The midterm election is right around the corner, and healthcare costs are a top issue on the ballot, tied with gas prices, according to a KFF poll published Oct. 6. With major races taking place across the country this fall,…
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The nasal vestibule is a primary reservoir for potential bacterial pathogens, including multidrug-resistant organisms (MDROs), and colonization is associated with an increased risk of healthcare-associated infections (HAIs). Most patients meet at least one criterion that puts them at risk for…
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A physician has 15 minutes to set a care plan in motion. Patients then spend weeks or months managing their health between visits, often with little support. Symptoms change, treatment goals slip and care teams may not know until the…
Presented by:
- James Geracci, MD, Physician Executive, Business Development and Strategy, Lumeris
- Doug Rogers, Vice President and Tom Evangelist, Lumeris
Centene’s ‘Ohana Health Plan is leaving Hawaii’s Medicaid managed care program, QUEST, on Dec. 31, according to a Sept. 1 letter to plan members. Centene also did not bid on the contract for Community Care Services, a behavioral health managed…
One in eight U.S. adults reported taking a GLP-1 for weight loss, diabetes or another condition. For pharmacy and benefits leaders, that raises a question beyond access: How can that investment support lasting outcomes? The coverage question is largely settled.…
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CMS lifted an enrollment freeze for two contracts under eternalHealth, a Boston-based Medicare Advantage insurer, on Oct. 7. The agency imposed the freeze Aug. 27 after determining eternalHealth’s conduct “poses a serious threat to enrollee health and safety.” Earlier that…
When an enterprise AI system underperforms, the instinct is often to add more: more reasoning, a larger model, or another agent to check the first. This habit, often called tokenmaxxing, assumes that consuming more AI will produce better results. Sometimes…
Six Blue Cross Blue Shield plans had directory errors on nearly 56% of secret shopper calls made to listed psychiatrists and psychologists, according to a study published Oct. 16 in JAMA Health Forum. Researchers from the Ohio State University’s College…
For San Juan Regional Medical Center, the sole regional health system for the remote Four Corners area and 180 miles from the nearest major medical center, surgical access is a community lifeline. Yet manual, Excel-based OR tracking created bottlenecks, operational…
Presented by:
- Carlo Hallak, MD, Physician Informatics Executive, San Juan Regional Medical Center
- John Gaede, CPHIMS, MLS (ASCP), Chief Information Officer, San Juan Regional Medical Center
CVS Health named Maria Wilson, MD, as chief medical officer of Oak Street Health, the company’s value-based primary care centers for older adults. Dr. Wilson has been with Oak Street Health since 2017, most recently serving as an executive medical…
