When “Do No Harm” Competes with the Bottom Line

March 27, 2017

Hippocrates is often credited as being the first to use some form of the famous quote “First, Do No Harm” which dates back to the late Fifth Century.  This quote was the precursor to today’s modern Hippocratic Oath and was obviously written when physicians weren’t influenced by government reimbursements. With the recent news that the […]

Read More »
March 17, 2017

ClearHealth Quality Institute™ (CHQI) – a newly formed accreditation organization – promotes standards that incorporate the next generation of quality and outcome measures.  CHQI will develop and offer an array of accreditation and certification programs, value-based purchasing standards and outcome measures.

Read More »
March 13, 2017

Although the rate of appeals is low, mitigating potential and actual conflicts of interest is a critical issue for Independent Review Organizations (IRO). A conflict of interest severely damages the integrity of the independent review process, both for internal and external reviews. Thus, transparency between stakeholders is important to maintain this review integrity. Generally, both […]

conflict of interest
independent review organization
model act
New York
Read More »
March 13, 2017

Drugs are killing us, literally and financially. The Centers for Disease Control (CDC) reports that “opioids (including prescriptions opioids and heroin) killed more than 33,000 people in 2015, more than any year on record. Nearly half of all opioid overdose deaths involve a prescription opioid.”[1] Abuse of tobacco, alcohol and illicit drugs costs our country […]

mental health
Patrick Kennedy
substance abuse
Read More »
March 6, 2017

As healthcare organizations continue to transition to value-based care, provider relationships with patients and payers alike will be affected. Value-based care, at its very core, redefines old methodologies and relies on evidence-based outcomes, which is good news for all parties involved. Historically contentious relationships between providers and payers have an opportunity to improve as both […]

evidence-based medicine
utilization management
Read More »