by Kristin Rowan | May 29, 2025 | Artificial Intelligence, Interoperability, Regulatory
by Kristin Rowan, Editor Access to Patient Data Tighter than Fort Knox Access to patient data has always been tricky, even for the patient. Every doctor’s office, hospital, urgent care center, home health agency, and nursing facility uses their own system to...
by Kristin Rowan | May 29, 2025 | CMS, Medicare, Medicare Advantage, Regulatory
by Kristin Rowan, Editor CMS Strategy for Medicare Advantage Audits Last week, The Centers for Medicare and Medicaid Services (CMS) rolled out a new, aggressive strategy to enhance and accelerate Medicare Advantage Audits under RADV. CMS will audit all eligible MA...
by Rowan Report | May 29, 2025 | Admin, Clinical, Interoperability, Regulatory
by Ben Rosen, Sr. Client Success Manager, Netsmart Interoperability What you need to know and how it affects you Part 2 For over two decades, tech companies and government agencies have been moving toward the goal of interoperability in healthcare technology. At long...
by Elizabeth E. Hogue, Esq. | May 29, 2025 | Clinical
by Elizabeth E. Hogue, Esq. Elderspeak Providers have all heard baby talk. Baby talk is just one kind of elderspeak, i.e., changes in the way caregivers speak to patients, especially elders, regardless of the person’s ability to understand and respond. Elderspeak...
by Kristin Rowan | May 23, 2025 | Breaking News, Medicaid, Regulatory
by Kristin Rowan, Editor House Passes Bill House passes bill in early-morning vote. The House of Representatives, predictably split along party lines, passed the “Big, Beautiful Bill” in a 215-214 narrow win. All but three Republican representatives...
by Kristin Rowan | May 23, 2025 | Regulatory
by Kristin Rowan, Editor Pushback on Trump Initiatives From All Sides Pushback on Trump initiatives, including the steep cuts to Medicare, Medicaid, Social Security, and VA benefits erupted this week. Coalitions, associations, and members of Congress seek to stop the...
by Rowan Report | May 23, 2025 | Medicaid, Medicare, Medicare Advantage, Other Sites, Regulatory
The Guardian has uncovered some truly disturbing information about UnitedHealth Group. As the investigation and reporting belongs to them, I have reprinted the first part of the article here. Read the full article here. by George Joseph, The GuardianWed May 21, 2025...
by Elizabeth E. Hogue, Esq. | May 16, 2025 | Admin, Regulatory
by Elizabeth E. Hogue, Esq. Shoot the Messenger at Your Own Risk Shoot the messenger of fraud and abuse at your peril. Providers must take seriously the concerns of employees about possible fraudulent and abusive practices. Most whistleblowers take their concerns to...
by Rowan Report | May 16, 2025 | Clinical, Interoperability, Regulatory
by Ben Rosen, Sr. Client Success Manager, Netsmart Interoperability What you need to know and how it affects you For over two decades, tech companies and government agencies have been moving toward the goal of interoperability in healthcare technology. At long last,...
by Kristin Rowan | May 16, 2025 | M&A, Regulatory
by Kristin Rowan, Editor DOJ Rejects Plan to Divest Assets DOJ rejects plans to divest assets from UnitedHealth and Amedisys to BrightSpring Health Services and the Pennant Group. Last week, we reported that Amedisys and UnitedHealth had entered an agreement to divest...
