In 2020, the Department of Justice estimated that fraudulent, wasteful, and abusive (FWA) billing practices account for more than $100 billion of the nation’s healthcare expenditures.1 Today, the National Healthcare Anti-Fraud Association (NHCAA) conservatively estimates that healthcare FWA costs the nation about $68 billion annually, representing 3% of the nation's $2.26 trillion in healthcare spending.2 FWA estimates from commercial health plans range as high as $230 billion annually, or
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Public Health
DEA Extends COVID-19 Telemedicine Flexibilities for Prescribing Controlled Medications for 6 Months
What You Should Know:
Today, the Drug Enforcement Administration (DEA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) issued the “Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications” – a temporary rule that extends telemedicine flexibilities adopted during the COVID-19 public health emergency (PHE).· The temporary rule will take effect on May 11, 2023, and extends the full set of telemedicine flexibilities
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4 Keys to Modernizing Public Health Data Collection and Analysis
The COVID-19 pandemic shined a spotlight on the urgent need to modernize the nation’s public health system. Despite success in rapidly developing vaccines, the unprecedented public health emergency also exposed significant gaps in U.S. public health infectious disease data collection and analysis methods which are critical for identifying behavioral risk factors and preventive actions.
The Problem
Unfortunately, inefficiency remains a hallmark of the U.S. public health surveillance system
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Report: 20% of Americans Skip Healthcare Due to Transportation Barriers
What You Should Know:
A new analysis shows more than 21% of U.S. adults without access to a vehicle or public transit went without needed medical care last year. These individuals were significantly more likely to skip care than those who reported neighborhood access to public transit services (9%).This analysis examining the association between transportation and access to healthcare was conducted by Urban Institute researchers with support from the Robert Wood Johnson
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Closing Racial Disparities in Patient Portal Usage
Over the last decade, the healthcare industry has experienced an explosion of digital innovation. Simultaneously, shifting consumer preferences around convenience and access to care has accelerated the pace of technology adoption at unprecedented speed, especially in the wake of the pandemic.
The value of these digital tools is manifold: healthcare enterprises report increased operational efficiency, higher quality care delivery, cost savings, and the potential to deliver a more
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Q1 2023 Digital Health Funding Reaches $3.4B Across 132 Deals
What You Should Know:
2023 started off with the hallmarks of a rebound year. While Q4 2022 signaled the tail end of the digital health funding cycle, January and February funding numbers began to suggest that sector investment was slowly but surely inching back upwards. Inflation was easing ever so slightly. Investors were rediscovering their confidence and launching new projects, signaling optimism in the sector, according to a new Rock Health report. However, recent news—the collapse of
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Hybrid Healthcare and The New Normal: Biggest Adjustments for Healthcare Organizations
The adoption of virtual health has increased dramatically since March 2020, with 150 million telehealth claims in less than two years. Like other revolutionary innovations throughout history, healthcare innovation is necessitated by time — and unmet needs. So many struggled to create virtual care solutions during the pandemic, and many technology companies jumped into the telehealth space because of the unmet needs of patients. But the pandemic era is soon coming to an end, leaving telehealth to
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Accenture Report Reveals Staggering Health Inequities and the Role of US Healthcare Ecosystem in Addressing Them
What You Should Know:
- Health equity – or the lack thereof – is one of the biggest challenges facing US healthcare organizations today.
- A new report from Accenture, US health inequity: beyond the statistics, analyzes the role US healthcare ecosystem participants can play in addressing health inequities due to race and ethnicity. The statistics are staggering.
Analysing Key Trends Concerning Health Inequities
To understand the human and economic
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Are Hospitals Ready for Alzheimer’s Treatment Approval?
The FDA’s recent accelerated approval of Leqembi was welcome news across the Alzheimer’s community. However, few health systems, medical practices, or providers are prepared for the extraordinary public interest in a treatment for Alzheimer’s disease – especially not one targeting mild cognitive impairment (MCI) and early dementia due to Alzheimer’s disease – that is likely headed their way soon. The unprecedented scale of the public health and marketing campaigns, the high prevalence of MCI in
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3 Public Health Messaging Failures: What Went Wrong and How to Fix It
Public health crisis communications plans have the power to improve outcomes, reduce long-term healthcare costs, and save lives. These plans should convey crucial health information to impacted groups with recommendations on how and when to seek care and reduce spread. The consequences of ineffective, inconsistent, or absent public health messaging in times of crisis are grave, leading to the mistrust of healthcare institutions, stigmatization of impacted groups, and decreased likelihood of
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