Law & Legislation
Private payers profit by delaying medical claims
Editor's Note Private payers initially deny reimbursement on 15% of claims, only to later approve more than half of those initial denials, according to a national survey of healthcare institutions published March 21 by Premiere, Inc. Additionally, the denied claims on average tend to be more prevalent for higher-cost treatments…
Most physicians negatively view private equity ownership of healthcare practices
Editor's Note According to a March 11 research letter published by JAMA Internal Medicine, most physicians have a negative view of private equity’s growing involvement in healthcare. The findings mostly come from a January 2023 survey of 525 medical doctors conducted by the American College of Physicians (ACP). Some highlights…
How data puts the ‘value’ in value-based care
What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…
Medicare households have double the healthcare spending burden
Editor's Note The healthcare spending burden of Medicare households was double that of non-Medicare households in 2022, according to an analysis published by KFF (Kaiser Family Foundation) on March 14. Using data from the Consumer Expenditure Survey, KFF found that average health-related expenses made up 13.6% of Medicare households’ total…
New EPA standards to reduce ethylene oxide emissions
Editor's Note New standards from The Environmental Protection Agency promise to cut nationwide emissions of ethylene oxide—employed to sterilize more than half of US medical devices—by more than 90 percent. According to a March 15 MedPage Today report, the aim is to reduce cancer risk among the 13 to 14…
Survey reveals broad impact of Change Healthcare cyberattack
Editor's Note The recent cyberattack on Change Healthcare created a financial impact for the lion’s share of US hospitals surveyed recently by the American Hospital Association, with more than half reporting “significant or serious” impact and three of every four also reporting direct impacts on patient care. These data reflect…
#PatientSafetyAwarenessWeek: Bipartisan National Patient Safety Board Act reintroduced to Congress
Editor's Note US Representatives from California and Texas reintroduced the National Patient Safety Board (NPSB) Act, which aims to establish a public-private research and development team “dedicated to preventing and reducing healthcare-related harms." The March 11 announcement comes during Patient Safety Awareness Week, an annual awareness initiative focusing on the…
Alabama immunity legislation shields IVF patients, providers
Editor's Note A new Alabama law provides civil and criminal immunity for providers and patients of in vitro fertilization (IVF) services, the Associated Press reported March 7. Last month, the Alabama Supreme Court effectively ruled that frozen embryos are people with a constitutional right to life, casting doubt on the…
Hot-button healthcare issues lead to “elevated” threat from domestic extremists
Editor's Note Divisive cultural issues such as abortion, gender-related care, and disagreements over the COVID-19 pandemic will "amplify the health care sector's visibility as a potential target for attack" by domestic extremists, according to a March 4 ABC News report on a confidential memo issued by the Department of Homeland…
Ransomware group targeting Change Healthcare receives $22m Bitcoin payment
Editor's Note BlackCat, the ransomware group responsible for the cyberattack on UnitedHealth Group’s Change Healthcare received a $22 million payment in bitcoins, according to a post the group made online. Reutors reported the news March 4. Change Healthcare provides payment and revenue cycle management tools and is owned by UnitedHealth, the…
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