Headlines: Medicare's Shared Savings Program Grows, Surprise Billing Falls
Large payer organizations reported around 10.1 million averted surprise bills and accountable care organizations are flocking to Medicare's Shared Savings program.
Large payer organizations reported around 10.1 million averted surprise bills and accountable care organizations are flocking to Medicare's Shared Savings program.
CMS has finalized prior authorization policies that please most major provider organizations and a new survey shows that EHR transformation is one key strategy for reducing provider burnout.
In this episode, Alivia Kaylor, MSc, senior editor, and Veronica Salib, associate editor at Xtelligent Healthcare Media, provide in-depth insights into the revolutionary strides defining the landscape of the life sciences and pharmaceutical industry in 2024. Unveiling transformative breakthroughs — including pioneering achievements in gene therapy, advancements in targeted oncology treatments, and cutting-edge progress in male birth control options — the discussion explores how these innovations...
The cost of delivering quality care is higher than ever, while payers are looking to downsize reimbursement rates as much as possible. As a result, many rural hospitals have closed or are on the brink of closure, exacerbating access to care challenges. Our editors discuss what is causing rural hospitals to shutter their doors and what some providers are doing to prevent it.
Amazon has added a health benefits check to its growing range of healthcare capabilities. Meanwhile, value-based purchasing might not be the best solution to health disparities in some care settings.
With the start of a new year, healthcare executives assess the state of the industry and set expectations for top trends and key strategies that will be widely implemented. Join four Xtelligent Healthcare Media senior staff members as we share what we have been hearing from healthcare leaders about 2024.
Automation could take many mundane yet demanding tasks off of providers' to-do lists. Russ Richmond, co-founder and chief executive officer of Laudio, shares why providers should embrace automation and what next steps they can take toward adopting the technology in this final episode of Industry Perspectives.
CMS has announced a new maternal health model. Some US healthcare spending trends dropped to pre-pandemic levels in 2022. Additionally, Medicare opioid use disorder treatment falls behind and the US Supreme Court will review an abortion pill.
With the increased frequency and intensity of extreme weather events, awareness of climate change and its health effects is growing. Titus Schleyer, DMD, PhD, Regenstrief Institute research scientist, discusses how health informatics can help enhance resilience against the evolving threats of a changing climate.
Technology has become crucial to the nursing profession, but how can healthcare organizations implement new technologies while maintaining personal nurse-patient interactions? Dusti Browning, vice president of growth and client solutions for Conduit Health Partners, shed some light on potential solutions.
Cigna and Humana have called off their planned merger in the wake of shareholder backlash. Remote patient monitoring offers a healthy return on investment, according to early estimates. Additionally, CVS Health introduces a new app to integrate healthcare tools for patients and external payer audits quadruple in 2023.
NewYork-Presbyterian is home to an innovative maternal mental health program that enlists the work of a multidisciplinary care team centered around doula care to support birthing people in the postpartum period. By employing this community-centered approach, NYP works to make maternal mental healthcare more accessible, closing the gap in the number of people able to access treatment for postpartum depression. In this episode, Davina Prabhu, vice president of the Ambulatory Care Network at NYP, d...
Sexual health is laden with stigma across our society, but the solution starts with reducing stigma among providers. Daphne Chen, co-founder and co-chief executive officer of TBD Health, explains how one hybrid sexual health clinic--originally designed to serve vagina owners but now open to penis-owning partners as well--seeks to improve access to women's health and sexual health.
As artificial intelligence continues to gain traction in healthcare, clinicians will be expected to engage with these technologies more and more. In this episode of Healthcare Strategies, Ronald Rodriguez, MD, PhD, professor of medical education at The University of Texas Health Science Center at San Antonio, details how he and other stakeholders helped design a dual degree program to prepare the next generation of doctors to be leaders in the healthcare AI space.
Genomics is a burgeoning field, with advancements that affect gene therapies and personalized medicine. Kamal Obbad, chief executive officer and co-founder of Nebula Genomics, offered some context for the field's prominence and recent evolution and provided some insight into what the future might hold for genomics.
Researchers from multiple institutions collaborate to create an ingestible, wireless remote patient monitoring device. Healthcare is fourth highest on the list of targets for the world's most dangerous malware.
Hybrid care and new technology partnerships are growing trends in the healthcare industry. Frank McGillin, chief executive office at The Clinic by Cleaveland Clinic, gives an inside peek at developing hybrid care models and choosing the right technology partners.
The healthcare sector faces cyber threats on a daily basis, sometimes resulting in disruptions to operations and decreases in quality of care. To ease the risk of cyberattacks and ensure that healthcare organizations are taking steps to safeguard sensitive data, a patchwork of state and federal laws exist. Elizabeth Hodge, partner in the Healthcare Practice Group at Akerman, discusses the healthcare cybersecurity regulatory landscape and how to maintain compliance.
When the coronavirus pandemic put society on hold, Americans had to rearrange their priorities and adopt various methods to cope, some healthier than others. Georgia Gaveras, DO, co-founder and chief medical officer at Talkiatry, explains how the pandemic affected mental health in the US, the pros and cons of telemental health, and more.
In the aftermath of the 2022 Dobbs vs Jackson Women’s Health Organization decision, patients find themselves navigating a variable legal landscape. While abortion care access may be legal in one state, it may not be in another, and that leaves those in abortion-restriction states, in some cases, traveling out of state for the procedure and putting themselves at risk for civil or criminal penalties. Shield laws have begun to crop up in abortion-legal states to protect these patients—and anyone in...
Healthcare technology innovation and digital health tools have become the backbone of many healthcare processes. How can healthcare leaders best wield these tools in order to make care more affordable and more efficient? With two decades of experience in the healthcare space, Glen Tullman, chief executive officer at Transcarent, shares his insights on how healthcare can catch up with other industries and seamlessly integrate digital health tools.
The American Hospitals Association (AHA) is suing the Department of Health and Human Services (HHS) for a bulletin on hospital use of tracking technologies. Meanwhile, CMS cut Medicare reimbursement to physicians.
Virtual reality solutions can enhance clinical outcomes and patient experience, particularly in the pain management arena, but there are numerous challenges to widespread adoption. In a Healthcare Strategies episode, Dr. Henry Xiang, director of the Center for Pediatric Trauma Research at Nationwide Children's Hospital, discussed the research into healthcare VR use cases for pain management as well as the benefits and challenges of VR use in healthcare.
Healthcare stakeholders have a wealth of digital health tools to choose from, but some tools do not delivery on their promises. On this Industry Perspectives episode, Caroline Pearson, executive director of the Peterson Center on Healthcare, shares how the Peterson Center on Healthcare's newly-released framework can support stakeholders with digital health tool assessment.
Employees at CVS Health and Walgreens are going on strike over working conditions, and most patients want to send their wearable data to their doctors. Also, the White House released an executive order on artificial intelligence and a proposal to refine the independent dispute resolution process to reduce surprise billing.
While artificial intelligence (AI) is not new to the payer industry, generative AI has generated quite the buzz. Ginny Whitman, senior manager of public policy at Alliance of Community Health Plans (ACHP), discusses how payers have reacted to the new tool, how regulatory trends might shape its future, and more.
Moving through the value-based care world can be difficult for providers. Jean-Claude Saghbini, president of value-based care enablement at Lumeris, shared what value-based care enablement looks like and how improving data-sharing between stakeholders can reinforce the relationships that are indispensable to value-based care success.
Today on Healthcare Strategies | Headlines: Physician-owned hospitals see huge savings compared to traditional hospitals. Average employee premiums and deductibles increased substantially in 2023. Meanwhile, eLearning for electronic health records training could reduce provider burnout, and one hospital is prescribing--and delivering--lower utility bills.
In this episode of Healthcare Strategies, Senior Editor Alivia Kaylor chats with Tina Platania, PharmD, Director of Clinical Services at CCS and a certified diabetes care and education specialist, about the role of healthcare providers in continuous glucose monitoring (CGM) coaching and education. CGM has emerged as an essential tool in diabetes management, revolutionizing how healthcare professionals and patients approach the disease. Platania offers valuable insights into the significance of C...
Kaiser Permanente and striking unions reached a tentative deal after the country's largest healthcare strike. Also, the FDA will set up a Digital Health Advisory Committee, HC3 warned of a new ransomware targeting healthcare, and Medicare Advantage plans' 2024 star ratings dropped again.