Sat.Jul 06, 2024 - Fri.Jul 12, 2024

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Federal Trade Commission to sue three largest PBMs: WSJ

Healthcare Dive - Practice Management

Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.

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Billionaire Harvard Professor’s Fortune Jumps Nearly $200 Million On News Of Eli Lilly Biotech Deal

Forbes Healthcare

Shares of biotech firm Morphic Holding, founded by Harvard immunologist Tim Springer, rocketed up 75% Monday after Eli Lilly said it would snap it up for $3.2 billion.

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Pandemic Revisionism: Doctors Who Defend Dr. Scott Atlas Are Afraid to Accurately Quote Dr. Scott Atlas. I’m Not.

Science Based Medicine

"There is an ongoing, competitive process of writing the history of the pandemic." The post Pandemic Revisionism: Doctors Who Defend Dr. Scott Atlas Are Afraid to Accurately Quote Dr. Scott Atlas. I’m Not. first appeared on Science-Based Medicine.

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Patient Data Compromised in Palomar Health Medical Group Cyberattack

The HIPAA Journal

Palomar Health Medical Group has warned patients that they may have been affected by an April 2024 cyberattack, and DaVita has learned that tracking tools on its website and mobile app may have sent user data to third-party vendors. Palomar Health Medical Group Announces April 2024 Cyberattack Palomar Health Medical Group, a provider of primary and specialty care to communities in North San Diego County, has informed patients about a recent cyberattack that exposed some of their protected health

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FTC slams pharmacy benefit managers in first report from ongoing investigation

Healthcare Dive - Practice Management

On Tuesday, regulators updated the public on their almost three-year-old inquiry into PBMs’ anticompetitive business practices. The report is not positive for the drug middlemen, which immediately criticized it as one-sided.

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Mask Bans Grow, Threatening Public Health And Immunocompromised People

Forbes Healthcare

Covid-19 cases are rising, yet a number of cities and states are proposing dangerous mask bans, in the misguided belief that it will improve public safety.

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More Trending

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Part 1: We Don’t Have to Wonder if the Great Barrington Declaration Could Have “Worked”. In the Real World, It Failed.

Science Based Medicine

Discussions about the GBD tend to take place in the conditional tense- what would, could, and should have happened. But the GBD actually existed and we can examine what actually happened. The post Part 1: We Don’t Have to Wonder if the Great Barrington Declaration Could Have “Worked”. In the Real World, It Failed. first appeared on Science-Based Medicine.

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CMS’ first No Surprises audit targets Aetna, finds some noncompliance

Healthcare Dive - Practice Management

The findings are a “big deal,” according to one expert, as CVS’ health insurer didn’t follow some “major requirements that are essential to ensuring that the IDR process runs smoothly.

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Study Shows 85% Of Patients Discontinue GLP-1s For Weight Loss After 2 Years

Forbes Healthcare

Evidence that many people may stop their use of obesity drugs not long after starting casts doubt on sustainability of weight loss to achieve long-term positive outcomes.

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Pamela Stahl, Avalon Healthcare Solutions

The Healthcare Blog

Pamela Stahl is the CEO of Avalon Healthcare Solutions. You’ve heard of pharmacy benefits managers (PBMs) but Avalon is a labs benefits management company. Working on behalf of health insurers Avalon ensures that patients are getting the right labs at the right price, Why are they needed? There are 14 billion lab tests and they drive a lot of health care decisions (70%+!).

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Pennsylvania’s Updated Breach Notification Law Requires Credit Monitoring Services for Breach Victims

The HIPAA Journal

Pennsylvania has updated its data breach notification law, narrowing the definition of personal information, adding the requirement to notify the state Attorney General, and requiring credit monitoring services to be provided to data breach victims in certain circumstances. The Breach of Personal Information Notification Act was amended by Senate Bill 824 and was signed into law by state Governor Josh Shapiro on June 28, 2024.

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CMS proposes 2.9% cut to physician pay for 2025

Healthcare Dive - Practice Management

Regulators said Medicare’s budget neutrality requirement is to blame for the reduction, which was quickly decried by provider groups. However, it’s likely Congress will step in to mitigate the drop.

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Is Private Equity A Villain In Healthcare?

Forbes Healthcare

Private equity should be free to transact and compete to generate the best outcomes for themselves and society. Nothing benefits patients more than a competitive market.

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Toxic energy: Confronting the carcinogenic risks of fossil fuels

KevinMD.com

The evidence is clear: Proximity to fossil fuel infrastructure poses a significant cancer risk to millions of Americans. Studies consistently link exposure to pollutants like benzene, polycyclic aromatic hydrocarbons (PAHs), and particulate matter from fossil fuel facilities to elevated rates of lung cancer, leukemia, and other malignancies. Alarmingly, 17.6 million Americans live in close proximity Read more… Toxic energy: Confronting the carcinogenic risks of fossil fuels originally appeared i

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LivaNova Facing Multiple Class Action Lawsuits Over October 2023 Cyberattack

The HIPAA Journal

The Houston, TX-based medical device company, LivaNova, is facing multiple class action lawsuits over an October 2023 cyberattack that exposed the protected health information of 180,000 patients. The attack was detected on November 19, 2023, and the investigation confirmed that unauthorized individuals first accessed its network on October 26, 2023.

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Judge pauses CMS rule capping compensation for Medicare Advantage brokers

Healthcare Dive - Practice Management

Texas Judge Reed O’Connor’s decision suggests he could overturn at least part of the rule, which is meant to curb predatory plan marketing to seniors.

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Zepbound Sheds More Weight Than Wegovy, Study Finds

Forbes Healthcare

Researchers said Lilly’s Zepbound “was associated with significantly greater weight loss” than Novo’s Wegovy, adding that the study is the first to compare the two drugs—marketed for diabetes as Mounjaro and Ozempic—in obese and overweight adults.

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MedBridge CEO Donovan Campbell’s Statement on the Peterson Health Technology Institute’s Report on Virtual MSK Solutions

Medbridge

The Peterson Health Technology Institute published a fascinating report this month showing that first-generation virtual musculoskeletal (MSK) care solutions have proven clinical efficacy. Our own internal data—over 15 million of our home exercise programs issued by our provider clients in the last year alone—indicates the same. In the report, Caroline Pearson, Executive Director at Peterson […] The post MedBridge CEO Donovan Campbell’s Statement on the Peterson Health Technology Institute

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RansomHub Claims to Have Stolen and Leaked 100 GB of Florida Department of Health Data

The HIPAA Journal

The Florida Department of Health has confirmed to FOX 35 in Orlando that it is investigating a cyberattack. The attack has affected its Vital Statistics System, which is used to process birth and death certificates. The disruption to the system has been causing problems for funeral homes across the state for the past two weeks. Some funeral homes have postponed their services or have been forced to physically visit healthcare providers to get signed copies of death certificates.

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CMS revised Medicare Advantage star ratings. Here’s which payers benefited.

Healthcare Dive - Practice Management

More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a Healthcare Dive analysis.

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Summer 2024 Covid-19 Surge Occurring With FLiRT Variants Taking Over

Forbes Healthcare

CDC ER and hospitalization data suggests that a Covid-19 Summer surge has been occurring in the U.S. since early June with the FLiRT variants KP.3 and KP.

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Hospital Systems Launch into Digital MSK with MedBridge

Medbridge

New Pathways Offering Increases Access to MSK Care and Enables Patients to Remain In-Network SEATTLE – July 10, 2024 – More than 100 million Americans experience musculoskeletal (MSK) pain annually, but the MSK patient journey has been broken for years. Access to quality care is difficult, costs across the board are too high, and capacity […] The post Hospital Systems Launch into Digital MSK with MedBridge appeared first on MedBridge Blog.

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Industry Groups Give Feedback on CISA’s Proposed Cybersecurity Reporting Requirements

The HIPAA Journal

In April, as required by the Cyber Incident Reporting for Critical Infrastructure Act of 2022 (CIRCIA), the Cybersecurity and Infrastructure Security Agency (CISA) issued a Notice of Proposed Rulemaking (NPRM) introducing new requirements for critical infrastructure entities to report certain cybersecurity incidents. CISA sought comment from the public, and several healthcare stakeholders have provided feedback on the proposed rule.

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Federal judge blocks LGBTQ+ healthcare protections

Healthcare Dive - Practice Management

The judge ruled the HHS overstepped in applying an employment law decision to healthcare, a decision experts say could occur more frequently now that the Chevron doctrine has been overturned.

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With $277 Million In New Funding, This Startup Hopes To Unlock The Secrets Of Biology

Forbes Healthcare

Element Biosciences has figured out how to decrypt a cell’s genetic code. And it’s using artificial intelligence to build better tools for doctors and researchers.

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When Leaders Show Favoritism

Emerging RN Leader

By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Most nurse leaders tell me that they strive to be fair and don’t demonstrate favoritism toward specific staff. However, in a recent Harvard Business Review article, authors Ginka Toegel and Jean-Louis Barsoux argue that this does not happen in the actual workplace. The research, they contend, demonstrates […] The post When Leaders Show Favoritism appeared first on Emerging Nurse Leader.

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Building an A+ Team: Strategies for Success in Your Medical Practice

Top Practices

Creating a successful team of people who work well together and work for the common goal of the practice has always been a challenge. Over the past few years, this challenge has magnified. Not only has it been difficult to find employees that want to work, but it has also been more difficult getting them to work well together. Prior to the pandemic, Gallup reported that there were five tactics of teamwork that they call the “5 Cs” – Common purpose, connection, communication, co

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Medicare proposes 2.6% bump to hospital outpatient pay next year

Healthcare Dive - Practice Management

The sweeping payment rule also solidifies continuous eligibility requirements for children in Medicaid and CHIP, and holds hospitals to higher obstetric care delivery standards in a bid to improve maternal mortality.

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How AI And New Care Models Make Healthcare Easier, Cheaper, And Better

Forbes Healthcare

Frequently, patients flow to a small number of highly-trained specialists who are in short supply relative to demand. AI and new care models are starting to change that.

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Transforming the provider-payer relationship from adversarial to collaborative through value-based care

Medical Economics

As value-based care adoption grows, payers and providers must find the right tools to transform adversarial interactions into partnerships that put patients at the center of care.

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Jury Finds Pulmonologist Liable for Failing to Monitor Patient

Pulmonology Advisor - Practice Management

Expert testimony is essential in medical malpractice cases. Such testimony establishes both what the standard of care is, as well as whether and how the defendant in the case deviated from that standard of care. In this case, we look at how expert testimony pointed to a guilty verdict for one pulmonologist. Case Facts Dr P was a pulmonologist who had a practice and was affiliated with a large hospital.