Thu.Oct 03, 2024

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Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings

Healthcare Dive

Only 25% of Humana members will be in plans with four stars or above next year, down from 94% this year, the insurer disclosed Wednesday. The downgrade could wipe out Humana’s profits in 2026.

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The MRO Exchange: Interoperability with Anthony Murray, Cyrus Bahrassa, and Lydia Wardi

MRO Compliance

Healthcare NOW Radio Podcast Network · MRO Exchange: Interoperability with Cyrus Bahrassa Lydia Wardi S1E8: Host Anthony Murray, Chief Interoperability Officer, is joined by healthcare interoperability consulting leader, Cyrus Bahrassa, and MRO senior counsel, Lydia Wardi, for a conversation surrounding all things interoperability. They walk through the evolution of healthcare interoperability and unpack advancements in technologies and regulations that impact the current state of information ex

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Teladoc COO to depart at year end

Healthcare Dive

Mike Waters’ resignation comes after other leadership changes at the telehealth vendor, including the departure of Teladoc’s former CEO this spring.

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CMS faces another star ratings lawsuit, this time from UnitedHealthcare

Fierce Healthcare

Another significant legal headache related to star ratings is on the table of the federal government just days before open enrollment begins. | One call center interaction is at the crux of a lawsuit UnitedHealthcare is bringing forward against the federal government because of a reduced star rating score.

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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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CHS offloads two North Carolina hospitals to Iredell Health

Healthcare Dive

The sale offers a lifeline for struggling Davis Regional Psychiatric Hospital, which stakeholders worried could close after CHS’ deal to sell the facility to Novant Health fell through in June.

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Medicare tweaks rules for second round of drug price talks

Healthcare Dive

The agency will offer earlier meetings with drugmakers as well as solicit more patient feedback on the process.

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Texas sues PBMs, manufacturers over insulin ‘conspiracy’

Fierce Healthcare

The state of Texas is accusing major pharmacy benefit managers and drug companies of colluding to raise the cost of insulin. | Texas is suing drug manufacturers and the big three PBMs for insulin pricing tactics that adversely impacted the state's diabetes patients.

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OSHA Compliance in Dentistry: Creating a Safe Work Environment 

American Medical Compliance

Occupational Safety and Health Administration (OSHA) regulations are vital for maintaining a safe and healthy work environment in all industries. This includes dentistry. According to NSC Injury Facts, workplace injuries cost businesses $167 billion in 2021. As dental professionals, it’s crucial to understand and adhere to OSHA dental compliance standards to ensure the well-being of both staff and patients.

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WebMD Ignite Launches Coach for Health Plans to Boost Member Engagement

HIT Consultant

What You Should Know: – WebMD Ignite, a leading full-service growth partner for organizations in the healthcare industry, today announced the launch of Coach®, an integrated solution that enhances and elevates care management programs. – Engineered specifically for health plans, Coach is a comprehensive platform that integrates seamlessly into care managers’ workflows, enabling them to deliver tailored health education, videos and interactive resources to members to improve

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Real-Life Examples of HIPAA Violations and How to Avoid Them

Speaker: Jack Clough, Chief Growth Officer

Download our 30-minute webinar where we delve into real-life examples of HIPAA violations and preventative measures every organization should know! You will learn: The critical factors that lead to HIPAA violations and how to identify them. Three compelling real-life cases of organizations that faced severe HIPAA penalties. Proven strategies to safeguard YOUR organization against HIPAA violations.

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Blood transfusion IT systems restored at Guy’s and St Thomas’

Digital Health News

Guy's and St Thomas' NHS Foundation Trust is able to issue all blood group products for transfusions, following the cyber attack on Synnovis.

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Leading cancer centers launch Cancer AI Alliance with $40M from big tech

Fierce Healthcare

Four of the nation’s leading cancer centers are coming together to work on AI through a newly formed collaborative, the Cancer AI Alliance (CAIA). | Four leading cancer centers are leveraging their data resources and AI to gain ground on cancer.

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Portal to launch across Wales to improve dental treatment access

Digital Health News

A digital service is being rolled out to improve access to routine NHS dental treatment for people in Wales.

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CMS authorizing accelerated, advance payments for hurricane-impacted providers, suppliers

Fierce Healthcare

Providers and suppliers feeling the weight of Hurricane Helene and its aftermath will see accelerated and advance Medicare payments, alongside other assistances and flexibilities, the Centers for M | CMS said it wants to head off “significant cash flow issues from the unusual circumstances impacting facilities’ operations.” It is also offering other flexibilities around debt repayments.

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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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Contrast between tech for personal use and IT we face at work is extreme

Digital Health News

Are NHS staff becoming disengaged because they are tired of struggling with slow, clunky IT?

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Pager Health Reimagines Personalized Healthcare with Generative AI

HIT Consultant

What You Should Know: – Pager Health , a connected health platform company serving more than 26 million members in the United States and Latin America, today announced the launch of ReallyWellSM. – Combining clinical support, wellness services and contextual navigation, ReallyWell leverages generative AI to conduct deep-dive analyses of all-encompassing data sets for each member and patient, creating an unprecedented, one-size-fits-one personalized engagement experience for health

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Countess of Chester Hospital introduces DrDoctor patient portal

Digital Health News

Countess of Chester Hospital NHS Foundation Trust has partnered with patient engagement platform (PEP) supplier DrDoctor.

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October is Cybersecurity Awareness Month

HealthIT Answers

Throughout October we will be spotlighting cybersecurity in healthcare. We begin with resources and research from federal agencies, HHS, AHRQ, ASTP/ON, and DHS. The post October is Cybersecurity Awareness Month appeared first on Health IT Answers.

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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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HHAeXchange Acquires Sandata Technologies: Expanding Homecare Solutions

HIT Consultant

What You Should Know: – HHAeXchange , a provider of homecare management solutions, announced today its acquisition of Sandata Technologies , a veteran in the homecare industry with four decades of experience. Financial details of the acquisition were not disclosed. – The strategic move strengthens HHAeXchange’s position in the rapidly growing home and community-based services (HCBS) market, where demand for personal care aides is projected to increase by 43% between 2020 and 20

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Health IT Business News, Financial Edition – October 3, 2024

HealthIT Answers

Business and financial news from Inovalon, Infinx, HITRUST, Medicomp Systems, Secure Exchange Solutions, Tendo, InteliChart, Omniscient Health, Marathon Health, ResultsCX, Ochsner Health System, Reimagine Care, Talkdesk, VisiQuate, CareSource, BeMe and more. The post Health IT Business News, Financial Edition – October 3, 2024 appeared first on Health IT Answers.

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WebMD Ignite launches engagement tool for health plan care managers

Fierce Healthcare

WebMD Ignite is broadening its reach in the health insurance space with the launch of a new tool that aims to bolster care management programs. | WebMD Ignite is broadening its reach in the health insurance space with the launch of a new tool that aims to bolster care management programs.

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Leveraging Actionable Data from RTLS to Improve Patient Outcomes, Efficiency, and Cost Savings

HealthIT Answers

By Caryn Hewitt - Healthcare facilities continue to face challenges when aiming to optimize healthcare performance. These hurdles range from ongoing staffing and financial disruption to clinician burnout and inadequate resources. In a recent survey, frontline workers named lack of resources and increasing involvement in clinical documentation among their top stressors.

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Advanced Compliance: OSHA & HIPAA in Healthcare Facilities

Dive into the Compliance Officer's Handbook for advanced OSHA and HIPAA strategies. This guide provides detailed steps for maintaining compliance in healthcare facilities, covering key regulations like the Bloodborne Pathogens Standard and HIPAA Privacy Rule. Learn to create a culture of compliance with management commitment, employee training, and regular risk assessments.

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Rezilient Health Secures $10M to Expand CloudClinics™ in MO, TX, OK

HIT Consultant

What You Should Know: – Rezilient Health, a St. Louis-based tech-enabled healthcare company, announced today that it has secured $10M in Series A funding led by Govo Venture Partners , with participation from Bridge Ventures, Acorn Pacific Ventures , The Council , and notable angel investors including Jim McKelvey (Co-Founder of Block), Mark and Robyn Jones (Founders of Goosehead Insurance), Jeremy Friese (Founder of Verata Health), and David Karandish (Founder of Answers.com). – The

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September 2024 Healthcare Breach Report – 4.37 Million Affected

Compliancy Group

In September 2024, the OCR Breach Portal listed 26 incidents affecting 4,377,193 patients. The most affected group was health plans, reporting four incidents affecting 3,118,229 patients. This was followed by business associates, who reported four incidents affecting 985,032 patients. Healthcare providers also reported 18 incidents affecting 273,932 patients.

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Best Practices for Your Next Compliance Program Assessment

Healthicity

Join us for our upcoming webinar where we'll explore how a proactive compliance assessment can help your organization mitigate risks, strengthen your program, and stay ahead of potential challenges.

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Private Equity Deal Spotlight | Weekly Update

Hall Render

Health care continues to drive private equity (“PE”) activity, creating opportunities for investors and traditional health care providers. Transactions in the health care space are especially complicated, layering health care regulatory and reimbursement considerations on top of a complex securities, antitrust, privacy and security framework.

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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.