Sat.Aug 24, 2024 - Fri.Aug 30, 2024

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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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Recent moves by Epic, Carequality mark a major shift in interoperability, health IT experts say

Fierce Healthcare

Electronic health records giant Epic recently announced plans to transition its customers to a new government-backed data exchange by the end of next year. | Carequality and Epic both revealed plans to align with TEFCA, signaling potentially a "tectonic shift" in the interoperability landscape and the rising influence of the federal government's nascent network, health IT experts say.

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New cancer patients check EHRs twice as often

Healthcare It News

Once a cancer diagnosis is confirmed, a patient's life is not only altered but there is a lot to learn as they make care decisions. "For cancer survivors and those managing a recent diagnosis, having access to online medical records via patient portals or smartphone-based health apps is critical," said researchers from the U.S. Health and Human Services in a new report that examines the use of electronic health information.

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How to Produce Content More Efficiently (Our Best Tips)

Healthcare Success

The healthcare industry is under immense pressure to produce content quickly. Generative AI might seem like a quick fix, but the industry’s specific challenges often get in the way. Learn how to streamline your content creation process without sacrificing quality or compliance. Here are our best tips: Prioritize Performance Analytics Determining the effectiveness of content quickly and accurately is challenging, so it’s important to build the right team or partner with the right agency.

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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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Walgreens sued by shareholder amid plummeting stock price

Health Care Dive

The company’s top directors — including CEO Tim Wentworth and CFO Manmohan Mahajan — allegedly breached their fiduciary duty by inflating Walgreens’ performance projections.

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Feds killed plan to curb Medicare Advantage overbilling after industry opposition

Fierce Healthcare

A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars—only to abruptly back off amid an “uproar” fr | Filings and testimonies in a multibillion-dollar Justice Department civil fraud case against UnitedHealth Group outline industry pressure that led the government to bury a proposed rule on Medicare Advantage chart reviews.

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Mergers & Acquisitions: The Value of Early Preparation With Andre Ulloa

Healthcare Success

As you might expect, our agency networks with lots of people in the financial world, including investment bankers and private equity firms. To capture today’s M&A trends and insights , I interviewed Andre Ulloa, a Partner and Executive Advisor at M&A Healthcare Advisors (MAHA), a boutique advisory firm and investment bank. Our podcast interview covered a lot of ground, including the basics—like the differences between finders, business brokers, advisors, and investment banks.

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More than one-fifth of insurers failed to pay No Surprises awards last year, provider lobby says

Health Care Dive

The advocacy group comprised of physician firms like TeamHealth and Envision has issued the provider industry’s latest salvo against insurers over surprise billing.

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Rep. Comer threatens PBM execs with fines, jail time over 'fraudulent' hearing testimony

Fierce Healthcare

A key legislator is accusing the leaders of the three largest pharmacy benefit managers of making fraudulent statements during a hearing last month on the industry. | A key legislator is accusing the leaders of the three largest pharmacy benefit managers of making fraudulent statements during a hearing last month on the industry.

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Customer Service Revolution with Knowledge-Backed Gen AI: Trends and Healthcare Success Story

Healthcare It News

Sponsor: eGain Primary topic: Artificial Intelligence Topic: Artificial Intelligence Patient Engagement Resource Central: Upcoming Webinars External url: [link] Thumbnail: Body: Enterprise Taxonomy: AI Analytics Data and Information Short Headline: Customer Service Revolution with Knowledge-Backed Gen AI: Trends and Healthcare Success Story Region Tag: Global Edition 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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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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Semaglutide coverage for weight loss could cost Medicare billions: study

Health Care Dive

If all newly eligible patients received semaglutide, Medicare Part D spending could increase by $34 billion to $145 billion each year, according to new research.

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TennCare violated healthcare rights of Tennessee Medicaid beneficiaries, judge rules

Fierce Healthcare

TennCare, the state of Tennessee’s Medicaid program, intentionally prevented families from receiving healthcare coverage and benefits, a federal district judge determined Aug. 26. | TennCare, the Tennessee state Medicaid program, was found to have intentionally prevented families from receiving healthcare coverage and benefits, a federal court found.

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Vendor Notebook: Specialty pharma, primary care AI to speed care

Healthcare It News

This week more vendors announce integrations with artificial intelligence-driven tools and platforms that better connect patients and doctors during visits, find and lower specialty medication costs and access care resources at home or on the go. Pfizer pledged to simplify access to routine healthcare with partners like Instacart and Zocdoc on a user-friendly web-based platform aimed directly at consumers.

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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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NAHC-NHPCO Alliance Names Dr. Steve Landers As Inaugural CEO

Home Health Care

The National Association for Home Care & Hospice (NAHC)-National Hospice and Palliative Care Organization (NHPCO) Alliance has named its new leader. Dr. Steve Landers – a longtime home health veteran – will serve as the inaugural CEO. Landers is the former CEO of the Visiting Nurse Association (VNA) Health Group, a nonprofit home health, hospice and palliative care operator that serves patients in Ohio and New Jersey.

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Pfizer launches DTC service for migraine, COVID drugs

Health Care Dive

The platform is similar in concept to a service launched this year by Eli Lilly, and aims to give consumers easier access to Pfizer’s migraine, COVID-19 and flu treatments.

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Waltz Health debuts specialty pharmacy platform, partners with Reliance Rx to slash drug costs

Fierce Healthcare

A new specialty pharmacy program by digital health company Waltz Health has been created to lower costs for payers and provide better experiences for patients and pharmacies. | Waltz Connect will use its AI engine to route specialty drug prescriptions to the most ideal location for payers and patients based on weighted attributes. The company is also partnering with Reliance Rx.

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Better cancer outcomes from driving behavioral change

Healthcare It News

Enterprise Taxonomy: Quality Care Operations Health and Wellness Population and Public Health Patient safety Strategic Planning Digital Health Care Business Organizational Governance Technology Node settings: Exclude from Accelerate RSS feed

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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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Aging in Place: The Silent Epidemic Crippling Seniors’ Well-Being

HIT Consultant

What You Should Know: – A new survey conducted by Alignment Health reveals the significant social and environmental factors that are impacting the health and well-being of seniors in the United States. These factors, known as social determinants of health , are preventing seniors from living healthier lives. – The 2024 Social Threats to Aging Well In America was conducted via an online poll of 2,051 Americans aged 65 and older between April 30 and May 21, 2024.

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OIG estimates 1 in 4 for-profit nursing homes not complying with infection control staffing rules

Health Care Dive

Facilities reported challenges hiring and retaining qualified infection prevention personnel, according to the analysis by the HHS’ Office of Inspector General.

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Elation Health rolls out AI scribing tool embedded in its EHR for primary care docs

Fierce Healthcare

As artificial intelligence tools make their way into hospitals and doctor's offices, Elation Health saw a big opportunity to leverage its expertise in building clinical-first tech to roll out AI pu | As artificial intelligence tools make their way into hospitals and doctor's offices, Elation Health saw a big opportunity to leverage its expertise in building clinical-first tech to roll out AI purpose-built for primary care doctors.

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Personalized, preventative care drives the UAE's digital health strategy

Healthcare It News

Enterprise Taxonomy: Population and Public Health Operations Data Science Data management Strategic Planning Care Business Data and Information Organizational Governance Node settings: Exclude from Accelerate RSS feed

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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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Home Care Leaders Are Embarking On New, Future-Facing Paths To Find Success

Home Health Care

Leaders at companies like Help at Home, HCR Home Care and Home Helpers are making major changes at their organizations with an eye towards the future. At Home Helpers, the biggest change that has taken place over the past year has to do with data and informatics. The company is using the information gleaned from this data to make decisions at a macro and micro level.

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Hospitals boost operating margins in July: report

Health Care Dive

Increased demand for services helped offset high expenses for hospitals during July, according to analytic solutions firm Strata.

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Aetna to roll out expanded fertility benefits nationwide

Fierce Healthcare

Aetna will now cover intrauterine insemination (IUI) as a benefit in eligible plans nationwide, becoming the first major insurer to expand coverage nationally. | Aetna will now cover intrauterine insemination as a benefit in eligible plans nationwide, becoming the first major insurer to expand coverage nationally.

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Pfizer Launches PfizerForAll: Connecting Patients to Care, Medications & Vaccinations

HIT Consultant

What You Should Know: – Pharmaceutical giant Pfizer launches PfizerForAll , a user-friendly platform designed to simplify access to healthcare and wellness management for Americans. – PfizerForAll addresses a common frustration: the difficulty of navigating the US healthcare system. – A recent poll by the American Academy of Physician Associates found that 65% of Americans find managing their health overwhelming, and 73% feel the system fails to meet their needs.

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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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How to Manage Escalation with Nuclear Adversaries Like China

The Rand Blog

The United States needs a theory of victory that explains how it plans to win a potential future war with China without triggering a nuclear war. Three historical crises that played out under the shadow of nuclear weapons hold some important lessons.

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AI still the most exciting emerging technology for healthcare: survey

Health Care Dive

AI was the most compelling new technology for the fourth year in a row, with leaders also saying the technology had shown the most improvement, according to the Center for Connected Medicine.

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CMS commits $100M to support ACA navigators

Fierce Healthcare

With open enrollment on the Affordable Care Act exchanges just a few months away, the feds are investing $100 million in navigators to assist people in securing coverage. | With open enrollment on the Affordable Care Act exchanges just a few months away, the feds are investing $100 million in navigators to assist people in securing coverage.

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The Role of Virtual Care in Reducing Physician Burnout: Strategies for Success

HIT Consultant

Amy Miller, the Regional Director of Growth at AMD Global Telemedicine The burnout rate among physicians and medical teams is soaring, but it’s possible to deflate many healthcare stressors by embracing telehealth solutions. Beating back burnout has become one of the hottest topics in medicine. Just how bad is burnout in healthcare settings? A recently released survey from the American Medical Association (AMA) revealed that nearly two-thirds (62%) of emergency medicine doctors said they w

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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.