Worthy is Worthy of Consideration

Advocacy

by Kristin Rowan, Editor

Worthy is Worthy

Markovich Calls for Healthcare Overhaul

Worthy is an initiative aimed at nonpartisal healthcare policy reform. Introduced by Ascendiun CEO Paul Markovitch. Worthy calls upon industry players to back major reform in the healthcare system that addresses long-standing problems. According to Markovitch, a 30-year veteran in healthcare, the industry is dysfunctional and in need of a major overhaul. 

“The healthcare system is bankrupting and failing us. It requires systemic reform. Those reforms are unlikely to come from the industry itself. Therefore, we need the federal government to step up and make those reforms happen. The status quo is unacceptable. We need bold, systemic reform urgently, so that is what Worthy is.”

Paul Markovich

CEO, Ascendiun

Worthy Outline

Worthy comes from the idea that our healthcare system ought to be “worthy of our family and friends,” Markovitch said. The overhaul program is built on strategic pillars:

  • Providing every consumer and patient with a comprehensive, real-time digital health record
  • Breaking the “do more, get paid more” fee-for-service model and instead start paying for health outcomes.
  • Make prescription drugs accessible and affordable by eliminating kickbacks in the form of rebates, fees and spread pricing.
  • Put the entire healthcare system on a budget

More than Strategy

Beyond the written initiative, Worthy provides an interactive framework for patients. The website houses podcasts, issue analysis, and videos complemented by social media posts, media commentary, and in-person forums to help consumers and patients understand the changes that need to happen and how to get there. 

Additionally, it seems as though the Worthy plan is not merely speculation. The first phase of the plan focuses on prescription drug reform. The plan is already active inside Blue Shield of California. The insurer changed its pharmacy model, moving away from the pharmacy benefit management (PBM) structure. Instead, Blue Shield of California partners with Amazon Pharmacy, Mark Cuban Cost Plus Drug Company, and Prime Therapeutics, among others. That change became the foundation for the Worthy initiative.

Plan in practice

Blue Shield of California rolled out a Digital Health Record (DHR) program, also now part of the Worthy Initiative, that improves care coordination and transparency. The DHR program in California includes sharing all patient data across providers and with the patient, giving patients a complete and real-time health record. According to Markovitch, interoperability is a meaningless term that allows providers to congratulate themselves for sharing slightly more data than before. His goal is to have a national standard for comprehensive digital health records that eliminates the need for any provider or patient to request records.

Working Together

Worthy presumes that the strategic pillars work together. Total reform doesn’t happen without each piece. Markovitch advocates for the responsible use of artificial intelligence to automate what can be automated. This includes, according to Markovitch, prior authorization, billing, provider directory updates, claims settlements, and routine patient questions.

Shared decision-making

The clinical model that the plan implies is one of shared decision-making. It involves both patient and physician having complete health records together with AI and other technology to gather all available information about a health condition. From there, the patient, loved ones, and all treating physicians work together to form a care plan. Markovitch calls for stronger legislation to move toward this kind of comprehensive care plan.

Worthy shared decision-making

Worthy Vision

Patients over Profits

“Worthy will be advocating for passing a series of laws and enacting regulations that will force all the players to put patients over profits, that is, to do the right thing on behalf of each patient, every time, in order to have a health care business and to earn an income.”

– Paul Markovitch, CEO Ascendiun

Final Thoughts

We don’t know if the Worthy Initiative will gain any ground at the federal level. Likewise, we don’t know if Worthy will make substantive changes to the broken healthcare system. What we do know is that Worthy is, at a minimum, worthy of consideration as a means to overhaul a system that hasn’t truly been effective for a long time. If you agree, here are some links to get more information:

Worthy Podcast

Healthcare Overview

Pharmacy Reform

Blue California Pharmacy Care Reimagined

This is Worthy

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Kristin Rowan Editor The Rowan Report
Kristin Rowan Editor The Rowan Report

Kristin Rowan is the owner and Editor-in-chief of The Rowan Report, the industry’s most trusted source for care at home news. She is also a sought-after speaker on Artificial Intelligence, Technology Adoption and Lone Worker Safety. She is available to speak at state and national conferences as well as software user-group meetings.

Kristin also runs Girard Marketing Group, a multi-faceted boutique marketing firm specializing in content creation, social media management, and event marketing. She works with care at home software providers to create dynamic content that increases conversions for direct e-mail, social media, and websites.  Connect with Kristin directly at kristin@girardmarketinggroup.com or www.girardmarketinggroup.com

©2026 by The Rowan Report, Peoria, AZ. All rights reserved. This article originally appeared in The Rowan Report. One copy may be printed for personal use: further reproduction by permission only. editor@therowanreport.com

 

Ensuring HIPAA Compliance in Healthcare Communication

Admin

by Devin Paullin, CGO at Skyscape Buzz

Ensuring HIPAA Compliance

Communications Requiring HIPAA Compliance

While patient communication requires HIPAA adherence, so does any discussion between other parties. Essentially, any time PHI is discussed, a degree of confidentiality must be involved. For example, the Health Insurance Portability and Accountability Act (HIPAA) requires that sensitive patient data be protected when shared or discussed among:

  • Healthcare Providers and Patients
    • Any time a caregiver, staff member, doctor, nurse, or any other employee communicates with a patient, resident, or client, outside of face-to-face meetings, it must be done securely in a way that meets HIPAA standards.
  • Healthcare Professionals Among Themselves
    • HIPAA compliance must be met when healthcare professionals discuss PHI within their department or collaborate with external departments.
  • Healthcare Providers and Insurance Companies
    • Insurance providers require patient details and sensitive PHI. Still, anything that makes information vulnerable to interception must be fully compliant with HIPAA standards.
  • Healthcare Organizations and Third-Party Associates
    • Third parties that need to handle PHI (e.g., IT consultants, collections agencies, or other vendors) must do so in a way that protects patient data. To safeguard communication, healthcare organizations should ask outside associates, vendors, or agencies to sign a business associate agreement (BAA) and/or Data Processing Agreement (DPA). This is a formal agreement to comply with HIPAA standards and ensure accountability.
  • Healthcare Organizations and Public Health Authorities
    • Some diseases or conditions require healthcare professionals to report to public health authorities (e.g. COVID-19 information during the pandemic). This communication requires stringent security measures and protection of PHI.

Why HIPAA Compliance Matters

In healthcare, effective communication is essential for providing high-quality care. However, without HIPAA compliance, the risk of data breaches increases. Implementing secure, HIPAA-compliant communication systems ensures the protection of Personal Health Information (PHI) while improving overall operational efficiency.

Key Benefits of HIPAA-Compliant Communication

  • Protects Patient Privacy and Data Security
    • HIPAA-compliant platforms use advanced encryption and access controls to prevent unauthorized access. This protects patient information, including medical histories, diagnoses, and test results.
  • Enhances Communication Efficiency
    • Secure messaging platforms streamline communication between patients, caregivers, and healthcare providers. These tools eliminate inefficient methods like phone calls and ensure real-time communication.
  • Strengthens Collaborative Care
    • Providing high-quality healthcare often involves a team of professionals working together. Whether it is a hospital placing a patient in rehabilitation or home care, coordinating with intake team, care team and providers,collaboration is key. HIPAA-compliant communication tools allow these professionals to securely share critical patient information, ensuring everyone has the details they need to deliver cohesive, well-informed care.
  • Reduces Legal and Financial Risks
    • Compliance with HIPAA regulations minimizes the risk of violations, protecting organizations from hefty fines and legal repercussions.
  • Maintains Patient Trust
    • Patients are more likely to engage openly with healthcare providers when they feel confident that their sensitive information is protected.

How to Ensure HIPAA Compliance in Communication

To comply with HIPAA regulations, healthcare organizations should adopt the following secure communication methods:

  • Encrypted Emails
    • Ensure emails containing PHI are encrypted and, in some cases, require patient consent.
  • Secure Messaging Platforms
    • Use platforms specifically designed for HIPAA compliance for text-based communication.
  • HIPAA-Compliant Voice Calls and Telehealth
    • Ensure voice and video communication channels are encrypted and secure.
  • Patient Portals
    • Provide secure portals with two-factor authentication for patients to access their medical information.
  • Secure File Sharing
    • Use encrypted systems for sharing patient documents and medical records.

Implementing HIPAA-Compliant Communication Platforms

Adopting a HIPAA-compliant communication platform requires a thorough evaluation of existing systems and policies. Organizations should consider the following steps:

  • Conduct a Communication Audit
    • Identify all channels currently used for healthcare communication and assess their compliance.
  • Choose a Secure Platform
    • Select an all-in-one communication solution designed to meet HIPAA standards.
  • Establish Access Controls
    • Implement role-based access to ensure only authorized personnel can view PHI.
  • Provide Staff Training
    • Educate employees on the importance of HIPAA compliance and how to use secure communication tools.
  • Monitor and Evaluate
    • Regularly assess communication practices to identify and address vulnerabilities.

Final Thoughts

HIPAA-compliant communication is not just a legal obligation—it’s a commitment to patient privacy, security, and high-quality care. By implementing secure communication platforms, healthcare organizations can enhance efficiency, foster trust, and reduce the risk of data breaches. Investing in compliance is an investment in the long-term success and reputation of your organization.

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Devin Paullin HIPAA Compliance in Home Healthcare
Devin Paullin HIPAA Compliance in Home Healthcare

Devin Paullin is an award-winning innovator and executive in Healthcare Technology, having developed successful products, solutions, and partnerships in Life Sciences, Post-Acute Care, SDOH, and Long-Term industries.

He is currently Chief Growth Officer for Skyscape which provides Buzz, an all-in-one, real-time HIPAA-compliant clinical collaboration and communication platform that enables the entire staff (admins, operations, clinicians, caregivers, partners, patients, and families) with the tools to communicate securely, easily, in groups or one to one, and affordable, by any mode they choose. Visit Buzz or contact them to learn more about Buzz by Skyscape today.

©2024 by The Rowan Report, Peoria, AZ. All rights reserved. This article originally appeared in Healthcare at Home: The Rowan Report. One copy may be printed for personal use: further reproduction by permission only. editor@therowanreport.com

HIPAA Compliance in Communication

Clinical

by Devin Paulin, Skyscape

The Critical Importance of HIPAA Compliance in Home Healthcare Communication

The Rise of Messaging Apps and Healthcare Communication

Nearly 44% of the global population (3.5 billion people) rely on messaging apps to communicate. Unfortunately, available consumer SMS, text, and even “secure” messaging apps like WhatsApp, Apple Message, or Google Messages do not come with safety and security features specifically required to be compliant in the healthcare industry.

Still, consumer SMS apps are quite often used for healthcare communication in which Personal Health Information (PHI) is shared, and many individuals don’t understand the level of risk or that this is a violation of the law.

HIPAA Compliance in Communication Advantages

Group and Individual texting are a proven, timesaving, real-time communication tool in healthcare, and must be done through a HIPAA-compliant messaging platform. Secure platforms can improve privacy and security while maintaining compliance in such a sensitive industry.

There are many reasons why HIPAA compliance is vital for secure communication in home healthcare.

HIPAA Compliance in Communication - Not Just for Doctors and Nurses

HIPAA compliance is not just for medical clinics and hospitals. HIPAA compliance extends to all types of services that hold healthcare information. Physical Therapy, Personal Care, Home Health, Wellness, Behavioral Health, Assisted Living, and many more all fall under HIPAA. Most importantly, ALL providers, staff members (full or part-time), contractors, and third-party partners who come in contact with PHI are subject to HIPAA law, violations, and fines.

HIPAA Compliance in Communication

We're too Small for Violations to be Noticed, Though

Wrong. We regularly speak to many owners and staff members of large and small Home Health Care, Assisted Living, Hospice and Palliative, Mobile Imaging, PT and Rehabilitation, and Behavioral Health across the country. Many openly operate under the false assumption that their business is too small to be noticed by the U.S. Department of Health and Human Services (HHS) and the Office for Civil Rights (OCR), who is responsible for enforcing the HIPAA Privacy and Security Rules. That is not how it works.

Complaints logged by those within or close to your business alert the OCR to possible HIPAA violations. These can be from current and former staff, patients, clients, business partners, or anyone who claims to have witnessed a HIPAA breach. This can include disgruntled employees and whistleblowers. Even for companies that are HIPAA compliant, any breach is to be reported by an employee assigned as the security officer.

HIPAA Compliance in Home Healthcare by Type

HIPAA mandates compliance for all communications involving PHI. Some key examples include:

  • Provider-to-Patient Communication
    • Secure platforms are necessary when caregivers contact patients outside of in-person visits.
  • Provider-to-Provider Communication
    • Sharing PHI within or between departments must meet HIPAA standards.
  • Provider-to-Insurance Communication
    • Insurance companies require sensitive patient data, which must be securely transmitted.
  • Provider-to-Third-Party Communication
    • Any third-party associates handling PHI must have a signed Business Associate Agreement (BAA) and adhere to HIPAA regulations.
  • Provider-to-Public Health Authorities
    • Reporting communicable diseases or pandemics requires secure communication.

Consequence of HIPAA Violations

HIPAA violations can have severe consequences, including:

  • Financial Penalties
    • Fines range from $100 to $50,000 per violation, depending on the level of negligence.
  • Reputational Damage
    • Data breaches erode patient trust, leading to a damaged reputation.
  • Legal Consequences
    • In cases of willful neglect, organizations may face lawsuits or criminal charges.

Final Thoughts

Understanding and adhering to HIPAA regulations is crucial in home healthcare. Compliance not only safeguards sensitive information but also strengthens patient trust and ensures ethical operations.

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Devin Paullin HIPAA Compliance in Home Healthcare
Devin Paullin HIPAA Compliance in Home Healthcare

Devin Paullin is an award-winning innovator and executive in Healthcare Technology, having developed successful products, solutions, and partnerships in Life Sciences, Post-Acute Care, SDOH, and Long-Term industries.

He is currently Chief Growth Officer for Skyscape which provides Buzz, an all-in-one, real-time HIPAA-compliant clinical collaboration and communication platform that enables the entire staff (admins, operations, clinicians, caregivers, partners, patients, and families) with the tools to communicate securely, easily, in groups or one to one, and affordable, by any mode they choose. Visit Buzz or contact them to learn more about Buzz by Skyscape today.

©2024 by The Rowan Report, Peoria, AZ. All rights reserved. This article originally appeared in Healthcare at Home: The Rowan Report. One copy may be printed for personal use: further reproduction by permission only. editor@therowanreport.com