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Fierce Healthcare
JUNE 28, 2024
Supreme Court, by a vote of 6-3, has overturned the Chevron deference, stripping power from federal agencies to interpret and enforce regulations. | Here's how it could affect healthcare policy. Supreme Court is overruling long-standing precedent.
Healthcare It News
MARCH 31, 2025
Several IT companies and healthcare organizations are making news in the behavioral health space recently. Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org Healthcare IT News is a HIMSS Media publication.
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HIT Consultant
OCTOBER 22, 2024
Ty Greenhalgh, Principal of Healthcare at Claroty In light of the recent Supreme Court decision overturning the Chevron deference, the regulatory landscape, especially concerning cybersecurity in healthcare, faces significant changes. The ruling in Loper Bright Enterprises v. Raimondo, which reversed the 1984 Chevron v.
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Health Care Dive
FEBRUARY 26, 2025
Although the budget resolution does not mention Medicaid specifically, lawmakers would be hard pressed to find enough cuts to meet an $880 billion target without touching federal healthcare programs.
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Fierce Healthcare
OCTOBER 2, 2023
The Center for Medicare and Medicaid Innovation (CMMI), once expected to save money and deliver healthcare at a lower cost, is increasing federal spending after all. CMMI was designed to reduce federal healthcare spending, but a new CBO reports shows its had the opposite effect.
Health Care Dive
MARCH 31, 2023
Former Clinton health policy advisor Kenneth Thorpe argues that federal healthcare price-control policies could wreak havoc in the industry.
Health Care Dive
FEBRUARY 28, 2025
Still, executives addressed concerns about potential changes to federal healthcare policy that could impact the provider’s bottom line, including cuts to Medicaid.
Healthcare It News
DECEMBER 13, 2024
Patients must agree to allow Unite's platform to access and unify their medical data from multiple providers, Theo Ahadome, Unite's chief commercial officer told Healthcare IT News on Wednesday. " Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org Healthcare IT News is a HIMSS Media publication.
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HIT Consultant
AUGUST 21, 2023
Jon Moore, MS, JD, HCISPP, Chief Risk Officer and SVP of Clearwater Recent advances in Generative AI Large Language Models, such as ChatGPT, have been making waves across various industries, not least in healthcare. Applications in Healthcare AI models are transforming healthcare with an increasing range of applications.
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HIT Consultant
DECEMBER 1, 2022
Amid widespread staffing shortages across the healthcare sector, the need for IoT-enabled digital transformation in hospitals and patient care facilities is increasingly clear. 1 concern among healthcare CEOs in the American College of Healthcare Executives’ annual survey. What Exactly is IoT Sensing as a Service??.
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Health Populi
DECEMBER 6, 2018
In 2006, Medicare Part D launched, which may have boosted consumers’ faith in Federal healthcare programs. Most Democrats believe that the government should both ensure universal healthcare and run it. Healthcare costs are part of a family’s budget in 2018, and that is a sure thing for 2019 as well.
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HIT Consultant
APRIL 1, 2024
Key Allegations The lawsuit alleged that TRG engaged in improper billing practices related to radiology services provided to hospitals and other healthcare providers across the country. The government alleges that TRG radiologists did not adequately review these drafts before finalizing the reports sent to healthcare providers.
Cloud Blogs
APRIL 5, 2023
The healthcare industry continues to experience dramatic change year after year. We are committed to empowering healthcare organizations to deliver meaningful outcomes; not only as a technology provider but a trusted collaborator, focused on understanding these challenges and supporting our customers every step of the way.
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Cloud Blogs
APRIL 5, 2023
The healthcare industry continues to experience dramatic change year after year. We are committed to empowering healthcare organizations to deliver meaningful outcomes; not only as a technology provider but a trusted collaborator, focused on understanding these challenges and supporting our customers every step of the way.
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Etactics
SEPTEMBER 22, 2022
The Department of Justice (DOJ) estimates that healthcare fraud generates close to $100 billion a year. In 2021 , there were… 831 new criminal healthcare fraud investigations 805 new civil healthcare fraud investigations With such high numbers of cases and no end seeming to be in sight, how can you avoid becoming a healthcare fraud statistic?
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Etactics
JANUARY 24, 2023
Healthcare fraud is not a victimless crime. The Department of Justice (DOJ) estimates that healthcare fraud generates roughly $100 billion a year. Oftentimes, perpetrators will commit one type of healthcare fraud to cover up other parts of the greater scheme. Some states tend to have more cases of healthcare fraud than others.
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Home Health Care
NOVEMBER 21, 2024
Lee recently served as regional director of talent acquisition at Aveanna Healthcare Holdings Inc. I have a personal connection to the values and the aspirations of the organization, which instantly bonded me to the culture and the vision of what future healthcare can and should be. Nasdaq: AVAH). While our 4.5-STAR
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p3care
NOVEMBER 14, 2022
Although to avoid these situations, healthcare organizations now rely on experienced companies to provide medical Billing and coding services. billion get wasted due to medical fraud and abuse, which increases the healthcare total cost. It conflicts with insurance laws and adds to the burden on the healthcare system.
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HIT Consultant
MARCH 8, 2022
The COVID-19 pandemic led to sweeping healthcare policy changes that enable vulnerable Americans to receive affordable health coverage and access essential safety net benefits. However, the demand for healthcare is only going to rise, driven by the long-term impacts of Covid-19 and delaying care for other health conditions.
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HIT Consultant
NOVEMBER 16, 2023
What You Should Know: – eHealth Exchange , a health information network (HIE), has announced a new incentive program aimed at encouraging healthcare providers and payers to adopt Networked FHIR. The program is open to all non-federal healthcare providers and payers in the United States.
Health Care Law Blog
JANUARY 11, 2021
According to HHS, the Final Rule was intended to provide greater flexibility for healthcare providers to participate in value-based arrangements, ease unnecessary compliance burdens, and maintain safeguards to protect patients and Federal healthcare programs from fraud and abuse.
NASHP
AUGUST 30, 2023
section 1395x(kkk)(2) and any amendments thereto, or regulations or guidance issued under federal law, and amendments thereto; and Meets other requirements of the hospital licensing authority deemed necessary of the health and safety of individuals provided rural emergency hospital services.
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ACHE
MARCH 4, 2021
One of the many important lessons for healthcare leaders to take away from 2020 is that leader-to-leader communication and collaboration can help individuals and organizations thrive, even in the most challenging of circumstances. Each session marked with an asterisk (*) below qualifies for 1 ACHE Face-to-Face Education credit.
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HIT Consultant
SEPTEMBER 14, 2022
Ron Moody, Chief Medical Officer, Accenture Federal Services. For an industry that traditionally embraces change at a glacial pace, the pandemic has been a wake-up call for healthcare. Healthcare organizations should leverage lessons learned from the pandemic to create fundamental change. Federal agencies: catalysts of change.
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HIT Consultant
JANUARY 9, 2025
Atropos Evidence Network: Access to the industry’s largest federated healthcare data network, with over 300 million patient records. ChatRWD: A generative AI co-pilot that delivers full observational studies on healthcare data in minutes.
Etactics
FEBRUARY 2, 2024
In 2023, a healthcare organization entered a $866,339.25 The List of Excluded Individuals/Entities is the database that contains the organizations and individuals banned from participating in federal healthcare programs. Both federal and state healthcare. Felony convictions relating to healthcare fraud programs.
Sheppard Health Law
OCTOBER 10, 2023
The digital health market, as represented by the HLTH showroom floor, is packed with companies focused on care coordination and care management for various health and wellness specialties, diseases, and chronic conditions, as well as organizations focused on increasing consumer access to various types of healthcare. Sanjula Jain, Ph.D.,
Sheppard Health Law
AUGUST 24, 2021
Health plans, issuers, hospitals, and providers each are required by federal law or regulation to provide a variety of information about what certain healthcare services cost. By 2024, assuming no additional deferrals, consumers and healthcare industry participants will be awash in pricing data for all services.
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Sheppard Health Law
AUGUST 24, 2021
Health plans, issuers, hospitals, and providers each are required by federal law or regulation to provide a variety of information about what certain healthcare services cost. By 2024, assuming no additional deferrals, consumers and healthcare industry participants will be awash in pricing data for all services.
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Patient Safety Movement
JULY 28, 2023
2C: Advance Interoperability of Healthcare Data and Assure Free Access to the Tracking of Harms and Use of Evidence-Based Solutions. 2D: Improve Safety for All Healthcare Workers and Their Patients Through Supporting a Culture of Patient and Clinician Safety in Healthcare Systems. View the Report in PDF
Patient Safety Movement
JULY 28, 2023
2C: Advance Interoperability of Healthcare Data and Assure Free Access to the Tracking of Harms and Use of Evidence-Based Solutions. 2D: Improve Safety for All Healthcare Workers and Their Patients Through Supporting a Culture of Patient and Clinician Safety in Healthcare Systems.
Sheppard Health Law
JANUARY 17, 2024
Among other things, the Requestor: (i) did not itself provide any services that were eligible for reimbursement under any Federal healthcare program to any of its clients, (ii) did not have an ownership or investment interest in any entity that provided items or services paid for by any Federal healthcare program, and (iii) received compensation from (..)
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Triage Health Law
JUNE 29, 2021
Still, the case was closely watched due to the large role the ACA plays in the healthcare landscape of today. If the Court had sided with the Plaintiffs, it could have thrown the American healthcare system into chaos.
NASHP
AUGUST 30, 2023
section 1395x(kkk)(2) and any amendments thereto, or regulations or guidance issued under federal law, and amendments thereto; and Meets other requirements of the hospital licensing authority deemed necessary of the health and safety of individuals provided rural emergency hospital services.
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Sheppard Health Law
JANUARY 20, 2023
Research has indicated that healthcare systems that connect patients to basic resources have observed improvements in population health metrics, fostered trust with their patient base, and experienced reduced hospitalization costs.
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Sheppard Health Law
DECEMBER 10, 2021
Physician and other healthcare advocacy groups warned that these cuts were coming while physicians and other healthcare providers are facing staffing shortages and financial insecurity due to the COVID-19 pandemic. The Protecting Medicare and American Farmers from Sequester Cuts Act ( S. 610 ) was approved by the U.S.
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Sheppard Health Law
OCTOBER 27, 2021
In short, the Innovation Center’s mandate was, and is, to develop healthcare payment models to decrease health care spending and improve health care quality. As described in a previous Healthcare Law Blog article, “ Evaluation of Innovation Center Models ,” the Innovation Center’s scorecard over the last ten years shows mixed results.
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Sheppard Health Law
FEBRUARY 16, 2022
In our November 9, 2021, blog post on the No Surprises Act (“NSA”), we discussed new consumer protections against surprise out-of-network bills. In addition to protecting insured consumers from balance billing, the NSA protects uninsured (or self-pay) individuals from many unexpectedly high medical bills.
Sheppard Health Law
JULY 27, 2021
On July 13, 2021, the Centers for Medicare & Medicaid Services (“ CMS ”) unveiled a proposal to temporarily extend Medicare coverage for particular telehealth services granted during the COVID-19 public health emergency (the “ Pandemic ”), in order to evaluate which services should be covered permanently.
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Sheppard Health Law
JANUARY 6, 2023
trillion in funding across a range of domestic initiatives, including certain appropriations to healthcare and related programs. Key Funding of Related Healthcare Programs. The Act will undoubtedly usher in tremendous changes within the healthcare space. The Act provides for nearly $1.7 Telehealth. FOOTNOTES. [1] 2] 42 U.S.C.
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Sheppard Health Law
JANUARY 26, 2023
BACKGROUND The Proposed Rule is the latest in a long line of federal legislation and rulemakings governing the conscience rights of healthcare providers and entities. The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C.
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Patient Safety Movement
SEPTEMBER 7, 2023
The PCAST report reveals that despite these efforts by many healthcare workers and organizations to reduce preventable medical errors through implementing evidence-based safety protocols, nationwide implementation of many of these known solutions has lagged. More than 40 percent of these events are due to preventable errors.
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Bill Of Health
NOVEMBER 30, 2022
healthcare system, representing just one example of “healthcare federalism” — the division of power between the federal and state governments in the regulation of health care. Healthcare federalism has undeniable benefits, such as enabling states to respond more efficiently to local needs. healthcare system.
Sheppard Health Law
OCTOBER 12, 2022
If you have questions or are seeking counsel on these recent changes, you may contact any member of our Healthcare Team for assistance. Sheppard Mullin will continue to monitor developments and provide updates as they arise. The law, policy and regulatory climate surrounding the Dobbs decision is complex and quickly developing.
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