Health Care / Medicine
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Health Care / Medicine
CMS Grants Quality Reporting Exceptions For Facilities Recovering From Hurricane Ida
The agency has granted certain Medicare quality reporting exceptions to healthcare facilities in areas of Louisiana, Mississippi, New York, and New Jersey that were battered by Hurricane Ida. By providing the exceptions, CMS aims to enable facilities to direct their resources toward recovery. -
Family Law, Health Care / Medicine
Lawyers: 1, Discriminating Insurance Company: 0
The fact that Aetna admitted that the costs were improperly denied and reversed course is huge. - Sponsored
The Business Case For AI At Your Law Firm
ChatGPT ushers in the age of generative AI – even for law firms. -
Health Care / Medicine
Health Apps Could Face Big Fines If They Don’t Disclose Privacy Breaches
The agency reminded health apps and wearables companies that they must disclose any breach of users’ health information, even if they are not a HIPAA covered entity. Companies that fail to disclose a breach could face thousands of dollars per day in fines.
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Health Care / Medicine
CMS Suspends Enrollment In UnitedHealthcare, Anthem MA Plans
The agency has suspended enrollment in three UnitedHealthcare plans and one Anthem plan for 2022 because the plans did not spend enough of their premium incomes on medical benefits and claims. The payers can contest the suspension, though it is unclear if they plan to. -
Health Care / Medicine, Technology
Racism, Sexism, And Now Fraud: Lawsuits Pile Up At New Jersey ‘AI’ Firm
A previous investigation by MedCity News found that ElectrifAi was touting an improperly developed algorithm during the earliest phase of the COVID-19 pandemic, with both the company and CEO defendants in an employment discrimination lawsuit. A year later, lawsuits are piling up as more former employees complain that the company and CEO lied about its AI capabilities and business. -
Health Care / Medicine
'No Surprises' Enforcement Left To States, Big Questions Left Unanswered In HHS Rule
Enforcement of the No Surprises Act is still a work in progress, but CMS is ready to give out As for effort. Whether patients will agree with that grade still remains to be seen. -
Health Care / Medicine
Lawsuit: Aetna Fertility Coverage Policy 'An Illegal Tax' On LGBTQ People
The lawsuit alleges that an Aetna policy discriminates against LGBTQ people by requiring them to pay thousands in out-of-pocket costs for fertility treatments before becoming eligible for coverage. Though Aetna has agreed to pay the costs incurred by the plaintiffs, the suit aims to strike down the policy as a whole. -
Health Care / Medicine
CMS Wants To Repeal Breakthrough Device Coverage Rule, Dashing Med Device Industry Hopes
After pushing back the start date twice, CMS now wants to scrap the Trump-era rule, which provides an expedited pathway to Medicare coverage for devices that receive the FDA breakthrough designation. - Sponsored
Navigating Financial Success by Avoiding Common Pitfalls and Maximizing Firm Performance
In this CLE-eligible webinar, we’ll explore the most common accounting pitfalls and how to avoid them for your firm. -
Health Care / Medicine
New HHS Proposed Rule Requires Payers To Disclose Broker Rates, Share Air Ambulance Data
HHS wants insurers offering individual and short-term, limited-duration coverage to disclose to members the rates they pay to brokers who help people select health plans. The government also wants to collect air ambulance data to help curb the high and unexpected costs that arise from these services. -
Health Care / Medicine
COVID-19 Vaccination Required For Staff In Most Healthcare Settings
CMS, in collaboration with the CDC, is making it mandatory for staff at healthcare facilities participating in Medicare and Medicaid programs to get vaccinated against COVID-19. The move comes as cases rise to 150,000 and deaths to 1,500 per day. -
Government, Health Care / Medicine
Justice Department Sues Texas To Block Restrictive Abortion Law
The Biden administration has issued a legal challenge to invalidate the controversial Texas law that bans abortions after six weeks of pregnancy, claiming that it will strip residents of their constitutional rights. -
Finance, Health Care / Medicine
Mammoth Bio’s Massive $195M Financing Makes The CRISPR Company A Unicorn
Mammoth Biosciences is applying CRISPR technology to both diagnostics and therapeutics. With the new financing, CEO Trevor Martin said that the company is looking ahead toward clinical trials and perhaps partnerships with larger companies. -
Health Care / Medicine
Feds Slap UPMC, Cardiothoracic Surgery Chair With Billing Fraud Suit
The lawsuit alleges that UPMC and the chair of its cardiothoracic surgery department knowing submitted false claims for concurrent surgeries that violated regulations. But, according to UPMC, there is no regulation that prohibits overlapping surgeries or billing for them.
Sponsored
Sponsored
Navigating Financial Success by Avoiding Common Pitfalls and Maximizing Firm Performance
In this CLE-eligible webinar, we’ll explore the most common accounting pitfalls and how to avoid them for your firm.
Sponsored
Is The Future Of Law Distributed? Lessons From The Tech Adoption Curve
The rise of remote work has dramatically reshaped the relationship between Lawyers and Law Firms, see how Scale LLP has taken the steps to get…
Sponsored
The Business Case For AI At Your Law Firm
ChatGPT ushers in the age of generative AI – even for law firms.
Sponsored
Sponsored
Generative AI In Legal Work — What’s Fact And What’s Fiction?
Zach Warren from the Thomson Reuters Institute discusses the potential and the pitfalls.
Sponsored
Legal AI: 3 Steps Law Firms Should Take Now
If 2023 introduced legal professionals to generative AI, then 2024 will be when law firms start adapting to utilize it. Things are moving fast, so…
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Health Care / Medicine
Sometimes The Customer Is Wrong
If you thought the markups on hospital Tylenol were outrageous, wait until you see what horse paste would have cost you. -
Health Care / Medicine
Report: Medicare Trust Fund Still Expected To Run Out By 2026
The latest report from the Medicare Board of Trustees shows that the health insurance trust fund, also known as Medicare Part A, will run out in a mere five years, which is in line with reports released in 2018, 2019, and 2020, indicating that the COVID-19 pandemic has not hastened the fund's depletion. -
Health Care / Medicine
Sutter Health To Pay $90M To Resolve False Claims Allegations
The California-based health system will pay a hefty price to resolve allegations that it knowingly submitted inflated diagnosis codes for certain Medicare Advantage beneficiaries to receive higher payments. Sutter Health does not admit any liability in the matter. -
Health Care / Medicine, Intellectual Property
DeepMind Has Unlocked Protein-Based Medicine – What Does That Mean For Drug Patents?
One of science's great puzzles is being solved by artificial intelligence and the answers shared freely on the internet. How can life sciences companies make the most of DeepMind's discoveries while protecting their own? -
Health Care / Medicine, Politics
They'd Rather Horse Around Than Get Vaccinated
You can lead a horse to water, but its medicine will be stolen by anti-vaxxers. -
Health Care / Medicine
Hackensack Meridian Health, Englewood Health Appeal Court Decision To Block Merger
The FTC sued to block the merger between the two New Jersey-based health systems and won a preliminary injunction earlier this month. But the providers believe that the merger would not raise prices or stifle competition — like the FTC alleges it would — and have filed an appeal. -
Health Care / Medicine
Gov. Reeves Owns Libs So Hard He Channels Socrates
He basically said "Let us consider also in the following way that there is much hope that being dead is something good."