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FWA Is Increasing. Healthcare Costs Are Spiraling. Now There’s A New Generation Of AI Technology To Take Back Control

HIT Consultant

1 Today, the National Healthcare Anti-Fraud Association (NHCAA) conservatively estimates that healthcare FWA costs the nation about $68 billion annually, representing 3% of the nation’s $2.26 healthcare by 2030. trillion in healthcare spending. 3 This lost money is far from a concept or abstraction.

Fraud 98
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Healthcare Decisions at an Organizational Level – 2025 Health IT Predictions

Healthcare IT Today

healthcare affordability crisis can be solved by 2030 if we can improve access to primary care. Beyond 2025, developments will include blockchain integration, advanced fraud detection, and more sophisticated predictive analytics. Dr. Kevin Wang, Chief Medical Officer at apree health The U.S.

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Healthcare IT Regulations – What Needs to Be Added and What Needs to Be Removed

Healthcare IT Today

I would continue to advance CMS’ directive that by 2030 all Medicare and the bulk of Medicaid beneficiaries be in care engagements governed under a value-based contract. A National Patient Identifier (NPI) would help get all patient documentation into one location vs. spread out among multiple providers and healthcare systems.

Hospitals 139
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Weekly HCRE Briefing: Senior Living and SNF Operators Poised for M&A Growth in 2025 | Illinois Health Care Market Continues to Evolve with Prime and Advocate Investments

Hall Render

According to a recent roundup , the Supreme Courts overturning Chevron deference, OIG is refocusing its enforcement from pandemic-related fraud to marketing and referral practices, and the increase in private equity investment in the health care space are all areas that are likely to see an uptick in regulatory enforcement in the coming year.

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CMS Responds to Industry Stakeholder Feedback, Redesigns and Renames the GPDC Model for DCEs as the ACO REACH Model

Health Care Law Brief

And, participating DCEs were provided with the added benefit and flexibility of developing and offering certain financial and other incentives protected by a fraud and abuse waiver under section 1115A(d)(1) of the Social Security Act. Performance in the ACO REACH Model will span five years through 2026.

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Healthcare Payment Integrity: Insourcing vs. Outsourcing

HIT Consultant

trillion by 2030. healthcare spending can be attributed to waste, which includes failure of care delivery, failure of care coordination, overtreatment or low-value care, pricing failure, fraud and abuse, and administrative complexity. Although we are projected to see a decrease in U.S. over the course of 2022 through 2024 and reach $6.8

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Learn How to Master Telehealth Credentialing

MedTrainer

This may involve additional steps, such as biometric authentication or identity verification services, to prevent fraud and ensure patient safety. billion by 2030. Training and Continuing Education: Telehealth providers require specialized training and continuing education to deliver high-quality care in a remote setting.