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Health Reform

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]

FDA’s Agenda for 2016: Biggest Issues on Agency’s Calendar for the New Year

January 13, 2016 by Katie Brant

The Food and Drug Administration (FDA) has great influence on a vast array of issues impacting the medical industry in the U.S. The decisions it makes in 2016 will have a significant impact for health care providers and on the lives of many Americans. Here is a look at the top issues on the agency’s agenda in 2016.[read more]

How crazy is Ted Cruz’s FDA reform proposal?

January 4, 2016 by David E Williams

A more serious discussion could be held on the balance between safety and efficacy in FDA approvals. Cruz’s impulses might be better directed to that debate. Maybe it’s ok for the FDA to approve any product that’s safe, and not force sponsors to prove efficacy. Sponsors would still want to demonstrate efficacy, but they’d need to do so for healthcare payers, not the FDA.[read more]

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Time for some healthcare New Year’s resolutions

December 17, 2015 by Paul Tunnah
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It’s that time of year for many people to head off for a festive break before seeing out the year. It’s a time for reflection – on what has been good and bad about 2015 – and the chance to make pledges to do things better in 2016.Healthcare has seen some real evolution this year. The value of patient engagement has started to be truly...[read more]

Direct Primary Care – Isn’t It Too Expensive?

December 15, 2015 by Stephen Schimpff

A common criticism of direct primary care (membership/retainer/concierge practices) is the added expense – “isn’t it too expensive?” Ways to think about the cost are to prioritize expenditures and to consider potential savings that make it cost effective.[read more]

Family Doctor Visit Costs

November 25, 2015 by Matthew Taber
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American healthcare is in crisis. Family doctor visit costs are rising. Primary care practices are incurring heavy levels of non-collectable debt, and the percentage is climbing every year.[read more]