Sat.Nov 02, 2024 - Fri.Nov 08, 2024

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Doctors, facing another pay cut in 2025, call for permanent Medicare payment reform

Fierce Healthcare

The Centers for Medicare and Medicaid Services (CMS) is moving forward with a 2.9% cut to physician payments in 2025 despite protest from major industry groups. | The Centers for Medicare and Medicaid Services (CMS) is moving forward with a 2.9% cut to physician payments in 2025 despite protest from major industry groups.

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MedPAC backs tying physician pay to inflation, but ducks specifics

Health Care Dive

During a meeting Thursday, commissioners debated different solutions to lackluster physician pay with one theme in common: linking doctors’ annual payment update to the Medicare Economic Index.

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Are genAI-produced visit summaries the future?

Healthcare It News

A project at Beth Israel Deaconess Medical Center's new OpenNotes Lab aims to explore the opportunities and challenges of using artificial intelligence to generate patient visit summaries. WHY IT MATTERS The initiative, which will see OpenNotes collaborate with clinical genAI developer Abridge, will study how AI can enable collaboration between patients and clinicians, while advancing transparency and promoting health equity, they say.

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Aveanna Relies On Its ‘Uniquely Different’ Approach To Outlast Rate Pressures

Home Health Care

Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH) continues to push forward in its efforts with government and preferred payers. “While we continue to operate in a challenging labor and inflationary environment, our preferred payer strategy allows us to return to a more normalized growth rate in our business segments,” Aveanna CEO Jeff Shaner said during the company’s third-quarter earnings call Thursday.

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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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Presbyterian Healthcare Services taps RhythmX AI to roll out gen AI copilots for primary care

Fierce Healthcare

The U.S. faces a critical shortage of primary care physicians, and the labor crunch is projected to get worse. | The company is working with New Mexico-based Presbyterian Healthcare Services to pilot its primary care AI pilot.

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Physicians, hospitals decry 2025 Medicare payment rates

Health Care Dive

Physicians will see their Medicare reimbursement fall 2.9% next year if Congress doesn’t stop the cuts. Meanwhile, reimbursement for hospital outpatient departments is rising 2.9%.

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Harnessing Health Technology and Precision Data to Transition to Proactive Healthcare

HIT Consultant

Justin Sirotin, Founder and CEO of OCTO Amidst the backdrop of the United States being the world’s highest spender on healthcare, a sober reality emerges: despite this immense investment, the nation faces many alarming statistics on the state of public health. With the lowest life expectancy among developed nations, coupled with distressingly high rates of avoidable deaths, maternal and infant mortality, as well as an epidemic of chronic conditions and obesity, the current state of healthcare in

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Why Oscar Health co-founder Mario Schlosser is bullish on ICHRA

Fierce Healthcare

LAS VEGAS — Employers' healthcare costs continue to rise, leading them to seek new alternatives to drive down expenses while avoiding steps to shift additional costs to workers. | In response to rising costs, some in the industry have been beating the drum for individual coverage health reimbursement arrangements, or ICHRA.

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MACPAC calls for greater transparency amid steep rise in Medicaid directed payments

Health Care Dive

Dramatic growth in an opaque Medicaid funding mechanism is exacerbating concerns about the program’s fiscal integrity — while spurring financial gains for the hospital industry.

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How VR exposure therapy is helping patients overcome their phobias

Healthcare It News

Virtual reality holds huge potential, says Adam Hutchinson, founder and CEO of oVRcome, which recently ran a trial of its self-guided tool for social anxiety. He discusses the goal of closing the gap in access to VR treatment for providers and patients.

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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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While Home Infusion Is The Next Big Thing In Home-Based Care, Barriers Remain  

Home Health Care

This article is a part of your HHCN+ Membership The home infusion industry is experiencing significant growth due to the increasing number of aging patients wanting to remain in their homes. However, like many areas of home-based care, reimbursement isn’t keeping up with the cost of care. Driven by an emphasis on cost-effectiveness, containment and the desire for patients to remain at home while recovering from illness, home infusion is cited as a $19 billion industry made up of more than 900 pr

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Quest Diagnostics expands network partnership with Anthem plans

Fierce Healthcare

Quest Diagnostics and Elevance Health are broadening their partnership into four more states with the goal of making it easier for patients to access in-network laboratory services. | Quest Diagnostics and Elevance Health are broadening their partnership into four more states, with the goal of making it easier for patients to access in-network laboratory services.

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Federal government notches rare win in surprise billing lawsuit

Health Care Dive

Last week, the 5th Circuit Court of Appeals sided with the federal government’s original interpretation of the No Surprises Act in determining how a key metric in billing disputes is calculated.

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MedStar extends acute care at home to Baltimore

Healthcare It News

MedStar Health announced Monday that its acute care at home is now available to Baltimore patients of its Franklin Square Medical Center, Good Samaritan, Harbor and Union Memorial hospitals. WHY IT MATTERS Through the collaboration, Dispatch Health offers pre-scheduled home visits daily, including weekends and holidays, following discharge from emergency departments and inpatient hospital units – typically within 72 hours – MedStar said.

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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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Amedisys’ Medicare Advantage Gains Outpace Traditional Medicare Losses

Home Health Care

Non-Medicare and high-acuity care revenue continue to grow substantially at Amedisys Inc. (Nasdaq: AMED). While the company waits to become a part of UnitedHealth Group (NYSE: UNH) – in a $3.3 billion billion deal – it has repeatedly reported significant gains in those two areas. In the third quarter, total same-store home health admissions increased by 12% year over year at Amedisys.

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General Catalyst's HATCo moves forward on $485M Summa Health deal

Fierce Healthcare

Venture capital firm General Catalyst's Health Assurance Transformation Corporation (HATCo) signed a definitive agreement to buy Summa Health for $485 million, the organizations announced Thursday. | Venture capital firm General Catalyst's Health Assurance Transformation Corporation signed a definitive agreement to buy Summa Health for $485 million, the organizations announced Thursday.

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Ascension Michigan settles multi-year dispute about employee vaccination policy

Health Care Dive

The health system will offer up to five weeks of back pay to staff that were denied religious exemptions for COVID-19 vaccine mandates.

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Clinicians can help design digital experiences that support patients and staff

Healthcare It News

Enterprise Taxonomy: Operations Core Technologies EHR Professional Development Business Technology Workforce 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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Enhabit To Shutter Handful Of Home Health Locations, ‘Close’ To New Deal With UnitedHealthcare

Home Health Care

Enhabit Inc. (NYSE: EHAB) has a new CFO and a somewhat new strategy. It still faces a lot of the same problems. On Thursday, CEO Barb Jacobsmeyer said the company would be closing or consolidating certain locations that are underperforming, specifically when it comes to traditional Medicare business in home health care. While its payer innovation strategy is still intact, that’s largely a departure from its goal of moving more toward Medicare Advantage (MA) revenue over the last couple of years.

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Handshakes and happy hours: Can HLTH affect infectious disease spread in Vegas? Verily aims to find out

Fierce Healthcare

How does a multiday mass gathering affect the local concentration of diseases like COVID-19? | Verily is working with the Las Vegas water treatment agency, water authority and health department to monitor the local wastewater for eight different pathogens. The pilot project was timed around the HLTH conference, with daily testing happening from one week before to one week after.

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Few state Medicaid programs cover GLP-1s for obesity: KFF

Health Care Dive

Still, gross spending on the drugs increased by more than 500% from 2019 to 2023, according to the health policy research firm.

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What Do Patients Want from Digital Care? 4 Difference Makers That Improve the Patient Experience

Medbridge Education

Digital healthcare use is on the rise, and patient preferences for digital care are also growing. For example, 80 percent of patients say that they want to interact with their healthcare providers using a smartphone. It’s not that patients no longer value in-person care; on the contrary—they simply want the fast connection and engagement that […] The post What Do Patients Want from Digital Care?

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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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The Pennant Group Adds Fuel To Its Home Health ‘Growth Engine’

Home Health Care

As The Pennant Group (Nasdaq: PNTG) expands its home health footprint rapidly across the country, developing local leaders remains at the heart of the company’s operating model. That’s according to Pennant CEO Brent Guerisoli. He reiterated Pennant’s focus on this strategy during the company’s third-quarter earnings call Thursday. “The significant investment we have made in our leadership and development programs is the catalyst for enduring momentum,” Guerisoli said.

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CMS puts forward meager offering for digital health in final Medicare physician fee schedule rule

Fierce Healthcare

Days before the 2024 presidential election, the Centers for Medicare & Medicaid Services (CMS) released an unpublished version of the final calendar year 2025 physician fee schedule final rule | Digital therapeutics, telehealth, rural heath clinics and opioid treatment programs all got updates in the final 2025 Medicare physician fee schedule rule, but CMS was limited by its statutory authority to make many substantial changes to digital health policy.

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CVS appoints new Aetna head following mixed third-quarter results

Health Care Dive

This year has been defined by an unsuccessful fight against elevated medical costs for CVS. The third quarter was no different.

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American Brain Foundation Launches $10M Neuroinflammation Research Initiative

HIT Consultant

What You Should Know: – The American Brain Foundation has launched a $10 million cross-disciplinary research initiative that transcends traditional research and philanthropy boundaries by bringing together nonprofit organizations, pharmaceutical and biotech investors, philanthropists, and researchers. – The initiative will provide funding for research by top neuroscientists to investigate the role of neuroinflammation in a wide range of brain diseases, both neurologic and psychiatri

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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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Amid Company Turmoil, CVS Health’s New CEO Sees Signify Health As A Bright Spot

Home Health Care

Amid several recent developments at CVS Health (NYSE: CVS), Signify Health and Oak Street Health have been bright spots, according to company leaders. “Signify delivered another strong quarter,” CVS Health President and CEO David Joyner said during the company’s third-quarter earnings call. “Aetna members served by Signify have nearly doubled compared to last year, supported by our ability to utilize touch points across CVS Health.

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CMS finalizes 2.9% pay increase for outpatient facilities, ASCs, with new maternal health mandates

Fierce Healthcare

Under a final rule issued by the Centers for Medicare and Medicaid Services, outpatient hospital facilities and ambulatory surgical centers will get a 2.9% Medicare pay increase next year, up from | Under a final rule issued by CMS, outpatient hospital facilities and ambulatory surgical centers will get a 2.9% Medicare pay increase next year, up from the 2.6% boost in reimbursement that was floated in the draft rule.

Medicare 315
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Elevance Health sues HHS over Medicare Advantage star ratings

Health Care Dive

The payer joins several other insurers suing federal regulators over the 2025 quality ratings, which Elevance argues will cost it at least $375 million in bonus payments and rebates.

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National Handwashing Awareness: Make Handwashing a Priority

Healthcare Highways

National Handwashing Awareness Week is a sig n if i c ant public health initiative that aims to raise awareness about the importance of handwashing in preventing the spread of germs and illness. This year, the week is observed from December 1 to 7, 2024.

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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.