Anthem last year was required pay $16 million in the most costly HIPAA fine ever, for what remains the largest data breach for the industry.
Category: Healthcare Finance News
CMS cracks down on spread pricing by pharmacy benefit managers
The spread amount must be included in the calculation of medical loss ratios that managed Medicaid and CHIP plans use to set premium rates, CMS says.
Leapfrog report finds risk of death nearly doubles for patients in hospitals graded ‘D’ or ‘F’
An estimated 160,000 lives are lost annually from avoidable medical errors, an improvement over 2016 which saw 205,000 avoidable deaths.
With medical groups employing more physicians, a leader with the right skill set is paramount
Any medical group requires a strong leader, and then most important qualities to look for are dependent on the needs of the organization.
Millennial healthcare preferences are a departure from the status quo
Millennials are more likely to be uninsured compared with the older generation, saying it’s too expensive.
Judge rules against CVS/Aetna in allowing witness testimony over merger agreement
Testimony is expected to center on the impact of the merger on pharmacy benefit management markets, judge says.
Precision medicine: Getting the data creates a challenge for physicians
Precision medicine tailors care, but it requires technology and interpreting genetic data, complexities that present a roadblock for physicians.
CDC concurs with panel on misapplication of opioid guidelines
A number of clinicians and payers have been enforcing hard limits on opioid doses, regardless of the patient’s situation.
Certain hospitals turn away ambulances when the patient is more like to be poor, study shows
Private hospitals are more likely to enact an ambulance diversion if a nearby public hospital is already turning away ambulances.
United States remains the largest market for medical devices, at more than $150 billion
One of the components fueling the growth includes powered devices such as pacemakers and MRI machines.
