04.24.2015
Today's healthcare sector is facing unprecedented challenges as it undergoes transformational change in the post Affordable Care Act (ACA) environment. Healthcare organizations are attempting to execute strategies designed to enhance their organization's ability to achieve high quality, cost efficient care, even as they are confronted with unrelenting public policy and regulatory challenges.
08.04.2015
In June, the Supreme Court decided in favor of the federal government in yet another challenge to the Affordable Care Act.
06.03.2016
Today, healthcare providers face heightened financial risk as their billing practices come under increased scrutiny. Federal and state government regulators are dedicating unprecedented resources to recover monies paid under Medicare, Medicaid, and TRICARE (the health care program for the military) reimbursement programs. Commercial payors also are investigating provider billing procedures to detect improper coding and double-billing practices. Healthcare fraud recoveries reach into the billions of dollars annually to restore valuable assets to federally funded programs and prevent billions more in losses.
05.17.2018
Telehealth is a burgeoning industry in markets worldwide. The global telemedicine industry is expected to reach $35 billion by 2020. Medical industry statistics project that telemedicine consultations will surge to 160 million cases by 2020, a 700 percent increase since 2015.
08.21.2018
The principal challenges faced by healthcare liability insurance carriers have remained constant since the crisis of the late 2000s, including poor investment returns, decreasing premiums, eroding rate, and expanding coverage demands. Today, these challenges are being exacerbated by the continued consolidation of the healthcare sector, as well as increased loss severity. Meaningful pricing correction is needed.
07.16.2019
People’s perspective of what is a lot of money continues to escalate. How much is enough? How much is too much? Never has this lottery mentality been more on display than in recent jury awards related to healthcare lawsuits. While the frequency of healthcare professional liability claims may have stabilized or even shown slight declines, the increased severity of such claims has been staggering.
07.22.2019
They’re here. Robotics in the operating room is happening now and is the fastest growing segment within the healthcare medical device sector. The myth of robots actually performing surgery is finally being dispelled. Robotics systems offer a tool for the surgeon to aid in surgical procedures for greater flexibility, precision and control. Patients benefit from improved medical outcomes and faster recovery times.
08.21.2019
AI is already on its way to transforming healthcare delivery and improving patient outcomes. However, while AI, Machine Learning, and Robotics are all designed to reduce human error and increase the predictability of patient care, they also create new risks across the healthcare liability landscape. In this post, we will consider what happens when lawsuits get ahead of science, insurance considerations in this new liability landscape, and possible modifications to legal doctrine to address this new science.
10.21.2019
3D printing medical technologies were introduced in 1984 but the application for innovative healthcare solutions has progressed significantly over the past 3 to 5 years. Today, advancements are underway to develop sophisticated, individualized healthcare treatments to improve patient outcomes in a broad range of specialty practice areas. Allied Market Research reported that “3D printing technologies for medical devices will be a $2.3 billion industry by 2020.”
12.04.2019
Check out the latest podcast from Insurance Business America featuring Lainie Dorneker, President, IronHealth. Lainie discusses the rapidly evolving healthcare landscape covering trends including consolidation in the healthcare business, the growing presence of technology, consumerism creating a shift towards value-based care, and liability claim trends.
07.28.2020
The healthcare industry has been evolving towards a new era focused on precision medicine, value based care, and consumer empowerment. The COVID-19 pandemic may cement these changes well into the future.
07.29.2020
For years, the government employed traditional methods of combating fraud, waste and abuse. Regulation of Medicaid involved issuing payment to providers for patient services, then later chasing down recoveries on payments deemed improper. On average, this method recovered only 17 percent of improperly billed funds. Slight adjustments to these efforts occurred over time, including the passage of the Health Insurance Portability and Accountability Act (HIPAA) in 1996. HIPAA aimed to combat fraudulent business practices under the traditional fee-for-service healthcare system. Due to numerous revisions, exceptions and interpretations, however, HIPAA has grown convoluted and ineffective.