accountability
publication date
Strategy
Healthcare Is Front and Center as DeSantis and Newsom Go Mano a Mano
The matchup promises to be a heated brawl between rising political stars.
Payer
Big Insurance Met Its Match When It Turned Down a Top Trial Lawyer's Request for Cancer Treatment
Blue Cross and Blue Shield denied payment for the proton therapy Robert 'Skeeter' Salim's doctor ordered to fight his throat...
Clinical Care
Feds Hope to Cut Sepsis Deaths by Hitching Medicare Payments to Treatment Stats
A new Biden administration rule setting treatment metrics for sepsis has triggered pushback for its lack of flexibility.
Strategy
Understanding Healthcare Labor Unrest in Three Words: Overworked, Understaffed, Underpaid
Pharmacy workers at Walgreens are walking off the job as labor unrest continues to rock the healthcare sector.
Clinical Care
Unstoppable: This Doctor Has Been Investigated at Every Level of Government. How Is He Still Practicing?
Medical boards, a health department and even federal investigators have scrutinized Dr. James McGuckin's vascular clinics. Today he still practices,...
Telehealth
Audit: Telehealth Bolstered End-Stage Renal Care During PHE
However, OIG wants more details on what telecommunications platforms are used.
Payer
How Often Do Health Insurers Say No to Patients? No One Knows.
Insurers' denial rates ? a critical measure of how reliably they pay for customers' care ? remain mostly secret to...
Human Resources
WA Hospital Fined $240K After Nosy ER Guards Probe Patient Records
The HIPAA breach by two dozen guards at Yakima Valley Memorial Hospital affected 419 patients.
Nursing
Healthcare Workers Who Cover Up Patient Abuse Face Stiffer Penalties Under New IL Law
The legislation, spurred by a news investigation, allows workers to be barred from healthcare jobs for obstructing investigations into staff...
Strategy
Will a 'National Patient Safety Board,' Modeled After the NTSB, Actually Fly?
Stakeholders warn that public reporting would compromise data integrity by leading hospitals to scrub records to hide bad events.
Pharma
Indivior, 42 AGs Reach $102M Suboxone Antitrust Settlement
The AGs had claimed that Invidior used 'product hopping' to block competition from generics for its opioid treatment drug.
Revenue Cycle
GI Docs Rail Against UHC's Looming Prior Authorization Mandate
GI docs say the payer is using AI to move large volumes of services through prior authorization.