Tue.Apr 19, 2022

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End of Medicaid continuous coverage may leave millions of children uninsured, analysis finds

Healthcare Dive

Children are at highest risk in Texas, Florida and Georgia when states resume checking Medicaid eligibility after the public health emergency expires, Georgetown University researchers found.

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Long COVID and Physical Reductionism

Bill of Health

By Leslie Francis and Michael Ashley Stein. Like plaintiffs with other conditions lacking definitive physiological markers, long COVID plaintiffs seeking disability anti-discrimination law protections have confronted courts suspicious of their reports of symptoms and insistent on medical evidence in order for them to qualify as “disabled” and entitled to statutory protection.

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Surprise billing arbitration portal opens to payers, providers after delay

Healthcare Dive

As a last resort, the No Surprises Act allows payers and providers to resolve payment disputes using arbitration. The online site that initiates the process is now open.

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Geisinger's journey to greatly expanded telehealth

Healthcare IT News - Telehealth

Rural Pennsylvania is bigger than the states of New Jersey, Massachusetts, New Hampshire and Vermont combined. Some 75%, or 33,394 square miles, of Pennsylvania are considered rural. The geography is diverse, from rugged mountainous terrain to large stretches of farmland. High-profile health system Geisinger and its affiliated entities serve 45 predominantly rural counties throughout central and northeastern Pennsylvania, 31 of which are a part of Appalachia, a unique region of the Appalachian M

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Optimizing Medical Waste Management: A Guide to Best Practices

Feeling overwhelmed by medical waste regulations? This comprehensive guide unravels the complexities of medical waste disposal, ensuring you stay compliant and prioritize safety. Inside you'll find: Clear categorization: Learn to precisely classify medical waste for proper handling and disposal. Labeling & Storage: Discover best practices for clear labeling and secure storage of medical waste.

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Hospitals massively mark up cancer therapy prices for private insurance patients, JAMA study finds

Healthcare Dive

Researchers also found that most National Cancer Institute-designated facilities did not publicly disclose payer-specific prices for cancer therapies as required by federal price transparency regulations.

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Healthcare IT Conferences: What Do You Need? – #HITsm Chat Topic

Healthcare IT Today

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 4/23 at Noon ET (9 AM PT). This week’s chat will be hosted by Janae Sharp (@CoherenceMed) and @UHIMSS on the topic “Healthcare IT Conferences: What do you need?” Large and small health IT conferences were cancelled in 2020, and continue […].

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March 2022 Healthcare Data Breach Report

HIPAA Journal

For the fourth successive month, the number of reported healthcare data breaches has fallen. In March 2022, 43 healthcare data breaches of 500 or more records were reported to the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR), which is a 6.52% fall from February and well below the 12-month average of 57.75 data breaches a month.

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Hospitals blast 'unacceptable' inpatient payment bump

Healthcare Dive

Despite the 3.2% overall hike, the AHA argued that net payments to hospitals may decrease due to cuts in other areas, including uncompensated care.

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NTT DATA Services: More Personalized Patient Experiences Needed

Healthcare IT Today

There is little doubt that a good patient experience leads to better outcomes. A “good experience”, however, is a moving target that is shaped by consumer experiences in other industries like retail, banking, and hospitality. Patients are beginning to expect more personalized care. NTT DATA Services believes it can be delivered if healthcare is willing […].

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THREAD Acquires Clinical Trial Recruitment Solution CureClick

HIT Consultant

What You Should Know: – THREAD , a technology and consulting service provider enabling electronic clinical outcome assessments and decentralized clinical trials has acquired CureClick , which offers the world’s first proprietary crowdsourcing platform designed to accelerate awareness and participation in clinical research. This acquisition follows THREAD’s recent acquisitions of Modus Outcomes and inVibe , positioning THREAD as the industry’s leading patient-centric provider of DCTs. ̵

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HIPAA Compliance: Can Your Organization Avoid Costly Government Penalties and Fines?

Colington Consulting was established in 2013 and helps organizations achieve HIPAA compliance and ensures clients stay current with the latest enforcement trends. We provide a full range of HIPAA compliance services and consulting. What separates us from our competitors is our knowledge of HIPAA compliance regulations and their application to each of our client’s particular scenarios and requirements.

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Mental Health Parity: What’s Next for Plans and Issuers?

C&M Health Law

Now that the Tri-agencies have drawn back the curtains to reveal some of the inner workings of their developing Mental Health Parity and Addiction Equity Act (MHPAEA) comparative analysis enforcement efforts, the question is: What’s next? Insufficient Guidance. Group health plans and health insurance issuers have been operating on limited guidance ever since the 2021 Consolidated Appropriations Act (CAA) amendments to MHPAEA set in motion the current process of non-quantitative treatment limit

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Free Market Health Secures $13.5M for Advance Specialty Pharmacy Ecosystem

HIT Consultant

What You Should Know: Free Market Health , a Pittsburgh-based healthcare technology company transforming the specialty pharmacy ecosystem with a care-driven marketplace platform, today announced its $13.5M in Series A financing led by Alta Partners and with participation from existing investors Highmark Ventures and 653 Investment Partners. – The capital will enable the company’s team of specialty pharmacy industry experts to scale beyond the hundreds of millions of dollars in specialty me

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Unlearn raises $50M for clinical trial digital twins and more digital health fundings

Mobi Health News

Also: RPM company Blue Spark Technologies brought in $40 million in IP-backed debt financing, and Click Therapeutics secured a $15 million loan.

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Is A Healthcare App Great If Nobody Uses It? Maybe It’s Time For Plan B

Healthcare IT Today

The following is a guest article by Greg Kefer, CMO at Lifelink Systems. It is hard to dispute that the most efficient way to reach and engage consumers digitally is through the smartphone. Today, 86% of US consumers carry those small, advanced, connected devices with them everywhere they go and use them for everything. It’s […].

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The Big Payoff of Application Analytics

Outdated or absent analytics won’t cut it in today’s data-driven applications – not for your end users, your development team, or your business. That’s what drove the five companies in this e-book to change their approach to analytics. Download this e-book to learn about the unique problems each company faced and how they achieved huge returns beyond expectation by embedding analytics into applications.

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DCT company THREAD acquires trial recruitment platform CureClick

Mobi Health News

This marks THREAD's third recent acquisition, including the inVibe deal announced early this year and the Modus Outcomes purchase from November.

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Transcarent Launches Oncology Care for Collaborative Cancer Care Experience

HIT Consultant

What You Should Know: – Transcarent , a new, different, and better health and care experience company for employees of self-insured employers and their families launches Transcarent Oncology Care, a collaborative cancer care experience that connects employees and their families with high-quality cancer care from leading cancer institutes, top-rated oncology providers and researchers, and clinical trial identification irrespective of their geographic location. – Transcarent Oncology C

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Compliance Lessons from Circus Camp

Health Care Performance

This blog was originally posted on the Compliance and Ethics blog, published by the Health Care Compliance Association and the Society of Corporate Compliance and Ethics. Last week was Spring Break in my house. We didn’t have travel plans, so my kids went to Circus Camp and Ice Cream Camp at the local performing arts center. Almost as good as the beach.

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Transcarent rolls out new oncology service for self-insured employer market

Mobi Health News

The new service was designed to help patients connect with oncology providers, institutes and studies.

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Everything You Wanted to Know About FACIS, but Didn’t Know to Ask

Speaker: Amy Anderson

FACIS® helps organizations mitigate patient and organizational risk. Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. Most healthcare organizations screen and monitor providers against the OIG but that’s only ONE of FACIS®’ primary sources. FACIS® pulls data for every taxonomy from the lowest level employee to the highest level licensed professional.

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It’s Your Call April 2022

Total Medical Compliance Resources

OSHA: Our healthcare facility checks COVID-19 community levels to monitor transmission rates in our county. Will the C ommunity Levels determine the preventive steps for our office? No. The CDC states “healthcare settings should continue to use Community Transmission Rates and continue to follow CDC’s infection prevention and control recommendations for healthcare settings.”.

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COVID Uninsured Provider Relief Fund Expected To Run Out of Money Soon If Congress Doesn’t Act

The Health Law Firm Blog

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law In 2020, the U.S. Department of Health and Human Services (HHS) created the "Provider Relief Fund" (PRF) to help support healthcare providers in the battle against the COVID-19 pandemic. The federal program has served as a lifeline to [.].

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Class Action sought in SuperCare Health Data Breach

The HIPAA Blog

Class Action Status sought in SuperCare Health Data Breach: The breach resulted in exposure of data of over 300,000 individuals, but it's not clear that specific harm has come to any of them from the breach. It will be interesting to see if class status is granted, and whether the failure to specify the harm will result in an early dismissal.

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CMS Launches No Surprise Act Webpage with FAQs

Med Law Blog

Attached is the link to the new CMS webpage “Ending Surprise Medical Bills”.

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Monetizing Analytics Features

Think your customers will pay more for data visualizations in your application? Five years ago, they may have. But today, dashboards and visualizations have become table stakes. Turning analytics into a source of revenue means integrating advanced features in unique, hard-to-steal ways. Download this white paper to discover which features will differentiate your application and maximize the ROI of your analytics.

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Analysis: The Role of Compact Systems in Today’s Ultrasound Market

HIT Consultant

Much of the focus in the ultrasound market in the last few years has been on the handheld market. This is justified, considering its role in the response to the COVID-19 pandemic and the spate of innovation in the sector, both in terms of new product releases and partnerships. As a result, there is less mention of the other ultrasound product segments, especially the compact market.

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Supreme Court throws out Medicaid work requirement cases

Healthcare Dive

On Monday, the high court said the requirements were now moot given the Biden administration's dismissal of the policies, and sent them back to the trial court with instructions to dismiss prior judgments.

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On-the-spot Email Interventions Reduce Repeat Medical Record Snooping Incidents by 95%

HIPAA Journal

Immediate intervention following an instance of unauthorized access to protected health information (PHI) by a healthcare employee is 95% effective at preventing repeat offenses, according to a new study published in JAMA Open Network. Healthcare data breaches are occurring at record levels, and while large data breaches are often the result of hacking and other IT incidents, insider breaches such as snooping on medical records are common.

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Microdosing Under the Oregon Psilocybin Services Act: A Definite Maybe

Bill of Health

By Dave Kopilak. In November 2020, Oregon voters passed the Oregon Psilocybin Services Act (the “Act”), of which I was the primary drafter. This piece of legislation legalizes and regulates the manufacturing of psilocybin products and the provision of psilocybin services under Oregon law. The manufacture, sale, and use of psilocybin products under the Act will continue to be illegal under federal law.

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Ensure Continuous Patient Care: How to Avoid Disruptions Due to Ransomware

The industry has seen an increasing pace of ransomware, zero-day, and remote-code execution attacks. Learn how to defend against these against these attacks in this eBook.

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Mississippi Man Sentenced after Posing as Licensed Physician

Healthcare Compliance Blog

A Mississippi man conspired with other individuals to provide fraudulent statements to Medicare for reimbursements of claims for patient treatment and prescriptions. The events took place between January 2016 through March 11, 2019, during which time the man claimed to be a licensed physician in the state of Mississippi. He was not licensed to practice medicine in Mississippi or in any other state.

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The Choice Between Persuading and Coercing Americans to Get Vaccinated Against COVID-19

HealthLaw Prof Blog

Paul J. Larkin (The Heritage Foundation), The Choice Between Persuading and Coercing Americans to Get Vaccinated Against COVID-19, Georgetown J. L. & Pub. Pol’y (forthcoming 2022): Throughout history, organized societies have demanded that inhabitants make sacrifices—such as serving in the.

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Expert Witness Cannot Opine on Legal Terms of Art

Drug & Device Law

Not too long ago we researched precedent that forbade persons claiming to be “FDA experts” from opining that products are “adulterated” or “misbranded.” In that post, we mentioned that this research is a subset of a “general” precedent “precluding expert opinions on questions of law, which we didn’t get into because Bexis’ book addressed it. But since we recently ran across an unusually favorable new case on this subject, we thought we’d address it again.

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Biosimilar Bias: A Barrier to Addressing American Drug Costs

HealthLaw Prof Blog

Cynthia M. Ho (Loyola University), Biosimilar Bias: A Barrier to Addressing American Drug Costs, 99 Denver L. Rev. 3 (2022): Forty percent of spiraling US drug costs are based on a mere two percent of all drugs –biologic drugs (biologics).

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How To Package & Price Embedded Analytics

Just by embedding analytics, app owners can charge 24% more for their product. How much value could you add? This framework from Software Pricing Partners explains how application enhancements can extend your product offerings. You’ll learn: How to take a disciplined approach to pricing The three elements of the Packaging Decision Framework Ways to structure your new embedded analytics offering Download the White Paper to learn about How To Package & Price Embedded Analytics.