Sat.Jul 06, 2024 - Fri.Jul 12, 2024

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Federal Trade Commission to sue three largest PBMs: WSJ

Health Care Dive

Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.

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Digital health funding hit $5.7B through June, on track to surpass 2019 and 2023, Rock Health reports

Fierce Healthcare

U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year. | U.S. digital health startups pulled in $5.7 billion across 266 deals in the first six months of 2024, marking continued momentum in the sector after a rocky few quarters last year.

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VR opens new avenues for teaching neurodiverse people

Healthcare It News

Virtual reality is particularly beneficial for teaching social and life skills, says Floreo CEO Vijay Ravindran, who explains and how investment in extended-reality digital therapeutics is evolving.

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Cybersecurity Vulnerabilities in Implantable Medical Devices

HIT Consultant

Zac Amos, Features Editor at ReHack While digitalization saves lives, it may also threaten them. The uptick in data breaches and cyberattacks targeting the healthcare industry correlates to the number of internet-connected and insecure technology facilities are adopting. Implantable medical devices are one of the latest victims of this trend — and their vulnerabilities could be deadly.

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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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FTC slams pharmacy benefit managers in first report from ongoing investigation

Health Care Dive

On Tuesday, regulators updated the public on their almost three-year-old inquiry into PBMs’ anticompetitive business practices. The report is not positive for the drug middlemen, which immediately criticized it as one-sided.

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OpenAI Startup Fund, Arianna Huffington back new AI health coach venture focused on chronic conditions

Fierce Healthcare

OpenAI's venture fund and Arianna Huffington's Thrive Global are backing a new startup, Thrive AI Health, that aims to build an AI health coach to promote healthier lifestyles. | OpenAI's venture fund and Arianna Huffington's Thrive Global are backing a new startup that aims to build an AI health coach to promote healthier lifestyles.

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All The Payment Factors Included In The 2025 Home Health Proposed Rule

Home Health Care

Providers examining the 2025 home health proposed payment rule may be experiencing some déjà vu, according to William A. Dombi, the president of the National Association for Home Care & Hospice’s (NAHC). “Much of what we see in the rule is just, on the payment side of it in particular, an update from ‘23 and ‘24,” he said during a recent webinar hosted by NAHC.

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CMS’ first No Surprises audit targets Aetna, finds some noncompliance

Health Care Dive

The findings are a “big deal,” according to one expert, as CVS’ health insurer didn’t follow some “major requirements that are essential to ensuring that the IDR process runs smoothly.

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CMS proposes new payments for digital health under CY2025 PFS draft rule

Fierce Healthcare

The Centers for Medicare & Medicaid Services' (CMS') proposed calendar year 2025 physician fee schedule rule, out Wednesday, proposed an assortment of new payments and coverage for digital heal | CMS' proposed changes to digital health payment for physicians includes new codes for mental health-related digital therapeutics, an assortment of telehealth extensions and more flexibilities for opioid treatment programs to use audio and video telehealth services.

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ONC says stakeholders can 'pick up and run' with new regs

Healthcare It News

Touted as the product of 10 years of work, the most recent proposed rule issued July 10 by the Office of the National Coordinator for Health IT will usher in an age of automation for healthcare interoperability through application programming interface-based exchange capabilities, officials said on Wednesday. The second version of ONC's Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing and Public Health Interoperability rule, or HTI-2, is designed to supp

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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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Stanford Medicine Launches AI-Powered Consult to Improve Clinical Decisions + Outcomes

HIT Consultant

What You Should Know: – Stanford Medicine is revolutionizing the way community physicians deliver care with the launch of Patients Like Mine, a suite of services designed to equip them with the data and resources needed to provide high-quality, evidence-based treatment to their patients. – By empowering community physicians with the tools and knowledge they need, this program has the potential to revolutionize healthcare delivery, ensuring high-quality, evidence-based care for all pa

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CMS proposes 2.9% cut to physician pay for 2025

Health Care Dive

Regulators said Medicare’s budget neutrality requirement is to blame for the reduction, which was quickly decried by provider groups. However, it’s likely Congress will step in to mitigate the drop.

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Healthcare industry rails against CISA's 'redundant' and 'burdensome' cyber incident reporting proposal

Fierce Healthcare

Healthcare industry groups are urging the federal government to streamline and loosen a recent proposed rule outlining cybersecurity incident reporting requirements for entities considered to be cr | Hospitals, practices, information management executives and even insurers criticized a proposed rule for its overlap with other federal reporting requirements and limited oversight of smaller third-parties, among other concerns.

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Improving AFib patient experiences

Healthcare It News

An online community for atrial fibrillation will connect patients and caretakers with information on the disease and help to increase beneficial partnerships, says Jim Kaveney, founder of Unlimited Heart Health & Wellness.

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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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Hands-Free Texting for Paralysis Patients: Synchron Integrates Generative AI into BCI

HIT Consultant

What You Should Know: – Synchron , a leading innovator in brain-computer interface (BCI) technology, has announced a groundbreaking integration of generative AI into its BCI platform. – The integration, powered by OpenAI , empowers individuals with severe paralysis to interact with the digital world through thought-controlled texting, offering a new level of communication and independence.

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Judge pauses CMS rule capping compensation for Medicare Advantage brokers

Health Care Dive

Texas Judge Reed O’Connor’s decision suggests he could overturn at least part of the rule, which is meant to curb predatory plan marketing to seniors.

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ONC's HTI-2 proposed rule 'big step forward' for interoperability, health IT experts say, but EHR vendors concerned about timelines

Fierce Healthcare

ONC's HTI-2 proposed rule 'big step forward' for interoperability, health IT experts say, but EHR vendors concerned about timelines hlandi Fri, 07/12/2024 - 14:43

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Enabling teledermatology using patients' cell phone pictures

Healthcare It News

Steven Osborne, Medweb's director of federal business, discusses the company's new teledermatology app, which compresses the highest-resolution images a patient's phone can take without compromising data quality for a doctor's review.

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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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Climate Change Risk to National Critical Functions

The Rand Blog

The changing climate will strain the basic functions that underpin American society. Core services such as supplying water and electricity, providing medical care, and responding to emergencies like floods will face regional- or even national-level disruptions in the years to come.

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Medicare proposes 2.6% bump to hospital outpatient pay next year

Health Care Dive

The sweeping payment rule also solidifies continuous eligibility requirements for children in Medicaid and CHIP, and holds hospitals to higher obstetric care delivery standards in a bid to improve maternal mortality.

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Court pauses CMS broker compensation rule for Medicare Advantage plans

Fierce Healthcare

A recent lawsuit has pushed back against an industry-opposed Centers for Medicare & Medicaid Services (CMS) final rule on broker compensation in Medicare Advantage (MA) plans. | A district court in Texas is halting a federal rule that changes broker compensation and overhauls marketing to seniors.

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How one digital health app helps encourage clinical collaboration

Healthcare It News

Celo's HIPAA-compliant messaging app allows care teams to share information easily without compromising patients' privacy. Jack Clough, the company's chief growth officer, shares more about the technology.

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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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Turning ‘Pain Points’ Into ‘Bliss Points’: The Chief Experience Officer’s Rise In Home-Based Care

Home Health Care

This article is a part of your HHCN+ Membership Despite variations in service lines, size and operations, the best home-based care organizations all have one thing in common. These companies all prioritize the experience — of patients, clients and staff. And while every member of an organization plays a role in shaping the experience, this responsibility largely rests on the shoulders of what is now known as the chief experience officer.

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Federal officials step down from health AI group’s board

Health Care Dive

HHS officials Micky Tripathi and Troy Tazbaz resigned from their roles as non-voting members of the Coalition for Health AI, an industry group working to create standards for artificial intelligence in healthcare.

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WSJ: FTC to sue PBMs over drug pricing tactics

Fierce Healthcare

Just one day after issuing a report blasting pharmacy benefit managers for their business practices and focus on consolidation and vertical integration, the Federal Trade Commission (FTC) is report | The FTC is planning legal action against pharmacy benefit managers for rebate tactics that may hinder consumers and independent pharmacies.

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How automated RPM referrals help reduce readmissions

Healthcare It News

The HIMSS AI in Healthcare Forum is scheduled to take place September 5-6 in Boston. Learn more and register.

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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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Russia Is a Strategic Spoiler in the Indo-Pacific

The Rand Blog

Moscow has recently shown that it remains a formidable presence in the Indo-Pacific. But as long as Russian interference does not fundamentally challenge the United States' own Indo-Pacific strategy, then Moscow's interference is just part and parcel of the emerging multipolar order.

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CMS revised Medicare Advantage star ratings. Here’s which payers benefited.

Health Care Dive

More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a Healthcare Dive analysis.

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CMS floats 2.6% annual outpatient, ASC pay increase, new obstetrics Conditions of Participation

Fierce Healthcare

A proposed rule outlining the Centers for Medicare & Medicaid Services’ (CMS’) intended Medicare payment rates and policy updates for outpatient and ambulatory surgical centers (ASCs) in the co | The administration's CY 2025 OPPS and ASC Payment Systems proposed rule looks to improve obstetrical services, quality reporting and care access.

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OpenAI Startup Fund, Thrive Global launch new company Thrive AI Health

Healthcare It News

The company will build a genAI-enabled expert health coach that personalizes behavioral change.

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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.