Ashish Kachru, CEO, DataLinkThe new healthcare realm of value-based care (VBC), designed to reward healthcare providers with incentive payments for the quality of care and patient outcomes not simply the volume of services provided,…
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A recent study showed that rates of follow-up care are lacking among children with mental health emergencies, underscoring the need for stronger patient engagement after hospitalization. These findings come in the midst of the…
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Zero Trust and NIST SP 800-207The National Institutes of Standards and Technology brought private and public partnerships together to discuss how to develop a framework to defend against attacks. On Aug. 11, 2020, NIST…
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Although 2022 has brought on a greater sense of normalcy, the past few years have distracted us from one of the most overlooked epidemics plaguing healthcare: prescription drug abuse.
Before Covid-19 diverted attention away from this problem, President Trump signed on to the SUPPORT for Patients and Communities Act of 2018, instating sweeping legislation for initiatives to address the opioid epidemic. The bill, among other initiatives, requires electronic prescriptions for controlled substances (EPCS) for any covered part D drug. Although the official start of the mandate was delayed two years to January 1, 2023, the importance of this federal intervention cannot be…
Amid swirling accusations that Medicare Advantage Organizations (MAOs) are overbilling the U.S. government and calls for better oversight, the Centers for Medicare & Medicaid Services announced in early February that it would investigate overbilling by those plans. They expect to recoup 4.7 billion dollars through this program.
This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. The article is based on an interview with Kel Pults, chief clinical officer and vice president of MediQuant. A future article will explain how Medicare Advantage plans are trying to improving data collection and reporting,…
Satire + Music + Comedy + Healthcare. What’s not to love?
This full-length musical from Sara Kreindler perfectly captures the challenges and frustrations in the Canadian Healthcare System. It tells the story of a eager young healthcare analyst, Larry, who is newly hired by the Canadian government to help “fix” the healthcare system. Comedy and eye-rolling ensues as Larry visits an over-crowded ER and tries to navigate the multiple layers of government and administration involved in healthcare.
Even though the musical is about the Canadian Healthcare System, there are many parts that Americans will find familiar. Episode 4 is where Larry learns the…
Sean Eaton, Senior Compliance Solutions Specialist at GHXAmerican health systems, hospitals and post-acute care providers are required to comply with hundreds of regulatory requirements. Facilitating this compliance comes with a high cost. According to the American Hospital Association, the average-sized community hospital spends nearly $7.6 million annually on administrative activities to support regulatory compliance. With the impending end of the COVID-19 public health emergency set to shake up healthcare regulations, ongoing healthcare labor shortages, and skyrocketing levels of clinician burnout, a perfect storm for non-compliance is brewing. Even with significant investments in administration to support compliance, overwhelmed providers can inadvertently leave gaps…
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A new American Health Information Management Association study aimed at finding a better understanding of the operational realities of how social determinants of health data is used in real-world healthcare scenarios, finding a lack of standardization, insufficient training and limited cross-sector use.WHY IT MATTERS
The study, conducted by NORC at the University of Chicago, surveyed more than 2,600 AHIMA members and nonmembers from a pool of 41,000 potential respondents between August 24 and September 9, 2022.
Respondents included coding professionals; managers, directors and vice presidents of health information management; HIM team members and executives.
SDOH data can offer additional insights to help enrich clinical decision-making…
The Federal Trade Commission has cited telehealth and prescription drug discount provider GoodRx for sharing sensitive consumer health data with several advertising platforms, in violation of its own privacy promises to consumers.
The agency has filed a proposed order demanding that GoodRx pay $1.5 million in civil penalties for failing to let consumers know about unauthorized disclosures of its data to a list of advertiser platforms. including Facebook and Google.
The company, which is based in California, operates a digital health platform offering prescription drug discounts, telehealth visits and other health services. It captures a wide range of data from consumers who use…
The healthcare industry currently faces many challenges, from meeting ever-changing patient demands to dealing with cyberattacks. The demand for efficient and secure IT solutions has never been greater. Healthcare MVPs are becoming increasingly popular as they offer a cost-effective way to bring innovative solutions to the market. However, they come with their own set of challenges to overcome.
Healthcare organizations need to develop products that meet the needs of their patients while providing a safe environment. We know that MVP is a great way to start because it gives you the opportunity to validate your idea fast, test the market…
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