Health Exec@HlthExec

Health Exec is an information resource providing strategic planning intelligence for C-suite hospital executives. Subscribe @: ow.ly/8neq50Nqyzy

 United States
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Joined February 2013
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State attorneys general: ‘Federal action is urgently needed to prevent catastrophic harm.’ Big tech insider: ‘These AI doomsayers just want power and money.’ #AIdoomsday #AIpocalypse @NewYorkStateAG @JTLonsdale ow.ly/J0cB50ZRtHq

State AGs call for federal AI regs without further ado; Big Tech insider suspects cynical motives...

Some 26 attorneys general have signed onto an initiative urging Congress to federally regulate the AI industry “immediately.” One of the voices countering the call is coming from inside the Big Tech...

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Lawsuit from Medicaid enrollees, provider advocacy groups challenges ‘Big, Beautiful’ work requirements. #Healthcare #Policy #OBBBA #Medicaid #WorkRequirements #Lawsuit #LegalNews ow.ly/P6TA50ZRa9k

Lawsuit from Medicaid enrollees, provider advocacy groups challenges ‘Big, Beautiful’ work requir...

Five beneficiaries of the safety-net healthcare program have sued with the support of the National Health Law Program. They are joined by prestigious industry lobbies, including the American Academy...

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.@ACLifeMed: Capturing #healthdata on #diet, #exercise, #sleep, #substanceuse allows #healthcareprofessionals to provide more #personalizedcare and track it over time. ow.ly/BrQ750ZR3SN

Major medical association seeks to build national digital infrastructure to support lifestyle-med...

If lifestyle medicine is to help U.S. healthcare improve care while reducing costs, the specialty is going to need a hand collecting and coding data at various points of patient care and engagement.

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.@commonwealthfnd survey report: When asked whom they consider responsible for their struggles with #MedicalDebt, a majority of surveyed Americans blamed their #HealthInsurance company. ow.ly/lYsq50ZQXwt

Hospitals lead the league in bill collections, but it’s not lonely at the top of that hill

Close to two-thirds of Americans carrying medical debt, 64%, owe the money to hospitals, whether for inpatient, outpatient or ER services.

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New Medicare fee schedule for laboratory services brings cuts as high as 23%. @CMSGov #healthcare #CMS #Policy #Labs #Laboratory #Medicare #2027FeeSchedule ow.ly/nj2650ZQEU2

New Medicare fee schedule for laboratory services brings cuts as high as 23%

In announcing its proposed changes to the Clinical Laboratory Fee Schedule for 2027, the Centers for Medicare & Medicaid Services justified the reduced reimbursement by pointing to rates paid by...

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CMS kicks 760,000 people off ACA plans in crackdown of ‘unauthorized’ broker-supported enrollments. @CMSGov #CMS #HHS #ACA #Healthcare #FraudWasteAbuse #Insurance #Policy ow.ly/eO2u50ZQyIV

CMS kicks 760,000 people off ACA plans in crackdown on ‘unauthorized’ broker-supported enrollments

The Centers for Medicare & Medicaid Services said agents and brokers, acting on behalf of enrollees, were failing to submit necessary documentation on applications, such as Social Security numbers...

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.@OSUPublicHealth researcher Marian Moser Jones et al. @AMJPublicHealth: #Pandemic backlash ‘has now metastasized into an era of full-blown political backlash undermining the nation’s #health at every turn.’ ow.ly/IXTt50ZQhEE

During COVID, public health officials were ‘canaries in a backlash coal mine.’ Today they’re out of...

The COVID-19 public health crisis ended in May 2023, three and a half years after HHS declared the pandemic a national health emergency. However, public anger over U.S. healthcare’s response is still...

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Mayo Clinic, Thermo Fisher Scientific launch new AI-supported diagnostics company. #Healthcare #AI #DataAnalytics #MayoClinic #Precure @MayoClinic @thermofisher ow.ly/wY7Q50ZQ7g8

Mayo Clinic, Thermo Fisher Scientific launch new AI-supported diagnostics company

The new entity, Precure, will be owned by both groups. Its work in detecting early disease for timely intervention stems from a research project launched this summer. The Mayo Clinic said Precure...

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Federal judge declines to intervene in Cigna’s refusal to pay $3M No Surprises Act award. #Healthcare #Lawsuit #IDR #Cigna #NSA #NoSurprises #Policy #LegalNews ow.ly/TOlz50ZPObc

Federal judge declines to intervene in Cigna’s refusal to pay $3M No Surprises Act award

The judge did not rule that Cigna was justified in refusing to pay but did agree that, under provisions of the NSA, federal courts have no right to compel payments.

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HHS-OIG audit finds that major Medicare Advantage insurers engaged in $180M of alleged upcoding. #MedicareAdvantage #MA #Healthcare #UnitedHealth #UHC #Humana #Policy #Report #OIG ow.ly/fWkE50ZPEvj

HHS-OIG audit finds that major Medicare Advantage insurers engaged in $180M of alleged upcoding

The payers in question, Humana and UnitedHealthcare, deny any wrongdoing and are not obligated to pay back any money. They contend that the conclusions of the U.S. Department of Health and Human...

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Kennedy appoints new members to Preventive ‌Services Task Force, as advisory committee departs from primary care focus. #Healthcare #PSTF #Kennedy #HHS #RFK #Policy healthexec.com/topics/health…

Kennedy appoints new members to Preventive ‌Services Task Force, as committee departs from primary...

The panel has not met in over a year, despite usually meeting three times annually. The new makeup of the group signals an increasing focus on the prevention of heart disease and certain cancers.

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Independent pharmacies sue Express Scripts over alleged violation of Arkansas PBM law. #SupplyChain #Healthcare #PBMs #Arkansas #ExpressScripts #Lawsuit #LegalNews #Policy #Pharmacy ow.ly/NUY550ZPfO4
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Work requirements to kick 2.3M young adults off Medicaid, reduce enrollment by 48%, report shows. @urbaninstitute #Policy #Medicaid #OBBB #Trump #Healthcare #WorkRequirements ow.ly/qsQ050ZP98W

Work requirements to kick 2.3M young adults off Medicaid, reduce enrollment by 48%, report shows

The numbers come from the Urban Institute, which anticipates the erosion will vary state-by-state, depending on the speed of regulatory oversight.

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Rural hospitals are losing maternal health services at an accelerating rate, with 58% currently without obstetrics. #Healthcare #Rural #WomensHealth #Policy #Economics #Maternal ow.ly/Nip450ZONvC

Rural hospitals are losing maternal health services at an accelerating rate, with 58% now lacking...

A new report from the University of Minnesota found that OB/GYN specialty care is drying up nationwide, but healthcare facilities in rural America are the most affected.

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$5.2B healthcare RCM giant Waystar seeking buyer, report reveals. @Reuters @Waystar #MandA #News #Healthcare #RCM #Stock $WAY #Report #Buyout #Waystar ow.ly/zst050ZOJw0

$5.2B healthcare RCM giant Waystar seeking buyer, report reveals

Any negotiations are currently in the early stages, sources told Reuters. If a deal closes, Waystar could be taken off the stock market and restructure itself as a private business.

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.@LeemoreDafny et al. @nejmcatalyst: Take one or more of three tacks rather than resort to the costly—and potentially counterproductive—step of adding specialist #physicians. @HarvardHBS @Kennedy_School ow.ly/NnXx50ZOnxR

3 ways to cut specialists’ wait times without adding more specialists

Add lanes to a highway and the traffic only gets more congested. Add doctors to a local health system and waiting times increase. What explains these parallel paradoxes?

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Leader of $64M healthcare fraud enterprise sentenced to over 6 years in prison. #Healthcare #Fraud #Waste #Abuse #DOJ #Medicaid #Fraud ow.ly/ifMU50ZOhR3

Leader of $64M healthcare fraud enterprise sent to prison

Zakia Khan, 55, from New York City pleaded guilty to billing Medicaid for unnecessary patient services, paying coconspirators illegal kickbacks in exchange for referrals. Her businesses earned...

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Physician shortage a looming national security crisis, researcher says. #Healthcare #Staffing #TheHill #OpEd #AMA #Policy #RuralHealth #Economy ow.ly/IJq950ZNZFP

Physician shortage a looming national security crisis, researcher says

In an op-ed published by The Hill, a policy expert calls for a paradigm shift in which the U.S. addresses the shortage of doctors with supportive policy that alleviates the hefty price tag of medical...

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$7M in Medicare fraud results in prison term for eye doctor. #FraudWasteAbuse #Medicare #Medicaid #Tennessee #DOJ #Crime #Healthcare #LegalNews ow.ly/f4Jq50ZNRtK

$7M in Medicare fraud results in prison term for eye doctor

In total, Helen Boerman, an optometric physician, admitted to sending $11 million in false claims to various government healthcare programs. She will spend the next three-and-a-half years in prison.

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Report: GE HealthCare to buy Sofie Biosciences for $1 billion as part of pharmaceutical diagnostics expansion. #Mergers #MandA #Healthcare #Buyout #PrivateEquity #HealthcareBusiness #News @GEHealthCare ow.ly/bXGt50ZNqTZ

Report: GE HealthCare to buy Sofie Biosciences for $1 billion as part of pharmaceutical diagnostics...

The deal, which sources told reporters could be finalized as early as next week, would mean GE HealthCare would become the sole owner of the private-equity backed radiopharmaceutical developer.

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