Health lawyers, bioethicist call for tighter regulation of AI in prior authorizations
By
Josh Henreckson
Jul 15, 2024
Although artificial intelligence promises exciting efficiency benefits, its usage in insurance prior authorizations demands wider and more holistic oversight from state and federal bodies, a trio of experts...
A new partnership between technology company Circadia Health and 77 skilled nursing facilities operated by Ciena Healthcare aims to significantly improve preventive care and reduce preventable rehospitalizations.
How new long-term care models and tech can cut into billions spent on rehospitalizations
By
Josh Henreckson
Apr 17, 2024
Nursing homes are on the frontier of new care models and technology solutions that have the potential to save billions of dollars in healthcare costs.
Lawmakers say CMS should ban Medicare Advantage’s use of AI to deny care
By
Josh Henreckson
Jun 28, 2024
The Centers for Medicare & Medicaid Services should consider banning artificial intelligence from being used to deny Medicare Advantage coverage pending a “systematic review,” a group of 49 congressional...
MDS ‘alarm’ bells key to quality gains in heightened reporting environment: expert
By
Josh Henreckson
May 07, 2024
Patterns revealed by Minimum Data Set entries can help providers perform better on quality measures, if it is used to better understand and act on problem areas.
‘Granny cam’ bill joins national trend toward greater long-term care room monitoring
By
Josh Henreckson
Jan 26, 2024
Adding to what has become a national trend, Iowa’s state legislature has advanced a bill that would allow residents and their families to install cameras in nursing home rooms.
Interoperability is key for fixing ‘biggest problems’ in long-term care: experts
By
Josh Henreckson
Jun 07, 2024
Increasing interoperability has the potential to help long-term care providers address some of their worst pain points, experts pointed out at a McKnight’s Online Forum session Tuesday.
Push for permanent telehealth funding kicks into high gear in Congress
By
Josh Henreckson
Mar 18, 2024
With some coverage set to expire, a bipartisan push is underway in Congress to make telehealth reimbursements permanent.
DOJ hits telehealth firm for $4.6M in false claims settlement involving nursing homes
By
Josh Henreckson
Jun 14, 2024
A company that provides mental telehealth services to skilled nursing residents has agreed to pay the federal government $4.6 million to resolve false claims allegations.