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Population Health Management (PHM) in Healthcare | News, Analysis, Insights - HIT Consultant

Integrating Narrative Medicine into Elder Support Programs

by Bent Philipson, Founder of Philosophy Care 11/13/2025 Leave a Comment

Integrating Narrative Medicine into Elder Support Programs

There has never been a greater need for more comprehensive and compassionate approaches to elder care as countries struggle to support aging populations everywhere. Clinical and custodial frameworks still dominate elder support programs. Still, narrative medicine, a complementary and profoundly human-centered field, presents a chance to change how we interact with and care for senior citizens. Narrative medicine, initially developed in academic medical settings, strongly emphasizes the
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How Behavioral Health Providers Can Prepare for 42 CFR Part 2 Compliance

by Melissa Tran, CEO of ProsperityEHR 11/07/2025 Leave a Comment

How Behavioral Health Providers Can Prepare for 42 CFR Part 2 Compliance

The revised 42 CFR Part 2 regulations are coming. For behavioral health providers, they arrive at a time when the future feels unsteady and unpredictable. Enforcement will begin in early 2026, but the preparation window is rapidly closing. Clinics are navigating major changes in how they must collect, segment, and share patient data related to substance use disorder (SUD) treatment. Additionally, recent federal budget reforms mean the reimbursement environment is
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UHN and Helix Launch Canada’s Largest Population Genomics Initiative

by Jasmine Pennic 11/07/2025 Leave a Comment

UHN and Helix Launch Canada’s Largest Population Genomics Initiative

What You Should Know:  - University Health Network's (UHN's) Princess Margaret Cancer Centre and Helix, a precision health organization, today announced a landmark partnership to launch one of the largest population genomics studies in Canada. - The initiative, known as the OurGenes Study, aims to enroll up to 100,000 participants over five years, advancing precision medicine and the early detection of hereditary health risks. Targeting Actionable Hereditary Health Risks The
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Trump Unveils Historic Drug Price Cuts: Ozempic and Wegovy Reduced to $350 via TrumpRx

by Fred Pennic 11/06/2025 Leave a Comment

Trump Unveils Historic Drug Price Cuts: Ozempic and Wegovy Reduced to $350 via TrumpRx

What You Should Know:  - President Donald J. Trump announced the latest in a series of significant actions to lower prescription drug prices, unveiling agreements with pharmaceutical manufacturers Eli Lilly and Company and Novo Nordisk.  - The initiative delivers historic price reductions on some of the world’s most popular drugs, impacting millions of Americans struggling with chronic diseases, diabetes, heart disease, and obesity. Price Reductions for Patients and
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Rural Health Revolution: Lumeris, Teladoc, Deloitte Launch AI Coalition for CMS Program

by Fred Pennic 11/03/2025 Leave a Comment

Rural Health Revolution: Lumeris, Teladoc, Deloitte Launch AI Coalition for CMS Program

What You Should Know:  - Lumeris, a leader in healthcare technology and services announced the formation of a powerful new coalition, the Collaborative for Healthy Rural America (CHRA). The CHRA has b een established to provide an immediate and scalable execution path for state leaders participating in the Rural Health Transformation Program (RHT), administered by the Centers for Medicare & Medicaid Services (CMS). - The coalition brings together a formidable team of industry
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Why Value-Based Care Fails to Reward LTPAC Providers Today

by Eugene Gonsiorek, PhD, VP of Clinical Regulatory Standards at PointClickCare 10/30/2025 Leave a Comment

Why Value-Based Care Fails to Reward LTPAC Providers Today

The chorus of voices singing the praises of value-based care is growing ever louder. But in LTPAC, it still feels like the system’s asking providers to do more—with less—and faster than ever. For the past 25 years, financial strategy in long-term and post-acute care has been tied to two things: occupancy and payer mix. Around 70% of residents are covered by Medicaid. The rest—split between Medicare fee-for-service, Medicare Advantage, and private pay—bring in higher rates, especially
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The Invisible Risk Factor: Why Chronic Loneliness Is Sabotaging Chronic Care and Medication Adherence

by Michael Oleksiw, CEO of Pleio 10/21/2025 Leave a Comment

The Invisible Risk Factor: Why Chronic Loneliness Is Sabotaging Chronic Care and Medication Adherence

Connectivity was supposed to bring us closer. Instead, it’s exposing a dangerous gap in our healthcare system. The very tools designed to link us have scaled rapidly, but without addressing one of the most urgent and invisible threats to health: loneliness. Former Surgeon General Vivek Murthy recently delivered a stark reminder: Chronic loneliness carries the same mortality risk as smoking 15 cigarettes a day. His warning hits especially hard in healthcare, where digital relationships are on
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Guardrails for AI in Medicare Risk Adjustment: Navigating Innovation Without Losing Control

by Arun Hampapur, PhD Co-Founder CEO, Bloom Value Fellow, IEEE 10/20/2025 Leave a Comment

Arun Hampapur, PhD – Co-Founder & CEO, Bloom Value; Fellow, IEEE

Implementing AI in Risk Adjustment for Managed Care is like adding rocket fuel to your engine—from accelerating chart reviews to identifying coding opportunities in near real-time, AI can dramatically improve efficiency, accuracy, and compliance. But without the right safeguards, the same tools can just as easily magnify errors, introduce bias, and create costly regulatory exposure.  As Managed Care organizations navigate this rapidly evolving landscape, a key question looms:  How
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Pear Suite Secures $7.6M to Scale AI-Powered Community Health Worker Network

by Fred Pennic 10/14/2025 Leave a Comment

Pear Suite Secures $7.6M to Scale AI-Powered Community Health Worker Network

What You Should Know:  - Pear Suite, a digital health company dedicated to empowering community health workers (CHWs), today announced it has closed a $7.6 million Series A funding round co-led by Rock Health Capital and Nexxus Holdings.  - The investment will accelerate the development of its AI-powered platform, fuel provider network growth, and expand its impact through new Medicaid and Medicare health plan contracts. Building Sustainable Infrastructure for Community-Based
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3 Non-Negotiable Practices for Emotional Recovery in Cancer Care

by Nargiz Noimann, Founder of X-Technology 10/13/2025 Leave a Comment

3 Non-Negotiable Practices for Emotional Recovery in Cancer Care

Clinicians rightly celebrate when treatment ends. Yet many patients leave our clinics still carrying the invisible weight of illness—anxiety, low mood, pain, and a fragile sense of self. The evidence says this is not rare, and it is not trivial. A 2025 umbrella review of cancer survivorship found pooled prevalence rates of 33% for depression and 31% for anxiety, with higher figures during periods of wider societal stress. These symptoms shape adherence, function, and quality of life, long after
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