By Susan Clark -During the DirectTrust conference in late September, I had the great fortune to run into Marc Mar-Yohana, founder of OtisHealth, a DirectTrust member who was speaking at the conference. Like me, he sees the bright side of things and has a positive energy vibe.
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By Eric Demers – With more than half of patients using a health plan’s provider directory to select a physician, incorrect physician information has quietly become one of the biggest barriers to treatment. Value-based care is supposed to optimize patient outcomes, but that’s tough to do when patients can’t find the appropriate healthcare services.
By Chris Bowen – In recent years, blockchain technology has emerged as the buzzword across multiple industries, promising to revolutionize processes with its decentralized and secure framework. In the healthcare sector, it has been hailed as the solution to longstanding challenges.
As Cybersecurity Awareness Month draws to a close, the lessons learned should not be forgotten. Cybersecurity is an ongoing challenge that requires constant vigilance, training, and adaptation. #BeCyberSafe
By Mike Lanza – In the stop-loss industry, on occasion there can be tension between the Claim Payer (payer or TPA) and the Stop-Loss carrier when it comes to determining reimbursing claims that exceed the specific deductible. Most claims payers have a claims review process in place to ensure that claims payment follows the Employer’s Plan document.
By Dr. Gavin Magaha PharmD MS – The current turmoil surrounding the 340B Drug Pricing Program and Medicaid Drug Rebate Program. Bloomberg Law, recently reported that pharmaceutical manufacturers and a trade organization have filed at least 23 that extend 340B drug discounts to an unlimited number of contract pharmacies.
By Zac Amos – Social engineering and other interpersonal tactics are rising in frequency in the medical sector, so what red flags should medical professionals look for when identifying insider threats?
By Gary Hamilton & Celissa Halfhill – Some patient populations are harder to engage than others. No one understands this better than Community Health Centers, who tirelessly serve marginalized communities often overlooked by traditional healthcare systems.
By Michelle Padilla – Humans are often the weakest point of any cybersecurity system, but fortunately there are some easy practices you can personally put into place to make the online posture of both you and your healthcare organization more secure.