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Medical Ethics


Addiction: The Road to Recovery After the Hospital

November 24, 2015 by Viatcheslav Wlassoff

The prevalence of addictions has risen sharply in recent years. According to the CDC, 2.5% of people over the age of 12 have illegally used drugs in the past month. Since addictions are more common than ever before, medical professionals are looking for new ways to help treat their patients. Many doctors are trying to treat addictions with the use suboxane. However, others prefer alternative treatments.[read more]

Head of the DOJ's Antitrust Division Raises Concerns About Two Proposed Mega-Mergers Between Leading Health Insurers

November 20, 2015 by Katie Brant

The anticipated mergers between four leading health insurers, namely, Aetna Inc. and Humana Inc., and Anthem Inc. and Cigna Corp., are causing quite a stir among the American Medical Association (AMA) and antitrust enforcers. They view these mergers as being detrimental to competition and a possible violation of antitrust laws and principles.[read more]


Theranos for President?

November 17, 2015 by Edgar Wilson

In an election year, it is normal for hype to overwhelm scrutiny--but not when the subject is health technology. Theranos has risen high on a good story, but we need more than a narrative from the disruptive forces in American medicine.[read more]

HIPAA Basics For Licensed Health Care Professionals: Privacy, Security, and Breach Notification Rules

November 16, 2015 by Katie Brant

The Department of Health and Human Services (HHS) recently issued a HIPAA fact sheet for health care professionals and organizations. We could all use a little refresher from time-to-time.[read more]

Emergency Nurses: An Overabundance of Violence

November 11, 2015 by Annette Hogan

As part of a normal workday, emergency nurses witness the injuries and human suffering that result from violence. But what about when emergency nurses become victims of violence?[read more]

When Should a Doctor Lose His License?

November 2, 2015 by Michael Kirsch

Losing a medical license is the most serious professional sanction that a physician can receive. When should such a penalty be handed out? Read on to see some hypothetical scenarios, and comment with your opinion.[read more]

Florida Board of Medicine Declares Arizona Homeopathic Doctor "Very, Very Dangerous"

October 26, 2015 by Katie Brant

A doctor practicing homeopathic medicine was accused of administering a lethal dose of an unapproved drug to a toddler in Arizona.[read more]

When Is External Peer Review The Right Choice For Hospitals?

October 20, 2015 by Josh Nelson

The term "peer review" makes people think about picking up a chart, opening it, looking at the documentation, asking questions, and assessing it. However, peer review is much more. It is a truly professional review by a peer or body of peers that monitors both physician competence and professional conduct in order to promote the highest...[read more]

Making The Decision To Outsource And Choosing The Right IRO Partner

October 19, 2015 by Josh Nelson

Outsourcing first-level physician review has become essential as health plans continue to face increased pressure to handle larger volumes while controlling cost. When making the decision to outsource, health plan executives must weigh both the advantages and disadvantages of moving their medical reviews to an external partner. Let’s...[read more]

The Daraprim Debacle - The Smell Test Sniffs Out Price Gouging.

October 19, 2015 by Michael Kirsch

You don’t need to be an ear, nose & throat doctor to be conversant with the ‘smell test’.   We use this technique in everyday life.  This diagnostic test is used to determine if a situation is an egregious deviation from established norms.  The beauty of the smell test is that one need not be encumbered by facts...[read more]

Eliminating Risk with Independent Review Organizations & External Reviews

October 14, 2015 by Moira O'Connell

We’ve been talking a lot lately about how and where Independent Review Organizations, or IROs, fit into denial management. The Peer Review process, which brings in an unbiased third party to help alleviate the pressure of reviewing claims, is an essential part of denial management. We’ve touched on many of the different benefits of IROs in previous blog posts, from how they affect your ROI to how they bring specialized expertise to reviews. This blog post focuses on the four main ways IROs and external reviews can help eliminate risk within your organization.[read more]


How Much Liposuction is Safe? The Answer Differs for Everyone

September 29, 2015 by Jenna Cyprus

Liposuction is always a hot topic, particularly when it comes to ethics. Another hot topic revolves around how much is acceptable for each patient. Many patients who see a professional about liposuction want more out of the surgery than the doctor agrees to give. In fact, it’s dangerous to give a patient more liposuction than the amount that’s been designated by the American Society of Plastic Surgeons (ASPS).[read more]