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. | The FTC turned its attention toward pharmacy benefit managers in a new report detailing the consequences of consolidation and vertical integration, warning legal action and regulation could follow.
As the use of artificial intelligence technology in healthcare grows, federal lawmakers are weighing how to protect patients without hindering innovation and many in Congress are pushing for strong | As the use of artificial intelligence technology in healthcare grows, federal lawmakers are weighing how to protect patients without hindering innovation (..)
As artificial intelligence rapidly makes inroads in healthcare, federal agencies already have the authority to regulator AI at the hospital bedside, according to some healthcare researche | An article published in JAMA Health Forum argues that through the conditions of participation in Medicare and Medicaid, CMS has the authority to oversee how hospitals (..)
New York has proposed a slew of new cybersecurity regulations for the state’s hospitals and plans to funnel $500 million from its FY24 budget to help facilities upgrade their technology systems, Go | Should its proposal be finalized, the Empire State will give hospitals a year and access to a $500 million fund to bring their facilities into compliance. (..)
Compliance support helps navigate complex healthcare regulations and avoid costly fines. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust.
billion buy of primary care company One Medical closed last week without a challenge from the FTC, even as consumer protection groups and regulators aired worries about the tie-up. The ecommerce giant's $3.9
Leaders at UnitedHealth Group and Amedisys are set to meet with the Department of Justice this week in hopes of avoiding a potential attempt to block their $3.3 billion merger deal, according to media reports.
Amedisys disclosed Tuesday that Oregon regulators are probing the company's potential acquisition by UnitedHealth Group. Amedisys disclosed Tuesday that Oregon regulators are probing the company's potential acquisition by UnitedHealth Group.
Federal regulators are weighing new safeguards against exploitative dealmaking by private equity firms within healthcare—and, so far, they aren't signaling any reprieve for the corporate investors | FTC, DOJ and HHS heads were receptive to testimonies given by providers and researchers Tuesday on the need for policy changes addressing private (..)
Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations.
But strong regulation and clear definitions of the technology's use and capabilities will be required. From enhancing efficiency to helping organizations strengthen essential face-to-face human interactions, artificial intelligence holds significant promise for healthcare.
Regulations and policies are moving the industry in the right direction, but there is still room for improvement in key areas where regulations don't go far enough. Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers.
"We continue to carefully consider the input received and are working to promulgate a final set of telemedicine regulations," they said. " In response to a set of proposed telemedicine rules last year, DEA received more than 38,000 comments, the agencies noted in a statement about the official notice of the extension.
The rules, which would require facilities to develop response plans and hire a chief information security officer, aim to safeguard hospitals from growing threats and keep them operating during an attack.
Thirty-two percent of people appointed to positions at the HHS between 2004 and 2020 exited to the private sector, raising concerns about objectivity, according to new research.
Providers using telehealth face an evolving landscape, and they must balance complexities around insurance, regulatory compliance and data privacy, argues one legal expert.
This provided agencies with broad discretion to create and enforce regulations that often filled gaps left by legislators. Implications for Cybersecurity in Healthcare Vulnerability of Existing Regulations The immediate impact of this ruling is the increased vulnerability of existing cybersecurity regulations to legal challenges.
All 11 of Massachusetts’ federal legislators are calling on regulators to keep a short leash on UnitedHealth Group’s proposed acquisition of Steward Health Care’s physician group, even if that mean | The financial jeopardy of Steward's remaining hospitals can't override the long-term cost and quality harms that would likely follow UnitedHealth (..)
Federal regulators have accused a major Texas-based anesthesia provider and its parent private equity firm of a decade-long, three-pronged scheme to suppress competition and drive-up prices. |
Compliance Assurance It is quite challenging to navigate healthcare regulations, standardized codes, and payment rules. Skilled professionals use automated solutions to remove all the inefficiencies in the billing system by taking necessary steps to optimize the revenue cycle with the most updated billing solutions.
In a new bulletin, HHS is addressing how online tracking technologies, like Google Analytics or Meta Pixel, collect and analyze information on how internet users are interacting with a HIPAA-regulated entity’s websites or mobile applications. HIPAA compliance obligations for regulated entities when using tracking technologies.
Supreme Court, by a vote of 6-3, has overturned the Chevron deference, stripping power from federal agencies to interpret and enforce regulations. | Supreme Court is overruling long-standing precedent. Here's how it could affect healthcare policy.
Experts say the future of AI regulation is uncertain in 2025 with a new presidential administration. Also this year, organizations will continue to bolster their cyber defenses to withstand increasing attacks.
Price transparency regulations are leveling the cost landscape for consumers, but that doesn’t always lead to lower prices, according to a new report from Turquoise Health.
Private equity firms have seen plenty of potential in the rapidly growing Medicare Advantage space, but deal volumes are slowing, according to a new report. Private equity firms have seen plenty of potential in the rapidly growing Medicare Advantage space, but deal volumes are slowing, according to a new report.
Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.
Medicare Advantage plans have come under fire for upcoding that can increase the payouts they receive, and regulators point to health risk assessments as a likely culprit in this increase in coding | Medicare Advantage plans have come under fire for upcoding that can increase the payouts they receive, and regulators point to health risk assessments (..)
Bayer wants to pair its radiology, healthcare regulator and clinical data handling expertise with Google's tech muscle and ongoing work in generative AI to speed up innovation in media imaging.
Finally, evolving regulations are pushing for greater price transparency in healthcare. Furthermore, the increasing use of digital health tools and electronic health records has raised concerns about data privacy and security. To build and maintain trust, healthcare providers must demonstrate a commitment to responsible data stewardship.
LTPAC professionals claim they're the second most regulated industry in America after nuclear power. Regardless, senior care operators face extensive regulations.
Heightened antitrust scrutiny from state governments and regulators in Washington is having a chilling effect on deals, according to PitchBook analysts.
The federal government's healthcare tech arm finalized a sweeping regulation that requires new technology upgrades while also advancing interoperability and transparency in predictive decision supp | The federal government's healthcare tech arm finalized a sweeping regulation that requires new technology upgrades while also advancing interoperability (..)
More than 300 telehealth and provider groups say time is running out for regulators to propose a rule before pandemic-era flexibilities expire at the end of the year.
The feds are attempting to better regulate mental health coverage by bolstering protections around prior authorization, step therapy and provider networks. The Biden administration is strengthening private health coverage for individuals seeking mental health and substance use disorder (SUD) care in a final rule unveiled Monday. |
Regulators say Medicare needs more data and oversight to avoid fraud and misuse. Digital health advocates argue the service is still crucial for managing chronic conditions.
On Tuesday, regulators updated the public on their almost three-year-old inquiry into PBMs’ anticompetitive business practices. The report is not positive for the drug middlemen, which immediately criticized it as one-sided.
Newly proposed changes to the Federal Trade Commission’s pre-merger notification requirements would give regulators more information to review during a deal’s initial waiting period—likely giving t | The federal regulator said its proposed updates would enable more efficient review of pending deals during the initial 30-day waiting period.
The new estimate nearly doubles the company’s previous report of 100 million affected individuals, already the largest healthcare data breach ever reported to federal regulators.
Regulators’ assessment of customer support centers has spurred recent lawsuits from UnitedHealthcare, Centene and Humana. But the metric “is going to have a smaller weighting on star ratings moving forward,” the director of Medicare said.
CMS released a series of final rules Monday, including Medicaid access regulations that some groups worry will cause providers to close. The Centers for Medicare & Medicaid Services is hoping to improve Medicaid enrollees’ access to care through a final rule that better compensates caregiving roles. |
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