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.
DEA and HHS extend virtual prescribing for controlled substances through 2025
Healthcare It News
NOVEMBER 18, 2024
The agencies also said they would continue to develop the final rule governing the virtual prescribing of controlled substances in the post-pandemic era to be consistent with public health and safety and to mitigate drug diversion risks.
COVID-19 
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What is the government doing to protect hospitals from hacks?
Becker's Health IT
DECEMBER 7, 2023
Hospital leaders, Congress, and governmental agencies have been collaborating on potential solutions to healthcare data breaches that have increased 93% from 2018 to 2022.
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Roundup: Digital health provider news from Q1 2018
Mobi Health News
APRIL 13, 2018
Through a mix of studies, pilots, and deployments, the first quarter of 2018 saw a lot of providers moving deeper into digital health. At the same time, more moves by Apple and a lot of action from the federal government continued to create new possibilities for the space. Apple moves in 2018
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COVID-19 telemonitoring tool adapted to prevent heat-related illness
Healthcare It News
AUGUST 20, 2021
A recent study published in Nature found 37% of deaths related to heat exposure around the world between 1991 and 2018 were related to global warming caused by humans. Moreover, one in three European deaths from heat between 1990-2018 is estimated to be attributed to human-induced global warming. THE LARGER CONTEXT.
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HHS OCR Settles HIPAA Ransomware Cybersecurity Investigation for $90,000
Compliancy Group
NOVEMBER 5, 2024
The topic: data security – specifically, how the federal government is regulating it, and what resources the federal government has made available for organizations to enhance its data security posture. Director Fontes Rainer spoke about a recently launched OCR “Risk Analysis Initiative.”
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The Government Seeks FCA Liability for Off-Label Use of Medical Devices
Healthcare Law Blog
AUGUST 3, 2022
is a reminder that the government will use the FCA to target medical device manufacturers for off-label use of medical devices, even where healthcare providers have decided the use is safe and effective. The government is attempting to prove materiality using Medicare’s coverage requirement that procedures must be “reasonable and necessary.”
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Wearable, Shareable, Virtual: The Demands of the Digital Health Consumer in 2018
Health Populi
MARCH 7, 2018
This week at the 2018 annual HIMSS conference, telehealth is playing a mainstream role in discussions about right-sizing and right-placing healthcare. The evidence for telehealth’s tipping point is rooted in new research published today by Accenture on Patients + Doctors + Machines, Accentures’ 2018 Consumer Survey on Digital Health.
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DOJ Recovered $2.8 Billion From Healthcare FCA Cases in 2018
The Health Law Firm
JANUARY 9, 2019
Board Certified by The Florida Bar in Health Law On December 21, 2018, the US Department of Justice (DOJ) announced that it recovered more than $2.8 billion from False Claims Act (FCA) cases in 2018. billion in settlements and judgments that the government obtained during the year through FCA cases, more than $2.5
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Doctors are getting on board with genAI, survey shows
Healthcare It News
APRIL 19, 2024
The survey also found that clear guidance or organizational policies governing the use of AI are still developing across healthcare. In a 2018 survey of 200 healthcare leaders by Intel, 33% said that they were not only concerned about patients' perception of AI, but that clinicians also held similar skepticism.
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Bain to Buy Guidehouse in $5 Billion Deal
Healthcare IT Today
DECEMBER 4, 2023
Consulting Firm Spun Off From PwC in 2018 Bain Capital said it would acquire Guidehouse , a consulting firm that advises government organizations and businesses, in a deal valuing it at $5.3 In 2018, Veritas Capital, which invests in businesses at the intersection of government and technology, acquired the U.S.
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Monthly Round-Up of What to Read on Pharma Law and Policy
Bill of Health
JULY 15, 2022
The selections feature topics ranging from a discussion of potential pathways to enable government patent use before nonpatent exclusivities expire, to an examination of medical oncologists who receive more than $100,000 annually from pharmaceutical companies, to an analysis of the launch prices of new drugs from 2008-2021. JAMA Intern Med.
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New DOJ Memo Shifting Government Policy in False Claims Act Cases Should make Healthcare Providers Happy!
The Health Law Firm
MARCH 14, 2018
Board Certified by The Florida Bar in Health Law On January 29, 2018, the US Department of Justice (DOJ) released a new internal memorandum that we believe signals a backing-off of government support for False Claims Act cases. Indest III, J.D.,
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HIMSS22 EUROPE: “We need to co-create and work together with patients.”
Healthcare It News
JUNE 18, 2022
Although telehealth boomed during the pandemic, the uptake of other forms of digital tools dropped after 2018, according to research carried out by Accenture across eight countries.
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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. In 2018 , floods inundated parts of Kansas near the NBAF. The selection of the site was questioned by the Government Accountability Office. billion facility. Who was she?
Many Hospitals Receiving Discounted Drugs May Not Offer Patients Pharmaceutical Assistance
Bill of Health
JULY 20, 2022
However, according to the Government Accountability Office (GAO), there are no measures built into the program to assure that 340B program discounts are being used to support care for low-income populations, let alone to improve access to medicines discounted through the program.
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Roundup: EpiSoft's online IFC, payments process goes live in St John of God Health Care and more briefs
Healthcare It News
NOVEMBER 17, 2022
Following this accreditation, Medi-Map will still have to provide greater detail around governance and staff access to its system, procedures, and a demonstration of its use as a closed system. Since 2018, RACFs around the country have been trying out eNRMC-conformant products with the aim of making them available nationwide.
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Digital health apps in Germany - An update on the DiGA journey
Healthcare It News
NOVEMBER 29, 2021
The 2018 study ' Smart Health Systems , International comparison of digital strategies' examined to what extent 18 selected countries had digitised their healthcare delivery. DiGA developers have conceded that they had underestimated the effort it takes to commercialise them. WHY IT MATTERS.
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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. Roix and HealthRight had already pleaded guilty in September 2018 to conspiracy to commit healthcare fraud for their roles in the incident, agreeing to pay restitution of $5 million.
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What If Costco Designed the Prescription Drugs Sales Model?
Health Populi
JUNE 5, 2022
“Among the 184 most commonly prescribed drugs in Medicare Part D in 2018, 90% could be purchased at Costco for less than $20 for a 30-day supply.” “A growing body of research shows that the federal government and Medicare beneficiaries are also overpaying for generic prescription medications,” t hey explained.
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The importance of data for clinical decision-making
Healthcare It News
OCTOBER 4, 2022
One example is the Digital LifeCare programme , which was launched in collaboration between Dell, the government of India, and Tata Trusts in 2018.
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The Importance of Protecting Medical Cannabis Patient Records
Electronic Health Reporter
FEBRUARY 11, 2019
In late 2018, the U.S. government re-classified hemp — the subspecies of cannabis lacking significant concentrations of the […]. As of 2019, the voters in 33 American states have passed some form of legislation allowing the use of medical marijuana.
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5 Ways Health Systems Can Improve Their Cybersecurity in 2018
Redox
JANUARY 24, 2018
Providers who implement this model analyze the security culture of their organization, including the mindset of its leadership, IT governance, and the cybersecurity awareness of staff, partners, and contractors, then build a plan that fits the organization’s habits and perceptions.
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EHR documentation burdens increasing with virtual care expansion, says study
Healthcare IT News - Telehealth
NOVEMBER 8, 2023
Their multivariable regression model analyzed weekly EHR metadata, comparing the same measures for one year before the pandemic – August 2018-September 2019 – with the same period one year after its onset – August 2020-September 2021. hours per eight patient scheduled hours.
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symplr Acquires Midas Health Analytics Solutions for $340M
HIT Consultant
JANUARY 4, 2022
What You Should Know: – symplr , a global leader in enterprise healthcare operations including governance, risk management, and compliance (“GRC”) SaaS solutions announced it has agreed to acquire Midas Health Analytics Solutions (“Midas”) from Conduent Incorporated for $340M.
Teladoc Health Launches Virtual Care Transformation Model for Employers
HIT Consultant
MARCH 21, 2022
Recent data shows that 80% of large employers believe virtual care will have a significant effect on how healthcare is delivered in the future, a 52% increase from 2018. Governance: Identifies how an organization’s leadership and governance drive support and implementation of virtual care services.
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California Privacy Protection Agency Board Adopts and Approves CCPA Regulations and Discusses Preliminary Rulemaking for Cybersecurity Audits, Risk Assessments, and Automated Decision-Making
Health Law Advisor
FEBRUARY 7, 2023
The California Privacy Protection Agency Board (the “Board”) held a public meeting on February 3, 2023, adopting and approving the current set of draft rules (the “Draft Rules”), which implement and clarify the California Consumer Privacy Act of 2018 (“CCPA”) as amended by the California Privacy Rights Act of 2020 (“CPRA”).
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The Supreme Court Clarifies the Government’s FCA Dismissal Power and Invites Constitutional Challenge to the FCA’s Qui Tam Provision
Health Law RX
JUNE 27, 2023
the Court held that, despite declining to intervene at the outset of a case, the Government retains the authority to intervene later, including for the purposes of seeking dismissal pursuant to and consistent with Federal Rule 41(a) ( U.S. Circuit found the Government’s dismissal authority to be “unfettered” ( Swift v. SuperValu Inc.,
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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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Balancing Patient Rights and Costs in Medical Malpractice Claims
Bill of Health
MARCH 3, 2022
The spending on claims is significantly more than some other countries: “However, neither the Government’s own enquiries nor the published literature have yet yielded a full explanation as to why per-capita spending on claims in this country appears significantly higher than in all these other countries.
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Monthly Round-Up of What to Read on Pharma Law and Policy
Bill of Health
MARCH 25, 2022
A New Way to Contain Unaffordable Medication Costs – Exercising the Government’s Existing Rights. Medicaid Expenditures and Estimated Rebates on Line Extension Drugs, 2010-2018. Association Between Payments by Pharmaceutical Manufacturers and Prescribing Behavior in Rheumatology. Mayo Clin Proc. 2022 Feb;97(2):250-260.
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Ransomware Attacks Drop by 23% Globally but Increase by 328% in Healthcare
HIPAA Journal
JULY 29, 2022
While the reduction in attacks is certainly good news, it should be noted that the year-to-date figures for ransomware attacks are still higher than they were in all of 2017, 2018, and 2019. Intrusion attempts increased by 39% in healthcare, 46% in government, and 200% in retail.
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Lyfegen Raises $8M for Value-Based Contracting for High-Cost Drugs
HIT Consultant
SEPTEMBER 20, 2022
Founded in 2018, Lyfegen’s platform helps regulators, pharma companies and payers more easily adopt value-based payment models by digitizing the end-to-end process of data collection, anonymization and contract negotiations for all parties to agree upon drug pricing and reimbursement. “We
Stressed Out By COVID and Civil Unrest – the APA’s Stress in America Survey, Part 2
Health Populi
JUNE 30, 2020
feel this way, up from 56% in 2018 and 2019. This was the highest proportion APA polled since 2018 when 46% of black adults reported discrimination was a significant stressor. adults), followed by States (72% of consumers), and local governments (64% of people feeling the stress). Furthermore, 4 in 5 people in the U.S.
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83 Thailand launches telemedicine programme in rural areas
Healthcare IT News - Telehealth
MARCH 29, 2019
Earlier this month, Samitivej Hospital Group, a private hospital brand in Thailand with a network of eight hospitals and owned by Bangkok Dusit Medical Services (BDMS), launched a one-stop Virtual Hospital app , which provides services such as teleconsultation and medicine delivery.
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Healthcare Executives Are Burned Out; Here’s What to Do About It
HIT Consultant
DECEMBER 20, 2022
The overall percentage of burned out executives, however, has climbed substantially since 2018 wherein the great majority of them are concerned about the impact that burnout is having on their organizations. The pandemic created a sense of doubt that I have had trouble shaking,” said one CEO frankly.
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Should Sacred Plant Medicines Have Standing? The Original Instructions and Western Jurisprudence
Bill of Health
FEBRUARY 5, 2024
Most notably, the government of Ecuador has enshrined the rights of nature, or Pachamama, into their constitution. In 2018 the White Earth Band of Ojibwe adopted a law to protect the rights of manoomin , or wild rice in Minnesota. Indigenous communities across the United States have been at the forefront of the RoN movement.
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Prior Authorization Takes a Leap Forward in CMS Regulation
Healthcare IT Today
OCTOBER 12, 2023
The federal government has been haranguing vendors and clinicians to make interoperable systems since the HITECH act was passed in 2009. In 2018, CMS chief Seema Verma pushed forward the organization’s goal to advance true interoperability. The release of FHIR in the mid-2010 decade changed everything.
Senator Seeks Information on How to Improve Health Data Privacy
HIPAA Journal
SEPTEMBER 12, 2023
Feedback is also sought on the challenges that have been experienced in complying with the data privacy frameworks that have been implemented in 9 states since 2018, and whether any lessons have been learned as states have implemented these frameworks for the governance of health data.
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Key Cybersecurity Defenses for the Healthcare Sector
Healthcare IT Today
OCTOBER 4, 2023
In 2022, as cyberattacks globally rose by 38% year-on-year, healthcare became the third-most-attacked industry (behind government and education), recording an increase of 74% and reporting up to 1,463 incidents per week. Since 2018, ransomware attacks on healthcare organizations alone have cost the global economy $92 billion in downtime.
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Closing the gap: Organizations move to telepsychiatry and hybrid therapy to expand mental health services
Healthcare IT News - Telehealth
AUGUST 21, 2023
Centerstone began offering telehealth services in 2018 with the goal of reaching patients in rural communities. Clinical and technological perspectives on telepsychiatry Centerstone and Lyra Health , two behavioral health service providers, have both found success using telepsychiatry to reach their patients.
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Georgia Rehabilitation Center Submitted 808 False Claims to Medicaid/Tricare
Healthcare Compliance Blog
APRIL 27, 2022
Under the False Claims Act, the government is entitled to three times damages and civil penalties ranging from $5,500 and $11,000 for each identifiable claim submitted between Nov. A robust compliance and ethics program can help identify false claims therefore reducing fraud, waste, and abuse of government funds.
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Unseen Scars: The Devastating Impact of Corruption on Mental Health Systems in Low and Middle-Income Countries
Bill of Health
JULY 11, 2024
Between 2017 and 2021, the Peruvian, Chilean, Guatemalan, Uruguayan, Mexican, and Argentinian governments awarded the purchase of such medicines to single suppliers without a public tender or in favor of companies with bad corporate practices. Corruption contributes to the violation of patients’ human rights.
Supreme Court To Review DOJ’s Authority to Dismiss Qui Tam FCA Suits Over Objections From Relators
Healthcare Law Blog
JUNE 30, 2022
The FCA allows the federal government to recover fraudulently-obtained federal funds, plus significant additional monetary damages and penalties. These types of dismissals of qui tam suits have become increasingly popular in recent years, with the DOJ outlining seven standards for seeking dismissals in a 2018 memorandum by Michael D.
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