Unpacking Medicare Benefit terminations and the way plans can navigate them

Unpacking Medicare Benefit terminations and the way plans can navigate them

David J. Sand, MD, MBA Chief Medical Officer at ZeOmega America's healthcare system has undergone its personal stress check. Stakeholders are at present experiencing varied types of stress, with the primary concentrate on funds, together with administrative prices. The COVID-19 pandemic is commonly used as a handy delineation for the emergence of those issues, however in actuality the tensions have […]

How can we scale back emissions in affected person care processes?

How can we scale back emissions in affected person care processes?

GlobalData's ESG Framework (2024 version) describes how environmental points are more and more influencing the way in which enterprise is finished worldwide and illustrates how regulators are limiting and imposing an inflow of recent ESG measures. [environmental, social and governance]-related rules. An necessary sector is healthcare, which contributes considerably to greenhouse gasoline emissions and should work to scale back them. […]

Henry Schein to Purchase Acentus, a Main Provider of Dwelling Healthcare Medical Merchandise – The Journal of Healthcare Contracting

Henry Schein to Purchase Acentus, a Main Provider of Dwelling Healthcare Medical Merchandise – The Journal of Healthcare Contracting

November 25, 2024 – Henry Schein, Inc. has introduced that it has signed an settlement to amass Acentus, a nationwide medical provider specializing within the provide of steady glucose screens (CGMs). The Acentus transaction follows Henry Schein's acquisition of Prism Medical Merchandise, LLC in 2021 and Protect Healthcare and Mini Pharmacy in 2023, strengthening the corporate's strategic […]

Holding referral companions glad after terminating contracts with Medicare Benefit plans

Holding referral companions glad after terminating contracts with Medicare Benefit plans

Residence care suppliers might forego particular care plans as a result of monetary feasibility, administrative burden, or a misalignment with the values ​​and priorities of their affected person care. Nonetheless, this determination might pose short-term challenges for referral companions and well being care programs as they might have enrolled sufferers in these plans. “If a well being plan persistently under-reimburses […]

Frequent MRF errors hospitals make in 2024

Frequent MRF errors hospitals make in 2024

For the reason that CY 2024 OPPS Last Rule went into impact, many hospitals have adopted the brand new schema for his or her machine-readable information (MRFs). That is implausible! Though extra time is required to evaluate the standard of those information, appreciable effort has been put into assessing all obtainable information. After going by means of numerous rows, three […]

FDA Nomination for BridgeBio Brings New Competitors to Blockbuster Pfizer Cardio Drug

FDA Nomination for BridgeBio Brings New Competitors to Blockbuster Pfizer Cardio Drug

A BridgeBio Pharma drug developed for an more and more frequent cardiovascular situation has obtained FDA approval, marking a comeback for an organization and a molecule with a turbulent historical past. However BridgeBio's challenges will not be over but. The biotech's new product should now compete with a blockbuster drug from Pfizer that’s already well-established as a typical of care […]

Stick with Science – The Healthcare Weblog

Stick with Science – The Healthcare Weblog

By KIM BELLARD A 12 months in the past, I wrote about troubling information from the Pew Analysis Heart that belief in science, and in scientists, had plummeted because the pandemic. I'm considerably relieved to report {that a} new follow-up survey from Pew reveals that belief has elevated barely – however nonetheless far under pre-pandemic ranges. Total, 76% of People […]

Google launches Well being AI Developer Foundations

Google launches Well being AI Developer Foundations

What you have to know: – Google has launched Well being AI Developer Foundations (HAI-DEF), a public useful resource designed to allow builders to construct and deploy healthcare AI fashions extra effectively. – The initiative goals to democratize the event of AI in healthcare, promote innovation and enhance affected person care. Addressing challenges in AI growth in healthcare Creating AI […]

The Australian authorities unveils designs for the $587 million Melton Hospital

The Australian authorities unveils designs for the $587 million Melton Hospital

The brand new hospital is predicted to be accomplished in 2029. Credit score: Tinakorn Tankkanganasri/Shutterstock. The Australian authorities has unveiled the most recent designs for the brand new Melton Hospital, a A$900 million ($587 million) growth venture. The power is predicted to be accomplished in 2029 and is able to serve the rising communities of Melton and surrounding areas. The […]

Group Well being Methods to Promote Two Hospitals to AdventHealth – The Journal of Healthcare Contracting

Group Well being Methods to Promote Two Hospitals to AdventHealth – The Journal of Healthcare Contracting

November 25, 2024 – Group Well being Methods, Inc. introduced that sure of the Firm's subsidiaries have entered right into a definitive settlement to promote ShorePoint Well being Port Charlotte, Port Charlotte, Florida, sure property of ShorePoint Well being Punta Gorda, positioned in Punta Gorda, Florida. and sure ancillary actions associated to such services, to subsidiaries of […]

New Day Healthcare Secures $125 Million Credit score Facility, Setting the Stage for Extra Mergers and Acquisitions in 2025

New Day Healthcare Secures $125 Million Credit score Facility, Setting the Stage for Extra Mergers and Acquisitions in 2025

New Day Healthcare – one of many nation's fastest-growing dwelling care organizations – has gotten extra gasoline to its progress engine. The corporate introduced Monday that it has entered right into a $125 million senior credit score facility with First Residents Financial institution. Backed by non-public funding agency Kaltroco, New Day has executed a couple of dozen offers since its […]

This pill-sized analysis makes an attempt to forestall hundreds of deaths from esophageal most cancers

This pill-sized analysis makes an attempt to forestall hundreds of deaths from esophageal most cancers

Esophageal most cancers is likely one of the deadliest cancers – so why doesn't the healthcare system have higher instruments to forestall the illness? Lucid Diagnostics is on a mission to resolve that downside. The corporate – which launched in 2018 as a subsidiary of medical know-how firm PAVmed – has developed a fast, office-based take a look at that […]

Cortica raises $80 million to make autism care for youngsters much less fragmented

Cortica raises $80 million to make autism care for youngsters much less fragmented

Cortica, a supplier for youngsters with autism and neurodivergent situations, secured $80 million in funding final week, co-led by Morgan Well being and Nexus NeuroTech Ventures. San Diego, California-based Cortica provides utilized conduct evaluation, diagnostic testing, speech remedy, occupational remedy, counseling and different providers. It cares for sufferers in its facilities, just about and in faculties and at house. It […]

Teladoc Well being enhances the digital sitter answer with AI

Teladoc Well being enhances the digital sitter answer with AI

What you want to know: – Teladoc Well being has introduced the launch of latest AI-powered capabilities for its Digital Sitter answer. – Digital Sitter goals to enhance affected person security, tackle workforce challenges, and enhance care supply to hospitals and healthcare methods. Addressing the problem of affected person falls with AI-powered fall prevention Affected person falls are a significant […]

Middle Hospitalier de Béziers integrates Sectra's pathology resolution

Middle Hospitalier de Béziers integrates Sectra's pathology resolution

The hospital signed an settlement for the digital pathology resolution from Sectra within the second quarter of the 2024/2025 monetary yr. Credit score: Sectra. French hospital Middle Hospitalier de Béziers has introduced plans to make use of Sectra's digital pathology resolution to hurry up most cancers prognosis. By deploying Sectra's providing, the hospital goals to enhance the effectivity of the […]

Franciscan Well being Transforms Hospital Campus to Give attention to Behavioral Well being – The Journal of Healthcare Contracting

Franciscan Well being Transforms Hospital Campus to Give attention to Behavioral Well being – The Journal of Healthcare Contracting

November 25, 2024 – Franciscan Well being Dyer will transition to a campus devoted to treating behavioral well being sufferers in late 2027, the Franciscan Alliance Division of Well being Companies introduced. The transition in late 2027 to a behavioral well being campus, accepted by the Franciscan Alliance Board of Trustees, goals to satisfy the rising want […]

The case for a 'single supply of reality' in provider identification

The case for a 'single supply of reality' in provider identification

Certifying healthcare suppliers is a obligatory process that ensures physicians are certified to supply affected person care and obtain compensation. It not solely impacts healthcare suppliers' potential to work, but additionally affected person security and entry to care. Whereas we've seen nice strides in credentialing over the previous decade, reminiscent of automating credentialing workflows, there nonetheless isn't a single supply […]

Halozyme withdraws €2 billion takeover bid whereas Evotec commits to an unbiased technique

Halozyme withdraws €2 billion takeover bid whereas Evotec commits to an unbiased technique

Halozyme has withdrawn its bid to purchase biopharmaceutical providers firm Evotec for €2 billion, a transfer that comes after repeated requests to satisfy the corporate to debate a deal had been all rejected. Halozyme, an organization with a platform expertise for delivering organic medicines, introduced its takeover supply earlier in November. However the San Diego-based firm stated Friday that the […]

Addressing the Healthcare Retention Disaster by Understanding Technology Z

Addressing the Healthcare Retention Disaster by Understanding Technology Z

Healthcare organizations at this time face a twin problem: discovering certified expertise whereas adapting to the various expectations of a multi-generational workforce. Even with an inflow of recent graduates, a niche stays – and the affect of adjusting generational values ​​is usually underestimated. By mid-2023, Technology Z – these born between 1997 and 2012 – will overtake Child Boomers within […]

Synapticure Secures $25 Million to Scale Digital Look after Neurodegenerative Illnesses

Synapticure Secures $25 Million to Scale Digital Look after Neurodegenerative Illnesses

Synapticure, a digital care firm for neurodegenerative ailments, has secured $25 million in Collection A funding to scale its providers and increase its partnerships with healthcare methods, payers and suppliers, it introduced Tuesday. Chicago-based Synapticure serves folks and their households dwelling with neurodegenerative ailments similar to Alzheimer's, Parkinson's and ALS. The digital platform supplies entry to neurologists, therapies, exams, care […]

How payers use AI to disclaim claims and drive dental supplier income

How payers use AI to disclaim claims and drive dental supplier income

As healthcare reimbursement evolves, hospitals face a brand new problem: Payers are more and more turning to synthetic intelligence (AI) to handle claims. Many suppliers might not understand that AI instruments are getting used to evaluate their claims, and that these methods aren’t constructed with the supplier's finest pursuits in thoughts. Whereas AI has the potential to streamline processes, its […]

These three mindset shifts will assist suppliers ship consumer-centric care, says investor

These three mindset shifts will assist suppliers ship consumer-centric care, says investor

Many suppliers try to advance the consumerization of healthcare and are experimenting with methods to create extra frictionless, retail-like experiences for sufferers. One of the vital essential issues healthcare leaders can do on the journey to consumer-centric care is to rein of their paternalism on the door, says Nworah Ayogu, head of healthcare affect at Thrive Capital. Ayogu is a […]

Rightway & Curai Well being to Supply AI-Powered Digital Pressing Care –

Rightway & Curai Well being to Supply AI-Powered Digital Pressing Care –

What it’s worthwhile to know: – Rightway, an organization reworking healthcare navigation and pharmacy advantages, introduced a strategic partnership with Curai Well being, an AI-powered digital clinic to maximise member outcomes and cut back prices. – Members have 24/7 entry to Curai for digital emergency care through the Rightway app. Inside minutes, members can join with a Curai MD, DO […]

Suki enters into EHR partnerships with MEDENT and Azalea Well being

Suki enters into EHR partnerships with MEDENT and Azalea Well being

The enlargement will complement Suki's current partnerships with athenahealth and MEDITECH. Credit score: TippaPatt/Shutterstock. Healthcare AI firm Suki is partnering with MEDENT and Azalea Well being to develop its digital well being report (EHR) program. The deal will combine the corporate's AI engine, Suki Platform, into each corporations' EHR options to enhance person expertise and affected person care. These partnerships […]

SMI Acknowledges 20 Years of Inaugural Members – The Journal of Healthcare Contracting

SMI Acknowledges 20 Years of Inaugural Members – The Journal of Healthcare Contracting

November 22, 2024 – SMI® celebrated its twentieth anniversary together with 27 inaugural member organizations on the SMI Fall Discussion board in Austin, TX. These members had been honored within the presence of greater than 250 SMI members and friends. SMI members meet twice a yr in boards to debate business challenges, share classes and greatest practices, and work aspect […]

The Problem of Managing Specialty Drug Prices: Is Your Pharmacy Advantages Technique Prepared for 2025?

The Problem of Managing Specialty Drug Prices: Is Your Pharmacy Advantages Technique Prepared for 2025?

Medication is at a outstanding crossroads. The explosive progress in specialty drug growth heralds a brand new golden age of therapeutic innovation. In 1990, there have been solely ten specialty medicines available on the market. By mid-2024, the FDA had already permitted 23 new drug therapies, with specialty medication now representing 75% of all medication in growth. These breakthroughs present […]

Willowglade, Flatiron Well being Accomplice to Enhance Oncology Affected person Expertise –

Willowglade, Flatiron Well being Accomplice to Enhance Oncology Affected person Expertise –

What you might want to know: – Willowglade Applied sciences®, supplier of the one Unified Digital Affected person Expertise™ Platform obtainable nationwide for oncology practices, introduced a brand new partnership with Flatiron Well being, a number one well being know-how firm dedicated to increasing the capabilities of point-of-care options in oncology. – The partnership goals to enhance patient-centered care by […]

Healthcare knowledge firm Verisma acquires Olah Healthcare Expertise

Healthcare knowledge firm Verisma acquires Olah Healthcare Expertise

The acquisition goals to streamline affected person knowledge administration for hospitals and healthcare establishments within the US. Credit score: Fernando Zhiminaicela / Pixabay. US-based healthcare knowledge administration firm Verisma has acquired Olah Healthcare Expertise in an effort to streamline affected person knowledge administration for US hospitals and healthcare amenities. The acquisition is anticipated to strengthen Verisma's place as a safe, […]

Intermountain Hospital Unveils Design for Substitute Hospital – The Journal of Healthcare Contracting

Intermountain Hospital Unveils Design for Substitute Hospital – The Journal of Healthcare Contracting

November 22, 2024 – Intermountain Well being St. Vincent Regional Hospital has unveiled the newest design plans for the brand new Intermountain St. Vincent Regional Hospital in Billings, Montana. This might be a full substitute hospital, that means the present St. Vincent facility might be changed, and upon opening, all present companies supplied at Intermountain St. Vincent […]

Why a pleasant Medicare profit surroundings is dangerous information for residence well being suppliers

Why a pleasant Medicare profit surroundings is dangerous information for residence well being suppliers

This text is a part of your HHCN+ membership Medicare Benefit (MA) firms have confronted an unfavorable pricing and regulatory surroundings in recent times. That has given residence care suppliers hope that MA penetration will cool. It has additionally given them somewhat extra leverage within the negotiations. In accordance with plans, core funds will fall by 0.16% in 2025, a […]

The function of scientific collaboration platforms in enhancing sepsis care workflows

The function of scientific collaboration platforms in enhancing sepsis care workflows

In a mean 12 months, at the least 1.7 million adults in America develop sepsis, a life-threatening response to an an infection. About 30% of sufferers with extreme sepsis don’t survive, and as much as 50% of survivors undergo from post-sepsis syndrome. These alarming statistics affirm the situation's place because the third main reason behind dying in US hospitals. What […]

Polypharmacy is a well being killer: personalised medicine administration is the reply

Polypharmacy is a well being killer: personalised medicine administration is the reply

In as we speak's healthcare system, we’re at a vital crossroads in the case of medicine administration. For many years, the follow of polypharmacy – prescribing a number of medicines to deal with totally different signs and circumstances – has been the usual strategy, particularly for older adults and sufferers with continual ailments. Nevertheless, this one-size-fits-all methodology fails too typically. […]

MCG Secures $5.7 Million NIH Grant for Analysis on Cardiovascular Problems of HIV –

MCG Secures $5.7 Million NIH Grant for Analysis on Cardiovascular Problems of HIV –

What you could know: – Two new grants from the Nationwide Institutes of Well being, totaling $5.7 million, are supposed to assist scientists on the Medical Faculty of Georgia at Augusta College higher perceive the mechanisms of two cardiovascular issues linked to HIV . – Due to the appearance of mixture antiretroviral remedy (cART), which makes use of a mixture […]

Rightway companions with Curai Well being to offer AI-driven care

Rightway companions with Curai Well being to offer AI-driven care

Curai Well being's AI deployment enhances the proficiency of its affected person care groups, that are led by certified and registered medical professionals. Credit score: Summit Artwork Creations/Shutterstock. Rightway, a healthcare supplier, has entered right into a strategic partnership with Curai Well being with the purpose of utilizing AI to attenuate healthcare prices and enhance affected person outcomes. This partnership […]

Medtronic Receives FDA Approval for New InPen™ App – The Journal of Healthcare Contracting

Medtronic Receives FDA Approval for New InPen™ App – The Journal of Healthcare Contracting

November 22, 2024 – Medtronic plc introduced US Meals and Drug Administration (FDA) approval for its new InPen™ app with missed meal dose detection, paving the best way for the launch of its Sensible MDI system with the Simplera™ steady glucose monitor (CGM) . The corporate's Sensible MDI system combines the InPen™ sensible insulin pen with the […]

Homethrive Eyes Growth After $20 Million Revenue

Homethrive Eyes Growth After $20 Million Revenue

Homethrive, a supplier of technology-enabled healthcare options based mostly in Northbrook, Illinois, just lately introduced the profitable closing of its newest funding spherical, elevating over $20 million. The corporate has additionally appointed Ismat Duckson Aziz to its board of administrators. The funds will broaden Homethrive's end-to-end care platform, specializing in personalised help and scaling AI-powered care navigation and suggestions. It […]

Wearable Well being Tech: Improvements and Impression on Power Illness Administration

Wearable Well being Tech: Improvements and Impression on Power Illness Administration

Just some a long time in the past, to grasp their present well being prognosis, a affected person needed to make an appointment with their healthcare supplier. They’d then endure laboratory exams, look ahead to the physician to learn them, after which report the outcomes to the affected person. Lengthy, drawn-out processes restrict choices for speedy care. For these managing […]

Rula Well being & Amino Well being Associate for entry to psychological well being care –

Rula Well being & Amino Well being Associate for entry to psychological well being care –

What you might want to know: – Rula Well being, a behavioral healthcare firm targeted on delivering well timed entry to high-quality care, immediately introduced a partnership with Amino Well being, a number one digital healthcare navigation firm. – By way of the partnership, Amino Well being members will now have entry to Rula's nationwide community of greater than 10,000 […]

Healthscope ends contracts with Bupa and AHSA

Healthscope ends contracts with Bupa and AHSA

Healthscope operates 38 personal hospitals throughout Australia. Credit score: BELL KA PANG / Shutterstock. Australian personal hospital operator Healthscope has introduced the termination of its contracts with two personal well being insurers, Bupa and Australian Well being Companies Alliance (AHSA). This transfer will have an effect on roughly 6.6 million individuals who have medical health insurance with these two corporations […]

American Oncology Community Launches Progressive Program to Increase Retention of New Oncology Nurses – The Journal of Healthcare Contracting

American Oncology Community Launches Progressive Program to Increase Retention of New Oncology Nurses – The Journal of Healthcare Contracting

November 22, 2024 – In response to the rising oncology nurse scarcity and excessive turnover within the career, The US Oncology Community (The Community), a number one oncology group, has been supported by McKesson, which is dedicated to advancing native most cancers care and bettering affected person outcomes , has developed an progressive program to assist the […]

Recoveries of 'overpayments' grasp over the heads of residence care suppliers

Recoveries of 'overpayments' grasp over the heads of residence care suppliers

This text is a part of your HHCN+ membership Now that the most recent last rule for residence well being care has been adopted, caregivers are reminded that chargebacks nonetheless grasp over their heads. Typically, non permanent cuts, or clawbacks, are an try by the U.S. Facilities for Medicare & Medicaid Companies (CMS) to get well perceived overpayments from residence […]

Closing America's Diabetes Hole: A $412 Billion Alternative to Rework Diabetes Care

Closing America's Diabetes Hole: A $412 Billion Alternative to Rework Diabetes Care

Regardless of vital advances in diabetes care, thousands and thousands of People in underserved communities nonetheless face monumental limitations to managing their situation. For these people, entry to preventive screenings, reasonably priced medicines and sustainable illness administration stays out of attain. Whereas improvements in distant blood glucose monitoring and drug therapies have improved outcomes for a lot of, analysis reveals […]

Affected person dies throughout gene remedy trial, however FDA permits Neurogene to proceed with low dose

Affected person dies throughout gene remedy trial, however FDA permits Neurogene to proceed with low dose

The scientific trial participant who was hospitalized on account of severe problems after receiving the excessive dose of Neurogene's experimental Rett syndrome gene remedy has died. Neurogene introduced the loss of life in a regulatory submitting after the market closed Thursday. The corporate mentioned the FDA is permitting the Part 1/2 trial to proceed with the low dose of the […]

Tens of millions of Individuals are nonetheless uninsured or underinsured regardless of the good points from the ACA

Tens of millions of Individuals are nonetheless uninsured or underinsured regardless of the good points from the ACA

What you should know: – A brand new report from the Commonwealth Fund reveals that regardless of important progress in increasing medical insurance protection below the Inexpensive Care Act (ACA), hundreds of thousands of Individuals nonetheless lack sufficient and reasonably priced well being care. – The report highlights the widespread protection hole, excessive out-of-pocket prices and the burden of medical […]

Brooks Rehabilitation proclaims partnership to enhance care

Brooks Rehabilitation proclaims partnership to enhance care

In 2021, Brooks Rehabilitation acquired seven pediatric sufferers transferred from Wolfson Youngsters's Hospital. Credit score: Brooks Rehabilitation/PRNewswire. Brooks Rehabilitation companions with Nemours Youngsters's Well being, Wolfson Youngsters's Hospital and UF Well being Jacksonville to enhance look after pediatric sufferers. The partnership goals to leverage every group's strengths to offer medical care, training and coaching. Brooks Rehabilitation System Chief Medical Officer […]

BD Launches First-of-its-Kin Proprietary HPV Examine to Enhance Cervical Most cancers Screening – The Journal of Healthcare Contracting

BD Launches First-of-its-Kin Proprietary HPV Examine to Enhance Cervical Most cancers Screening – The Journal of Healthcare Contracting

November 22, 2024 – A primary-of-its-kind human papillomavirus (HPV) screening self-screening program geared toward enhancing cervical most cancers screening in underserved communities has formally launched in Texas. HPV is the reason for nearly all cervical most cancers. The research is being carried out at Su Clinica, a Federally Certified Well being Heart (FQHC) with areas in Brownsville, […]

Future Chief: Jon Erik Higginbotham, Vice President, Enterprise Growth, Medical Analyst, Homecare Homebase

Future Chief: Jon Erik Higginbotham, Vice President, Enterprise Growth, Medical Analyst, Homecare Homebase

The Future Leaders Awards program is dropped at you in partnership with House care House base. This system is designed to acknowledge rising business members who will form residence well being, hospice care, senior housing, expert nursing and behavioral well being care within the subsequent decade. Go to to see this 12 months's Future Leaders https://futureleaders.agingmedia.com/. Jon Erik Higginbotham, vice […]

Twin brothers launch Seen Well being with $22 million to offer culturally centered look after seniors

Twin brothers launch Seen Well being with $22 million to offer culturally centered look after seniors

Twin brothers Xing and Yang Su have aligned their careers and have lengthy wished to begin a enterprise collectively. Whereas they had been deciding what to construct, their three surviving grandparents – who had helped elevate them – skilled vital well being issues. “We actually struggled as a household to have the ability to look after them and discover the […]