Dave Driscoll

🚀 Introducing LTCInsight 360: Revolutionizing Compliance Management 🚀 Are you tired of drowning in paperwork and spending endless hours on compliance tasks? Say hello to LTCInsight360—the game-changing solution that will transform the way you manage compliance in your organization. 🔍 What is LTCInsight360? LTCInsight360 is not just another software platform—it's a comprehensive compliance management system designed to simplify your workload and enhance efficiency. Powered by advanced AI technology developed by RxPulseSolutions, LTCInsight360 is your all-in-one solution for navigating the complex landscape of compliance effortlessly. ⚙️ Key Features: AI-Powered Plan of Correction: Say goodbye to manual correction processes. Our revolutionary AI technology analyzes data and generates customized plans of correction in minutes, saving you valuable time and resources. Customizable Audit Templates: Tailor audits to your specific needs with our easy-to-use template builder. Effortlessly create, edit, and manage audit templates to ensure compliance across all areas of your organization. Automated Document Creation: Generate training documents and review policies and procedures with unparalleled ease. Our AI technology simplifies document creation, allowing you to focus on what matters most—delivering exceptional care. 🌟 Why Choose LTCInsight360? Efficiency: Streamline your compliance processes and eliminate manual tasks. Accuracy: Rely on AI-driven insights to ensure compliance and mitigate risks effectively. Time-Saving: Free up valuable time to focus on providing quality care to your residents. Innovation: Stay ahead of the curve with the latest advancements in compliance management technology. 📢 Join Us as an Early Adopter! Be among the first to experience the future of compliance management. We're currently accepting early adopters to join our journey towards revolutionizing the industry. Don't miss this opportunity—reach out today to secure your spot on the list and unlock the full potential of LTCInsight360! Ready to take compliance management to new heights? Get in touch with us today and embark on a journey towards effortless compliance with LTCInsight360. Your future starts now. #ComplianceManagement #AIinHealthcare #HealthcareTechnology #LongTermCare #EfficiencyInHealthcare #InnovationInCompliance #HealthcareCompliance #FutureOfCare #DigitalTransformation #EarlyAdopters

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🔎 Senators See Possible Conflicts of Interest in Health Care Pricing Tools The chairmen of two Senate committees overseeing health policy, Ron Wyden of Oregon and Bernie Sanders of Vermont, are looking into the practices of data analytics firm MultiPlan. Concerned about companies prioritizing their own profits over patient well-being, the senators are investigating MultiPlan's business model, which recommends lower payments to medical providers. This model could lead to a conflict of interest, as MultiPlan and insurers can collect higher fees when payouts are lower. The senators have called on MultiPlan to discuss their investigation and address concerns raised by a recent New York Times article. Read the full article here: Senators See Possible Conflicts of Interest in Health Care Pricing Tools MultiPlan has stated that they are working with the Senate committees to explain the complexities patients face when choosing high-priced care outside their networks, emphasizing their commitment to making healthcare transparent, fair, and affordable for all. This inquiry reflects the growing scrutiny of MultiPlan, which has faced allegations of anticompetitive behavior and collusion with insurers to fix prices. The Department of Labor also has ongoing investigations into the type of pricing services provided by MultiPlan. The attention on MultiPlan highlights the importance of employer-based health insurance, which is the most common way Americans receive coverage. Employers are increasingly looking into the cost of administering their plans and are frustrated by limited access to claims data. Legislation has been introduced to address this issue, requiring insurers to provide employers with claims data. As the investigation unfolds, it remains to be seen how MultiPlan and insurers will address concerns and ensure that patient well-being is prioritized over profits. #HealthCarePricing #PatientAdvocacy #HealthInsurance #DataAnalytics #SenateCommittees

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Remote Patient Monitoring (RPM) can offer several benefits for geriatric case managers: 1. Enhanced Monitoring: RPM allows case managers to remotely monitor the health status of their geriatric clients, including vital signs, symptoms, and medication adherence. This continuous monitoring enables early detection of health issues or changes in condition, allowing for timely intervention. Improved Care Coordination: RPM facilitates communication and collaboration among members of the healthcare team, including primary care physicians, specialists, caregivers, and family members. This ensures that everyone involved in the care of the geriatric client is informed and coordinated, leading to more comprehensive and effective care. 2. Increased Independence: RPM can support geriatric clients in maintaining their independence by providing assistance with activities of daily living (ADLs) and health management tasks while allowing them to remain in their own homes or preferred living environments. 3.Reduced Hospitalizations and Readmissions: By enabling early detection of health issues and timely intervention, RPM can help prevent hospitalizations and reduce the risk of readmissions for geriatric clients. This not only improves the quality of care but also reduces healthcare costs associated with acute care services. 4. Personalized Care Plans: RPM generates a wealth of data that can be used to tailor care plans to the individual needs and preferences of geriatric clients. This personalized approach to care ensures that interventions are targeted and effective, leading to better outcomes and higher client satisfaction. Peace of Mind for Family Members: RPM provides family members with peace of mind knowing that their loved ones are being monitored and supported, even when they are not physically present. This can alleviate caregiver stress and enhance the overall caregiving experience. 5. Proactive Management of Chronic Conditions: RPM can help case managers proactively manage chronic conditions such as diabetes, hypertension, and heart disease among geriatric clients. By monitoring key health indicators and providing timely interventions, RPM can help prevent complications and improve disease management. 6. Data-Driven Decision Making: RPM generates real-time data that can be analyzed to identify trends, patterns, and risk factors among geriatric clients. This data-driven approach to care enables case managers to make informed decisions and prioritize interventions based on the needs of their clients. Overall, RPM can enhance the quality of care, promote independence, and improve outcomes for geriatric clients while also supporting the work of care managers in providing comprehensive and coordinated care.

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Remote Patient Monitoring (RPM) can offer several benefits for geriatric case managers: 1. Enhanced Monitoring: RPM allows case managers to remotely monitor the health status of their geriatric clients, including vital signs, symptoms, and medication adherence. This continuous monitoring enables early detection of health issues or changes in condition, allowing for timely intervention. Improved Care Coordination: RPM facilitates communication and collaboration among members of the healthcare team, including primary care physicians, specialists, caregivers, and family members. This ensures that everyone involved in the care of the geriatric client is informed and coordinated, leading to more comprehensive and effective care. 2. Increased Independence: RPM can support geriatric clients in maintaining their independence by providing assistance with activities of daily living (ADLs) and health management tasks while allowing them to remain in their own homes or preferred living environments. 3.Reduced Hospitalizations and Readmissions: By enabling early detection of health issues and timely intervention, RPM can help prevent hospitalizations and reduce the risk of readmissions for geriatric clients. This not only improves the quality of care but also reduces healthcare costs associated with acute care services. 4. Personalized Care Plans: RPM generates a wealth of data that can be used to tailor care plans to the individual needs and preferences of geriatric clients. This personalized approach to care ensures that interventions are targeted and effective, leading to better outcomes and higher client satisfaction. Peace of Mind for Family Members: RPM provides family members with peace of mind knowing that their loved ones are being monitored and supported, even when they are not physically present. This can alleviate caregiver stress and enhance the overall caregiving experience. 5. Proactive Management of Chronic Conditions: RPM can help case managers proactively manage chronic conditions such as diabetes, hypertension, and heart disease among geriatric clients. By monitoring key health indicators and providing timely interventions, RPM can help prevent complications and improve disease management. 6. Data-Driven Decision Making: RPM generates real-time data that can be analyzed to identify trends, patterns, and risk factors among geriatric clients. This data-driven approach to care enables case managers to make informed decisions and prioritize interventions based on the needs of their clients. Overall, RPM can enhance the quality of care, promote independence, and improve outcomes for geriatric clients while also supporting the work of care managers in providing comprehensive and coordinated care. Call Today to Learn More About Chronica’s Medicare Part-B Funded Monitoring Harvey Bogarat, EVP Chronica Care 203:470.1073

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🎉 Exciting News! 🎉 I'm thrilled to share some incredible news about LTCInsight360, our game-changing software platform for long-term care. Imagine this: "Our community faced a massive challenge—a whopping 160-page document with 47 citations from state surveyors. But with LTCInsight360 by our side, we turned that mountain of paperwork into a walk in the park! In just minutes, our software analyzed everything and crafted a flawless plan of action." Now it's your turn to celebrate with me! Whether you're worried about surveys or just want to boost efficiency, LTCInsight360 is here for YOU! Ready to join me in making things easier? 🚀 Contact us today 🚀 to discover how LTCInsight360 can transform your correction plan process. Let's streamline your operations, reduce staff burden, and minimize survey-related stress together. Reach out to me today, and let's get the ball rolling! #LTCInsight360 #LongTermCare #HealthcareTechnology #EfficiencyBoost #SurveySolutions #PlanCorrection #StaffProductivity #OperationalEfficiency #HealthTech #SurveyAnxietyRelief

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Good summary by Noah Tong from Fierce Healthcare on the recent NAACOS spring meeting. At the event, four specific areas of focus were highlighted, including monitoring of DME fraud, a new best practices playbook, an expected pause in legislation passage this year, and SNF partnerships. ACOs are shifting to eCQM, with pilot testing for digital quality measures mentioned. MRO just posted a valuable blog on this topic for ACOs making the change. Check it out! #accountablecare #ACO #MIPS #valuebasedcare #healthcarequalityreporting Noah Tong Fierce Healthcare

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🙏 Cigna ER Analysis Updated - Thank you LinkedIn Network! 💡Split Analysis between Professional vs Institutional Rates 👉Prof = Up to 58 X Medicare, Inst = Up to 95 X Medicare

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Excellent article by Nona Tepper at Modern Healthcare explaining how Medicare Advantage #starratings are calculated and how they impact member recruitment. While they're not perfect, Stars ratings provide a good quality indicator for those choosing a plan. Check out the article here. Nona Tepper Modern Healthcare

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As revenues recover, it's clear that many hospitals are still grappling with rising costs. However, the hospitals that stand out are those embracing technology to drive efficiency and operational improvements, significantly reducing staff burnout. 🌟 Healthcare professionals entered this great profession to care for patients, not to be bogged down with manual tasks. That's why leading hospital systems are implementing comprehensive applications to enhance people, processes, and automation. This approach ensures cost-effective, top-of-license performance, ultimately benefiting both staff and patients. 💼❤️💡🔧 #GetReady #HealthcareInnovation #TechInHealthcare #OperationalExcellence #PatientCare

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Walmart Exits Healthcare Market: RPM Steps Up to Fill the Gap... Walmart's departure from the healthcare market, including its virtual health care services, will leave a void in care services for underserved communities. While hospitals and primary care providers (PCPs) remain the backbone of our healthcare ecosystem, their resilience is rooted in the trust relationships they've built with patients. This trust is a cornerstone of effective care, and RPM can help hospitals and PCPs extend their reach. RPM uses digital technologies to monitor patients' vital signs, health data, and other relevant information remotely, enabling healthcare providers to deliver timely interventions and preventive care. By leveraging RPM, we can: - Increase access to care for underserved communities - Detect health issues early, preventing complications - Deliver personalized care plans - Reduce healthcare costs - Empower patients to take a more active role in their healthcare As we move forward, RPM can help address the disparities in healthcare access and ensure that everyone has access to quality care, regardless of their zip code or background. Let's harness the power of RPM to create a more equitable and accessible healthcare ecosystem! #RemotePatientMonitoring #Telehealth #DigitalHealth #HealthcareAccess https://lnkd.in/eD7CcaEm

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By: Don Self, CMCS, CPC, CASA          Karlene Dittrich, CBCS, CPC, CPMA, CECCS         Chris Chapman, CPC, CPMA     Is Your Practice Or Organization Receiving Negative Financially Impacted UHC Responses? , Please  Read Below and Complete Our Short Survey.  The aggregated survey results will be posted on Don's list serve   After listening to the Senate Finance Committee hearing May 1st with testimony by Andrew Witty, CEO of UHG, it was clear that the US Senate & House members DO NOT HAVE A FACTUAL UNDERSTANDING OF UNDISCLOSED ACTS BEING TAKEN BY UHC.   We believe some statements by Mr. Witty to be misleading in nature, especially when considering facts posing financial risk to healthcare organizations.  Mr. Witty said that UHG is doing everything to help physicians, clinics and hospitals and that at no point has UHG or its companies  tried to take advantage of its own cyber attack. He stated that claims are processing implying claims payments are being made but failed to disclose  the relevant denial tactics being applied to the processed claims.  However, we have already observed since the Feb 21 attack, an increase in clients reaching out to us due to "post-payment" medical record requests, refund demands & recoupments/offsets and extrapolation attempts from UHC being received by clinics across the USA, that appear to FAIL to meet compliance with applicable state and federal laws. This is HUGE & the committee seems unaware of such detrimental undisclosed financial acts being intentionally exercised by UHC.  As advocates, we would like to show Congressional members proof in numbers of what is really happening, however WE NEED YOUR HELP to report the magnitude of UHC's attempts to recoup or "claw-back" money (patient benefits) previously paid on claims.   If you received one or more Refund Demand/Overpayment notices, recoupment(s) or offset(s), extrapolation notifications  or "post payment" medical record requests, please help us inform the Senate Finance Committee what is really going on by filling out the short survey in the link below.  The data needs to be close estimates. We are not asking for any PHI, or copies of documents or evidence, yet  Your responses will be confidential and only shared with  us & the committee (without the name of your organization).  Also, please provide us contact information & impacted locations in case we need to reach back out to you.  Please at least include the city/states so that we can provide the Senate Committee with geographically accurate reports.  If the Senate Committee wants to see actual examples or evidence, we will reach out to you with info you can get in touch with them directly.   Short and Optional Survey  https://lnkd.in/gGKhKr2A     The May 1st  recording is available at: https://lnkd.in/g_CaZ-vy    

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Exciting news for physician practices! DiaSante Health, LLC is changing the game with cutting-edge virtual healthcare solutions tailored specifically for your practice. DiaSante's Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) services empower physicians to thrive in today's healthcare landscape. Utilizing wearable devices, RPM enables early detection and personalized interventions, while CCM services offer regular check-ins on high-risk patients—extending your care without increasing staff workload. The results speak for themselves: practices using DiaSante have reported significant increases in net revenue and reductions in ER visits among RPM program participants. These solutions revolutionize healthcare delivery, allowing physicians to deliver superior care, boost revenue, and enhance patient satisfaction. In a world where value-based care reigns supreme, DiaSante's solutions are custom-built to support physicians in delivering quality care while ensuring financial stability. As patients live longer with multiple chronic conditions, the need for personalized care has never been greater. Ready to transform your practice with DiaSante? Reach out to me via LinkedIn or email at jim@pittmarketingllc.com to arrange a demonstration or learn more from our experts on how DiaSante can revolutionize your practice. #DiaSante #RemotePatientMonitoring #ChronicCareManagement #HealthcareTransformation #PhysicianPractice #PatientOutcomes #PracticeGrowth #RPM #CCM #ValueBasedCare #ImprovingOutcomes

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If you have started a new GME program in the last seven years you should reciew these and comment.

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Latest blog post for my Oncology Data Management/Cancer Registry connections!

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Great defense of “private equity medicine” from former CMS administrator Leslie Norwalk. Though few clinicians fully understand it, PEM has become a popular bogeyman for a wide range of complaints about US health care. A few key takeaways: ·      All health care organizations require working capital. They should be judged on their behavior, rather than their source of capital. ·      Pushing health care organizations to more expensive sources of capital (e.g,, high interest loans) doesn’t serve anyone’s interests (except the banks). ·      The financial successes of private equity-backed companies accrue to everyone with a 401K or a mutual fund, not just a small number of wall street elites. ·      Reducing competition in health care (based on investment class) only accelerates market consolidation by integrated health systems, and the higher prices that come with it.

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When medical provider reprice their claims using a repricing system like REVELOHEALTH's CALIBRATE, they unlock the payers "black box" to understand the pricing of each episode of care and lower the cost of collection for everyone. Is it about time we change how we determine the cost of collection for medical providers and payers?

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Mandatory bundles in surgery are a bi-partisan objective, and (in)ability to optimize cost/quality will dramatically impact hospital P&L. Regular insights from granular data , and AI-based decision support are the only way to systemically reduce unwanted variability and be both profitable and high quality.

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Join us for an enlightening session on Provider Enablement in the realm of Value-Based Care (VBC). Dive deep into the evolving landscape where third-party companies are revolutionizing VBC by managing risks and enhancing care outcomes. View the SOA Health Meeting agenda here: https://optumin.co/jgzooj #Optum #SOA #providers #ProviderEnablement #VBC 

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🔍 HIPAA Compliance: Gap Analysis vs. Risk Analysis 🔍 Do you know the difference between a gap analysis and a risk analysis for HIPAA compliance? Our detailed guide breaks it down for you and explains when to use each approach. 🧐 Test your knowledge and improve your compliance strategy is on point. 📖 Learn more: Navigating the Waters of HIPAA Compliance: Gap Analysis vs. Risk Analysis. https://lnkd.in/eqJEN5qh

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