Literature Review
Optum Rx puts emphasis on predictability with new pricing model
05/23/24 at 03:00 AMOptum Rx puts emphasis on predictability with new pricing model Fierce Healthcare; by Paige Minemyer; 5/20/24 Optum Rx is rolling out a new pharmacy model that seeks to make drug costs more predictable and transparent for clients. The Optum Rx Clear Trend Guarantee aligns guarantees into single per member cost, encompassing retail, home delivery, specialty drug and rebate components in one guarantee. It provides an alternative to Optum's Cost Made Clear offering, which includes pass-through models and cost-plus pricing. ... Clear Trend Guarantee will be available on Jan. 1 alongside the existing Cost Made Clear program, Optum said.
Union president speaks on possible Ascension Genesys nurses strike
05/23/24 at 03:00 AMUnion president speaks on possible Ascension Genesys nurses strikeWNEM-TV5, GeneseeCo., MI; by Zain Omair and Hannah Mose; 5/20/24Registered nurses are ready to strike this week if union negotiations with a mid-Michigan hospital aren’t successful. Union president Dan Glass said if the union and Ascension Genesys don’t have a tentative agreement by Friday morning, May 24, the nurses represented by the union will hit the picket line for a strike. ... According to Glass, the union is looking for wage increases, but the biggest piece is staffing shortages and patient care concerns.
Life support decisions are usually made within 72 hours. Is that too soon?
05/23/24 at 03:00 AMLife support decisions are usually made within 72 hours. Is that too soon? Advisory Board; by Daily Briefing; 5/21/24After a patient suffers a traumatic brain injury (TBI) and is on a ventilator, when is the right time to withdraw life support? A new study published in the Journal of Neurotrauma suggests that doctors and patient family members should wait a bit longer than usual. ... The researchers found that the majority of patients whose life support wasn't withdrawn ended up dying in the hospital anyways within about six days. However, 42% of patients who continued life support recovered enough within the following year to have some level of independence, and a few even returned to their former lives.
In good hands: VA medical center introduces new inpatient hospice room and dialysis suites
05/23/24 at 03:00 AMIn good hands: VA medical center introduces new inpatient hospice room and dialysis suites Salisbury Post; by Brad Dountz; 5/21/24The W.B. (Bill) Hefner Salisbury Department of Veterans Affairs Medical Center ... held a ribbon cutting ceremony for the new inpatient hospice room, dialysis suites and six patient care rooms earlier this month. The amenities will allow veterans to get the treatment they need. Construction began during the days of COVID, but thanks to the work of the VA employees who built it, veterans can finally reap the benefits. “We come together to honor those who have selflessly served our country and now require specialized care. Some of them are in their final moments,” said Dr. Kamran Lateef, chief of hospital medicine. “In this sanctuary of compassion and solace, every detail has been meticulously crafted to offer the highest quality of care tailored to the unique needs of our beloved veterans.”
Congress earmarks $12.5 million for palliative care research
05/23/24 at 03:00 AMCongress earmarks $12.5 million for palliative care research
Telehealth is far from dead, says Providence’s Virtual Care Chief
05/23/24 at 03:00 AMTelehealth is far from dead, says Providence’s Virtual Care ChiefMedCity News; by Katie Adams; 5/15/24This year has been a messy one for virtual care companies, but that doesn’t mean that telehealth is dead, according to Eve Cunningham, Providence’s chief of virtual care and digital health. In her view, virtual care can definitely still be an important part of the care delivery model — but only if it is embedded into the greater healthcare delivery ecosystem. This year hasn’t been a great one for virtual care companies. Optum shuttered its virtual care unit in April, Walmart closed its virtual care offering (as well as its entire healthcare unit) in May, and two of the country’s largest telehealth providers - Teladoc Health and Amwell - have both enacted major rounds of layoffs this year. But this doesn’t mean telehealth is dead, said Eve Cunningham, chief of virtual care and digital health at Providence, during a Tuesday interview at the Reuters Digital Health conference in San Diego.
Nurses don't trust employers to safely implement AI tools, survey shows
05/23/24 at 02:00 AMNurses Don't Trust Employers to Safely Implement AI Tools, Survey ShowsMedPage Today; by Shannon Firth; 5/16/24Predictive models, chatbots may undermine clinical judgment and compromise patient care, they say. Three out of five nurses said they don't trust their employer to place patient safety as the most important factor when using artificial intelligence (AI) tools, according to a survey from National Nurses United (NNU), the largest union of RNs in the U.S.
Long-term care workers grapple with twice the ‘toxic stress’ as others, study shows
05/22/24 at 03:00 AMLong-term care workers grapple with twice the ‘toxic stress’ as others, study showsMcKnight's Long-Term Care News; by Josh Henreckson; 5/14/24Nurses and nurse aides in long term care report rates of adverse childhood experiences (ACEs) double that of the general population - results that should lead providers to more aggressively support and communicate with their workforce, authors of a new research study said Tuesday. The study suggests that providers should invest in mental health initiatives for their workers to address and prevent the effects of toxic stress. Nearly 60% of those surveyed had never sought mental health support for these traumatic experiences.
A disconnect between healthcare leaders, workers
05/22/24 at 03:00 AMA disconnect between healthcare leaders, workersBecker's Hospital Review; by Mariah Taylor; 5/17/24A recent Indeed survey suggests that many workers do not intend to leave healthcare entirely, but rather break ties from individual employers due to dissatisfaction with the job, a recent Indeed survey suggests. The survey also cites a gap in perception between what the workers find important and what management thinks they find important. Indeed commissioned a survey of 1,014 healthcare job seekers and 489 professionals engaged in recruiting or hiring healthcare employees. Participants were surveyed between November and January. [Highlights include:]
Home-based care investors show interest, but M&A pace remains cautious
05/22/24 at 03:00 AMHome-Based Care Investors Show Interest, But M&A Pace Remains CautiousHome Health Care News; by Andrew Donlan; 5/13/24Home-based care dealmakers have been busier of late, but that has not yet translated into more transactions. There’s some feeling that sidelined private equity firms will eventually have to enter the game, but that may not be the case.
Patients fare better when they get palliative care sooner, not later
05/22/24 at 03:00 AMPatients fare better when they get palliative care sooner, not laterScientific American; by Lydia Denworth; 5/14/24Supportive care is often started late in an illness, but that may not be the best way. I was happy to have the help but wished it had been available earlier. I’m not alone in that. Evidence of the benefits of palliative care continues to grow. For people with advanced illnesses, it helps to control physical symptoms such as pain and shortness of breath. It addresses mental health issues, including depression and anxiety. And it can reduce unnecessary trips to the hospital. But barriers to access persist—especially a lack of providers. As a result, palliative care is too often offered late, when “the opportunity to benefit is limited,” says physician Kate Courtright of the Perelman School of Medicine at the University of Pennsylvania.
Hospital-at-home grows despite regulatory uncertainty
05/22/24 at 03:00 AMHospital-at-home grows despite regulatory uncertaintyModern Healthcare; by Diane Eastabrook; 5/17/24Health systems and technology companies are betting big on home-based hospital care, despite regulatory uncertainty about the program’s future. Hospitals are bullish on at-home acute care because it can save money and make more beds available in their facilities for sicker patients. Medicare also pays health systems the same rate as it would for an inpatient admission. Since January, two health systems and 16 hospitals launched hospital-at-home programs under the Centers for Medicare and Medicaid Services’ Acute Hospital Care at Home waiver, bringing the total number of programs to 336 across 37 states, according to the agency’s website. More programs are slated to launch this year as Congress considers whether to extend the waiver beyond its Dec. 31 expiration date. Hospital-at-home allows certain patients to receive acute-level care where they live through telehealth and in-person visits, supplemented with remote patient monitoring. The concept gained traction during the COVID-19 pandemic when CMS approved a waiver in 2020 to alleviate overcrowding in hospitals. Large health systems, including Mass General Brigham, Geisinger and the Cleveland Clinic have invested heavily in home-based acute care. Many smaller hospital systems are doing the same by leveraging in-home care technology.
Have a heart – caregivers need care, too
05/22/24 at 03:00 AMHave a heart – caregivers need care, tooAmerican Heart Association; 5/14/24Living with a chronic medical condition after surviving a heart attack or stroke may come with additional health and personal care needs. Often survivors must rely on a family member or close friend to help. However, there’s a growing body of scientific research that shows people who serve as unpaid caregivers may not be getting the care they need to live longer, healthier lives, according to the American Heart Association.
Sanction-free InnovAge faces new challenges in Colorado, California during fiscal Q3
05/22/24 at 03:00 AMSanction-free InnovAge faces new challenges in Colorado, California during fiscal Q3McKnight's Home Care; by Adam Healy; 5/14/24InnovAge posted a loss in its third fiscal quarter, but executives of the for-profit Program of All-inclusive Care for the Elderly provider said business will only continue to improve as temporary headwinds fall by the wayside. “The company’s third quarter results were largely consistent with our expectations,” Patrick Blair, president and chief executive officer, said during a third quarter earnings call last week, according to a transcript. “We continue to see ongoing performance improvement in every facet of our operations which is driving greater stability in our financial results and increased confidence in our ability to deliver high-quality care and a great participant experience while also growing our top and bottom lines.” During the quarter ended March 31, InnovAge lost $6.1 million. That compares to a $7.3 million loss during the third fiscal quarter of 2023. Revenues grew by nearly 12% year-over-year to $193 million.
Today's Encouragement: "I smile at ..."
05/22/24 at 03:00 AMI smile at obstacles. - Tiger Woods
Cybersecurity execs share healthcare's biggest vulnerabilities
05/22/24 at 03:00 AMCybersecurity execs share healthcare's biggest vulnerabilitiesModern Healthcare; by Brock E.W. Turner; 5/20/24A recent string of massive healthcare cybersecurity breaches has put data security leaders on edge. Recent incidents have shined a light on some of the most significant vulnerabilities at health systems. Here are four of the biggest, according to experts.
UnitedHealth Group's Optum to close Ohio location, lay off 129
05/22/24 at 03:00 AMUnitedHealth Group's Optum to close Ohio location, lay off 129Modern Healthcare; by Lauren Berryman; 5/17/24UnitedHealth Group’s Optum will lay off 129 employees and close a Toledo, Ohio, facility, according to a notice filed with the state's job and family services department. The separations are expected to take place in three waves, from July 15 to September 6, and will affect employees in Ohio and remote locations, Optum said in the Worker Adjustment and Retraining Notification Act notice filed Thursday. The affected employees include senior software engineers, senior technology product managers, associate business systems analysts and associate business operations coordinators, the notice said.
Kaiser to sell $3.5B in PE funds: WSJ
05/22/24 at 03:00 AMKaiser to sell $3.5B in PE funds: WSJBecker's Hospital CFO Report; by Alan Condon; 5/13/24Oakland, Calif.-based Kaiser Permanente plans to sell up to $3.5 billion of holdings in private-equity funds due to cash constraints, The Wall Street Journal said in a May 12 report citing unnamed sources "familiar with the matter." Kaiser is working with investment bank Jefferies Financial Group to offload up to $3.5 billion of stakes to secondary buyers, but a spokesperson for the system told Becker's that the recent shift in investment out of private equity is not driven by liquidity concerns.
Breaking down walls: The other care models marking their territory in home-based care
05/22/24 at 03:00 AMBreaking down walls: The other care models marking their territory in home-based careHome Health News; by Joyce Famakinwa; 5/17/24Traditional home-based care companies aren’t the only ones serving seniors, while helping shift care away from brick-and-mortar settings. Adult day, PACE and continuing care retirement communities (CCRCs) without walls are a few of the care models working to meet the needs of seniors that want to age in place. In many ways, these care models are natural allies to home-based care providers.
PE sponsors of Comfort Keepers, New Day Healthcare are in home-based care for the long haul
05/22/24 at 03:00 AMPE Sponsors Of Comfort Keepers, New Day Healthcare Are In Home-Based Care For The Long HaulHome Health Care News; by Joyce Famakinwa; 5/13/24While some private equity investors have been sidelined by macro and micro headwinds, there are still plenty of PE firms invested in home-based care that like where they are.
NAHC hails legislation to extend Hospital at Home Waiver Program
05/22/24 at 03:00 AMNAHC hails legislation to extend Hospital at Home Waiver Program NAHC Newsroom - National Association for Home Care & Hospice; Press Release; 5/20/24 The National Association for Home Care & Hospice (NAHC) applauds the introduction in the United States Senate of the Hospital Inpatient Services Modernization Act of 2024, bipartisan legislation sponsored by Sen. Thomas Carper (D-De) and Sen. Tim Scott (R-SC) to extend the Centers for Medicare & Medicaid Services (CMS) Acute Hospital Care at Home waiver program for five years. The Acute Hospital Care at Home waiver program is due to expire on December 31, 2024, but this legislation would extend it for five additional years.
The Pennant Group acquires hospice provider Nurses on Wheels
05/22/24 at 02:10 AMThe Pennant Group acquires hospice provider Nurses on WheelsHospice News; by Jim Parker; 5/16/24The Pennant Group, Inc. (NASDAQ: PNTG) has acquired the Corpus Christi, Texas-based hospice provider Nurses on Wheels Inc. for an undisclosed amount. This is the latest in a string of acquisitions for Pennant. Earlier this month Pennant acquired Utah-based South Davis Home Health and South Davis Hospice. The company in December 2023 picked up Arizona-based Southwestern Palliative Care & Hospice after acquiring five Medicare hospice providers in multiple states the prior month. Financial terms were not disclosed in these deals.
Montgomery Hospice & Prince George’s Hospice hires new Chief Executive Officer
05/22/24 at 02:05 AMMontgomery Hospice & Prince George’s Hospice hires new Chief Executive OfficerPress release; 5/21/24Montgomery Hospice & Prince George’s Hospice is pleased to announce the selection of Karen Brubaker Miller, MSW, as the organization’s next Chief Executive Officer. Brubaker Miller’s tenure will start on July 1, succeeding Ann Mitchell, MPH, who was at the organization for the past 26 years. A licensed clinical social worker, Mrs. Brubaker Miller is a business and strategic minded leader with over 25 years of leadership experience working in the non-profit and for-profit hospice industry.
Modern Healthcare's Best Places to Work
05/22/24 at 02:00 AMModern Healthcare's Best Places to WorkPublisher's Note: On 5/20/24 we ran Modern Healthcare story recognizing Teleios as one of the best places to work in healthcare in 2024. We would like to recognize all hospice and palliative care providers on this list, including:
Today's Encouragement
05/21/24 at 03:00 AMA good head and a good heart are always a formidable combination. ~Nelson Mandela