Business

Risk, Value, and ‘Doublethink’ in Healthcare

— The only value in healthcare should be the value of a healthy citizenry by Steven Merahn, MD November 12, 2023 Merahn is a veteran physician-executive. George Orwell’s seminal novel 1984 introduced the concept of “doublethink”: the act of simultaneously accepting two mutually contradictory beliefs as correct. Think: “war is peace,” “freedom is slavery,” or

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‘A short-term trend that is going to backfire’: Will hospitals regret their Medicare Advantage divorce?

Jakob Emerson Sachin Jain, MD, has a message for Medicare Advantage critics: You’re right. That message, of course, comes with a big asterisk. Dr. Jain, who leads one of the nation’s largest nonprofit Medicare Advantage companies, is a proponent of fixing issues with the 26-year-old federal program versus tearing it all down — a notion

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Michael Dowling: Where are the role models?

Michael J. Dowling, President & CEO, Northwell Health – Tuesday, October 24th, 2023 It’s no secret that Americans are increasingly being exposed to rising levels of rudeness, hostility, a lack of civility and decency in our day-to-day lives. So many of our so-called leaders contribute to the regression — headline-seeking politicians, narcissistic CEOs and media

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A gap in front-line staff training — and how Lifespan is closing it

Erica Carbajal “If you see something, say something.” It’s a phrase familiar to front-line staff who hospitals and health systems in large part rely on to report safety risks and events, but in many cases, a key component is missing: Training. Those who work outside of healthcare quality may assume such training for front-line staff

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Grocers with Medicare Advantage plans: 6 updates

Jakob Emerson – Wednesday, October 4th, 2023 From Walmart and UnitedHealth Group to Instacart and Alignment Healthcare, these are six grocery companies that have launched co-branded Medicare Advantage plans with payers in the last two years: Grocery delivery company Instacart is launching a co-branded Medicare Advantage plan in 2024 with Alignment Healthcare in 13 counties

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CMS recognizes ‘street medicine’ as billable care

Mariah Taylor Starting Oct. 1, CMS began allowing public and private insurers to pay “street medicine” providers for services delivered where homeless people might be staying, KFF Health News reported Oct. 16. Previously, these providers could not be paid by most Medicaid programs for their services if they were not delivered in traditional medical facilities.

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