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Health Reform

How do we achieve coordinated health care?

February 12, 2016 by Robert Rowley

Given this change in direction in how we pay for healthcare, it is important for institutions and individual clinical practitioners to have a way to share care plans with each other, and coordinate care much more seamlessly than has occurred historically. Yet, as the recent study shows, we are several years away from being able to do that. Why is this?[read more]

Kindred Healthcare Inc. To Pay $125 Million to Settle Allegations of False Claims

February 9, 2016 by Katie Brant

Kindred Healthcare Inc. (Kindred), the largest skilled therapy provider in the nation, has agreed to pay $125 million to settle allegations that it violated the False Claims Act (FCA). Kindred is accused of billing Medicare for therapy services that were unnecessary or never occurred, the U.S. Department of Justice (DOJ) announced January 12, 2016.[read more]

Making the Cancer “Moonshot” a Reality

February 9, 2016 by Robert Rowley

Cancer treatment, like all of American healthcare, is at a crossroads. America spends more per person on healthcare than any other country in the world, and cancer care costs have been rising faster than other medical costs. Despite incurring the highest costs, we are not getting our money’s worth. America does not have the lowest cancer death rates.[read more]

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What Can We Learn From European Hospice Care and Life Insurance Policies?

February 8, 2016 by Charlie Kimball
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Worldwide, health care continues to be a hot topic for debate. No one can seem to agree on what system is best. In the United States, healthcare is different compared to other countries and many people long for a universal health care system like the types found in Europe and elsewhere around the globe. When it comes to hospice care and life insurance, there may be several things the United States can learn from Europe.[read more]

Are High-deductible Health Plans Working?

February 8, 2016 by Michael Kirsch

High-deductibles health plans are painful for consumers. The first several thousand dollars are borne by the individual. While we have an HSA (Health Savings Account), which confers a tax advantage, it is still painful to fork over wads of one's wages to cover medical expenses. Isn’t that what medical insurance is supposed to do?[read more]

Healthcare Patient Payment Liability Just Ain’t What it Used to Be

February 3, 2016 by Phil C. Solomon

The ACA, with its comprehensive health insurance reforms, has initiated a growing trend that has placed more financial accountability on the shoulders of consumers. Hospitals and health systems are embracing consumerism and are preparing for greater levels of out-of-pocket (OOP) patient liability.[read more]

Individuals’ Rights to Their Health Information: The Federales Awaken

February 3, 2016 by David Harlow
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For purposes of the present discussion, I am interested in the patient right to medical record information included in HIPAA, rather than privacy and security protections for patient data. The core elements of the HIPAA rule relevant to patient access to medical records have not changed since the rule was originally promulgated.[read more]

Like I said: United’s ACA exchange departure is no big deal

January 29, 2016 by David E Williams

Robert Wood Johnson Foundation funded an Urban Institute study to determine how Obamacare marketplaces are being impacted by the withdrawal of United Healthcare and the failure of some of the CO-OP plans. I’m grateful for the data but as it turns out their findings line up with what I wrote more than two months ago...[read more]

5 Healthcare Industry Issues of 2016

January 25, 2016 by Moira O'Connell

It’s only the beginning of 2016, but we've been keeping a close eye on the upcoming healthcare trends for the year. Thanks to the annual Healthcare Issues report by the Health Research Institute of PricewaterhouseCooper (that highlights 10 major issues for the healthcare industry), we are able to take a deeper look into what the New Year may hold for the healthcare industry as a whole. From mobile health to Mergers and Acquisitions, let’s look at the first 5 healthcare industry issues bound to take root this year.[read more]

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What we should know about hospice fraud and whistleblower reward programm

January 22, 2016 by Charlie Kimball

Until the early 2000’s, Hospice Care services were dominated by small, local, non-profit organizations; but since then big business has begun to discover and view “end-of-life care” as a golden goose investment opportunity, and they are currently making billions of dollars.[read more]

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The Rise of Precision Medicine: Viable, but Challenge Lies Ahead

January 21, 2016 by Eugene Borukhovich

In 2015's State of the Union address, President Obama announced the funding for a precision medicine initiative intended to help spur the growth of genetics-based medical treatment. This article examines why now is the perfect time for precision medicine to thrive, what the current downfalls for the industry now, and takes a look at who will be in a position to win the market share when the industry takes off. [read more]

Pharmacy Trends | Top 5 Pharmacy Trends for 2016

January 15, 2016 by Danyell Jones

2015 has been an extraordinary year for the Pharmacy Industry complete with reimbursement changes, regulatory changes, new drug approvals, and even political changes. Discover the most impactful pharmacy trends of 2015 and 2016.[read more]