Sat.Sep 07, 2024 - Fri.Sep 13, 2024

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PBM executives decline to revise controversial testimony to House committee

Health Care Dive

The leaders of Caremark, Optum Rx and Express Scripts had until Wednesday to walk back statements they made in July — or face potential legal action. However, the executives are sticking to their guns.

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Half of women skip or delay care due to 'triple threat' of factors, report finds

Fierce Healthcare

Half of women in the U.S. skip or delay medical care due to the “triple threat” of affordability, access challenges and past negative experiences, a new Deloitte report finds. | The Deloitte report, based on a survey of more than 2,000 consumers, found that 50% of women report skipping or delaying medical care and are 35% more likely to skip care than men.

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Virtual physical therapy programs help patients stay motivated

Healthcare It News

Luca Chittaro of Italy's University of Udine talks about how immersive virtual reality stories can gamify physical therapy to help distract from pain and encourage patients to increase treatment compliance.

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The Evolution of Search & Its Impact on SEO

Healthcare Success

Search technology has evolved drastically in recent years. “Stop talking about keywords, start talking about queries,” I said in a meeting. What started as simple keyword matching has transformed into a complex, AI-driven system, significantly impacting how we approach digital marketing and SEO. In this two-part series, I explore the evolution of organic and paid search, discuss its impact on your SEO strategy, and share how your healthcare organization can navigate these changes to enhance onli

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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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Telehealth groups urge Congress, White House to extend controlled substance virtual prescribing

Health Care Dive

More than 300 telehealth and provider groups say time is running out for regulators to propose a rule before pandemic-era flexibilities expire at the end of the year.

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UTHealth Houston collaborates with OpenAI to offer clinicians HIPAA-compliant ChatGPT solutions

Fierce Healthcare

UTHealth Houston unveiled a partnership with OpenAI on Friday to build and deploy algorithms for use in medical training and at the patient’s bedside. | UTHealth Houston, an academic medical center in Texas, is partnering with OpenAI to give clinicians, faculty and students access to ChatGPT tools to build custom, HIPAA-compliant AI solutions.

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More Trending

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Top Home Health Operators: If You’re Not Really Good At Something, Ditch It

Home Health Care

Yet another significant cut to home health payments has been proposed by the Centers for Medicare & Medicaid Services (CMS) for 2025. For providers, that means more pushback against cuts is in order, locally and in Washington, D.C. But it also means preparing for a world where Medicare fee-for-service is no longer a reliable backbone. CMS proposed a permanent prospective adjustment to the CY 2025 home health payment rate of -4.067% back in June.

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Major PBMs could be zeroing in on specific payer markets for dominance, study suggests

Health Care Dive

Though CVS Caremark holds a dominant share of the commercial, Medicare Part D and Medicaid managed care markets, each large pharmacy benefit manager seems to be focusing on one particular arena.

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Nationwide hospital mortality risk fell as acuity, volumes rose, report finds

Fierce Healthcare

Hospital patients’ risk of death has fallen substantially since the COVID-19 pandemic and the months preceding it, even as hospitals are treating more and sicker patients, according to a new report | An analysis of 715 hospitals' patient safety metrics showed that patients hospitalized in Q1 2024 were about 22% more likely to survive as compared to Q4 2019, after adjusting for illness severity.

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UC Irvine electronic patient-reported outcome tool reduces cancer care disparities

Healthcare It News

Management of cancer patients' symptoms always has been a challenge for providers, especially among racial/ethnic minoritized (REM) populations that often face health disparities that might negatively impact their health outcomes. THE PROBLEM Hence, over the years many researchers have evaluated whether electronic tools can help facilitate early recognition of symptoms.

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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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CPT 2025 Code Set Released, Featuring AI Integration, Digital Medicine

HIT Consultant

What You Should Know: – The American Medical Association (AMA) has released the CPT® 2025 code set , a comprehensive update that reflects the latest advancements in medical procedures and services. – This year’s release features 420 total changes, including 270 new codes, 112 deletions, and 38 revisions. Key Updates in CPT 2025 CPT codes are essential for data sharing, billing, and reimbursement in the healthcare industry.

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Where healthcare AI startups are raising venture capital funding

Health Care Dive

Just over 5% of companies selling AI to health systems have matured beyond seed and early-stage funding rounds, according to an analysis by Flare Capital Partners.

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Biden admin mandates mental health parity in final rule

Fierce Healthcare

The Biden administration is strengthening private health coverage for individuals seeking mental health and substance use disorder (SUD) care in a final rule unveiled Monday. | The feds are attempting to better regulate mental health coverage by bolstering protections around prior authorization, step therapy and provider networks.

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Queensland begins telestroke pilot and more briefs

Healthcare It News

Queensland to pilot telestroke service at Hervey Bay Hospital The Queensland government has designated Hervey Bay Hospital as the pilot site for the upcoming statewide telestroke service. Based on a media release, doctors and nurses at Hervey Bay Hospital are being prepared for the Queensland Telestroke Service pilot happening in the coming weeks. Queensland is the remaining Australian state to launch a telestroke service.

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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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The Imperative to Stay the Course on Value-Based Transformation

HIT Consultant

Courtney Fortner, President and Chief Executive Officer at Navvis Is value-based care still the right strategy to reduce U.S. healthcare costs? Or is it time to move to what comes next in the generation-long battle to constrain total medical spending? The question is being increasingly asked and with good reason. For 2024 medical costs are projected to rise 7.0% year over year for Individual and Group markets.

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AHA’s new deputy cyber advisor: Hospitals need to think regionally about cyberattacks

Health Care Dive

Hospitals are primed for natural disasters like earthquakes and hurricanes, but many haven’t thought about the domino effect cyberattacks can have locally, said Scott Gee, who joined AHA last month.

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AppliedVR's flagship VR device for chronic lower back pain now in network for Highmark members

Fierce Healthcare

Pittsburgh-based Highmark has signed on as AppliedVR's first commercial payer partner, making its flagship VR device for chronic lower back pain a covered treatment for more than 4 million plan mem | Pittsburgh-based Highmark has signed on as AppliedVR's first commercial payer partner, making its flagship VR device for chronic lower back pain a covered treatment for more than 4 million plan members.

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Many women skip care due to access issues, survey shows

Healthcare It News

The U.S. healthcare system may not be fully meeting the needs of women, if a new report is any indication. In a survey of consumers conducted by the Deloitte Center for Health Solutions, women are 35% more likely than men to say they've skipped or delayed medical care over a 12-month period. The reasons for this come down to access, affordability and past negative experiences.

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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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Better Referral Source Relationships Kickstart Growth For Home-Based Care Providers

Home Health Care

This article is a part of your HHCN+ Membership Referral sources are the lifeblood of home-based care companies. Even with payment and staffing headwinds, solid referral source relationships offer a path to sustainability for providers. At Avid Health at Home, there are a number of elements that go into its referral source strategy. The company prioritizes routine communication, and personalizing outreach.

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Iowa awards Centene Medicaid managed care contract

Health Care Dive

Iowa Total Care, a subsidiary of the St. Louis-based payer, can continue doing business in Iowa’s managed care program, which paid it $2.8 billion in the last fiscal year.

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Gridlock over schedule II telehealth prescribing could impede extension of pandemic-era flexibilities

Fierce Healthcare

Over 300 organizations sent letters to the White House and Congress on Tuesday asking them to extend telehealth controlled substance prescribing rules for an additional two years. | Stakeholders that support the prescription of all controlled substances via telehealth are fighting an uphill battle to get the pandemic-era prescribing flexibilities extended.

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Small Language Models vs. Large Language Models: Which is Better for Healthcare?

HIT Consultant

Diego Espada, VP of Delivery, BairesDev Large language models (LLMs) use AI to reply to questions in a conversational manner. Our friend ChatGPT is an LLM. It can reply to an uncapped range of queries because it taps into one billion or more parameters of data. Small language models (SLMs) are their pocket-sized cousins. An SLM specializes in tasks associated with smaller, more focused datasets.

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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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Bayada, HomeWell Leaders Share Strategies For Recognizing And Retaining Office Staff

Home Health Care

Office staff have the highest client satisfaction scores among home health care provider employees. They also have the lowest administrative salaries. These salaries can impact job satisfaction and cause employees to seek employment elsewhere, according to the 2024 Activated Insights Benchmarking Report. Some organizations are turning to recognition to combat this trend.

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CMS says data breach at contractor could affect more than 946K Medicare beneficiaries

Health Care Dive

The incident was related to a vulnerability in the MOVEit file transfer software, which was linked to data breaches at thousands of organizations last year.

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Mercer: Employer benefit costs set to rise by more 5% in 2025 for 3rd straight year

Fierce Healthcare

Employers are bracing for a third straight year with health benefit costs increasing more than 5%, according to a new report from Mercer. | Employers are bracing for a third straight year with health benefit cost increases of more than 5%, according to a new report from Mercer.

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World Sepsis Day 2024: Focus on Protecting Children from Sepsis

CDC

For the last seven years, Get Ahead of Sepsis has encouraged patients, their loved ones, and healthcare professionals to know the risks, spot the signs and symptoms, and act fast if they suspect sepsis during Sepsis Awareness Month and year-round. Anyone can get an infection, and almost any infection can lead to sepsis. Some people are at higher risk, including children younger than one.

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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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Proposed Bill Aims to Resolve CDPAP Controversies and Address Critical Concerns in New York

HKLaw

A new bill was introduced in the New York State Senate last week in an attempt to address recent changes made to the Consumer Directed Personal Assistance Program (CDPAP), which effective April 1, 2025, will allow only a single statewide fiscal intermediary (FI) to administer the program.

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Medicare Advantage bonuses poised to drop this year for first time since 2015, KFF says

Health Care Dive

Still, plans are expected to rake in $11.8 billion in bonuses, with half of that tranche going to just two insurers: UnitedHealthcare and Humana.

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AMA study: The 4 largest PBMs control 70% of the market nationally

Fierce Healthcare

The four largest pharmacy benefit managers in the U.S. | The four largest pharmacy benefit managers in the United States control 70% of the national market, according to new data from the American Medical Association.

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‘Only The Beginning’: Signify Health Dives Into Condition-Focused Home Visits

Home Health Care

Signify Health has launched condition focused visits, a new service that provides screening and preventive care tailored around various complex chronic conditions. These services are delivered in the home. “Condition focused visits are really giving the member, and the provider who is with them in their home, more dedicated time to do some customized care planning and education about that particular condition,” Dr.

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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.