Avicenna Medical Blog

Care Management Weekly News Update 11/29/23

Posted by DeAnn Dennis on Wed, Nov 29, 2023 @ 11:52 AM

A bipartisan group of U.S. representatives introduced a bill Nov. 28 that would ban fees on electronic healthcare payments that cost hospitals millions of dollars. The No Fees for EFTs Act would outlaw payers from tacking on fees for providers to be reimbursed electronically. The ACA required payers to offer electronic payments to providers, but payers and middlemen charge as much as 5% for the transactions, a practice exposed in August by ProPublica.

Consumer Alert: Remote Patient Monitoring 

The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about a fraud scheme involving monthly billing for remote patient monitoring. This scam involves signing up Medicare enrollees for remote patient monitoring (RPM). Legitimate RPM involves using medical devices such as scales, glucose monitors, blood pressure cuffs, cardiac rhythm devices, and other equipment to remotely monitor for anomalies in patients with chronic medical conditions.

Deployment of the Defense Department's new electronic health records system MHS Genesis is now "virtually complete" at military hospitals and clinics in the U.S. and overseas. Last week, DOD successfully rolled out the new EHR system to the military facilities in the Pacific region, marking the last of 23 MHS Genesis waves. The Pacific region wave follows deployments of the record across Europe completed last month and full deployment in the continental U.S. this summer.

Asked to name barriers to adoption of value-based payment, 91 percent of MCO respondents cited provider readiness and willingness and 83 percent said health plan-provider data sharing capabilities. Among its many other insights, the recently released Institute for Medicaid Innovation's (IMI) annual Medicaid managed care survey identifies ongoing barriers to the adoption of value-based care and alternative payment models.

 The American Medical Association (AMA) today released seven new principles for augmented intelligence (AI) development, deployment, and use, marking a critical step toward fostering a consistent governance structure for advancements in healthcare technology. Building upon current policy on AI, the principles serve as the cornerstone for AMA advocacy on AI and underscore the organization’s commitment to supporting the implementation of national governance policies that prioritize the development and deployment of AI in a manner that is ethical, equitable, responsible, and transparent.


Tags: Weekly Industry News