Sat.Nov 16, 2024 - Fri.Nov 22, 2024

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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. Recently, I interviewed industry experts who discussed these issues in depth during a live recording of The Better Care Podcast. The panel featured Jackie Kimmel , Senior Director of Strategy Catalyst for The Health Management Academy , Dr.

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CDC Weighs Lowering Infection Protections Even More

Forbes Healthcare

The CDC's HICPAC advisory committee seems intent on rolling back infection control precautions in healthcare settings, despite evidence that what they propose is wrong.

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Coming Out Against the Healthy Lifestyle

Sensible Medicine

OK, the title is click bait. Sensible Medicine is a reader-supported publication. I you appreciate our work, consider becoming a free or paid subscriber. I am a great believer in the healthy lifestyle. If Americans lived healthier lives, we would all be in a better place. There would be less obesity, diabetes, and heart disease. We would probably be treating fewer patients for depression, cancer, and addictions.

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Hospital price transparency continues to drop: report

Healthcare Dive - Practice Management

Just 21.1% of hospitals are in full compliance with federal price transparency rules, according to Patient Rights Advocate. Compliance has been backsliding since July 2023.

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Digital Health Adoption is Surging, But So Is Consumer Distrust

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Dara St. Louis, executive vice president and a founding partner, Reach3 Insights. Many of us know exactly how many steps we’ve taken today. A quick glance at our phone or other fitness tracker makes […] The article Digital Health Adoption is Surging, But So Is Consumer Distrust appeared first on electronichealthreporter.com.

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RTW Investments Files To Dismiss Masimo’s ‘Frivolous’ Lawsuit Against Billionaire Founder Joe Kiani Over $450 Million Severance Pay

Forbes Healthcare

After activist investor Quentin Koffey’s Politan Capital Management won a proxy battle at med tech company Masimo, the company’s new leadership is suing founder and ex-CEO Joe Kiani as well as shareholder RTW investments.

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Offering health insurance is becoming less lucrative

Healthcare Dive - Practice Management

In the third quarter, the seven major publicly traded insurers’ medical loss ratios increased an average of 3.3 percentage points year over year — a major jump in medical costs.

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The Healthcare Industry Needs a Course Correction

The Healthcare Blog

By STEVEN ZECOLA The United States healthcare system has failed by any measure. First, costs are out of control. For example, 17% of the country’s GDP is spent on healthcare. This percentage was less than half that amount in 1980. It is expected to continue growing to 20% by 2032. Seventy-five percent of these costs are attributable to chronic diseases.

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Outsourcing In Drug Development: A Key Strategy for Sustainable Growth

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. The pharmaceutical industry is constantly evolving, driven by advances in science, technology, and patient needs. One of the most prominent trends shaping this industry is the outsourcing of various stages of drug development. As companies […] The article Outsourcing In Drug Development: A Key Strategy for Sustainable Growth appeared first on electronichealthreporter.com.

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What Does it Mean to Own the Next 4 Years?

Science Based Medicine

It means pertussis and measles outbreaks will be happening under your watch and you'll be held responsible while your boss is an anti-vaxx crank. Enjoy! The post What Does it Mean to Own the Next 4 Years? first appeared on Science-Based Medicine.

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DEA, HHS issue another extension for telehealth controlled substance prescribing

Healthcare Dive - Practice Management

The third temporary extension, which prolongs the pandemic-era flexibilities through the end of 2025, is a relief for telehealth groups who had raised concerns about access to medications.

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If you are pro-psychiatry, should you be anti-RFK?

KevinMD.com

Much has been written about Robert F Kennedy Jr.’s radical health plans to eliminate fluoride from the drinking water and suppress vaccines, among other lame-brain schemes. But relatively few people are aware of his anti-psychiatry views, possibly endangering the health of a large swath of the populace. Kennedy is pitching the idea that users of Read more… If you are pro-psychiatry, should you be anti-RFK?

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What You Should Know About Ovarian Cancer Vaccines

Forbes Healthcare

Ovarian cancer vaccines are under development, but none are ready for primetime. There are no screening tools for ovarian cancer.

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Calculating the real cost of the upcoming NI and NLW rise on general practice – By the IGPM

Practice Index

You’ll have seen in the press lately a lot of attention being paid to the National Insurance and National Living Wage increases being introduced from April 2025. GP surgeries are particularly concerned about this as there has been no confirmation of increases to our funding to support these rising costs. The Government and Treasury have confirmed we are not “NHS bodies”; we are private companies.

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CareMax, dragged by Steward, files for bankruptcy

Healthcare Dive - Practice Management

CareMax was the exclusive Medicare managed service organization to Stewardship Health. Steward’s bankruptcy posed an “existential threat” that CareMax said it couldn't overcome.

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Claims under fire: Three reasons why denials are hitting revenue cycle management harder than ever

Medical Economics

If providers invest in the right technologies, they are well positioned to reduce denials, cost to collect and labor costs, accelerate cash flow, and deliver a better patient experience.

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How Gilead Is Driving Global Health Equity And Innovation

Forbes Healthcare

Dan O’Day drives Gilead's mission to end HIV worldwide, pioneering treatments like lenacapavir and championing global health equity through bold access initiatives.

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Coaching New Graduates About Career Options

Emerging RN Leader

By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Nurse leaders are concerned about the number of new graduates who enter their practice settings and immediately start an NP program. Consider the story one leader shared on a recent webinar. Several new graduates I recently hired have approached me about schedule changes to accommodate their “graduate […] The post Coaching New Graduates About Career Options appeared first on Emerging Nurse Leader.

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UnitedHealth, Cigna, CVS sue FTC over insulin litigation process

Healthcare Dive - Practice Management

The three companies are claiming the FTC’s suit is unconstitutional because it was lodged in the agency’s administrative court, instead of a federal one.

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Combating Physician Burnout: Strategies for a Healthier Practice

99MGMT

Imagine waking up every morning dreading the long hours and emotional toll of caring for others. For nearly half of all physicians, this scenario is a harsh reality. Physician fatigue and emotional depletion have surged to critical levels, jeopardizing the well-being of healthcare professionals and compromising the quality of patient care. From relentless workloads to the constant pressure of making life-and-death decisions, doctors and healthcare workers face immense challenges that can lead to

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Healthcare Costs Are Devouring The Earnings Of Middle-Class Families

Forbes Healthcare

Many families fail to realize how much they spend on healthcare because they don’t pay out of one pocket—they pay out of four.

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AI’s role in reshaping revenue cycle management

Medical Economics

Managing payment is a key factor working against medical practices. Here’s how artificial intelligence could relieve administrative burdens.

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HHS facing challenges as lead agency for healthcare cybersecurity: GAO

Healthcare Dive - Practice Management

The department hasn’t implemented some policies recommended by the watchdog, which could pose a risk to cybersecurity in the sector as attacks increase, according to the Government Accountability Office.

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15 Key Medical Assistant Skills

Unitek College

Exploring Diverse Opportunities in the Field. Medical Assistants play a crucial role in the healthcare industry. They act as the backbone of medical practices and ensure that both clinical and administrative tasks are executed seamlessly. These professionals are versatile and indispensable, bridging the gap between healthcare providers, patients, and the healthcare system itself.

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5 ChatGPT Prompts For Stress-Free Holidays

Forbes Healthcare

The American Psychological Association says 38% of surveyed respondents experience higher levels of stress around the holidays. Here's how AI can help.

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Safeguarding innovation and access with nuclear medicine policy

Medical Economics

As we prepare for a new Congress in January, it’s essential to ensure legislators and their staff fully understand the implications of nuclear medicine policy shifts on patient care and medical innovation.

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5 issues in the check-in process that impact your medical practice 

Health Prime

The patient’s first point of contact with your practice is in the check-in process. This first encounter sets the tone for their entire health experience. Sometimes, this process does not go as smoothly as planned. If it happens, errors or inefficiencies can lead to multiple problems, affecting patient satisfaction and your practice’s overall efficiency and financial health.

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Healthcare industry braces for RFK Jr.

Healthcare Dive - Practice Management

Kennedy's views on vaccines in particular are causing alarm among some physicians and investors.

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Delta Announces New Menus—Including Shake Shack Burgers

Forbes Healthcare

Customers on Delta Air Lines will soon be enjoying new menu items like cocoa-braised short ribs, apple-cranberry compote, and Shake Shack Burgers.

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Private equity and publicly traded hospices show lower caregiver satisfaction compared to not-for-profits

Medical Economics

Study shows that ownership model matters when it comes to caregiver satisfaction, and that doctors should know the ownership structure of hospices.

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FDA poised to reshape the cold remedy aisle

Science Based Medicine

The FDA is proposing to order the removal of phenylephrine from oral cough and cold remedies. The post FDA poised to reshape the cold remedy aisle first appeared on Science-Based Medicine.