Quality and Safety
The healthcare industry is on notice: Fraud recoveries in the healthcare sector are on the rise and whistle-blowers are the biggest weapon in the fight against fraud.
The Patient-Centered Outcomes Research Institute (PCORI) on Monday announced funding totaling $88.6 million for 51 projects across the country for patient-centered comparative clinical effectiveness research.
In the last few years the scope of responsibilities and duties delegated to medical directors has been evolving to include more responsibility over measures of quality within their healthcare organizations.
On April 10, 2013, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Office of Inspector General (OIG) published parallel proposed rules revising, respectively, the Stark exception and Anti-Kickback safe harbor concerning electronic health record (EHR) items and services.
Collaborations between primary care and behavioral health providers are not new but the leaders of two such organizations believe their newly formed joint venture is a winning formula.
Critically ill Medicare patients, who are battling for stable health at the end of life, are victims of repeated hospitalizations, especially after being discharged to a skilled nursing facility (SNF). The cycle of hospitalizations is an indicator of poor care coordination and discharge planning -- causing the patient to get sicker after every "bounce back" to the hospital.
The outlook for the global pharmaceutical industry will remain stable over the next 12 to 18 months with the expectation that the sector will return to earnings growth in 2013, according to Moody's Investor Service.
A complex conditions project in Maine has found that behavioral health disorders have as much impact on medical costs as having three chronic medical conditions and that fragmentation of care leads to higher overall costs.
The results are in from the MGMA-ACMPE Medical Directorship and On-Call Compensation Survey: 2013 Report Based on 2012 Data.
An advanced stage cancer diagnosis used to be almost a death sentence, but that wouldn't have to be the case if we were wise in sustaining cancer research funding.