Fri.Oct 04, 2024

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Texas sues major PBMs, pharma companies over high insulin prices

Healthcare Dive

The litigation comes as pharmacy benefit managers Express Scripts, CVS Caremark and Optum Rx face growing criticism over their role in high drug costs — including a recent lawsuit from the Federal Trade Commission.

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HIMSSCast: Out-of-pocket expenses are a challenge to keeping people well

Healthcare It News

Prioritizing wellness means taking into account the out-of-pocket cost for patients, according to Alberto "Beto" Casellas, Casayess EVP & CEO of Health and Wellness Platform at Synchrony. Synchrony is a financial services company that offers a health and wellness platform in CareCredit.

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UnitedHealth sues CMS over Medicare Advantage star ratings

Healthcare Dive

A handful of plans owned by the nation's largest MA payer are the latest to ask the court to help raise their valuable quality scores.

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As healthcare AI proliferates, patients are 'confused,' research shows

Healthcare It News

They recognize the promises of faster diagnosis and easier access to treatment and cost info, says Mark Polyak, president of analytics at Ipsos. While they're comfortable with AI for administrative tasks, they're wary of clinical applications.

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3 Reasons to Retire Pagers from Healthcare Settings

Let's discuss the trusty pager—an old favorite that’s losing its shine in hospitals and clinics. While once a staple in hospitals and clinics, pagers now present significant limitations that hinder rather than facilitate communication among healthcare professionals. Healthcare professionals are constantly on the move, and they need communication tools that can keep up with their fast-paced lives.

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CMS should take stronger stance on hospital pricing compliance: GAO

Healthcare Dive

The CMS fails to check hospitals’ pricing data for accuracy and completeness, raising questions about whether the data can be used as intended to help payers and patients shop for services, according to the government agency.

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Baxter unsure when North Carolina facility hit by Hurricane Helene will be operational

Healthcare Dive

As access challenges to the site continue, Baxter has limited purchases of certain products to avoid stockpiling, manage inventory and minimize disruption to patient care.

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Heritage Group Joins GTCR as Investor in Equiti

Healthcare IT Today

Dean M. Harrison Joins Equiti’s Board of Directors Heritage Group , a healthcare-focused private equity firm, today announced a significant investment in Equiti Health (Equiti or the Company), a leading provider of tech-enabled, healthcare-focused language interpretation services. Heritage is partnering with GTCR and the Equiti management team to support the Company’s next phase of growth.

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September 2024 Health IT Marketing Minutes

HealthIT Answers

What makes marketing in the health IT space unique? Who are the movers and shakers? What’s working, what’s trending? Where can you learn more? News from Swaay.Health, MERGE, KNB Communications, Amendola Communications, Brafton, Clarity Quest, Matter Communications, HHA eXchange, and more. The post September 2024 Health IT Marketing Minutes appeared first on Health IT Answers.

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Hospitals' August margins stay level despite high volumes, shorter length of stay

Fierce Healthcare

Though their margins have largely remained level, hospitals are starting to get a handle on length of stay and per-patient expense growth as demand for inpatient care remains strong, according to A | Kaufman Hall's monthly index report showed continued demand and more efficient inpatient care, but muted revenue gains. A concurrent report on third quarter M&A also outlined a spike in dealmaking.

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15 Modern Use Cases for Enterprise Business Intelligence

Large enterprises face unique challenges in optimizing their Business Intelligence (BI) output due to the sheer scale and complexity of their operations. Unlike smaller organizations, where basic BI features and simple dashboards might suffice, enterprises must manage vast amounts of data from diverse sources. What are the top modern BI use cases for enterprise businesses to help you get a leg up on the competition?

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From TikTok to the Frontline: The Unsung Heroes of Healthcare Strike Management

HIT Consultant

Trevor Fandale, President at Huffmaster Last summer, Mireya Bustamante , BSN, RN, had more than 51,000 TikTok followers and 4.4 million likes across her videos when she posted a TikTok about her time as a travel nurse. The 35-second clip showed Ms. Bustamante flying into an unspecified city where staff nurses were striking. In the clip, Ms. Bustamante said, “Strike contracts are a pretty quick turnaround, so you must be ready to go.

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CMS proposes risk adjustment changes, broker fraud crackdown for 2026 plan year

Fierce Healthcare

A proposed rule from the Centers for Medicare & Medicaid Services (CMS) released Oct. | CMS is looking to shake up the risk adjustment model and wants the ability to suspend shady brokers from the insurance marketplace, the agency wrote among other updates in a new proposed rule.

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GE HealthCare Receives FDA Clearance for Innovative Alzheimer’s Imaging Tool

HIT Consultant

What You Should Know: – GE HealthCare a nnounced today that its MIM Software has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for a groundbreaking tool in the fight against Alzheimer’s disease. – The advancement allows MIMneuro, a vendor-neutral software solution, to perform “Centiloid scaling” for analyzing and quantifying amyloid plaque density in the brain using positron emission tomography (PET) imaging.

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Trial will allow women to book breast diagnostic clinics via NHS App

Digital Health News

Women in Somerset with breast lumps will be directly referred to a breast diagnostic clinic via the NHS App under a pilot scheme.

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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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Khan won't rule out FTC weighing in on Epic antitrust lawsuit: report

Fierce Healthcare

Lina Khan, chair of the Federal Trade Commission (FTC), would not rule out the possibility of the agency filing an amicus brief to weigh in on Particle Health's antitrust lawsuit against Epic, she | Lina Khan, chair of the FTC, would not rule out the possibility of the agency filing an amicus brief to weigh in on Particle Health's antitrust lawsuit against Epic, she told a Wisconsin reporter Thursday.

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Long-term CIO Kevin Jarrold retires after 38-year NHS career

Digital Health News

Kevin Jarrold has retired from the role of joint CIO at Imperial College Healthcare and Chelsea and Westminster Hospital NHS FT.

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Seema Verma on Where We Are At Merging Cerner into Oracle Health and What’s Next

Healthcare IT Today

While at the Oracle CloudWorld conference (See our previous Oracle Health coverage from the conference), I had a chance to sit down with Seema Verma, Executive Vice President and General Manager at Oracle Health. In this wide ranging interview, we cover a broad range of topics starting with her journey from HHS Secretary to now one of the leaders of Oracle Health.

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Patient engagement portal rolled out across Black Country ICS

Digital Health News

Black Country Integrated Care System (ICS) is rolling out an patient engagement portal from Healthcare Communications.

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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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What Every Compliance Officer Should Know About Healthcare Audits

Compliancy Group

Despite your best efforts in meeting healthcare compliance requirements, errors may still occur. Maintaining the security and integrity of sensitive information and preventing waste, fraud, and abuse is essential to quality healthcare and promoting workplace safety. However, when a mistake occurs or you’re targeted for a random healthcare audit, it pays to be ready.

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Industry Voices—Including children in the Food as Medicine framework: An essential strategy

Fierce Healthcare

As a community pediatrician with firsthand experience, I've observed an enduring curiosity among parents and caretakers about food, nutrition and health. | The potential for implementing Food as Medicine for pediatric settings is promising, with growing support from stakeholders, lawmakers and health agencies.

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Mary Washington Healthcare Outsources Revenue Cycle Operations with Ensemble

HIT Consultant

What You Should Know: – Mary Washington Healthcare (MWHC) has selected Ensemble , a provider of revenue cycle management solutions to outsource revenue cycle operations. – The RCM outsourcing agreement will leverage Ensemble’s innovative technologies and expert team to enhance MWHC’s financial performance and elevate the patient financial experience.

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Current Considerations for State Reinsurance Programs

Center for Health Insurance Reform

Reinsurance has been a popular mechanism to stabilize insurance markets and reduce premiums. However, some argue that it could negatively affect affordability and enrollment for low-income individuals. In a new article for the State Health & Value Strategies program, Jason Levitis, Sabrina Corlette, and Claire O'Brien review the evidence and discuss considerations for state reinsurance programs.

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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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Trilliant Health Report Reveals Troubling Trends in US Healthcare: Costs Soaring, Health Declining

HIT Consultant

What You Should Know: – A new report from Trilliant Health paints a grim picture of the US healthcare system, highlighting escalating costs and worsening health outcomes despite increased spending. – The 2024 Trends Shaping the Health Economy Report serves as a wake-up call for the US healthcare system. It underscores the urgent need for stakeholders to address the unsustainable cost trajectory and prioritize initiatives that genuinely improve health outcomes.

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Upcoming events

Hanys

Workshop for executive assistants and board coordinators Oct. 8-29 Understanding The Joint Commission's IC.07.01.01 and other infection control standards Oct. 10 Government relations update series Oct. 11 Standing membership call on state and federal issues Oct. 15 Quick hits session: Fiduciary governance Oct. 16 Mitigating internal cybersecurity threats Oct. 16 Blueprint for transformation: How a “Guaranteed Savings Plan” can save millions in labor costs Oct. 17 Leveraging opportuni

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Videra Health, NSCG Partner to Help Prevent Suicide-Related Deaths of Service Members

HIT Consultant

What You Should Know: Videra Health Partners with NSCG : Videra Health, an AI-driven clinical operations platform, has partnered with North South Consulting Group (NSCG) to help prevent suicide-related deaths among service members, addressing a significant rise in suicide rates within the military. AI-Powered Mental Health Assessments : Videra Health uses advanced AI and machine learning to analyze linguistic, audio, and video data, enabling healthcare providers to proactively identify, triage,

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North Carolina Disaster Relief Fund

Hanys

The North Carolina Health Association has activated its Disaster Relief Fund to help hospital employees and communities in western North Carolina impacted by Hurricane Helene's unprecedented flooding. Among those affected are the dedicated healthcare workers who have been on the front lines during the storm's aftermath, providing critical care to those in need while grappling with the personal toll the disaster has taken on their own lives.

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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.