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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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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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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The Doctor (and Her Computer) Will See You Now

Sensible Medicine

Autonomy is important to me. Maybe it’s because I am a Gen X-er. Some say we were raised by wolves. I do know that we were raised knowing we had the freedom to explore but also the freedom to fail. Our autonomy taught us resilience. With autonomy comes responsibility. I need to do the adulting task of scheduling my annual doctor’s visit.

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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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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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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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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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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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Science vs HIV

Science Based Medicine

The Human Immunodeficiency Virus (HIV) is a global pandemic, with 39 million cases worldwide, and over 1 million new infections each year. While it rose to epidemic and then pandemic levels in the 1980s, the first case goes back to 1959. HIV is a retrovirus that inserts its genetic material into the DNA of host cells, and targets the immune system as […] The post Science vs HIV first appeared on Science-Based Medicine.

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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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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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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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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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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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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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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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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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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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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.

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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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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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Why the FTC Investigated PBMs and What it Means for You

ACMA Blog

Authors: Audrey Yeh, PharmD and Kiana Dixson, PharmD, BCMAS Pharmacy Benefit Managers (PBMs) are “middlemen” that negotiate the terms and conditions for access to prescription drugs. Critics share that these organizations hold enormous power and influence over patients’ access to drugs and the prices they pay. The nation’s leading PBMs frequently have the ability to exert control on the pharmacies patients can go to to obtain prescriptions.

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Medicare Physician Fee Schedule proposes 2.8% cut to docs

Medical Economics

It’s financial bad news, but there is renewed attention on primary care, according to physician groups.

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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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What To Know About Plague After Person Infected In Colorado

Forbes Healthcare

While no longer as lethal as the infection behind the Black Death, plague is still frequently fatal unless swiftly treated with antibiotics.

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Demystifying AI: Your Friendly Robot Assistant for Streamlined Healthcare Billing and Coding 

Coronis Health

Ever feel like you’re drowning in medical codes and tangled in billing complexities? You’re not alone! Healthcare providers nationwide struggle with the ever-changing world of CPT codes and the time-consuming tasks associated with billing and coding. But fear not, there’s a friendly robot assistant waiting to lend a hand – Artificial Intelligence (AI).

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Strategies to reduce bias and improve the patient experience

Medical Economics

Health care professionals should understand how attitudes and behaviors can impede communication, trust, and patient engagement.