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What Do People Misunderstand About the Healthcare Industry?
What should everyone know about the health insurance industry that most people don't? originally appeared on Quora - the knowledge sharing network where compelling questions are answered by people with unique insights. Answer by Jennifer Fitzgerald, CEO and Co-Founder of PolicyGenius, on Quora. The health insurance industry is a prime target for consumer anger - and rightfully so in a lot of cases. Plans are confusing, billing errors are common, and premiums and deductibles seem to rise every year. But while many might think health insurance companies are to blame and are rolling in rich profit margins, that's not the c...
Source: Healthy Living - The Huffington Post - January 25, 2017 Category: Consumer Health News Source Type: news

George H. Haddad -- Unsung Excellence In Medicine
Ever wonder about the people who make our health care system work at a time when reports of greed, fraud, profiteering and harmful malpractice are rampant and remedies are not advanced? I was recently reminded how hard these proficient and caring physicians, nurses and physician assistants are working day after day and how their commitment to patients and their profession receives so little recognition. The sad occasion for these reflections was the passing this month of Dr. George H. Haddad, an alert 101-year-old surgeon who had worked for many years in New York City's public hospitals. Growing up in Egypt, he graduated...
Source: Healthy Living - The Huffington Post - January 24, 2017 Category: Consumer Health News Source Type: news

Asset Protection: Insurance Issues Most Doctors Overlook
Always make sure you are covered for various liability insurance blind spots before they become an issue. (Source: Physicians Practice)
Source: Physicians Practice - January 24, 2017 Category: Practice Management Authors: Ike Devji, JD Tags: Blog HIPAA Law & Malpractice Billing and Collections Compliance Source Type: news

The Problem with the New OIG Safe Harbor Regulations
As Otto Von Bismarck once said, " If you like laws and sausages, you should never watch either one being made. " That's true for new Safe Harbor regulations. (Source: Physicians Practice)
Source: Physicians Practice - January 22, 2017 Category: Practice Management Authors: Martin Merritt, JD Tags: Blog Law & Malpractice Compliance Stark Payers Source Type: news

Is There Still a Need for Malpractice Reform? Is There Still a Need for Malpractice Reform?
Republicans finally have a chance to do something about tort reform, but is it still a problem for physicians?Medscape Reader Polls (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 19, 2017 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

2% of Physicians Involved in Half of Malpractice Settlements
(MedPage Today) -- But few doctors are sanctioned (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - January 15, 2017 Category: American Health Source Type: news

Stronger malpractice laws may not prevent surgical complications
(Reuters Health) – More aggressive malpractice climates don’t necessarily protect patients from surgical complications, a new study suggests (Source: Reuters: Health)
Source: Reuters: Health - January 13, 2017 Category: Consumer Health News Tags: healthNews Source Type: news

Get Serious About Coding Compliance in 2017
It's time to get serious about your compliance plan for improper coding and billing issues and overpayments. Here are five actions to take. (Source: Physicians Practice)
Source: Physicians Practice - January 10, 2017 Category: Practice Management Authors: Michael Sacopulos, JD Tags: Blog HIPAA Law & Malpractice Coding Compliance Patient Confidentiality Source Type: news

Malpractice in the Management of Small Bowel Obstruction Malpractice in the Management of Small Bowel Obstruction
Dr Lowenfels comments on a 33-year review of malpractice lawsuits arising from patients diagnosed with small bowel obstruction, published in the journal Surgery.Medscape General Surgery (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - January 9, 2017 Category: Consumer Health News Tags: General Surgery Viewpoint Source Type: news

Malpractice Crisis? Leading Republicans and Experts Disagree Malpractice Crisis? Leading Republicans and Experts Disagree
The incoming HHS secretary wants to boldly reform the malpractice system, saying hundreds of billions are wasted on “ lawsuit abuse ” and defensive medicine. Industry experts say premiums and claims are down and “ it ’ s a wonderful time for doctors. ”Kaiser Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - January 5, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Where Is Evidence-Based Medicine When You Need It?
(MedPage Today) -- Problem is, EBM holds no weight in malpractice litigation (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - January 5, 2017 Category: American Health Source Type: news

Ohio's 20-week abortion ban worries doctors facing medical emergencies
Ohio's 20-week abortion ban could put doctors in an "untenable position" of facing a criminal charge if they act on a pregnancy emergency or a malpractice lawsuit if they wait too long, a Columbus gynecologist says, and it could have implications for training of new physicians. But state Sen. Peggy Lehner, a Kettering Republican who was one of the two lead sponsors of the Senate Bill 127, does not believe prosecutors would use the law to question how close to death a woman must get before a doctor… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - January 3, 2017 Category: Pharmaceuticals Authors: Carrie Ghose Source Type: news

Five stories that will make you pay attention to your health
Yeah, yeah, yeah. How many times have you been told you need to pay attention to your health? And how often have you avoided that advice? No more. Read the five stories below, and you’ll be better for it. These stories were published in The Washington Post’s Health and Science section over the past year, […]Related:Dozens of couples went to a top fertility clinic. It may have used the wrong sperm.An addiction crisis along ‘the backbone of America’Top Republicans say there’s a medical malpractice crisis. Experts say there isn’t. (Source: Washington Post: To Your Health)
Source: Washington Post: To Your Health - January 1, 2017 Category: Consumer Health News Source Type: news

Advocating for Private Direct Practice Models
While there are a number of legal challenges, private direct care models are an enticing way for physicians to become less dependent on plan reimbursement requirements. (Source: Physicians Practice)
Source: Physicians Practice - December 31, 2016 Category: Practice Management Authors: James Eischen Tags: Blog Law & Malpractice Practice Models Productivity Source Type: news

Dozens of couples went to a top fertility clinic. It may have used the wrong sperm.
Unable to make babies on their own, more than two dozen couples went to a top-flight fertility clinic in the Netherlands for help. But the clinic has announced it may have been leaving old sperm on its tools for more than a year — and now those couples face the prospect of raising a stranger's biological child. […]Related:An addiction crisis along ‘the backbone of America’Top Republicans say there’s a medical malpractice crisis. Experts say there isn’t.The head of the FDA defends the importance of drug effectiveness (Source: Washington Post: To Your Health)
Source: Washington Post: To Your Health - December 31, 2016 Category: Consumer Health News Source Type: news

Five stories that will make you pay attention to your health
Yeah, yeah, yeah. How many times have you been told you need to pay attention to your health? And how often have you avoided that advice? No more. Read the five stories below, and you’ll be better for it. These stories were published in The Washington Post’s Health and Science section over the past year, […]Related:An addiction crisis along ‘the backbone of America’Top Republicans say there’s a medical malpractice crisis. Experts say there isn’t.The head of the FDA defends the importance of drug effectiveness (Source: Washington Post: To Your Health)
Source: Washington Post: To Your Health - December 30, 2016 Category: Consumer Health News Source Type: news

An addiction crisis along ‘ the backbone of America ’
The young woman sat on a city bench in Athens, Ohio, smoking a Marlboro. She told me her name is Keri, she’s 29, and she has a 10-year-old daughter and a history of drug addiction and mood disorders. She’d just been to a court hearing to get custody of her child. Bad as things are […]Related:Five stories that will make you pay attention to your healthTop Republicans say there’s a medical malpractice crisis. Experts say there isn’t.The head of the FDA defends the importance of drug effectiveness (Source: Washington Post: To Your Health)
Source: Washington Post: To Your Health - December 30, 2016 Category: Consumer Health News Source Type: news

Top Republicans say there ’ s a medical malpractice crisis. Experts say there isn ’ t.
Top Republicans say a medical malpractice crisis is threatening U.S. health care: Frivolous lawsuits are driving up malpractice insurance premiums and forcing physicians out of business. Doctors and hospitals live in fear of litigation, ordering excessive tests and treatments that make health care unaffordable for Americans. That’s why House Speaker Paul D. Ryan (R-Wis.) and […]Related:Five stories that will make you pay attention to your healthAn addiction crisis along ‘the backbone of America’The head of the FDA defends the importance of drug effectiveness (Source: Washington Post: To Your Health)
Source: Washington Post: To Your Health - December 30, 2016 Category: Consumer Health News Source Type: news

Ohio's 20-week abortion ban worries doctors facing medical emergencies
Ohio's 20-week abortion ban could put doctors in an "untenable position" of facing a criminal charge if they act on a pregnancy emergency or a malpractice lawsuit if they wait too long, a Columbus gynecologist says, and it could have implications for training of new physicians. But state Sen. Peggy Lehner, a Kettering Republican who was one of the two lead sponsors of the Senate Bill 127, does not believe prosecutors would use the law to question how close to death a woman must get before a doctor… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - December 30, 2016 Category: Biotechnology Authors: Carrie Ghose Source Type: news

In the Workplace 2017: How Arkansas Employers Can Deal with Medical Marijuana
Editor's Note: This is the first of five articles this week by the labor and employment team at the law firm of Wright Lindsey Jennings of Little Rock examining key trends for employers and the workplace in 2017. Here's a quick look at important employment issues that could arise next year. Now that Arkansas is the latest state to have a medical marijuana law on the books, Arkansas employers must be prepared to address this issue. Although the amendment to the Arkansas Constitution is effective immediately, it should take some time for most Arkansas residents to take advantage of the approved use of medical ...
Source: Arkansas Business - Health Care - December 26, 2016 Category: American Health Source Type: news

10 Steps to Help Make Your Practice Labor Compliant
Protect your practice from potential legal problems over labor laws. Here are 10 steps you can take. (Source: Physicians Practice)
Source: Physicians Practice - December 24, 2016 Category: Practice Management Authors: Keith Gutstein Tags: Blog Law & Malpractice Compliance Contracts Source Type: news

New Safe Harbor Rules around Referrals Established
More insight and important takeaways for physicians with regards to the final rule around safe harbors for the Anti-Kickback Statute. (Source: Physicians Practice)
Source: Physicians Practice - December 22, 2016 Category: Practice Management Authors: Rachel V. Rose, JD, MBA Tags: Blog Law & Malpractice Stark Referrals Source Type: news

State tort reform reduces orders for x-rays
Tort reforms that make it harder to sue physicians have a stronger effect on...Read more on AuntMinnie.comRelated Reading: Malpractice nondisclosure terms can vary Ortho surgeons spend $2B per year on 'defensive medicine' NEJM: Radiology suits are uncommon, payouts below average Tort reform could curb 'defensive imaging,' study suggests AJR study finds holes in malpractice expert witness testimony (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - December 22, 2016 Category: Radiology Source Type: news

Safe Harbors under Anti-Kickback Statute Expanded for Docs
A new rule creates certain " safe harbor " provisions under the Federal Anti-Kickback Statue with regards to transportation. (Source: Physicians Practice)
Source: Physicians Practice - December 21, 2016 Category: Practice Management Authors: Ericka Adler Tags: Blog Law & Malpractice Compliance Stark Source Type: news

Docs Can More Freely Transport Patients Under Updated Law
A new rule creates certain " safe harbor " provisions under the Federal Anti-Kickback Statute with regards to transportation. (Source: Physicians Practice)
Source: Physicians Practice - December 21, 2016 Category: Practice Management Authors: Ericka L. Adler Tags: Blog Law & Malpractice Compliance Stark Source Type: news

Study finds state tort reforms linked to decreases in radiography utilization
(Harvey L. Neiman Health Policy Institute) According to new research from the Harvey L. Neiman Health Policy Institute, state tort reform has been associated with a decrease in physician ordering of radiographs. The study, published online in the Journal of the American College of Radiology (JACR), examines the extent to which radiography use is influenced by malpractice liability pressure among office-based physicians. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - December 21, 2016 Category: Global & Universal Source Type: news

Malpractice Premiums Trail Inflation for Some Physicians Malpractice Premiums Trail Inflation for Some Physicians
The cost of malpractice insurance has been creeping down since 2008, and some physicians are paying less for it than they did in 2001 on an inflation-adjusted basis.Medscape Medical News (Source: Medscape Business of Medicine Headlines)
Source: Medscape Business of Medicine Headlines - December 17, 2016 Category: Pharmaceuticals Tags: Internal Medicine News Source Type: news

Fraud and Embezzlement Issues Target Doctors at Year End
A recurring pattern of fraud and embezzlement peaks at the end of each year. What practices must be aware of, both internally and externally. (Source: Physicians Practice)
Source: Physicians Practice - December 13, 2016 Category: Practice Management Authors: Ike Devji, JD Tags: Blog Law & Malpractice Compliance Stark Source Type: news

Social media guidelines for our clinicians
We recently published this guideline at BIDMC based on the input from a multi-disciplinary working group.   I thought it might be useful to share with the community, since many healthcare organizations are at the early stage developing social media policies. 1.  Why do consumers interact with an organization’s social site? In general, there is a perception gap between the reasons consumers interact with companies on social sites and why the companies think they do. (Source: IBM Report: From Social Media to Social CRM) After discounts and purchases (not applicable to BIDMC), consumers ranked reviews and prod...
Source: Mass Device - December 12, 2016 Category: Medical Equipment Authors: MassDevice Tags: Blog Life as a Health Care CIO Source Type: news

The Ugly Case of Healthcare Fraud in Texas
More than 20 healthcare professionals from a hospital in Texas are being charged with a kickback conspiracy involving over $500 million in insurance claims. (Source: Physicians Practice)
Source: Physicians Practice - December 8, 2016 Category: Practice Management Authors: Martin Merritt, JD Tags: Blog Law & Malpractice Billing Compliance Source Type: news

No Practice is Immune from the False Claim Act, Stark Law
A recent case exemplified why every practice — regardless of size — needs to play by the rules when it comes to the False Claims Act and Stark Law. (Source: Physicians Practice)
Source: Physicians Practice - December 8, 2016 Category: Practice Management Authors: Rachel V. Rose, JD, MBA Tags: Blog Law & Malpractice Compliance Stark Source Type: news

The Power of Nice in the Age of Mean
The demeaning insults, the angry diatribes, the total disrespect and disregard of any opinion that isn't an exact replica of our own. And we're just talking about this past Thanksgiving dinner. Millions of our own beloved relatives and friends could not resist talking turkey about their political views, red, blue, purple, green and rainbow colored. (Who knew that tryptophan could be such a life-saver, mercifully putting to bed myriad arguments with a self-satisfied snooze before the pumpkin pie was served?) And now with the winter holidays approaching, the familial season of good tidings and cheer might well snowball into...
Source: Healthy Living - The Huffington Post - December 7, 2016 Category: Consumer Health News Source Type: news

Saving Our Doctors and Ourselves
Heather Hanson “This case is killing me.” I cannot tell you how many times I have heard those five words.  I defend doctors when they are sued for negligence.  I am a medical malpractice defense attorney, but attorneys are also called “counsel.” Most of my time is spent counseling.  Medical malpractice cases are made up of allegations, and sometimes the allegations are true. More often, in my experience, they’re not. Either way these cases make doctors doubt themselves, their patients, and the health care system. Sometimes doctors know they made a mistake. This is a good time to...
Source: Society for Participatory Medicine - December 6, 2016 Category: Journals (General) Authors: Nanette Mattox Tags: Newsletter e-patient movement empowered patient medical malpractice defense Moral Injury Source Type: news

Saving Our Doctors and Ourselves
Heather Hansen “This case is killing me.” I cannot tell you how many times I have heard those five words.  I defend doctors when they are sued for negligence.  I am a medical malpractice defense attorney, but attorneys are also called “counsel.” Most of my time is spent counseling.  Medical malpractice cases are made up of allegations, and sometimes the allegations are true. More often, in my experience, they’re not. Either way these cases make doctors doubt themselves, their patients, and the health care system. Sometimes doctors know they made a mistake. This is a good time to...
Source: Society for Participatory Medicine - December 6, 2016 Category: General Medicine Authors: Nanette Mattox Tags: Newsletter e-patient movement empowered patient medical malpractice defense Moral Injury Source Type: news

Safety at the Practice Takes on a New Meaning
OSHA recently introduced harsher penalties to employers who are violating workplace safety guidelines. Here's what you have to know. (Source: Physicians Practice)
Source: Physicians Practice - November 30, 2016 Category: Practice Management Authors: David Hurton Tags: Blog Law & Malpractice Audits Compliance Staff Source Type: news

Florida & #039;s Ruling on Suicide Puts Physicians at Risk
A recent ruling on patient suicides by the Florida Supreme Court puts physicians at added risk for something they have little control over. (Source: Physicians Practice)
Source: Physicians Practice - November 27, 2016 Category: Practice Management Authors: Jeanine Joy, Ph.D. Tags: Law & Malpractice Difficult Patients Patient Relations Source Type: news

Being Excluded from Participating Medicare and Medicaid is a Reality
A New Jersey physician's actions of submitting thousands of false claims to Medicare and Medicaid cost him more than a fine. (Source: Physicians Practice)
Source: Physicians Practice - November 24, 2016 Category: Practice Management Authors: Rachel V. Rose, JD, MBA Tags: Blog Law & Malpractice Compliance Medical Billing Collections Source Type: news

Off Script- You might not want to be so hasty in writing off-hand prescriptions for your friends and family.
Conclusion We went into medicine to help people. It seems so easy to just write the antibiotic prescription when a nurse says she has a UTI and she tells you that she even dipped her own urine. Don’t get me wrong: having the privilege of writing prescriptions is a perk of the profession. However, we need to follow the policies that we’ve agreed to through our board of medicine (appropriate evaluation and documentation), not use hospital equipment for work not involving hospital patients, and be aware of the malpractice risk when we care for people off the books. Dr. Silverman is chairman of emergency medicine a...
Source: EPMonthly.com - November 21, 2016 Category: Emergency Medicine Authors: Taja Whitted Tags: Uncategorized Source Type: news

The Battle Rages On for Malpractice Caps The Battle Rages On for Malpractice Caps
In this state, the battle rages on; inflammatory comment upends med-mal trial; mock trial fosters empathy between residents and law students.Medscape Business of Medicine (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - November 16, 2016 Category: Primary Care Tags: Family Medicine/Primary Care Article Source Type: news

An Advocate for Universal Healthcare Coverage
In light of the election, America is united in not knowing what lies ahead. This doctor uses this time to reflect on our health system and its many issues. (Source: Physicians Practice)
Source: Physicians Practice - November 15, 2016 Category: Practice Management Authors: Jennifer Frank, MD Tags: Blog Law & Malpractice Healthcare Reform Compliance Source Type: news

Radiologist found liable for malpractice in Israel for causing a patient's suicide by sending a "bad news" report: can this happen in the United States? - Berlin L, Sosna J, Halevy D.
OBJECTIVE: The purpose of this article is to present an example of a non-U.S. lawsuit in which a radiologist was found negligent in the case of a psychiatric patient who died by suicide after reading a radiology report sent directly to him. CONCLUS... (Source: SafetyLit)
Source: SafetyLit - November 11, 2016 Category: Global & Universal Tags: Jurisprudence, Laws, Legislation, Policies, Rules Source Type: news

Medical Marijuana: A Fact of Life for Arkansas Employers (Stuart Jackson Commentary)
The election is over, and Arkansas is now the latest of many states to have a medical marijuana law on the books.  Although the new amendment to the Arkansas Constitution is effective immediately, it should take some time for the approved use of medical marijuana to begin. At the very least, someone has to design and print the required "Registry Identification Cards" for users — unless one of your employees shows up with a registry identification card from another state and claims to be a "visiting qualifying patient."   So, what does the new law do? It allows (among other things) "...
Source: Arkansas Business - Health Care - November 10, 2016 Category: American Health Source Type: news

Could radiologists be found liable for patient suicide?
If a patient commits suicide after receiving imaging exam results he or she...Read more on AuntMinnie.comRelated Reading: The 3 biggest threats to radiology No need to panic: Malpractice suit rates remain stable SaferMD helps radiologists reduce malpractice risk Malpractice nondisclosure terms can vary NCoBC: 3 ways nurse navigators can reduce your malpractice risk (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - November 9, 2016 Category: Radiology Source Type: news

Real Life Stories Show Doctors a Need for Defensive Planning
Recent headlines illustrate the wide range of risks that doctors should be legally and financially prepared to face during the course of their career. (Source: Physicians Practice)
Source: Physicians Practice - November 8, 2016 Category: Practice Management Authors: Ike Devji, JD Tags: Blog Law & Malpractice Compliance Patients Personal Finance Source Type: news

Real Life Stories Show Doctors Need Defensive Planning
Recent headlines illustrate the wide range of risks that doctors should be legally and financially prepared to face during the course of their career. (Source: Physicians Practice)
Source: Physicians Practice - November 8, 2016 Category: Practice Management Authors: Ike Devji, JD Tags: Blog Law & Malpractice Compliance Patients Personal Finance Source Type: news

Barriers Restricting Access to EHR Data in Support of Patient Safety and Privacy Laws Can Lead to Diagnostic Errors, Some Involving Clinical Laboratory Tests
What causes diagnostic errors? This was the question asked by researchers at the Michael E. DeBakey VA Medical Center (EDVA) in Houston. It is also a question of great interest to pathologists and clinical laboratory scientists, since the failure of physicians to properly order and interpret medical laboratory tests can be a cause of diagnostic […] (Source: Dark Daily)
Source: Dark Daily - November 7, 2016 Category: Laboratory Medicine Authors: jude Tags: Compliance, Legal, and Malpractice Digital Pathology Instruments & Equipment Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Laboratory Testing Management & Operations Source Type: news

Politics and Medicine — Strange Bedfellows
A recent study suggests that physicians differ in their approach to emotionally charged issues, like abortion, based on political affiliation. (Source: Physicians Practice)
Source: Physicians Practice - November 2, 2016 Category: Practice Management Authors: Ericka L. Adler Tags: Blog Managers Administrators Law & Malpractice Risk Management Partnerships Source Type: news

INBOX: Physicians Recommend Dumping ACA
In our recurring blog " Inbox " we share comments from physicians and practice administrators telling us what keeps them awake at night. (Source: Physicians Practice)
Source: Physicians Practice - October 6, 2016 Category: Practice Management Authors: Erica Sprey Tags: Law & Malpractice Healthcare Reform Payers Physician Compensation Source Type: news

Boston Scientific loses bid to toss $19m pelvic mesh loss
Boston Scientific (NYSE:BSX) yesterday lost its bid to overturn an $18.5 million loss in a product liability lawsuit brought by a quartet of women alleging that its Obtryx pelvic mesh caused their injuries. A jury in West Virginia federal court in November 2014 found Boston Scientific liable to 4 women following a 10-day trial; the trial judge later ordered the Marlborough, Mass.-based company to pay each of the 4 women damages ranging from $3.25 million to $4.25 million (the 4th plaintiff later settled her case out of court and it was dismissed). Boston Scientific last year asked Judge Joseph Goodwin, of th...
Source: Mass Device - October 4, 2016 Category: Medical Equipment Authors: Brad Perriello Tags: Legal News Product Liability Wall Street Beat Women's Health Boston Scientific Pelvic Mesh Lawsuits Source Type: news