After decades of legal scrutiny, psychedelics such as MDMA and psilocybin were granted a stamp by Health Canada for medical purposes. The Canadian legislation allows the use of psychedelics for medical purposes beyond palliative care. This is a significant breakthrough for health professionals and advocates calling it a major step forward in the treatment of serious or life-threatening conditions. This is a great news for patients who are interested in psychedelic treatment for mental illness. It will also offer Compass Pathways (NASDAQ CMPS), ATAI Life Sciences, NASDAQ:ATAI), Revive Therapeutics Ltd.(OTCQB:RVVTF), Mind Medicine/MindMed (NASDAQ :MNMD), (NEO:MMED), Numinus Wellness (TSX :NUMI), (OTCPK :NUMIF), which are currently conducting clinical trials on various psychedelics) a smoother path to approval. [Read more…]
Hospitals and Health Systems News
Hospitals and health systems are where most health care dollars are spent, and the relationship between providers and health plans determines which facilities are in network and what patients pay. A health system is an organization that owns or operates multiple hospitals, physician practices, clinics and outpatient centers under common management, such as nonprofit systems like UnityPoint Health and academic medical centers like Cincinnati Children's.
What We Cover
This section covers hospital and health system strategy, expansions and closures, contract negotiations and network disputes with insurers, quality and patient safety ratings, staffing and workforce issues, physician group news, clinical programs, and community health investments. We also report on revenue cycle operations, the billing and collections work behind every patient account, and on the outsourcing and automation that systems are adopting to control administrative costs.
Provider news intersects with nearly every other part of the health plan business. When a health system and a carrier cannot agree on rates, members may lose in-network access; those disputes involve the companies covered in Health Insurance Companies and Blue Cross Blue Shield. Mergers, acquisitions and leadership appointments among providers are covered in Healthcare Business. Technology adopted by hospitals, including artificial intelligence (AI) in clinical and administrative workflows, appears in Health Technology and AI. Patient safety litigation and regulatory action appear in Healthcare Policy and Law, and skilled nursing and home health providers are covered in Senior Care.
The latest hospital and health system news appears below, newest first.
Industry Clinical Trials for Ketamine and Psilocybin Drug Development
Braxia Scientific Corp. (CSE: BRAXF (OTC: BRAXF (FWB: 4996), a medical research firm with clinics that provide innovative ketamine treatments to people with depression and other disorders, recently provided an update on its leading research role in the psychedelics sector. Braxia Scientific’s research team continues to develop innovative treatments for depression. This includes potential ketamine derivatives. Braxia Scientific also continues to conduct multiple psychedelic-based clinical trials. This adds to the Company’s growing proprietary data that will be used to inform future drug development. [Read more…]
American College of Emergency Physicians, American College of Radiology, and American Society of Anesthesiologists File Lawsuit
The American College of Emergency Physicians and the American College of Radiology (ACR) brought a lawsuit against federal government. The lawsuit claimed that the interim final ruling (IFR), on surprise medical billing, goes against the No Surprises Act language and will ultimately hurt patients and access to care. [Read more…]
Meridian Donates Box Lunches to Spectrum Health Workers
As a token of appreciation for Spectrum Health employees’ dedication to caring for the community during the COVID-19 epidemic, Meridian Health Plan of Michigan and Apple Spice Catering Company teamed up to deliver 900 boxes lunches to Spectrum Health employees. [Read more…]
Some Psychedelic Assisted Therapy Clinics are turning to Artificial Intelligence for Digital Mental Treatments
Psilocybin and ketamine, which is the active ingredient of magic mushrooms, are promising drugs for treating mental disorders. Psychoedelic-assisted therapy clinics are becoming more focused on the patient experience, and not just the use of ketamine or other psychedelic drugs therapies. The therapy is being seen as a part of the overall experience and not the final word. Experts believe that this new direction, which combines digital mental health therapy and psychedelics with other mind-altering substances, can lower the cost of care and improve patient outcomes and protocols. [Read more…]
Emergency Department Practice Management Association Files Amicus Brief, Supports Patient Protections
The Emergency Department Practice Management Association (EDPMA), an organization representing the practice of Emergency Medicine, filed an amicus brief, along with Texas ACEP and Virginia ACEP, in support of the Texas Medical Association’s and Dr. Adam Corley’s lawsuit against four federal agencies challenging the legality of an interim final rule issued in September implementing dispute resolution in the No Surprises Act (Rule). [Read more…]
Osigu Secures $7.5 Million in Funding
Osigu is the most trusted real-time claims and e-prescription platform for Latin America. It announced today that it has secured $7.5 Million in a new round led by IDC Ventures. Jose Vargas, cofounder of Healthcare.com (a leading digital insurance company), was also involved. This funding will allow Osigu to expand into Colombian markets and improve its ML algorithms, AI features, as well as expand Osigu’s reach. [Read more…]
Servatus raises $7.5 million to advance autoimmune therapies
Servatus Ltd is an unlisted Australian biopharmaceutical firm and global expert in the development and identification of new autoimmune therapies using live microbial biotherapeutics. It has received strong support from its sophisticated shareholders. [Read more…]
Positive EMERALD Trial Results for Elacestrant
Radius Health, Inc. (“Radius”) and Menarini Group (“Menarini”) shared details about the elacestrant data of the EMERALD study. These results were presented at the San Antonio Breast Cancer Symposium. The data was presented by Dr. Aditya Barhia, MD as a “Late Breaker”, and shared in an oral presentation. [Read more…]
Northwell Health-GoHealth Urgent Care earns HANYS 2021 Pinnacle Award
Northwell Health – GoHealth Urgent Care was awarded a Pinnacle Award by the Healthcare Association of New York State. Northwell Health-GoHealth Urgent Care was honored for its implementation and monitoring of antibiotic safety protocols (ASP) in its large-scale urgent care network. [Read more…]
Demandforce launches Insurance Check for Vision Care
Demandforce announced today the launch of Insurance Check, a new feature makes it easier for Vision Care practices to use the online service. Search in real-time for patient eligibility and benefits. [Read more…]
Jenny Ming joins Boards of Directors for Kaiser Foundation Health Plan, Inc. and Hospitals
Kaiser Permanente, the largest national integrated, non-profit health care provider, announced Jenny J. Ming, a seasoned retail executive, has been appointed to the Kaiser Foundation Health Plan, Inc., and Hospitals boards. [Read more…]
South Bend Orthopaedics partners with Orthos
South Bend Orthopaedics, a nationally recognized orthopaedics practice, is Orthos Inc. has partnered up with practice to bring about the first-of-its kind implementation Technology where providers and patients can share their experiences with Healthcare is the most difficult: slow authorizations, insurance mistakes, and High out-of-pocket costs. [Read more…]
Midwest Orthopaedics at Rush Launches Patient Online Scheduling
Orthopedic patients May now schedule their own appointments with Physicians and physician assistants in six Midwest Orthopaedics at Rush (MOR) places. By clicking’Schedule an Appointment’ on the home page of their clinic’s site, www.rushortho.com, patients may select initial available or the most convenient appointment times for engaging clinicians. For individuals who favor conventional scheduling by telephone, this alternative will be accessible. [Read more…]
Patient Office/Hospital Visits Down, Telemedicine Visits Up for Non-COVID-19 Health Issues
Health Transformation Alliance (HTA) Published results based on The paid claims data of 1.8 million U.S. workers of their HTA member-owners and their relatives. The study consists of the indirect effect of COVID-19 on non-COVID-19-related pharmaceutical and medical usage and prices from January to October 2020 in comparison to January to October 2019. The entire report can be obtained here: [Read more…]
STAR Health Program Supporting Children and Youth in Foster Care
In 2008, Superior HealthPlan partnered with Texas Health and Human Services (HHS) and the Department of Family and Protective Services (DFPS) to become the first managed care organization in the country to provide statewide health care for children and youth in foster care. [Read more…]
Soterix Medical Expanded Clinical Trials
Soterix Medical Inc. , the global leader in non-invasive stimulation and synergistic brain imaging technologies, has expanded clinical trials of its proprietary neuromodulation technologies for Alzheimer’s disease and Mild Cognitive Impairment. [Read more…]
Hudson Regional Hospital Lawsuit Dismissed
A lawsuit against healthcare entities related to Hudson Regional Hospital and its proprietor Yan Moshe has been dismissed (Eastern District Federal Court Docket Number 20cv01098). [Read more…]
Horizon Partners with Geneia
Horizon Healthcare Services, Inc. is partnering with Geneia.
A healthcare analytic services and solutions firm that’s simplifying the transition into healthcare, has announced their partnership to advance population health is functioning. Horizon picked Geneia’s Theon® Platform for Population Analytics, which implements AI-driven data analytics to identify and stratify inhabitants discovering insights for patient-centered maintenance, to attain increased involvement and boost ROI by focusing on the ideal care for the ideal patients at the ideal moment.
Horizon chosen Geneia’s Theon® Platform for Population Analytics to encourage its population health management plan and provide a coordinate and customized associate experience. The answer:
— Identifies gaps in Take Care of high-risk members
— Prioritizes quality step coverage, actions and common threat
— Provider that a 360-degree patient perspective
— Enhances patient satisfaction and results through coordinated care, public health and maintenance management
— Ensures platform extensibility to health programs, answerable attention associations and patient-centered medical-home clinics
To find out more about this Geneia — Horizon connection, download the case study at: https://content.geneia.com/2020/new-jerseys-largest-healthplan-transforms-with-geneia/index.html
Related Coverage
- New Partnership Revolutionizes Mental Health Care: Open Mind Health Teams Up With NeuroFlow
- Signify Research report on Population Health Management in North America
- Nash Health Care Systems Partners with TeleHealth Services
For more reporting on this topic, see our Hospitals and Health Systems news hub.
AGS Health Recognized in KLAS® Report
AGS Health, a leader in revenue cycle management services for major healthcare providers across the U.S. today announced it has been recognized by KLAS® Research as a “consistent high performer” in their report, “Outsourced Coding 2020, Which Firms Deliver Quality and Value.” [Read more…]
Olive Acquires Verata Health
Prior authorizations were the most costly and time-consuming transactions for providers in 2019 and are among the top reasons patient care is delayed. As cash-strapped hospitals and health systems strive to meet patient, payer and provider needs, the demand for AI technologies to increase efficiency and improve the patient experience has become critical. [Read more…]
A.M. Best Again Affirms Superior Rating for the Cooperative of American Physicians’ Mutual Protection Trust (MPT)
The Cooperative of American Physicians, Inc. (CAP) today announced that the Mutual Protection Trust (MPT), the organization’s core product, has earned another A+ (Superior) Rating with a Stable Outlook from A.M. Best Company, a global full-service credit rating agency dedicated to serving the financial and healthcare service industries. This is the 14th year running that the organization has achieved this distinction. [Read more…]
Employer Direct Healthcare Hires Jerry Fiala
Employer Direct Healthcare (EDH), a market-leader in the surgical benefit space, announced the hiring of Jerry Fiala as a Vice President of Business Development.
Prior to joining EDH, Fiala provided leadership during the successful implementation of Cleveland Clinic’s strategy of direct contractual engagement with large self-funded employers on a national scale, which included services such as surgical travel programs, online second opinion consultations, and executive health examinations.
Related Coverage
For more reporting on this topic, see our Hospitals and Health Systems news hub.
Equality Health Expands Value-based Care Model into Texas
Having demonstrated material impact in its first 3 years of operation, Equality Health, a comprehensive value-based care delivery system, announced today that it is expanding its operations into Texas, partnering with health plans and primary care providers to enable improved cost and quality performance in value-based contracts. Equality Health has contracted with healthcare organizations across the state of Texas, with its initial efforts focused in Houston, El Paso and the Rio Grande Valley. [Read more…]
Genome Medical Reaches 90 Million Covered Lives in U.S.
Genome Medical, a leading genomics technology, services and strategy company, announced today that its virtual genetic services are now available in-network to nearly 90 million people through payer contracts across the country. This accelerated availability of on-demand genetic expertise will expand the application of genome-enabled health care and precision medicine to benefit more patients. [Read more…]
Delta Dental Of California Partnership With Lendeavor
SAN FRANCISCO, April 27, 2020 /PRNewswire/ — Delta Dental of California, which offers comprehensive oral health care coverage to more than 36 million members, today announced details of a $200 million loan program through a partnership with Lendeavor that will provide economic assistance and post-COVID-19 pandemic relief for its independent provider network across 15 U.S. states and the District of Columbia. Lendeavor, a leading digital lender that provides financial solutions to healthcare practices, will manage the program. [Read more…]
100% Digital Health EMI Network Card from Bajaj Finserv Makes Medical Financing Stress-free
PUNE, India, April 28, 2020 /PRNewswire/ — The funds allocated towards healthcare by the 2020 Union Budget were 5.7% lower than the amount apportioned last year. This combined with the fact that healthcare inflation in India is believed to be increasing at double the rate of retail inflation and that about 56% of Indians don’t have any health insurance reveals the stark nature of healthcare finance in the country. To address this deficiency and make medical care more accessible and hassle-free, Bajaj Finance Limited, the lending and investing arm of Bajaj Finserv, offers a Digital Health EMI Network Card. [Read more…]
Fidelis Care Expands Access to Telehealth Services to Support Members
To support members and the health of local communities during the COVID-19 outbreak, Fidelis Care has expanded access to telehealth services, covering virtual visits with providers from the safety, comfort, and convenience of a member’s home for a $0 copay. [Read more…]
Usage of Telehealth and Retail Clinics Grew from 2017 to 2018 While That of ERs, ASCs and Urgent Care Declined
NEW YORK, March 31, 2020 /PRNewswire/ — From 2017 to 2018, telehealth use grew 12 percent and use of retail clinics grew 10 percent, but use of urgent care centers, ambulatory surgery centers (ASCs) and emergency rooms (ERs) all declined, according to newly released findings from FAIR Health. Urgent care center use fell 11 percent, ASC use fell 12 percent and ER use fell 15 percent. These are among the findings in a new FAIR Health white paper containing the third annual edition of FH® Healthcare Indicators and FH® Medical Price Index. [Read more…]
Matthew LeBlanc Named Eastern Region Healthcare Practice Leader
BOSTON and SAN FRANCISCO, March 5, 2020 /PRNewswire/ — Edgewood Healthcare Advisors, a division of EPIC, announced today that Matthew LeBlanc has been named Healthcare Practice Leader for the Eastern Region reporting to Susan Tewhill, National Healthcare Practice Leader for Edgewood Healthcare Advisors. [Read more…]
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