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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. “Many of our health systems that have at-risk contracts are expecting headwinds in revenue of up to 20%.”

Hospital 130
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Maine Hospital Using AI to Record Patient Conversations

Scrubs

MaineHealth recently announced it is using AI to automatically record conversations between doctors and their patients during a check-up or follow-up visit. Deborah Vaughan, a patient at the hospital, said she appreciates being able to look her doctor in the eye while talking about her health.

Hospital 264
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Should Doctors Use Chat-GPT to Practice Medicine?

Scrubs

Dereck Paul is the co-founder of Glass Health, a start-up in San Francisco that offers artificial intelligence chatbot services to doctors looking to ease the burden of routine processes, such as patient documentation. “We need these folks not in burnt-out states, trying to complete documentation,” Paul told NPR.

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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. There can also be state variations with additional regulations regarding documentation and coding requirements that layer on top of federal guidelines.

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Hospital Fined $127K for “Persistent” Understaffing of NICU

Scrubs

Dozens of nursing unions have used this tactic to get hospitals to make concessions. But what happens when the hospital fails to hold up its end of the bargain after the strike is over? Failure to comply with the new staffing requirements led the nurses to seek arbitration to hold the hospital accountable. “We

Hospital 189
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How One Nurse Made $2 Million in Two Years Selling Study Sheets Online

Scrubs

So, she started documenting her studying process on social media. “I Beggs shared the videos on TikTok where she quickly racked up hundreds of thousands of views. She now has over 600k followers on the app. She said she feels a responsibility to show up for her audience now that she’s built such a devoted following.

Follow-Up 278
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Will the left shift of activity be adequately resourced? – By Ben Gowland

Practice Index

The Government has promised to achieve three big shifts in the NHS, one of which is the so-called left shift of activity from hospital to community. What can we learn about the left shift of activity from this document? Were told this will be a central feature of the forthcoming 10-Year Plan for the NHS.