Sat.Jul 27, 2024 - Fri.Aug 02, 2024

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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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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.

Medicare 339
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Baptist Health brings urgent care waits down to 6 minutes with telemedicine

Healthcare It News

Staffing for urgent care sites has always been a challenge at Baptist Health, which is headquartered in Louisville, Kentucky, and serves that state and Indiana. THE PROBLEM Staff at Baptist Health can look at prior patterns but still struggle at times to predict correctly for specific days and times. Further, with today's healthcare staffing challenges, even if Baptist Health recognizes a need for extra workers, it may not have the resources to upstaff appropriately.

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What MIPS 2024 Services Look Like for Emergency Medicine?

p3care

Since 2017, MIPS (The Merit-Based Incentive Payment System) has been an integral part of physicians’ professional life. At least for eligible physicians. And with penalties getting more tangible, healthcare professionals have no way out other than being serious about MIPS 2024 reporting services. CMS MIPS services, although, cover quality outcomes across the board but the specifics have always remained an issue.

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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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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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Cigna CEO promises ‘aggressive’ defense of pharmacy benefit managers

Health Care Dive

David Cordani’s comments to investors Thursday come as the payer blew past Wall Street’s expectations for the second quarter, helped by significant growth in its health services division — including PBM Express Scripts.

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Respite Care Provider Training Webinar: Lessons from the States

NASHP

Respite is planned or emergency care provided to a child or adult with special needs to provide temporary relief to family caregivers. To recruit and train the respite workforce, ARCH National Respite Network and Resource Center , in partnership with NASHP and the Respite Care Association of Wisconsin , piloted a competency-based respite provider training and recruitment initiative in 10 states.

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Ochsner Health going all-in on ambient AI, taps DeepScribe to deploy tech for 4,700 physicians

Fierce Healthcare

Ochsner Health is going all-in on ambient AI voice technology for its thousands of doctors and has inked an enterprise agreement to roll out DeepScribe's technology across its health system. | Ochsner Health inked an enterprise-wide agreement with DeepScribe to roll out its AI medical scribe across its 46-hospital system for 4,700 providers.

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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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National Healthcare Group eyes digital records for community care

Healthcare It News

Community care partners of the National Healthcare Group in Singapore have been provided access to a digital platform for managing health programmes and potentially creating digital records. WHAT IT'S ABOUT Recently, the NHG partnered with credentials platform provider, Accredify, to develop the NHG Cares Partners Portal. According to a press statement, the portal simplifies the management of health programmes, which are automatically synced with NHG 's health and social care marketplace

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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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How Virtual Primary Care Can Enrich Your Practice

HIT Consultant

Mike Battista, Director, Science & Research at Creyos The COVID-19 pandemic made the word “virtual” a part of our everyday lexicon. Many services that were previously done in person—even schools—quickly made the transition to being virtual. Today, our world is forever changed as many services that once were only in-person continue to be virtual due to convenience, accessibility, and technological advancements that enable everything online.

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CVS Health now tracks extreme heat to warn at-risk patients with personalized resources

Fierce Healthcare

CVS Health has launched an environmental health impact program to help vulnerable Americans during extreme weather events. | Using advanced environmental data analytics and patients' medical and pharmacy data, CVS Health offers timely excessive heat alerts and outreach to at-risk patients up to a week before the event.

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Medicare finalizes higher 2.9% inpatient payment rate for 2025

Health Care Dive

Hospitals still weren’t happy with the final rule despite the bump from the CMS’ proposed rates, citing cuts to long-term and disproportionate share facilities.

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Epic and UW research: Healthcare AI must be equitable, transparent, regulated

Healthcare It News

From enhancing efficiency to helping organizations strengthen essential face-to-face human interactions, artificial intelligence holds significant promise for healthcare. But strong regulation and clear definitions of the technology's use and capabilities will be required. WHY IT MATTERS Those were among the conclusions drawn from a roundtable discussion , featuring two dozen leading experts on healthcare AI, hosted this summer by Epic and UW Health, the integrated health system of the Unive

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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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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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Teladoc posts $838M loss in Q2, lays out BetterHelp strategic pivot

Fierce Healthcare

In its first quarter with new CEO Chuck Divita, national telehealth provider Teladoc Health posted a net loss of $838 million in Q2 that included a nearly $800 million impairment charge a | Teladoc said on its earnings call on Wednesday that challenges with BetterHelp and increasing advertising costs led its revenue to decline in Q2.

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Average cost of healthcare data breach nearly $10M in 2024: report

Health Care Dive

Though expenses declined since last year, healthcare is still the costliest industry for data breaches — a spot the sector has held since 2011.

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

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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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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‘Showing, Not Telling’: How Honor Has Repaired Its Relationship With Home Instead Franchisees

Home Health Care

This article is a part of your HHCN+ Membership After Honor acquired Home Instead in 2021 , many Home Instead franchisees were not sold on the strategic direction they were given. They believed Honor’s model lacked a “proof of concept,” and were unwilling to alter operations to appease their new parent organization. But, over the last few years, a lot of the friction between Honor and Home Instead franchisees has eroded.

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CMS, HHS can use existing federal authority to regulate AI safety in hospitals: JAMA

Fierce Healthcare

As artificial intelligence rapidly makes inroads in healthcare, federal agencies already have the authority to regulator AI at the hospital bedside, according to some healthcare researche | An article published in JAMA Health Forum argues that through the conditions of participation in Medicare and Medicaid, CMS has the authority to oversee how hospitals are implementing AI into patient care.

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Revenue cycle management firm R1 RCM to go private in $8.9B acquisition

Health Care Dive

The deal with private equity firms TowerBrook and Clayton, Dubilier and Rice comes months after New Mountain Capital announced its own takeover bid, which some analysts thought undervalued the company.

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Multiple chronic conditions could be helped with DTx

Healthcare It News

Enterprise Taxonomy: Digital Health Operations Health and Wellness Disease management Technology Business Care Node settings: Exclude from Accelerate RSS feed

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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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Where Honor, Home Instead Want AI To Take Home Care

Home Health Care

This article is a part of your HHCN+ Membership Three years after Honor acquired Home Instead, its goal is not to grow through franchise expansion or acquisition. Instead, it’s trying to find ways for current locations to double, triple and quadruple their current censuses. In part, it plans to open up that opportunity through advanced technology, including artificial intelligence.

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L.A. Care tasks social workers to serve unhoused population

Fierce Healthcare

There are 75,000 homeless people in Los Angeles County, a county that is the size of Delaware and Rhode Island combined and has a population that is larger than 40 states. | L.A. Care Health Plan is sending social workers to temporary housing sites in Los Angeles County to find more permanent housing solutions.

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HealthEquity data breach could affect 4.3M

Health Care Dive

The health benefits administrator said a vendor’s user accounts were compromised, and information like contact details, Social Security numbers and medical information could be exposed.

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New app offers price transparency to help patients lower medical bills

Healthcare It News

The founder and CEO of Billy, Cody Coonradt, discusses how the company's app, which displays hospital pricing data by location, can help patients and advocates negotiate prices for medical procedures.

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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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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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Bipartisan Policy Center urges Congress to extend Medicare hospital at home, telehealth policies by end of year

Fierce Healthcare

The Bipartisan Policy Center released a report on Wednesday that recommends that C | The Bipartisan Policy Center released a report on Wednesday that recommends Congress extend the Medicare Acute Hospital Care at Home waiver for five years to increase uptake.

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Fewer than half of US adults under 50 can readily afford or access healthcare, analysis finds

Health Care Dive

The share of Americans who were either “cost insecure” or “cost desperate” when it comes to healthcare have both increased since 2022, a Gallup and West Health survey found.

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Voices: Navin Gupta, Chief Executive Officer, Viventium

Home Health Care

This article is sponsored by Viventium. In this Voices interview, Home Health Care News sits down with Navin Gupta, Chief Executive Officer, Viventium, to talk about their new research study, the 2024 Caregiver Onboarding Experience Report. He provides an overview of the report and its objectives and delves into the key findings, including the most surprising results.

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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.