Banner
Home → Focus

Focus
Broward Nursing Home Lawsuit Shelved Print E-mail
Written by FHI's Week in Review   
Monday, 30 October 2017 17:46
 
Late Sunday evening (10.29.17) the News Service of Florida reported (via Health News Florida) that a circuit judge has agreed to put on hold a lawsuit about the continued operation of a Broward County nursing home where residents died after Hurricane Irma. The facility, the Rehabilitation Center at Hollywood Hills, is controlled by South Miami based Larkin Community Hospital. The nursing home filed the lawsuit to challenge state decisions to suspend its license, suspend it from the Medicaid program and place a moratorium on patient admissions.
 
Attorneys for the nursing home are apparently working on an "administrative" solution with the state Agency for Health Care Administration. By at least temporarily halting the lawsuit, the facility can, at least in the short run, avoid costly litigation and additional negative PR. Whether they can resurrect their license and Medicaid program status remains to be seen.
 
Read more in the current issue of Week in Review>>
 
Last Updated on Monday, 30 October 2017 17:50
 
Cyber Attacks in Healthcare Print E-mail
Written by Julie Danna   
Tuesday, 24 October 2017 00:00
 
Last November I read an article on cyber attacks in healthcare that broke down the price of data on the black market. It estimated that a credit-card number is worth $1, a Social Security number is worth $3, and a medical record is worth $200. This really caught my attention and I wondered what the “value” differential was all about.

I did some casual research on what exactly “cyber thieves” wanted from the healthcare world. As it turns out, a medical record with personal health information (PHI) is not only data rich, but it could be years before the victim knows their information has been compromised.

Cyber thieves use PHI a number of different ways. With the lab results, medication records, insurance numbers, and even the PINs and security questions that patients use to protect their information, they are able to file fraudulent insurance claims, receive medical treatments – including surgeries, and obtain prescription drugs or medical equipment. In addition, they can sell your identity on the black market.

A recent survey of healthcare organizations found that 90% reported at least one data breach within the past two years, with an average economic impact of $2 million per incident. According to a March 2014 report from the Ponemon Institute, cyber breaches of PHI could cost the U.S. healthcare industry as much as $5.6 billion annually.

As an insurance agent who has been working solely in the healthcare arena since 1994, this caused me great concern for the doctors and healthcare facilities that I assist. Consequently, I read everything I could get my hands on, obtained my Cyber Risk Management Certification, and aligned myself with leaders in cyber insurance. Relieved, I thought, “No problem. Healthcare providers already have coverage for any cyber attacks included on their malpractice insurance policies, so it’s all good,” although something kept gnawing at me. Just to be safe I created a spreadsheet outlining the cyber coverage on major malpractice insurance carriers’ cyber policies, and that’s when I realized that some of the important coverages were missing.

Most of you who have medical malpractice insurance with a major carrier have cyber/privacy breach coverage, typically $50,000 (one actually offers $100,000), and you can get up to $1 million for an additional cost. I would strongly advise you to check your coverage, as you may only have the basics covered. Bear in mind that $50,000 is not appropriate coverage in the event of a good-sized cyber attack, as the average cost of handling a medical practice’s data breach is $201* per patient/customer’s record.

Here are some of the costs associated with a cyber/privacy breach*:

Customer notification: $1 – $2 per patient record regardless of whether they are a current patient

Forensic research and data-recovery consultation: $250 – $300 per hour

Legal fees: $400 – $600 per hour

Credit-monitoring subscriptions: $10 – $20 per patient/person

Credit-card reissuance fee: $10 -$30 per credit card

Information hotlines for customer support: $5+ per call

In closing, you are not only at risk by criminals but from a severe storm causing a power surge and damaging or destroying your entire database, human error, and finally intentional criminal activity from either inside or outside of your organization.

* According to the Ponemon Institute’s 2014 annual study
 
Click HERE to view author's biography.
 
The Uninsured Rate Is Rising Again Print E-mail
Written by FHI's Week in Review   
Monday, 23 October 2017 11:17
 
Jeffrey Young reports for The Huffington Post on Oct. 20, 2017:

The national uninsured rate has started climbing back up amid higher costs for health insurance and uncertainty about the future of the Affordable Care Act, according to Gallup-Sharecare Well-Being Index survey findings released Friday. The Gallup report doesn't include data proving the causes of the uptick in the number of uninsured, but the likeliest explanation includes a mix of factors that include shortcomings of the Affordable Care Act's health insurance marketplace itself, and actions taken by President Donald Trump and the Republican-led Congress.  
 
Read more in the current issue of Week in Review>> http://conta.cc/2gDdzb9
 
Last Updated on Saturday, 25 November 2017 13:05
 
Pharmacy Benefit Managers Play Significant Role in Drug Pricing Print E-mail
Written by Judi Buckalew, BSN, MPH, CAE | AAOS Now   
Monday, 23 October 2017 00:00
 
Congress, state legislatures, and the White House are united in a quest to reduce prices for prescription drugs. As attention focuses on pricing transparency for drugs, the role that pharmacy benefit managers (PBMs) play in the pricing process is also under scrutiny.
 
The complex nature of the prescription drug supply chain can be confusing, and the public may believe that drug companies are the primary cause of high drug prices. But a recent investigation by the Berkeley Research Group found that pharmaceutical manufacturers only realized 39 percent of initial gross drug expenditures (defined as "the sum of payments for prescription drugs made by patients and their health plans at the point of sale prior to any rebate, discount, or fee provided by manufacturers"), meaning that 61 percent of profits are going somewhere else.
 

Last Updated on Tuesday, 24 October 2017 17:56
 
The Drug Industry's Triumph Over the DEA Print E-mail
Written by FHI's Week in Review   
Monday, 16 October 2017 17:57

opioid-drugs-medicare Scott Higham and Lenny Bernstein report on Oct. 15, 2017:

Amid a targeted lobbying effort, Congress weakened the DEA's ability to go after drug distributors, even as opioid-related deaths continued to rise, a Washington Post and 60 Minutes investigation finds.

Read more in the current issue of Week in Review>> http://conta.cc/2gf4W2z
 
Last Updated on Tuesday, 07 November 2017 20:07
 
<< Start < Prev 1 2 3 4 5 6 7 8 9 10 Next > End >>

Page 2 of 115


Banner
Website design, development, and hosting provided by
Netphiles