Tag: healthcare

January 31, 2023

It seems every burnout story these days can be attributed to COVID-19 and how could it not? The pandemic exposed the existing protocols and care pathways in place for the past decade that were not dynamic enough to support the […]

January 31, 2023

When the covid-19 pandemic hit, Dr. Corey Siegel was more prepared than most of his peers. Half of Siegel’s patients — many with private insurance and Medicaid — were already using telehealth, logging onto appointments through phones or computers. “You […]

January 31, 2023

In 2014, Stephen Hawking cautioned that “the development of full artificial intelligence could spell the end of the human race….It would take off on its own and re-design itself at an ever-increasing rate..” Artificial intelligence (AI) has advanced rapidly in […]

January 31, 2023

Providers and drug manufacturers have been at odds for years over the 340B drug discount program, which requires pharmaceutical companies to give discounts on outpatient drugs for providers serving low-income communities. Such providers usually have narrower margins, meaning the drug […]

January 30, 2023

Prior to the pandemic, claims fraud, waste and abuse (FWA) was a priority issue for health plans aiming to improve both care quality and the member experience. But, accelerated by the pandemic, health plans are now grappling with compounding operational […]

January 30, 2023

In the final two months of 2022, the Centers for Medicare and Medicaid Services (CMS) released over 5,000 pages of new regulations and the U.S. Congress passed into law a 4,000-plus page omnibus spending bill that had over 1,000 pages […]

January 30, 2023

The nation’s healthcare workforce still is trying to recover from the COVID-19 pandemic nearly three years after it began as labor shortages stress hospitals and clinicians, spurring increased burnout among staff ranging from nurses to executives. In addition, healthcare workers […]

January 30, 2023

Medicare Advantage plans for seniors dodged a major financial bullet Monday as government officials gave them a reprieve for returning hundreds of millions of dollars or more in government overpayments — some dating back a decade or more. The health […]

January 30, 2023

China said on Monday that the COVID-19 situation in the country was at a “low level”, and that fever clinic visits due to the coronavirus during the Lunar New Year dropped about 40% from before the week-long holiday “The overall […]

January 30, 2023

The World Health Organization will push at its board meeting this week for an expanded role in tackling the next global health emergency after COVID-19, but is still seeking answers on how to fund it, according to health policy experts. […]

January 30, 2023

Monday’s proposal is the latest of President Joe Biden’s efforts to expand access to reproductive healthcare, a particular focus for the White House in the aftermath of the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization. Last August, […]

January 27, 2023

Patients have a right of access to their health information under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. Recent policy efforts aim to simplify and increase patient access to electronic health information (EHI), as easy access to […]

January 27, 2023

The FBI seized control of a notorious ransomware gang’s servers and websites, crippling the group’s ability to launch cyberattacks and demand multimillion dollar ransoms from its victims, the Department of Justice said Thursday. The ransomware group, known as the Hive, […]

January 27, 2023

Today, KHN has released details of 90 previously secret government audits that reveal millions of dollars in overpayments to Medicare Advantage health plans for seniors. The audits, which cover billings from 2011 through 2013, are the most recent financial reviews […]

January 27, 2023

Interoperability continues to improve among U.S. hospitals, but there’s still a ways to go, according to new government data. More than six in 10 hospitals electronically shared health information and integrated it into their electronic health records in 2021, up […]

January 26, 2023

Upcoming Medicaid redeterminations could further complicate healthcare operating environments, as hospitals and payers continue to face pandemic-driven challenges nearly three years into COVID-19, according to a new report from Moody’s Investor Services. Medicaid enrollment rose substantially through the pandemic, growing […]

January 26, 2023

As many integrated provider networks and ACOs manage their populations under value-based contracts, over utilization of emergency departments drive up costs and compromise performance outcome of patients. Many healthcare leaders believe high ER utilization is a symptom of a larger […]

January 26, 2023

The buzz around AI has increased as the ChatGPT model takes the internet by storm. It’s no different in healthcare. The ChatGPT AI tool has passed the U.S. medical licensing exam, authored a number of scientific papers and is being […]

January 26, 2023

Europe’s drug regulator has decided not to label the antibiotic shortage on the continent a “major event”, given existing measures to tackle the shortfall were working in the short term, it said in a statement on Thursday, A “major event” […]

January 25, 2023

Interoperability remains the Holy Grail in healthcare, the goal to which all organizations aspire. The urgency to remove silos and improve communication between various systems and organizations is paramount, as it promises to lead to greater efficiency and improved outcomes […]