Pandemic Tips from Healthcare Professionals

COVID-19 has caused countless issues for labs, hospitals, and healthcare providers. Supply shortages, testing delays, and lack of safety equipment have been a few of the daily issues. This blog will list some pandemic tips from healthcare professionals. Becker's Hospital Review hosted a podcast offering advice from industry leaders on how they're coping. Here are some of the highlights: Lab supply chain Bryan Vaughn, senior vice president of hospital and health services at LabCorp: "At LabCorp, choice of [testing] platform to bring...

Fraud and Malpractice in Dallas Leaves Healthcare Executive Sentenced to Time in Prison

Andrew Hillman, former co-owner of Next Health LLC in Dallas, Texas, pled guilty to defrauding the government and private insurance through a phony “wellness” program. Hillman also pled guilty to a separate physician kickback scheme in which doctors were paid to refer patients to the latently-closed Forest Park Medical Center (FPMC).  Though clinical laboratories were the fulcrum of the Next Health money laundering scheme, it involved layers of shell companies, limited liability companies (LLCs), and umbrella corporations to shield each...

RWJBarnabas and Rutgers University Unite for a Common Goal

Negotiations involving hospitals and health care systems often take years - this forces patients to wait for potential benefits to be realized. Should this be the norm in an industry that is in dire need of transformation and disruption? When RWJBarnabas Health began pondering the idea of a partnership with Rutgers University, New Jersey was falling behind other national leaders in funded research, which ultimately meant fewer options for patients and difficulty entreating the best physicians to stay. The two...

Progress is Made on Value-Based Payment Models

The transformations in healthcare have payers and providers on somewhat divergent paths when it comes to key issues, such as how each sees their role in value-based care and how they should be meeting the rising expectations of patients. For Instance, 43% of providers say they derive less than 10% of their revenue from these specific payment models, while only 21% of payers stated the same. When it comes to what is hindering progress towards value-based care, providers are much...

PBMs Lower Health Costs, Improve Outcomes for Patients

266 million consumers are fighting to keep prescription drugs accessible and affordable. PBMs are advocating for them. By using advanced tools to manage pharmacy benefits, negotiating price concessions from drug manufacturers, improving patient adherence to prescriptions, encouraging generic drug use, managing high-cost specialty medications, and offering more affordable pharmacy channels, PBMs are vying to achieve overall stability for the cost of prescription drugs.  It is estimated that in the next decade, PBMs efforts will save plan sponsors and consumers over...

Assessing the Clinical Utility of Patient Requested Lab Tests

Due to skilled and sometimes aggressive marketing that enthusiastically directs patients and labs towards new, proprietary tests, laboratorians must be diligent about assessing the evidence-based clinical utility of the tests.  A large part of the difficulty in this task lies in the fact that often patient requested testing is a response to clinical conditions that involve profound patient suffering. Naturally, the patient wanting to understand more about their condition in the face of their own suffering is understandable. This increases...

A Cry For Industry Reform: $760+ Billion Dollars Wasted Annually

For every $4 spent on healthcare, it is estimated that $1 is being wasted. When put to scale, that 25% equates to a tremendous sum of $265 billion dollars annually. Spearheaded by the health insurance company Humana, these numbers shed light on how dire nationwide reform is for this industry.  As healthcare costs continue to rise, the last thing that the American people want to hear is that their dollars spent on health insurance are being wasted, but in many...