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Policy & Law

Hot Off the Presses: URAC Specialty Pharmacy Updates

November 22, 2014 by Abby Norman

URAC pharmacy update

URAC accreditation is highly coveted, especially when it comes to Specialty Pharmacy. As such, URAC recently released Revised Specialty Pharmacy Accreditation standards! Here are five steps to achieving and maintaining URAC Specialty Pharmacy Accreditation.[read more]

Doctor Discipline: Resources for Judging Quality in Health Care

November 21, 2014 by Jeanne Pinder

quality doctoring? / shutterstock

When we display prices for medical treatments, inevitably the question of quality comes up. Since price and quality are both hidden from public view in health care, we are always excited to see some source — any source — of quality information. One source: doctor disciplinary listings.[read more]

High Drama in an Ambulatory Surgery Center

November 20, 2014 by Michael Kirsch

intubation / shutterstock

A few days before I wrote this, a patient had a complication in my office. I have discussed on this blog the distinction between a complication, which is a blameless event, and a negligent act. In my experience, most lawsuits are initiated against complications or adverse medical outcomes, neither of which are the result of medical negligence.[read more]

Medicaid for All?

November 19, 2014 by David E Williams

Medicaid / shutterstock

The Affordable Care Act is injecting billions upon billions of dollars to provide Medicaid to previously uninsured people. More money should help healthcare providers’ finances, not hurt them. So what’s going on? To summarize, Medicaid reimburses for services at only about half the rate of what commercial health plans pay.[read more]

Telemedicine Market Shows Strong Growth Due to Healthcare Changes

November 19, 2014 by David Avitabile

Telemedicine

In a report from global market research company IHS, telemedicine, which is defined as "the use of medical devices and communication technology together to monitor diseases and symptoms," is predicted to grow at a cumulative annual growth rate of more than 56 percent between 2013 and 2018.[read more]

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What Healthcare Can Learn from the G20 Summit

November 18, 2014 by Paul Tunnah

At the G20 summit taking place in Australia, the world’s leaders have gathered to discuss some of the most pressing global issues. If the world’s leaders can step away from their national tribes for a few days to tackle the big issues, maybe it’s something we should try on a more regular basis in healthcare?[read more]

HIPAA: Liability to Private Parties for Violations

November 18, 2014 by David Harlow

Last week, Connecticut joined at least nine other states (DE, KY, ME, MN, MO, NC, TN, UT, WV) in recognizing that, while HIPAA does not create a private right of action for violation of privacy, it does constitute a standard against which the actions of a defendant in such a case will be judged.[read more]

Invisible Illness Insights: "A Little Understanding Could Change So Many Lives"

November 18, 2014 by Dave Taylor

invisible illness / shutterstock

In a recent survey conducted by Inspire of its online community members with invisible illnesses such as EDS, chronic pain, lupus, bipolar disorder, fibromyalgia, depression and sarcoidosis, we saw that many respondents expressed frustration in the interactions they have had with their doctors.[read more]

Telemedicine: CY 2015 MPFS Reportage and Dangers of the Echo Chamber

November 17, 2014 by David Harlow

While payment for remote patient monitoring of chronic conditions turned out to be a chimera - at least for now - payment for chronic care management services, previously discussed in the CY 2013 and 2014 MPFS Rules, has been finalized in the CY 2015 MPFS.[read more]

Governor-Elect Charlie Baker on Healthcare Policy

November 16, 2014 by David E Williams

Charlie Baker

Charlie Baker has tremendous, relevant experience in healthcare. He was CEO of Harvard Pilgrim Health Care and Secretary of Health and Human Services before that. Healthcare is a huge issue for Massachusetts, so it’s great to have someone at the helm with that background.[read more]

Medicaid Expansion: How Does It Affect You?

November 14, 2014 by Abby Norman

Medicaid expansion

It’s almost time for open enrollment – and this year, there are some changes to Medicaid that might affect you, depending on what state you live in. So far, states have begun expanding their Medicaid programs, with the help of additional federal funding.[read more]

HPI Safety Summit: Communication Key Component of High Reliability Journey

November 12, 2014 by Tracy Granzyk MS, CPHQ

HPI is endeavoring to make the language of patient safety universal across healthcare by providing consistent, process-driven training that gives healthcare professionals a vocabulary in high reliability, resilience and a systems approach to care.[read more]