Healthcare Law Blog

MARCH 17, 2022

Like these other AOs, OIG found that while the Proposed Arrangement could generate fraud and abuse risks under both the Federal anti-kickback statute (i.e., Section 1128A(a)(5) of the Act), the Proposed Arrangement nevertheless presented a minimal risk of fraud and abuse under the law on the facts presented.

US Department of Health and Human Services 52

US Department of Health and Human Services Informed Consent Medicare Medicare 52

Healthcare IT News - Telehealth

SEPTEMBER 25, 2023

By Andrea Fox | August 02, 2023 News At UMich, AI-based fraud, waste and abuse system aims to cut costs and protect patients Dr. Mohammed Saeed from the University of Michigan Medical School discusses how the artificial.

Nurses 96

Nurses Governance Fraud Health Outcomes 96

HIT Consultant

NOVEMBER 24, 2022

– Delivery model : Whether to ship OTC products to a hearing clinic where the consumer can receive professional diagnosis, fitting and support, or ship directly to the consumer’s home thereby providing convenience but no professional support (and increased fraud risk), or offer both options? – Fraud. Potential pitfalls.

FDA 96

FDA Public Health Medicare Medicare 96

HIT Consultant

SEPTEMBER 26, 2022

Nevertheless, there is a downward trend in the consumption of prescription medicine due to lower spending, apart from increased competition from generics and rising instances of pharmaceutical fraud and counterfeiting that lead to consumer distrust (2). Digital Edge for Pharma.

Telemedicine 92

Telemedicine COVID-19 Fraud Health Outcomes 92

Health Care Law Brief

APRIL 11, 2022

Notwithstanding these streams of remuneration taking the form of cash equivalents and not being protected by an AKS regulatory safe harbor or by an exception to the Beneficiary Inducements CMP, the OIG still concluded that the Arrangement presented a minimal risk of fraud and abuse based on a totality of the underlying facts and circumstances.

Fraud 52

Fraud Medicare Medicare Compliance 52

AIHC

NOVEMBER 29, 2023

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare Law Blog

FEBRUARY 1, 2023

These companies strive to improve health outcomes and lower expenses by focusing on specific gaps, issues or illnesses, prioritizing technological innovation, and customizing individualized care plans. The global mental health apps market size was valued at $5.2 from 2023 to 2030.

Electronic Medical Records 52

Electronic Medical Records Medicare Medicare Health Outcomes 52

CMS.gov

OCTOBER 2, 2018

Through strong data and systems, CMS and states can drive toward better health outcomes and improve program integrity, performance, and financial management in Medicaid and CHIP. It also enhances the ability to identify potential fraud and improve program efficiency.

Medicaid 40

Medicaid Medicaid Fraud Health Outcomes 40

Health Populi

MAY 29, 2018

And the more good AI behavior will lead to greater adoption and more trust, in a virtuous cycle of data-sharing, data-using, greater productivity, and better health outcomes. One in 4 health care executives say they’ve been the target of AI bad behaviors like falsified location data and bot fraud more than once.

Fraud 90

Fraud Health Outcomes FDA 90

Health Populi

JULY 17, 2018

And the more good AI behavior will lead to greater adoption and more trust, in a virtuous cycle of data-sharing, data-using, greater productivity, and better health outcomes. One in 4 health care executives say they’ve been the target of AI bad behaviors like falsified location data and bot fraud more than once.

Fraud 48

Fraud Health Outcomes Hospitals 48

Bill of Health

OCTOBER 30, 2023

In another legal case, a “moon” emoji was found to be possible evidence of securities fraud. This means many people may not even know they have health issues professionals could resolve. This year a “thumbs-up” emoji was found to be part of a legally binding contract. This legal evolution may seem a bit strange.

Doctors 284

Doctors Hospitals Fraud Health Insurance 284

Hall Render

SEPTEMBER 1, 2023

Elizabeth Medical Center to receive nearly $400k in federal funds to combat substance abuse UofL lands nearly $12 million grant from National Institute of Health Winchester physician Michael Kuduk, M.D., million to Resolve False Claims Act Allegations Michigan Pain Center Owner Pays $6.5M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Healthcare Law Blog

MAY 16, 2022

Considering the impact social risk factors and unmet social needs can have on health, CMS asserts these changes will help better identify the risk factors that may inhibit enrollees from accessing care and achieving optimal health outcomes, enabling MA SNPs to take these risk factors into account in enrollee care plans.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

NOVEMBER 4, 2022

Feds OK Arkansas’ Life360 model incentivizing health outcomes. UAMS, Arkansas Children’s Launch Program to Improve Mental Health Care for Children in Arkansas. California physician charged with $53M mail fraud and money laundering scheme. ’: New video shows Methodist Hospital shooting unfold, suspect’s standoff.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

Hall Render

JANUARY 5, 2024

The amount could vary by the thousands Idaho hospital board member resigns Idaho Health Provider Will Pay $2 Million to End PPP Fraud Suit ILLINOIS HSHS St.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

HIT Consultant

OCTOBER 27, 2021

Derik Ciccarelli, a Healthcare Fraud Analyst at Codoxo. Unifying health records remains a challenge, but the benefits of integrating disparate data could transform the industry. Let’s take health insurers as an example. A more holistic approach is taking shape beyond just fraud and post-pay to now include a pre-pay focus.

Fraud 52

Fraud Health Insurance Health Outcomes Compliance 52

Healthcare IT Today

JUNE 27, 2023

Not only does this type of technology improve health outcomes, but it also improves efficiency and reduces costs for the organization. These technologies can boost operational efficiency, mitigate fraud, and optimize pricing, leading to impactful cost savings and increased revenue. So much to consider here!!

Health Outcomes 84

Health Outcomes Fraud Hospitals 84

Healthicity

APRIL 1, 2024

But doctors use their judgment on, you know, when should I be testing for hepatitis b? Maybe I I know the patient. But, the reason that these were being denied during this target probe and educate audit was because there was no record sent in of the patient ever being tested for hepatitis b.

Medicare 52

Medicare Medicare Doctors Compliance 52

Hall Render

APRIL 15, 2022

Health information breach feared through surplus Alabama rehab equipment. Huntsville Doctor Charged with Health Care Fraud Conspiracy. Health care workers not immune to growing mental health crisis, but help is available. Arkansas HIE Uses Technology Partnership to Improve Health Outcomes. CALIFORNIA.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

DECEMBER 22, 2023

Yale New Haven sale key to Prospect hospitals’ survival, CEO says YNHH sale ‘paramount’ to CT Prospect hospitals’ survival, CEO says Connecticut hospital cut ED visits by nearly 50% Hartford HealthCare unveils new ‘health desk’ model Connecticut physician sentenced for $2.6M fraud scheme UConn Health is in financial trouble.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

MAY 19, 2023

SOUTH CAROLINA Grand Strand hospitals hope to see positive impact from Certificate of Need repeal McMaster signs South Carolina’s certificate of need repeal Newly-passed bill allows MUSC to move forward with delayed Nexton Hospital build Prisma Health records $31.7M

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 40

Hall Render

AUGUST 19, 2022

Stockton Doctor and Medical Practice Agree to Pay Nearly $2 Million to Resolve Allegations of Health Care Fraud. UC San Diego Health names new CIO. United Health Centers says patient data was stolen. New Colorado Mountain Medical program helps employees grow into health care industry. What happened?’ MISSOURI.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

JUNE 9, 2023

Here’s why ARKANSAS Arkansas Children’s Hospital raises $5.9

Nurses 40

Nurses COVID-19 Nursing Homes Hospitals 40

Hall Render

APRIL 14, 2023

But hospitals say they can’t afford to pay California hospital nurses to receive raises of up to 30% California pharmacist pleads guilty to multi-year Medicare fraud scheme Carmichael-based Eskaton pays $5.5

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses COVID-19 40

Hall Render

NOVEMBER 17, 2023

to expand behavioral health services Michigan teaching hospital to bring in consultants amid debt covenant breach Trinity Health to grow West Michigan orthopedic practice after settling federal lawsuit Healthcare giant McLaren reveals data on 2.2 Many more are waiting. hospitals Prospect Medical Holdings has underfunded two R.I.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Health Populi

SEPTEMBER 8, 2021

Here’s another facet of this history that resonates with health data rights and equity. In the Progressive Era (from 1890 to 1920), regulation was focusing on preventing consumer fraud and in the case of food, preventing manufacturers from substituting sand for sugar, for example.

FDA 68

FDA Governance Fraud World Health 68

Hall Render

APRIL 28, 2023

Be prepared to drive to deliver Mount Sinai launches regenerative medicine outpost to translate research into medicines Northwell marketing chief joins Ad Council board Ribbon cut at Watertown’s new mental health urgent care Surgical communication platform raises $4.2

Nurses 40

Nurses Nursing Homes COVID-19 Hospitals 40

Hall Render

DECEMBER 15, 2023

Fitch Revises Outlook on Dartmouth-Hitchcock Health (NH) to Negative; Affirms IDR and Revs at ‘A’ NEW JERSEY 2 nurses, medical resident injured in attack at New Jersey hospital, authorities say New Jersey man convicted in $4M fraud scheme NJ hospitals make progress after crippling cyberattacks According to U.S.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

MARCH 18, 2022

Socially Determined unveils metric measuring impact of social connectedness on health outcomes, business performance. The status of Public Health Emergency declarations. DOJ Settles First Case Under Civil Cyber-Fraud Initiative. California health bureaucracy prevails in nursing home dumping suit.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

JUNE 23, 2023

operating margin for 2024, misses 2023 target University of Michigan Health-West forms portal to track DEI among suppliers, vendors S. Maryland AG urges White House to strengthen HIPAA for people getting abortions Westminster startup raising $2.3M

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Hall Render

AUGUST 26, 2022

Amazon to shutter virtual health care service Amazon Care. CMS informational bulletin urges steps for improving health outcomes in nursing homes. Sanford Health breaks ground on Virtual Care Center in South Dakota, plans 5 pilot satellite clinics. Sanford Health delays heart center construction. WEST VIRGINIA.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

MARCH 29, 2024

The Triangle’s health outcomes rank among highest in the nation What HCA has told feds it’s doing to fix staffing issues at Mission Hospital. million to resolve visa fraud investigation P&G, Cincinnati Children’s among the nation’s most innovative companies, according to Fortune St.

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Hall Render

FEBRUARY 24, 2023

Staff shortages could spur next public health crisis, Baystate Health CEO warns CommonSpirit, Mass General, Moffitt execs to judge telehealth challenge Brigham and Women’s, AI company get $2.5M grant to improve early cognitive decline detection via EHRs How Mass.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

Based on work with a number of organizations , including Halodoc, Doctor Anywhere and Doctor Raskam, we've seen telehealth driving better health outcomes in several ways. In health systems relying on insurance, these include budget and enrollment model forecasting, fraud detection, and waste reduction.

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COVID-19 Telemedicine Doctors Hospitals 207

Hall Render

NOVEMBER 10, 2023

California physician convicted of healthcare fraud, kickbacks California’s healthcare minimum wage boost to cost $4B City Council upholds approval of Hollywood Presbyterian medical offices at 1321 N. Will it survive the next few years? Pritzker, IDPH announced $3.5M Where does Indiana stand?

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

JULY 29, 2022

Community Hospital of Anaconda seeks public input about health care needs. Testing the Limits: How a Covid-19 testing company accused of sloppiness, fraud and profiteering kept expanding. NYC Health + Hospitals/Elmhurst Opens New Mother-Baby Simulation Center to Improve Maternal Health Outcomes for Women of Color.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40