Sat.Dec 16, 2023 - Fri.Dec 22, 2023

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Are hospital quality metrics causal?

Healthcare ECONOMIST

That is the question asked by a recent NBER working paper by Chandra et al. (2023). This question is important for a variety of reasons. First, quality measure data collection is expensive. Saraswathula et al. 2023 found that Johns Hopkins Hospital had to report 162 unique quality metrics, and the cost for collecting these data were over $5.6m dollars ($5.0m plus $0.6m in vendor fees.

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WeightWatchers rolls out telehealth clinic to prescribe weight loss drugs

Fierce Healthcare

WeightWatchers is adding its name to the growing list of companies providing telehealth weight loss management and access to buzzy GLP-1 medications. | WeightWatchers is adding its name to the growing list of companies providing telehealth weight loss management and access to buzzy GLP-1 medications.

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Patients Crave Conversational Texting, Frustrated by Simplistic Healthcare Communication

HIT Consultant

What You Should Know: – A new survey by Artera , a leader in patient communication technology, reveals a stark disconnect between how healthcare providers communicate and what patients actually want. – The findings, based on responses from over 2,000 patients, paint a picture of frustration and missed opportunities, with simple phone calls and one-dimensional text messages falling short of patient expectations.

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Biden administration urges 9 states to curb high child Medicaid, CHIP disenrollments

Health Care Dive

Nine states account for about 60% of the decline in children’s Medicaid and Children’s Health Insurance Program enrollment from March through September, according to data from the CMS.

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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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Most doctors have not yet tried AI but are 'cautiously optimistic' about the benefits

Fierce Healthcare

The hype around healthcare artificial intelligence has reached a fever pitch but most doctors are holding back from trying it out in their medical practice, for now. | Among those who are holding off, doctors report lack of confidence in accuracy and a lack of integration or access through existing tools — as key obstacles to adoption.

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Telehealth sees a dip as patients pull back on virtual care

Healthcare It News

Steven Ullman, director at the Center for Health Management and Policy at the University of Miami, says utilization has dropped to 5.4% of medical claims since telehealth use skyrocketed during the pandemic.

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UnitedHealth, OptumRx sued by independent pharmacy over ‘unconscionable’ fees

Health Care Dive

Osterhaus Pharmacy in Iowa — which is also suing CVS Caremark — is taking issue with pharmacy benefit managers’ use of performance-based fees that it says are contributing to independent pharmacy closures.

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2024 Outlook: Despite hurdles, stakeholders bullish on VR in behavioral health

Fierce Healthcare

Though often associated with gaming, virtual reality (VR) is a technology rapidly evolving in healthcare. | VR therapy is not a new concept, though it wasn’t until the last few years that the field became prominent. And as technology has improved and gotten more intuitive to use, it has also become less expensive.

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Deep Flaws in FDA Oversight of Medical Devices, and Patient Harm, Exposed in Lawsuits and Records

KHN

Living with diabetes, Carlton “PeeWee” Gautney Jr. relied on a digital device about the size of a deck of playing cards to pump insulin into his bloodstream. The pump, manufactured by device maker Medtronic, connected plastic tubing to an insulin reservoir, which Gautney set to release doses of the vital hormone over the course of the day.

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Sensitive Data Requires Great Responsibility: The Importance of ‘Privacy and Security by Design’ in Healthcare

HIT Consultant

Chris Bowen, founder and CISO at ClearDATA In healthcare, sensitive data comes with great responsibility. For companies entrusted with managing and protecting patients’ personal information, ensuring the privacy of that data must be the highest priority. These companies are called to act as vigilant guardians, especially when you consider that secure and accurate data can literally save lives.

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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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Ohio hospital, vendor hit with class action suit after data breach

Health Care Dive

The suit alleges Salem Community Hospital and Perry Johnson & Associates waited months before informing affected individuals. The breach may have exposed the data of nearly nine million people across the country.

Hospitals 278
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Few health plans have dedicated Alzheimer’s and dementia care management strategy: survey

Fierce Healthcare

Health plans and value-based care organizations are ill-prepared to help patients with Alzheimer’s Disease or related dementia. | Only a small fraction of health plans and value-based care organizations have a fully developed care management model for its enrollees with dementia or Alzheimer's, a new survey shows.

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Patients Facing Death Are Opting for a Lifesaving Heart Device — But at What Risk?

KHN

Too old and too sick for a heart transplant, Arvid Herrman was given a choice: Have a mechanical pump implanted in his heart, potentially keeping him alive for several years, or do nothing and almost certainly die within a year. The 68-year-old Wisconsin farmer chose the pump, called a HeartMate 3 — currently the only FDA-approved device of its kind in use.

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Get Ready – MIPS 2023 Data Submission Period isn’t Far Now!

p3care

All in all, MIPS 2023 has been a hard time for participants. Anyhow, those with the best MIPS reporting plans have managed to stand by in the hardest times. Moving from one benchmark to another, participants have collected the MIPS reporting data. We know that every category of MIPS reporting has separate data completeness requirements. So, it is not an easy task to complete or exceed data completeness criteria.

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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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Lawsuit alleges New Jersey’s telehealth licensure rules hamper access to care

Health Care Dive

The suit comes as relaxed pandemic-era licensure rules for virtual care expire. Standard regulations are onerous for patients who may not be able to access specialty care for rare conditions, the lawsuit said.

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BCBS of Massachusetts faces backlash from docs over anesthesia coverage policy change

Fierce Healthcare

A new policy from Blue Cross Blue Shield Massachusetts, starting Jan. | Some patients needing a colonoscopy in Massachusetts won't be covered for monitored anesthesia care, or MAC, starting Jan. 1. Blue Cross Blue Shield Massachusetts is standing by the policy, which will save the insurer money but require the patient to remain awake for the operation.

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Combatting Elder Abuse in Long-Term Care: Challenges and Opportunities of Electronic Monitoring

Bill Of Health

By Laura C. Hoffman The aging population is growing at an extraordinary rate in the U.S. By 2040, it is anticipated that the U.S. aging population (defined as those ages 65 and older) will double, totaling 80 million. Given this growth, preventing elder abuse must be at the forefront of policymaking. The U.S. Centers for Disease Control and Prevention (CDC) has recognized elder abuse as a “serious” problem that is commonly occurring, yet significantly underreported, in the U.S.

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‘AGGA’ Inventor Testifies His Dental Device Was Not Meant for TMJ or Sleep Apnea

KHN

A Tennessee dentist who has been sued by multiple TMJ and sleep apnea patients over an unproven dental device he invented has said under oath that he never taught dentists to use the device for those ailments — contradicting video footage of him telling dentists how to use it. Related Articles This Dental Device Was Sold to Fix Patients’ Jaws.

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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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Elevance, BCBSLA resurrect $2.5B merger

Health Care Dive

Two months after the insurers shelved their plan to merge after public outcry in Louisiana, Elevance and BCBSLA are bringing a new plan to the table they think will assuage regulatory concerns.

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ChristianaCare pays $47M to resolve former compliance officer's kickback allegations

Fierce Healthcare

Wilmington, Delaware-based ChristianaCare has agreed to a $47.1 million settlement resolving illegal kickback allegations flagged by its former chief compliance officer, Ronald Sherman. | The agreement is the largest False Claims Act settlement in Delaware's history and paves the way for future cases against hospitals that provide private physician groups with free services from their employees, legal counsel said.

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From $40M to $400M: How HouseWorks Dramatically Grew Its Business in 12 Months

Home Health Care

One of the most well-established independent home care companies in the nation is heading into the new year with a new identity – and a much larger overall business. Just a few years ago, the Greater Boston-based HouseWorks brought in about $25 million in annual revenues, with nearly all of that coming from private-pay home care services. Now, with 2024 in sight, the provider is approaching $400 million in revenue with a diversified payer mix increasingly weighted toward Medicaid.

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How long does It take for vitamins to work?

Healthcare Associates

Starting a new vitamin regimen for your health can be exciting. Vitamins are naturally ingested through the foods we eat daily, but if you are lacking in one or some, your doctor may recommend you take supplements to replenish them in your body. You may have a few questions about it, such as how long it takes for the vitamins to work. When can you start to see the effects of particular vitamins?

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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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No Surprises Act dispute portal reopens again amid ‘challenging’ policy rollout

Health Care Dive

The CMS has repeatedly stopped and restarted arbitration this year as court cases snarl regulatory efforts to resolve surprise billing disputes.

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2024 Outlook: How tech, incentives could push measurement-based care in behavioral health

Fierce Healthcare

Imagine if a patient came to see a doctor for high blood pressure. | Imagine if a doctor measured a patient's blood pressure once on intake, and then never again, while continuing their treatment. While the idea of not having quantifiable data to measure outcomes in medical care seems absurd, that is most often the case in behavioral health. Could that soon change?

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Increasing EHR usability and improving patient safety

Meditech

Despite the wide adoption and optimization of EHRs across the continuum of care, some healthcare leaders view EHR usability as a pain point. This is proven by a recent JAMA Study (Journal of the American Medical Association) that found a positive association between frontline user–rated EHR usability and EHR safety performance.

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The Home-Based Care Executive Quotes That Struck A Cord In 2023

Home Health Care

To find the most memorable home-based care executive quotes in 2023, Home Health Care News employed a strategy that is part art, part science. Ultimately, the quotes chosen resonated the most with HHCN’s staff and readers. They were prescient, controversial, telling and highly relevant to provider struggles and opportunities. They touched on the Centers for Medicare & Medicaid Services’ (CMS) home health payment rates, Medicare Advantage (MA) plans, operational realities and the future of ho

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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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Predictions on 2024 healthcare M&A trends: What leaders need to know

Health Care Dive

A shift in funding sources, new regulatory policies in Medicare and technology advances may influence M&A in the sector next year, according to Samantha Prokop from law firm Gunster, Yoakley & Stewart.

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2024 Outlook: 'Blurring of the lines' as providers, retailers and payers plotting primary care plays

Fierce Healthcare

Health systems, insurers, retailers like CVS and tech companies like Amazon are all scrambling for a bigger piece of the medical pie. | Patients are looking for easier access to medical services and more convenience and this is opening big opportunities for insurers, retailers, tech companies and nontraditional players to muscle their way into primary care.

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PCA Rx & Cost Plus Drugs Partner to Transform Drug Pricing Transparency

HIT Consultant

What You Should Know: – PCA Rx and Cost Plus Drugs , are joining forces to tackle the longstanding issue of opaque and inflated drug pricing in the US healthcare system. – This landmark collaboration paves the way for greater transparency, accessibility, and affordability for employers and individuals nationwide. Prioritizing Drug Pricing Transparency By prioritizing transparency, this partnership empowers employers and members to make informed choices and fosters a more engaged heal

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Watch MEDITECH customers share how they are driving transformational change

Meditech

Whether we are visiting our customers on-site or interviewing them at conferences such as MEDITECH LIVE, we love getting the chance to connect with healthcare leaders who are driving transformational change. This year we’ve shared many videos on our YouTube channel that feature MEDITECH customers discussing how leveraging a sophisticated EHR platform has improved the experience of clinicians, patients, and healthcare executives.

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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.