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

article thumbnail

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 340
article thumbnail

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.

Medicare 342
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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.

article thumbnail

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.

article thumbnail

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

article thumbnail

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.

Medicare 336
article thumbnail

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.

Medicare 336

More Trending

article thumbnail

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.

Nursing 119
article thumbnail

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.

334
334
article thumbnail

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.

Doctors 336
article thumbnail

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

article thumbnail

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

article thumbnail

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.

article thumbnail

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.

Medicare 320
article thumbnail

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.

article thumbnail

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

article thumbnail

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.

article thumbnail

Inside the New World of Telehealth: 4 Keys to Success

Home Health Care

When Enhabit Home Health & Hospice needed to better manage their fast-evolving, complex patient population, they got serious about patient engagement and virtual visits. The benefits came quickly. “We saw an increase in clinician capacity, allowing us to do more with less,” says Vice President of Care Management Shelley Baker of Enhabit, which provides care annually to 228,000 patients.

Nursing 105
article thumbnail

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.

article thumbnail

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.

330
330
article thumbnail

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.

article thumbnail

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.

article thumbnail

‘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.

Home Care 116
article thumbnail

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.

article thumbnail

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.

327
327
article thumbnail

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

170
170
article thumbnail

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.

article thumbnail

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).

105
105
article thumbnail

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.

article thumbnail

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.

324
324
article thumbnail

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.

Hospitals 155
article thumbnail

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.

article thumbnail

More Home Health Providers Are Embracing Payer Agnosticism, Shifting Away From Medicare

Home Health Care

MD Home Health — one of the largest providers in Arizona — has worked to establish itself as the “care for everyone” company, embracing payer agnosticism. Currently, the company’s payer mix is around 20% Medicare and 80% non-Medicare, as in Medicare Advantage (MA), private insurers and others. “I just think of the things that every other agency, when I ran them, declined,” Joseph Furtado, administrator of MD Home Health, told Home Health Care News.

Medicare 116
article thumbnail

North Carolina to offer enhanced Medicaid funds to hospitals that help eliminate medical debt

Health Care Dive

The incentive program offers hospitals a carrot for relieving debt that health systems were unlikely to recover anyway, with experts labeling the program a “win-win” for patients and providers.

Hospitals 312
article thumbnail

Alignment Healthcare raises full-year guidance after favorable star rating recalculations

Fierce Healthcare

Plan membership at Alignment Healthcare is again higher than previously expected, the company announced ahead of its second-quarter earnings call. | Alignment Healthcare says it is on pace for full-year adjusted EBITDA guidance and increasing its membership outlook after its second-quarter earnings call.

article thumbnail

Flo Health reaches unicorn status after $200M raise

Healthcare It News

Enterprise Taxonomy: Node settings: Exclude from Accelerate RSS feed

156
156
article thumbnail

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.