The House Republicans Terrible, Horrible, No Good, Very Bad Obamacare Replacement Plan

It won’t work. Obamacare works for the poorest that have affordable health insurance because all of the program’s subsidies tilt in their favor. Obamacare doesn’t work well for the working and middle class who get much less support-particularly those who earn more than 400% of the federal poverty level, who constitute 40% of the population and don’t get any help. Because so many don’t do well under the law, only about 40% of the subsidy eligible have signed up and, with so many insurers losing lots of money, the scheme is not financially sustainable because not enough healthy people are on the rolls to pay for the sick.

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Bingham Memorial Hospital and Extended Care Facility is committed to the pursuit of excellence in its endeavor to provide a continuum of quality, compassionate, healthcare services for our residents and visitors to Bingham County, in the most efficient and cost effective manner possible.

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Healthtech Security

The Top Wellness Programs Most Employees Prefer: Weight Management, Smoking Cessation, and Mental Health

Article | August 31, 2023

It’s no secret that the working world has changed these past few years, but employees have also undergone a lot of personal transformation due to these shifts. Struggles with health, home life, or personal issues can make it hard for them to work. Burnout is increasing worldwide, with 40% of desk-job workers feeling mentally distanced from work, depleted of energy, and increased negativity. Younger workers are already becoming drained by work life, which could spell trouble for future generations of employees. Despite these challenges, the workplace is the best place to help staff improve their wellness, especially since they spend most of their time working or in the office. Wellness programs can be implemented to help employees feel rejuvenated and respected, which will boost their performance at work. Here are some examples of programs your workers might enjoy Weight Management Programs The idea of a weight management program at work may seem like something employees could be offended by, but it can help workers build healthy habits and assess their lifestyle to help them achieve better health. Employees can learn to manage their diet better, leading to weight loss and a lowered risk of certain health conditions. These programs can also identify the need for medical weight loss strategies. For employees struggling with pre-obesity—a complex disease influenced by several factors often out of an individual’s control—personalized lifestyle changes and FDA-approved medications can be recommended. With chronic weight issues, doctors can prescribe medications that can help produce an average of 15% weight loss, especially when individual biology makes doing so harder. Employees can look for the help they need for wellness and weight loss, which can help them feel cared for by the company. When workers are at their peak physically, they can enjoy a healthier lifestyle and will be more efficient at work. Quit Smoking Programs Smoking is usually a means for employees to reduce stress, but it can greatly impact their personal and professional lives. Smokers tend to be more absent or disengaged at work than non-smokers. Presenteeism at work is also associated with heavy smoking. Employees coming to work despite health issues can lead to subpar performances. This can cost workplaces a lot of money in lost productivity, and workers will also suffer from health consequences. Smoking cessation programs can help employees reduce their tobacco consumption and quit smoking for better health and productivity. These programs can include counseling, suggesting smoking cessation products or nicotine replacement therapy, or other initiatives tailored to individuals. Your staff may need more motivation when trying to quit, so having more support and a community to confide in can help. Mental Health Programs Mental health in the workplace was largely ignored for many years, as many saw it as a personal issue. However, work can contribute significantly to employees’ mental health problems or exacerbate mental illnesses like anxiety and depression. Improving these conditions is vital to improving many aspects of life for employees. Workers will better enjoy work and perform well when they know they’re being supported. Mental health is also paramount to sustainable development and plays a significant role in transforming the world as a whole. Treating and monitoring mental wellness should be prioritized at work and beyond. Though companies may not have the means to properly diagnose or treat workers’ mental illnesses, mental health programs can help give employees and managers the education and resources to help improve mental wellness. Education and training on mental health can aid people in spotting issues and having them addressed or equip people with the ability to provide proper support or encouragement. These programs can also help the business take the initiative and offer other resources to improve mental health. That can be through mental health sick leaves, adding napping or gaming areas to the office, or offering mental health apps or counseling in benefits packages. When your staff is appreciated and taken care of, it’ll improve their overall well-being and life at work and home.

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Health Technology, Digital Healthcare

Wearable Technology: A Pool of Opportunities in Healthcare

Article | September 8, 2023

Introduction The field of smart wearable devices has advanced significantly in recent years as a result of the advent of mobile medicine, the development of new technologies like smart sensing, and the increased penetration of personalized health concepts. These Internet of Things (IoT)-based smart devices not only help people pursue a healthier lifestyle, but also offer a constant flow of healthcare data, which can be used for disease diagnosis and treatment, by actively recording, tracking, and monitoring metabolic status and physiological parameters. Wearable technologies have the potential to completely change the ways to monitor health behavior and are increasingly finding clinical implementation for patients with various types of diseases. Wearable Technology: New Ways of Patient Monitoring While wearable technology has demonstrated value in the fields of entertainment, fitness, and gaming, it is making inroads into the healthcare industry at a rapid pace. Increasing advancements in sensor technology and artificial intelligence (AI) are assisting millions of people in detecting and managing chronic health conditions and avoiding serious illnesses using devices that are as small as a patch the size of a penny or small enough to be worn on the wrist. According to a study, nearly 320 million consumer health and wellness wearable devices are estimated to be shipped across the globe in 2022, and the number is likely to surpass 440 million units as a number of new devices come out and more healthcare providers start using them. Most wearable devices, such as smartwatches, now include heart rate monitors, and some have FDA approval for detecting abnormalities such as atrial fibrillation, a major cause of stroke. As these devices become more intelligent, the percentage of patients and consumers who use them to manage chronic health conditions and diagnose symptoms of serious diseases is likely to rise. This is expected to assist the sales of wearable devices in healthcare to exceed $195 billion by the end of 2027, presenting huge prospects for healthcare equipment providers and associated companies to benefit from the opportunity. The Future of Wearable Technology in Healthcare Though wearable technology is experiencing rapid growth, the field is still considered to be in its nascent stage, presenting massive remunerative prospects for the manufacturers of smart devices, especially in the healthcare industry. Hence, companies of all kinds, from giants to upstarts, are emphasizing on investing and developing new wearable devices with new features and functionalities to meet the surging demand for wearables across healthcare in coming years.

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Health Technology

Impact of Incorporating Artificial Intelligence (AI) in the Healthcare Industry

Article | September 12, 2023

As medical science has improved rapidly, life expectancy around the world also has risen. Still, as longevity increases, healthcare systems are facing a growing demand for advanced services, increased costs, and a struggling workforce to meet various requirements of patients. Demand is driven by many unstoppable forces: a shift in lifestyle choices, shifting patient expectations, population aging, and the never-ending cycle of innovation are a few among others. Challenges Faced by the Healthcare Industry According to Mckinsey, one in four people in North America and Europe will be over the age of 65 by 2050. This shows that, soon, the healthcare industry will have to deal with a larger number of patients with more complex requirements. Catering to these patients is expensive and requires health systems for providing long-term focused and proactive care. To remain sustainable, healthcare systems need major transformational and structural changes. The industry also needs a larger workforce because according to the World Health Organization (WHO), globally there is a shortfall of approximately 9.9 million nurses, physicians, and midwives. Apart from attracting, training, and retaining these healthcare professionals, you also have to ensure that their time and effort add value to patient care. Utilizing the solutions powered by modern technologies, such as Artificial Intelligence (AI) in the healthcare industry, will add perfection and more value to human efforts. AI in the healthcare industry has the potential required to transform and revolutionize healthcare by addressing the challenges in the industry mentioned earlier. AI can better the outcomes, improve efficiency, and augment productivity in healthcare delivery. This article takes an in-depth look at the impact of AI in healthcare. Impact of AI in the Healthcare Industry In the coming years, AI in the healthcare industry will improve the day-to-day life of healthcare practitioners, augment the patient experience, improve care delivery, and can even facilitate life-saving treatments and revolutionize the industry. Additionally, AI will improve population-health management, operations, and strengthen innovations. According to Statista, the global AI healthcare market will increase to more than US$28 billion by 2025. Here is a detailed look into the areas where and how AI in the healthcare industry will be impactful. Chronic Care Management Chronic diseases, such as cancer, diabetes, kidney diseases, are the leading cause of disability and death in the US and the main drivers of the country’s annual health cost. Effectively managing various chronic diseases is an overarching and long-term process. But with the help of the right tool, healthcare providers can meet the needs of these patients without delay. Artificial intelligence tools in the healthcare industry can help healthcare providers overcome the complexities of chronic disease management and make it more effective and provide quality treatment. AI in the healthcare industry is increasingly being leveraged by organizations to improve chronic disease management, enhance patient health, and drive down costs, which will also eventually result in data-driven and personalized care. AI in the healthcare industry is expected to move the industry toward proactive care delivery from a reactive one and lead the industry to provide more individualized treatments. This is just one of the ways AI in the medical industry is going to revolutionize chronic care management in hospitals. Care Delivery Artificial intelligence in the healthcare industry is changing the way care is delivered; it is expected to make healthcare more efficient, accurate, and accessible. Reducing costs and improving health outcomes are the values health systems and hospitals are trying to deliver to patients every day. Hospitals are increasingly incorporating technologies, which are powered by the use of AI in healthcare to meet the challenge. According to the American Hospital Association (AHA), AI in the healthcare industry has unlimited potential to solve most of the vexing challenges in the industry. They identify AI use cases in the healthcare industry in four broad areas, which are administrative, operational, financial, and clinical areas. Administrative Use Cases for AI in the Healthcare Industry • Admission procedures • Appointment scheduling • Customer service responses • Discharge instructions • Hiring and orientation protocols • Licensure verification • Patient check-in procedure • Prior authorizations • Quality measure reporting Operational Use Cases of AI in the Healthcare Industry • Inventory management • Materials management • Supply chain management • Facilities management Financial Use Cases for AI in the Healthcare Industry • Billing and collections • Claims management • Insurance eligibility verification • Revenue cycle management Clinical Use Cases of AI in the Healthcare Industry • Predictive technologies • Interventional technologies By incorporating and utilizing these scopes with AI in the healthcare industry, the industry can be transformed into a next-gen level in no time. It also allows healthcare practitioners to focus more on patients, which would eventually help in raising staff morale and improving retention. Clinical Decision Support Recent advancements in AI in the health industry are capable of enhancing the currently used clinical decision support (CDS) tools to have value-based imaging and to improve patient safety. According to the National Institute of Health (NIH), the synergy between CDS systems and AI in the healthcare industry will be able to: • Reduce friction in radiology workflows • Identify relevant imaging features easily • Generate structured data to develop machine learning algorithms • Enable an evolution toward decision support for a holistic patient perspective • Suggest imaging examinations in complex clinical scenarios • Assist in identifying appropriate imaging opportunities • Suggest appropriate individualized screening • Aid health practitioners to ensure continuity of care AI in the healthcare industry is competent in making CDS a next-gen one, enhancing the experiences of radiologists and providers, and improving patient care. Diagnostics Slowly but surely, AI is improving almost every aspect of human life with innovations and advancements. The latest is that AI in the healthcare industry is impending a revolution in medical diagnostics by providing accurate risk assessments, accelerating disease detection, and boosting hospital productivity. By automatically prioritizing urgent cases and accelerating reading time, image recognition AI enhances the workflow of radiologists. It even helps in the prevention of diseases by the early detection of diseases. In medical images such as x-rays, MRIs, and CT scans, AI-driven software can efficiently be used to accurately spot signs of many diseases, especially in detecting many chronic diseases such as cancer. According to the NIH, AI will be widely applied in the healthcare industry especially for various tasks such as patient engagement and adherence, diagnosis, and treatment recommendations. So, there is no doubt that AI in healthcare will revolutionize the diagnostic process in the approaching years by detecting diseases, classifying diseases, and improving the decision-making process. The application of AI in the healthcare industry will make people live longer. Triage and Diagnosis AI can be effectively used to automatically triage cases. AI algorithms will analyze the cases and forward cases to pathologists after determining the priority based on the probability of cases according to the criteria set by labs. This makes the workflow of pathologists easier and efficient. Through the process the algorithm will be able to: • Verify the digital images attached to the case belong to that case • Validate the tests ordered and match the specimen type • Identify cases marked as stat • Determine the cases, which can be positive or are most likely to be negative Moreover, AI technologies in the healthcare industry also can be effectively used to provide more accurate and faster diagnoses. This speeds up the entire process of triage and diagnosis and is expected to revolutionize the healthcare industry soon. The Future Outlook for AI in the Healthcare Industry Over the next few years, AI in the healthcare industry has the best opportunities in hybrid models to support clinicians in diagnosis, identifying risk factors, and in treatment planning. This scope will result in faster adoption of AI technology in healthcare, which will show measurable improvements in operational efficiency and patient outcomes. With a plethora of issues to overcome, which are driven by documented factors such as growing rates of chronic diseases and the aging population, it is obvious that the healthcare industry needs new innovative solutions. AI-powered solutions in the healthcare industry will achieve a clear impact on the global healthcare industry in a short time. Frequently Asked Questions Which is the best application of AI in the healthcare sector? Cognitive surgical robotics is the best application of AI in the healthcare sector as it helps practitioners collect data from real surgical processes, which would help in improving existing surgical approaches. Why is artificial intelligence important in healthcare? Artificial intelligence in healthcare is vital as it can help make decisions, analyze and manage data, and have conversations. So, AI will drastically change the everyday practices and roles of clinicians. When was AI-first used in healthcare? The term, Artificial intelligence (AI) was first described in 1950, but the limitations of the term prevented its acceptance. In the 2000s, these limitations were overcome and people started to accept the term.

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Digital Healthcare

Ways to Drive Practice Revenue and Reduce Your Accounts Receivable

Article | March 29, 2023

Managing accounts receivable (A/R) in private practice is a constant battle for physicians. Though most understand that lowering their A/R is critical for improving their practices’ efficiency and profitability, physicians often do not know how to address issues like lengthy collection periods and insurance claim denials. It can be complex to manage A/R, as doing so involves various parties, including insurance carriers, the patient, the front office and billing staff, and the provider. All must work together to achieve a clean claims rate and avoid denials. The best way to improve medical billing A/R is to reduce claim denials and speed up the patient collections process. In addition, you’ll need to ensure that patients and staff are filling out paperwork correctly and submitting claims on time. Other areas to manage are the follow-ups to correct errors and past-due accounts. Accounts receivable is a collaborative effort Each member of the practice staff plays an integral role in reducing claims denial rates. Take an all-hands-on-deck approach in order to identify issues and develop solutions. Start by making every team member privy to the A/R management process. This will ensure everyone is on the same page and involved. It will also help to increase efficiency, avoid redundancies, and eliminate mistakes that could waste time or profitability. The front office staff is the front line of A/R. They are the first to verify and update patients’ insurance and personal details like address and contact information. They must also ensure that patients sign certain documents, like financial policies. Providers are the next line of A/R. Providers select current procedural terminology (CPT) codes, and must be mindful of tedious details such as bundling correctly in order to ensure that claims are approved. A conscientious provider should not only select appropriate billing codes but also double-check the patient information that the front office staff provide. The billing office is a final line of defense and should triple check that the patient’s information and the CPT codes are correct. Billing office staff are also responsible for ensuring the claims are submitted on time and that duplicates are not submitted. Establish financial policies Every practice needs clearly defined financial policies around patients or clients. Having these policies in place helps to clarify financial details and creates workflows and processes for staff to follow. Here are a few elements to consider: State whether the practice will accept personal checks and, if so, what charges or actions are in place for bounced checks. Consider implementing technologies that convert paper checks to electronic transactions and verify them before patients leave the office. Include a financial responsibilities section with information about who is responsible for the claim(s) if a patient’s insurance carrier partially or fully denies their claim. Define the debt collection process. Patients should quickly know how long they have to pay their bills and at what point you may sell their debt to a third-party debt collectors agency. Medical records can be copious, and practices often need to make physical copies of them. Consider implementing a policy that covers a pay-per-page cost associated with medical records. Automate patient statements and payments Offer different payment options for patients by implementing technologies and creative solutions that make it easier for them to pay their bills. Look for solutions that reduce manual work and provide reporting that tracks efficacy across delivery modes. Here are a few approaches to consider: Automate sending statements via text message or email to help improve the rate of online payments. Add QR codes to online and paper statements to help patients quickly access payment portals. Offer payment plans, especially with low to no interest, to make it easier for patients to pay down balances. Establish a written collections process Not collecting patient payments at the time of service is the biggest challenge to patient collections. Establishing a written collections process can help to alleviate that pain point and clarify the practice’s policies and procedures so that patients can understand them more clearly and easily. Here are some guidelines to follow when creating your policies: Include when, how, and how often bills are sent. Provide information on payment plans and assistance programs, if available. Explain the different available payment options and whether patients can pay over the phone, online through a payment portal, etc. Clarify which extraordinary collection actions may be used, including selling the debt or taking legal action. One of the most important processes to develop with collections is to respond to patients’ behavior. Communication should not be a one-size-fits-all approach. Patients expect personalization, and reaching out to them based on their preferred means of communication leads to optimal results. Perseverance is vital when it comes to collections. By establishing clear policies and implementing integrated technology throughout your processes, you can improve the patient experience by eliminating confusion while streamlining workflow to reduce the administrative burden on billing and administrative staff. Although implementing these steps can help your practice lower your accounts receivables, sometimes choosing to outsource to a medical billing company can help you save time, money, and resources. Medical billing companies can provide medical practices with specialized expertise, technology, and infrastructure to efficiently manage the revenue cycle and ensure timely payments. Outsourcing medical billing can also free up staff time and resources, allowing healthcare providers to focus on patient care and other essential aspects of running their practice. Whether you choose to outsource or to keep your medical billing in-house, these tips will help you to reduce your costs and increase your revenue.

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Spotlight

Bingham Memorial Hospital

Bingham Memorial Hospital and Extended Care Facility is committed to the pursuit of excellence in its endeavor to provide a continuum of quality, compassionate, healthcare services for our residents and visitors to Bingham County, in the most efficient and cost effective manner possible.

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Capitol Hill health bill drama is leaving Obamacare exchanges in limbo

Capitol Hill health | July 19, 2017

California’s Obamacare exchange scrubbed its annual rate announcement this week, the latest sign of how the ongoing political drama over the Affordable Care Act is roiling insurance markets nationwide. The exchange, Covered California, might not wrap up negotiations with insurers and announce 2018 premiums for its 1.4 million customers until mid-August - about a month later than usual. Similar scenarios are playing out across the country as state officials and insurers demand clarity on health care rules and funding, with deadlines fast approaching for the start of open enrollment this fall.

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Where’s the data behind CMS Obamacare coverage map?

CMS | July 10, 2017

In mid-June, CMS released a fascinating map of the United States. The document shows a county by county analysis of how many insurers are expected to participate in the ACA exchanges next year. The original map - which reflected data accurate as of June 9 - showed 47 counties in Washington, Missouri and Ohio are projected to have zero ACA carriers in 2018. Another 1,200 counties are expected to only have one Obamacare insurer next year. The information was so intriguing that MedPage Today writer Matt Wynn decided to take a closer look.

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Obamacare Repeal Is Moving Forward. When Will Changes Affect Consumers?

The New York Times | January 13, 2017

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Capitol Hill health | July 19, 2017

California’s Obamacare exchange scrubbed its annual rate announcement this week, the latest sign of how the ongoing political drama over the Affordable Care Act is roiling insurance markets nationwide. The exchange, Covered California, might not wrap up negotiations with insurers and announce 2018 premiums for its 1.4 million customers until mid-August - about a month later than usual. Similar scenarios are playing out across the country as state officials and insurers demand clarity on health care rules and funding, with deadlines fast approaching for the start of open enrollment this fall.

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CMS | July 10, 2017

In mid-June, CMS released a fascinating map of the United States. The document shows a county by county analysis of how many insurers are expected to participate in the ACA exchanges next year. The original map - which reflected data accurate as of June 9 - showed 47 counties in Washington, Missouri and Ohio are projected to have zero ACA carriers in 2018. Another 1,200 counties are expected to only have one Obamacare insurer next year. The information was so intriguing that MedPage Today writer Matt Wynn decided to take a closer look.

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The New York Times | January 13, 2017

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