UnitedHealth unit sued by Labor Department over systematic claims denials
Healthcare Dive
AUGUST 2, 2023
The government is alleging plan administrator UMR improperly denied thousands of ER and drug screening claims submitted between 2015 and 2018.
By outfitting police with telehealth iPads, mental health program saves government $62M
Healthcare IT News - Telehealth
MAY 24, 2024
"By 2015 this process involved more than 1,100 situations where an individual was taken to an emergency room for evaluation and then transported to an inpatient treatment hospital, sometimes several hours from where they were picked up and from the communities where they and their families lived," he said.
Governance 
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Trending Sources
No Take-Backs: Moderna’s Attempt to Renege on its Vaccine Patent Pledge
Bill of Health
AUGUST 29, 2022
government funding, announced that it felt “a special obligation … to use our resources to bring this pandemic to an end as quickly as possible.” Monsanto and Myriad) ( this 2015 article discusses the history and taxonomy of patent pledges, many of which are collected in this online database ). By Jorge L. Updating” the Pledge.
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Data linkage project seeks to improve First Nations maternal and child health outcomes
Healthcare It News
NOVEMBER 3, 2022
The Digital Infrastructure For improving First Nations Maternal and Child Health (DIFFERENCE) project has been awarded A$3 million in funding from the federal government's Medical Research Future Fund. Between 2015-2019, around 600 indigenous children aged 0-4 died, mostly infants. per 100,000 women).
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The impacts of climate change on the right to health in the United Kingdom
Bill of Health
NOVEMBER 25, 2024
In particular, the 2015 Paris Agreement articulates the goal of keeping global temperatures below 2°C. Government has to redraft its net zero strategy as its existing plan did not provide enough detail on how targets can be met. For now, the new Labour Government has recommitted to reaching the net zero target.
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Biosafety Labs, Public Safety, and Politics
Bill of Health
AUGUST 4, 2023
dollars (USD) and additional government losses at $11 billion USD due to controlling livestock movement and depopulating infected livestock. Alas not: Regulators cited Kansas State University in 2015 for repeatedly violating safety regulations at its existing biosafety level 3 research lab, the Biosecurity Research Institute.
New Zealand Telehealth Services transfers to new cloud
Healthcare IT News - Telehealth
OCTOBER 21, 2024
It was announced that the government service will be an anchor tenant of IT giant Microsoft's upcoming hyper-scale cloud in New Zealand. Whakarongorau has been delivering free, government-funded, and round-the-clock national telehealth services across seven digital channels since 2015.
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Disability-Inclusive Climate Action in Bangladesh: Gaps and Opportunities
Bill of Health
JULY 26, 2023
Other researchers have found that “ many persons with disabilities do not receive any humanitarian support from NGOs or the Government ” following natural disasters. Many have wheelchair access ramps, and are heralded as accessible by the Bangladesh government and international funders, yet they lack accessible toilets.
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How health systems can better protect patient privacy
Healthcare It News
SEPTEMBER 21, 2023
Before what he referred to as the major ramp up in attacks against healthcare that began in 2015, there was "an appreciable minority of patients who were uncomfortable providing all their information to their doctors," he told attendees at the HIMSS Healthcare Cybersecurity Forum in Boston earlier this month.
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Navigating the intersections of population health and precision medicine
Healthcare It News
AUGUST 31, 2021
When President Barack Obama announced during the 2015 State of the Union Address that the government was launching the Precision Medicine Initiative, a debate began about whether and how precision medicine and population health management could coexist in the U.S. Population health and precision medicine defined. health system.
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Physician venture investor talks telehealth, digital therapeutics, Medicaid tech
Healthcare It News
MARCH 18, 2022
Virtual visits were selected five times more often for anxiety and depression complaints than in-person – and this was for pre-pandemic encounters between 2015 and 2017. Fortunately, government, investors and startups are working together to close some of these care gaps. billion that year to $5.1
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More funds added for psychosocial telehealth to support ovarian cancer patients in Australia
Healthcare IT News - Telehealth
FEBRUARY 8, 2022
The Australian government has added A$2 million ($1.4 The government's additional funding, the group said, will help them continue providing psychosocial telehealth support services through its Teal Support Programme until the fiscal year 2023-2024. WHY IT MATTERS. The funding adds to the overall A$62.5
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Massachusetts Physicians Who Don't Meet Meaningful Use EHR Criteria Could Lose Their Medical Licenses in 2015
The Health Law Firm
MARCH 26, 2014
Board Certified by The Florida Bar in Health Law Effective January 2015, Massachusetts physicians who wish to renew their licenses must demonstrate that they utilize electronic health records (EHRs) that meet the requirements of the federal government's meaningful use program. Smith, R.R.T.,
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Telemedicine M&A trends moving into 2024
Healthcare IT News - Telehealth
DECEMBER 18, 2023
target company, consistent with the 2015-2022 trend where more than 70% of deals involved an American target company. You need to go back as far as 2015 to see such a low level of fundraising activity. government-led seed fund National Science Foundation, and the U.S. As with M&A, the U.S. with $610 million in volume.
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IT preparedness is key to managing outbreak of COVID-19, says CIO of SNUBH
Healthcare IT News - Telehealth
APRIL 30, 2020
Seoul National University Bundang Hospital (SNUBH), which is the first fully digitalized-paperless health care institution in South Korea, was designated by the government on 1 March as a “public safety hospital,” an institution that separates the treatment process of respiratory patients to prevent COVID-19 spread with the facility.
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Telehealth fraud: Tampa pharmacy owner faces 10 years for $931M conspiracy
Healthcare IT News - Telehealth
JANUARY 27, 2021
"Telemarketing fraud is a major threat to the integrity of government and commercial insurance programs," said Derrick L. The group was charged with a conspiracy to defraud pharmacy benefit managers out of $174,202,105 by submitting $931,356,936 for fraudulent prescriptions purchased from a telemarketing company.
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2021 HIPAA “Wall of Shame” Healthcare Data Breaches Up 7.5%
Compliancy Group
JANUARY 25, 2022
This is the second-largest number of records reported breached on the government site since 2015. The 2015 total included the largest single healthcare data breach on record – health insurer Anthem’s 77.8 Protected health information (PHI) from more than 45.7 million individuals. million patient records. .
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HSCC & HHS Release Guide to Help Healthcare Organizations Adopt the NIST Cybersecurity Framework
HIPAA Journal
MARCH 9, 2023
The framework was released by NIST in 2015, updated in 2018, and the NIST CSF 2.0 The NIST CSF has become the standard cybersecurity framework for government agencies and private sector companies for managing cybersecurity risks. is due for release later this year.
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Addressing the Mental Health Crisis in Kids: Collaboration and Technology Are Key
Healthcare IT Today
OCTOBER 19, 2022
Beyond the fact that DotCom Therapy has been successfully delivering services since 2015, a review of two dozen studies in 2019 found that phone and video therapies were equally effective at treating conditions like anxiety, depression, and post-traumatic stress disorder as in-person therapy.
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Centene Corporation Signs Definitive Agreement to Divest Apixio to New Mountain Capital
Healthcare IT Today
MAY 15, 2023
“Apixio has been a trusted business partner since our relationship began in 2015,” said Sarah M. Centene focuses on long-term growth and value creation as well as the development of its people, systems, and capabilities so that it can better serve its members, providers, local communities, and government partners.
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Insured, Sick and Broke – The Latest on the State of U.S. Health-Insured Consumers’ Financial Health
Health Populi
MAY 5, 2019
Historically, since the advent of employer-sponsored health care during World War II, the payor was the employer, the union, a government agency, another plan sponsor. adults experienced medical financial hardship between 2015 and 2017. The study analyzed data from the 2015-2017 National Health Interview Survey conducted by the CDC.
Reproductive Health at Risk: Climate Change and Agrotoxins in Latin America
Bill of Health
DECEMBER 10, 2024
In Uruguay , 97% of food consumed between November 2015 and August 2016 contained pesticide residues, and in Mexico , 140 agrotoxins banned in other countries are used, 111 of which are classified as highly dangerous. Cumulatively, the Americas accounted for 51% of global pesticide use in 2020, a concerning increase from 44% in 2000.
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Interoperability: How Hospitals Share Healthcare Data Can Cost Lives, We Can All Do Better
HIT Consultant
APRIL 22, 2024
As recently as 2023, between 30 and 47 percent of hospitals across all sizes reported still using fax or mail to send and receive patient records, according to the Government Accountability Office. This drove the use of Electronic Health Record systems (EHRs) in acute care hospitals to 84 percent by 2015.
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Government Delay Reduces False Claims Act Verdict – How Can This Protect Your Practice?
Hall Render
AUGUST 24, 2023
The Fifth Circuit Court of Appeals refused the defendants’ request to overturn the entire verdict but enforced the consequences of the government’s prejudicial delay by tying the conduct together with the government’s failure to toll the statute of limitations for many of its claims. The ruling in U.S. Aldridge v. Corporate Mgmt.,
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Mayo Clinic uses $1M in FCC funds for connected devices to expand telehealth
Healthcare IT News - Telehealth
JULY 27, 2020
“Mayo Clinic has operated an RPM program since 2015. “Since the pandemic, the number of providers of many different specialties and clinical roles that we’ve oriented to digital care has increased exponentially, due in part to significant flexibility from government regulators as part of the pandemic response.
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Global Healthcare Cyberattacks Increased by 74% in 2022
HIPAA Journal
JANUARY 10, 2023
With that increase, healthcare rose to become the third most attacked industry globally behind the government/military with 1,661 attacks a week (+46%) and education/research with 2,314 attacks a week (+43%). In the United States, healthcare ranked second with 1,410 attacks per week, which is an 86% increase from 2021.
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Telehealth: Addressing the Mental Health Crisis in Kids
HIT Consultant
NOVEMBER 29, 2022
Beyond the fact that DotCom Therapy has been successfully delivering services since 2015, a review of two dozen studies in 2019 found that phone and video therapies were equally effective at treating conditions like anxiety, depression, and post-traumatic stress disorder as in-person therapy.
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Russian National Indicted for Scripps Health Ransomware Attack; 11 TrickBot/Conti Actors Sanctioned
HIPAA Journal
SEPTEMBER 13, 2023
A federal grand jury in the Middle District of Tennessee returned an indictment charging Galochkin and co-conspirators Rudenskiy, Tsarev, and Zhuykov with conspiring to use Conti ransomware to attack businesses, nonprofits, and governments in the United States from 2020 until June 2022 when the Conti operation was disbanded.
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How Philips Has Pivoted In the COVID-19 Pandemic: Connected Care From Hospital to Home
Health Populi
JUNE 10, 2020
Roy and I discussed Philips’ journey to this moment, starting in 2015—that doubling-down to becoming a health-tech company, a vision of digital health on both the hospital/professional and consumer sides of the equation. equipment and hardware). At that point, the company left behind other businesses not core to health.
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Georgia Rehabilitation Center Submitted 808 False Claims to Medicaid/Tricare
Healthcare Compliance Blog
APRIL 27, 2022
A Georgia district court has issued a summary judgment against a state rehabilitation center for 808 false claims billed to Medicaid and Tricare between November 2015 and June 2020. 2, 2015–July 31, 2016, and a range of $11,181–$22,363 for violations committed after Jan. Issue: All submitted claims must be accurate and truthful.
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NIST Urged to Make HIPAA Security Rule Implementation Guidance More Usable by Small Providers
HIPAA Journal
OCTOBER 5, 2022
HSCC is a private sector-led critical infrastructure advisory council of large, medium, and small health industry stakeholders, that works with government partners to identify and mitigate threats and vulnerabilities that have the potential to affect the ability of the sector to deliver healthcare services. Now that H.R.
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GAO: HHS Should Establish Mechanism for Obtaining Feedback on HIPAA Data Breach Reporting Process
HIPAA Journal
JUNE 28, 2022
The Government Accountability Office (GAO) has recommended that the Department of Health and Human Services (HHS) establish a feedback mechanism to improve the effectiveness of its data breach reporting process.
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3 Compelling Reasons — Beyond the Law — to Expand Consumer Access to Personal Records
HIT Consultant
DECEMBER 19, 2023
These safeguards become even more demanding as consumers and government agencies call for increased transparency and access to personal data. Do we have a data governance team in place, and is it effective? In 2007, Tom joined the board of Harmony Healthcare IT and became CEO in 2015. Healthcare is no exception.
Safeguarding Against Medical Identity Theft Training
American Medical Compliance
JANUARY 9, 2024
Through Medicare, Medicaid, and the Children’s Health Insurance Program, the federal government and state governments offer health care coverage to nearly 100 million individuals. trillion in 2015. That is approximately one in three people in this nation, and it is anticipated that taxpayer spending will exceed $1.3
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Examining the Climate Change-Migration Nexus from a Disability Lens
Bill of Health
JULY 18, 2023
floods and heat waves) have the potential to trigger migration decisions or prompt governments to plan for the relocation and resettlement of affected populations as some environments become uninhabitable. Yet, climate-induced slow onset pressures (e.g., sea level rise and desertification) and rapid onset events (e.g.,
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New Report Reveals Massive $2.4 Billion Marijuana Impact on Colorado Economy
The Health Law Firm
DECEMBER 16, 2016
Board Certified by The Florida Bar in Health Law On October 27, 2016, the Marijuana Policy Project issued a report for 2015 stating that the state-legal medical marijuana industry had a $2.4 Indest III, J.D., billion economic impact on the Colorado economy.
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Chewing on Raley’s Social Impact Report: Re-Imagining the Future of Food, Health and Community
Health Populi
APRIL 9, 2021
In 2015, Raley’s eliminated tobacco products from its stores. Health Populi’s Hot Points: The public health crisis accelerated the private sector’s migration to ESG — environmental, social, and governance goals.
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False Claims Lawsuit Filed Against Alabama Psychiatrist for Improper Prescribing of Nuedexta to Nursing Home Resident
Healthcare Compliance Blog
FEBRUARY 8, 2022
From 2015 through 2019, the pharmaceutical company that manufactures Nuedexta paid the Alabama psychiatrist more than $400,000 to make speeches about Nuedexta. Routine audits should be conducted, and the results of the audits should be reported at the compliance and ethics committee meetings and in reports to the governing body.
Healthcare Industry Warned About Risk Posed by APT41 Threat Group
HIPAA Journal
SEPTEMBER 28, 2022
APT41 – also known as Double Dragon, Barium, Winnti, Wicked Panda, Wicked Spider, TG-2633, Bronze Atlas, Red Kelpie – conducted targeted campaigns on the healthcare sector in 2014, 2015, 2016, 2018, 2019, and 2020.
What the Crisis-Adoption of Telehealth Can Teach Tech Leaders
HIT Consultant
JANUARY 30, 2022
Moreover, during the pandemic, government deregulation helped drive a surge in virtual care, which was especially critical for patients with chronic conditions and at high risk if they were to contract COVID-19. For adoption to remain at current levels (or increase), financial incentives will have to remain aligned.
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$3.7 Million Paid in Settlement of Tricare False Claims Allegations
The Health Law Firm
SEPTEMBER 18, 2015
Board Certified by The Florida Bar in Health Law The government found a significant increase in compound drug prescriptions reimbursed by Tricare over the last year. By George F. Indest III, J.D.,
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Court Finds Qui Tam Relators Failed to Satisfy Evidentiary Requirements for Alleged Kickback Scheme of Pharmaceutical Company in Texas Case
The Health Law Firm
DECEMBER 22, 2015
Board Certified by The Florida Bar in Health Law On December 10, 2015, US District Court for the Southern District of Texas granted defendant's partial motion for summary judgment in a qui tam case alleging violations of the Anti-Kickback Statute (AKS). The government declined to intervene in February 2011. By George F.
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HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution
Kaiser Health News
JANUARY 19, 2022
” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. The new broker provision aims to deter fraudulent sign-ups by clarifying that applicants must attest that the income projections listed are correct.
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Employee Claims Wrongful Termination After Blowing the Whistle on New York Health Care Center
The Health Law Firm
DECEMBER 24, 2015
Board Certified by The Florida Bar in Health Law On Monday, December 21, 2015, Debra Martin filed suit against former employer, Middletown Community Health Center Inc. By George F. Indest III, J.D.,
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