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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The Power of a Homepage Refresh

Healthcare Success

The Raleigh House, a valued client and marketing partner, had a clear vision: elevate their website's user experience and project an image of luxury and exclusivity. This, they believed, would resonate with their target audience and boost engagement. While a complete website redesign was on the table, we knew we could achieve some "quick wins" first.

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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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What outcomes should we target to improve health outcomes and overall well-being?

Healthcare ECONOMIST

The Rippel Foundation has an interesting framework to describe the dimensions for improving health and overall individual quality of life. This is part of their mission to guide “transformational change that supports better health and well-being for all—a future where everyone thrives, without exception.” The organization identified relevant desirable outcomes of health and wellness as “vital conditions” These are listed and defined below: [link] The contention of the Rip

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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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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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How To Empower Your Workforce With Modern Fertility Benefits

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.

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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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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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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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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.