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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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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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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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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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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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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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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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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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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AI-powered cognitive priming helps one PT clinic improve care and boost its bottom line

Healthcare It News

Matt Mastenbrook, DPT, clinic manager and treating physical therapist at Baylor Scott & White Institute for Rehabilitation, says one of his first goals as a manager was to set his clinic apart from the many others in the area. And leading-edge technology would be a key change agent. THE PROBLEM Mastenbrook decided to advance and optimize Baylor's use of the CogPT platform, developed by vendor Academy Medtech Ventures.

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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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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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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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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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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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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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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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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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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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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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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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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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Adopting Uniform National Provider Directory Standards Will Promote Interoperability

HIT Consultant

Alex Young, Director of Technical Operations, DirectTrust The concept of interoperable care centers on the ability of providers to share patient information. Still, providers continue to find navigating the exchange of patient data difficult. A 2019 data brief from the Office of the National Coordinator for Health Information Technology underscores the interoperability challenges that clinicians face: 85% find it challenging to exchange data with EHRs that aren’t theirs 73% use multiple systems

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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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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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Senate committee expected to hold Steward CEO in contempt

Health Care Dive

Ralph de la Torre drew ire from lawmakers after failing to appear before a Senate subcommittee on Thursday despite receiving a subpoena.

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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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AI Shows Promise in Early Lung Cancer Detection via Chest X-rays

HIT Consultant

What You Should Know: – A new study presented at the International Association for the Study of Lung Cancer (IASLC) 2024 World Conference on Lung Cancer offers exciting possibilities for early lung cancer detection. – Researchers at Phrapokklao Hospital’s Cancer Centre of Excellence in Bangkok, Thailand, used an AI-powered chest X-ray interpretation tool (qXR from Qure.a i) and found promising initial results.

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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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Ukraine Needs a New Storyline

The Rand Blog

Wars have simple strategic storylines. Ukraine, lacking a clear narrative, needs one to sustain Western support. The recent Kursk counteroffensive offers a reset, but Kyiv must articulate a plan.

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Elevance to acquire Indiana University Health’s insurance business

Health Care Dive

IU Health Plans will operate under the Anthem Blue Cross and Blue Shield brand after the deal closes, which is expected at the end of 2024.

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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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Aledade Launches New Provider Recruitment Service for Practices

HIT Consultant

What You Should Know: – Aledade , the nation’s largest network of independent primary care, has launched a new service to accelerate practices’ ability to hire physicians, advanced practice providers and new staff, addressing the ongoing nationwide workforce challenges that primary care practices encounter. – Aledade’s Practice Health Recruiting Solution streamlines the hiring process – from initial opportunity intake to candidate sourcing and vetting – of both clinical and non-cli

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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.