News

I’m a longtime fan of “wholistic” healthcare and case management processes, with a “W” as opposed to an “H” for holistic. This approach addresses whole-person care of physical health, behavioral health, and psychosocial circumstances, taking care not to leave any holes in care; it’s an approach that’s even more vital…
Today is the first day that prior authorization is required for Medicare beneficiaries to undergo specific surgeries. Here are the 10 things you need to know about the program. Five types of surgery – blepharoplasty, botulinum toxin injections to the face, panniculectomy, rhinoplasty, and vein ablation – performed on traditional…
As of now, the public health emergency (PHE) for the COVID-19 pandemic will expire July 24, 2020, unless it is renewed. Fellow contributor David Glaser and I have both reported on the potential end date of the PHE. Recent intel from Dr. Ronald Hirsh is that the Centers for Medicare…
A federal court last week rejected arguments put forward by the American Hospital Association (AHA) and other hospital groups alleging that the Centers for Medicare & Medicaid Services (CMS) Transparency Rule goes beyond the government’s authority. Specifically, the AHA thought the U.S. Department of Health and Human Services (HHS) was…
Last week, a federal court in the District of Columbia rejected arguments by the American Hospital Association (AHA) that the Price Transparency Rule slated to take effect Jan. 1, 2021 is invalid.  While I was lucky enough to forecast that the lawsuit would fail, one can hardly gloat about successfully anticipating…
The impact of the COVID-19 pandemic on society has more layers than the largest onion! A new national survey led by researchers from Northeastern, Harvard, Northwestern, and Rutgers universities sheds glaring light on the current impact to communities and concerns over health disparities, and validates concern for the general and mental health…
Covid-19 Opens up Vast Opportunities for Today’s Snake Oil Salesmen The COVID-19 crisis in the United States has opened vast opportunities for fraud of every type. The scale and scope of COVID-related criminal activity is so vast, we need to take an Aristotelian approach and separate it into categories.           …
The project will focus closely on those struggling with issues associated with the social determinants of health (SDoH). The Atlanta-based Morehouse School of Medicine has been selected as the recipient of $40 million in federal funding to help ramp up the fight against COVID-19 in racially and ethnically diverse, rural,…