri.Jul 26, 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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PBMs battle bipartisan scrutiny as lawmakers eye industry reform

Health Care Dive

Top executives of CVS Caremark, Optum Rx and Express Scripts made a rare congressional appearance to defend pharmacy benefit managers’ drug pricing policies.

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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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India lowers 2024 budget for digital health and more briefs

Healthcare It News

ABDM, tele-mental health budgets reduced Early this week, India's Finance Minister Nirmala Sitharaman announced the official Union Budget for 2024-2025. For healthcare, the government set aside Rs 90,958.63 crore ($10.8 billion), rising by nearly 13% from last year's Rs 80,517.62 crore ($9.6 billion). This includes Rs 200 crore ($24 million) for the Ayushman Bharat Digital Health Mission, which is lower than the Rs 341 crore ($40.7 million) allocation last year.

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

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Healthcare advocates spent millions this quarter for policy change. Here are the top 30 spenders

Fierce Healthcare

An analysis by Fierce Healthcare identified the top 30 healthcare organizations that burned through the most cash lobbying Congress for healthcare policy changes in the second quarter. | In the second quarter, 14 healthcare organizations spent more than a million dollars lobbying the federal government for healthcare policy change. The leaders of the pack were the American Hospital Association, AARP and the American Medical Association, followed by a slew of payers.

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CMS cracks down on ACA brokers to prevent plan switching

Health Care Dive

Agents and brokers connecting consumers with Affordable Care Act plans now have to jump new hurdles to change their coverage, following mounting complaints about unauthorized plan switching.

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One company's efforts to expand digital health access

Healthcare It News

Enterprise Taxonomy: Patient Access Operations Population and Public Health Analytics Clinical and business intelligence Care Business Data and Information Node settings: Exclude from Accelerate RSS feed

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PBMs defend business practices — but lawmakers aren’t convinced

Fierce Healthcare

Lawmakers bashed the business practices of pharmacy benefit managers during a House Committee on Oversight and Accountability hearing Tuesday. | A contentious hearing between PBM CEOs and the House Commitee on Oversight and Accountability reinforced recent federal angst toward pharmacy benefit managers, but little new ground was made.

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Healthcare costs could grow up to 8% next year: PwC

Health Care Dive

The growth is driven by inflationary pressures, prescription drug spending and rising utilization of behavioral healthcare, according to the consultancy.

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Transforming Mental Health Care in Skilled Nursing

Healthcare Success

Entrepreneurial Insights from a Market Disruptor Market disrupters are drastically changing the healthcare industry, creating more accessible solutions and lucrative business models by addressing unmet needs with innovative solutions and scalable business models. Psych360 was one of the early disruptors to transform access to mental health care in long-term care facilities.

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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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Northwell Health launches studio division to produce films, documentaries

Fierce Healthcare

Northwell Health has set its sights on the entertainment industry. | The health system launched a new TV and film production studio, called Northwell Studios, to produce original scripted and unscripted content leveraging its hospitals, doctors and patients, with consent.

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Commure to acquire AI scribe Augmedix in $139M deal

Health Care Dive

The take-private deal would help the firm scale its documentation products to more providers and health systems, CEO Manny Krakaris said.

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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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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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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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Report: CVS to pay $45M as part of settlement with Illinois

Fierce Healthcare

CVS Health's Caremark has agreed to pay $45 million to Illinois to settle allegations that it failed to pass through rebates in a recent contract, according to a new report. | CVS Health's Caremark has agreed to pay $45 million to Illinois to settle allegations that it failed to pass through rebates in a recent contract, according to a new report.

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Steward fails to spark competitive auction during first round of hospital sales

Health Care Dive

The bankrupt health system did not receive any qualified bidders in Ohio and Pennsylvania.

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Amedisys’ High-Acuity, Non-Medicare Revenue Skyrockets As It Waits For UnitedHealth Group Deal To Close

Home Health Care

Amedisys Inc. (Nasdaq: AMED) is waiting for multiple big-time transactions to come to fruition by year end. In the meantime, it continues to grow its non-Medicare revenue and its high-acuity care business considerably. The company released its second-quarter earnings on Wednesday, without an accompanying call. It has not held an official earnings call since UnitedHealth Group (NYSE: UNH) agreed to acquire it in June of 2023, which is customary.

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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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HHS Launches Reorganization, Renames ONC, Stronger Focus on AI, Cybersecurity, Data

HIT Consultant

What You Should Know: – The U.S. Department of Health and Human Services (HHS) announced a significant reorganization aimed at enhancing its capabilities in technology, cybersecurity, and artificial intelligence (AI). – This strategic move is designed to address the growing complexities and opportunities within the healthcare and human services landscape.

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Abridge teams up with Epic, Mayo Clinic to develop gen AI tools for nurses

Fierce Healthcare

Abridge has spent the last six years building generative AI tools to help doctors with medical documentation and is now putting that technology in the hands of hospital nurses. | Abridge has spent the last six years building generative AI tools to help doctors with medical documentation and is now putting that technology in the hands of hospital nurses.

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Florida awards additional Medicaid contracts to CVS, UnitedHealth, Molina

Health Care Dive

The three payers were cut out of the state’s first round of contracts divvied out in April.

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Empath Health, Trustbridge Leaders Are Setting Home Health Sights High After Integration

Home Health Care

Empath Health is a company in transition. In the spring, it completed an affiliation process with Trustbridge, which formed the largest nonprofit post-acute provider organization in the state of Florida. The Clearwater, Florida-based Empath Health offers hospice, home health care, palliative care, grief services, Program of All-Inclusive Care for the Elderly (PACE), adult day services, primary care services and more.

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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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HIPAA and Modern Healthcare Realities: Dispelling Data Sharing Myths

HIT Consultant

Timi Leslie, President, BluePath Health and Exec Director of the Connecting for Better Health Coalition Myths in healthcare data sharing often cloud the understanding of permissible practices, but this hesitance usually stems from risk avoidance rather than regulatory constraints. HIPAA (Health Insurance Portability and Accountability Act) stands as a sentinel, guarding the security and privacy of patient information, but its limitations in supporting contemporary information-sharing needs must

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CMS: Insurers to make $10.3B in 2023 risk adjustment payments

Fierce Healthcare

The Centers for Medicare & Medicaid Services (CMS) has released new data on risk adjustment payments for 2023. | The Centers for Medicare & Medicaid Services has released new data on risk adjustment payments for 2023.

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HCA posts $17.5B in revenue in Q2 and raises full-year guidance

Health Care Dive

The Nashville, Tennessee-based provider attributed the stronger than expected results to increased patient volumes.

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Lawmakers Introduce Bill That Would Reduce Red Tape For PACE Providers, Patients

Home Health Care

Lawmakers have introduced a new bill that aims to improve access to the Program of All-Inclusive Care for the Elderly (PACE). Home-based care providers operate – and partner with – PACE programs on a regular basis. On Thursday, U.S. Senators Bob Casey (D-Penn.) and Mike Braun (R-Ind.) — chairman and ranking member of the U.S. senate special committee on aging — introduced the bipartisan PACE Anytime Act.

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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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Large Language Models Fall Short in Medical Accuracy Compared to Medical Professionals, Study Reveals

HIT Consultant

What You Should Know: – Kahun , a company specializing in evidence-based clinical AI, has released a new study comparing the medical capabilities of popular large language models (LLMs) to human experts. – The findings reveal the limitations of current LLMs in providing reliable information for clinical decision-making. The Study: Comparing LLMs to Medical Professionals LLMs Tested: OpenAI’s GPT-4 and Anthropic’s Claude3-Opus Evaluation Method: 105,000 evidence-based medi

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Universal Health Services beats on revenue, earnings in Q2, raises 2024 forecast

Fierce Healthcare

Universal Health Services (UHS) raised its full-year revenue and earnings guidance buoyed by strong financial performance in the past six months thanks to acute care growth. | Universal Health Services saw growth in Q2 in profit and revenue offset by lower admissions at its behavioral health facilities.

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Humana’s CenterWell to open 23 primary care clinics at Walmart stores

Health Care Dive

CenterWell said it will lease space at Walmart Supercenter stores in four states.

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Black Americans Aren't Buying Election-Year Falsehoods. Here's Why.

The Rand Blog

In 2020, fewer Black Americans believed the false claims of widespread election and voter fraud than their white counterparts did. What lessons can be learned from Black Americans' resilience to disinformation?

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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.