Healthcare Risk Management
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Health System Cuts Workers’ Comp With Best Docs
Health systems can significantly reduce their workers’ compensation expenses by identifying and using high-performing physicians in medical networks, according to the experience of operators of one system in California, which saw overall claims costs reduced by almost 20%.
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Prescribing Opioids: Physicians Must Assess Carefully, Document Rigorously to Avoid Liability
The human toll of the opioid crisis is enormous, with millions of Americans suffering from addiction and more than 90 people dying each day from opioid overdoses. It is widely recognized that a significant part of the problem is the overprescription of pain medications, such as oxycodone and fentanyl. For physicians who prescribe such medications, this presents important challenges.
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DOJ Launches Opioid Fraud Unit With Big Data
Soon after its largest-ever bust of healthcare providers involved in the fraudulent distribution of opioids, the Department of Justice announced a new Opioid Fraud and Abuse Detection Unit that draws on healthcare data analytics to find misuse of controlled substances.
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Medicare Fraud Bust Sends Warning to Healthcare Providers
The huge federal crackdown on Medicare fraud opioid abuse is a loud alarm bell for risk managers in all healthcare settings, signaling that the Department of Health and Human Services and the Department of Justice are not fooling around. They’re charging people by the hundreds, and for the first time a large proportion are healthcare professionals.
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Couple Unsuccessful on Failure-to-Diagnose Claim
This case illustrates the importance of developing a firm understanding of expert witness qualification. Expert witness testimony is very frequently pivotal in a case.
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Statutory Personal Injury Caps Violate Florida’s Equal Protection Clause
Florida Supreme Court justices found that the state's personal damages caps discriminate against those who are severely injured.
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Too Much Focus on Satisfaction Scores: The Patient Isn’t Always Right
Is a patient, family member, or other visitor being rude or disrespectful to clinicians? Clinicians often feel they had no recourse if a patient or family behaved disrespectfully.
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$130,000 in Penalties for Illegally Deferring Notice of Breach
The Department of Justice recently announced a settlement with CoPilot Provider Support Services after the company waited more than a year to provide notice of a data breach that exposed 221,178 patient records.
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Anthem Settles Breach Lawsuit for $115 Million
Insurance giant Anthem has agreed to settle a class action lawsuit over a 2015 cyberattack for $115 million, the plaintiffs’ attorneys announced in June.
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States Moving to Throw Out Med/Mal Caps
The Florida Supreme Court ruled recently that caps placed on medical malpractice damages in personal injury cases are unconstitutional.