Compliance & Legal
The Department of Justice described the case as involving one of the "largest healthcare fraud schemes in United States history."
The report by Foley & Lardner found that 43 states and D.C. have implemented a version of a state telehealth commercial payer law – although payment parity policies lag behind.
The New York health system said an employee, who has been fired, inappropriately accessed electronic health records and viewed clinical information, including test results and diagnoses.
"If the benefits of electronic health records are to be fully realized, patients must be confident providers have selected the most effective system – not the one paying the largest kickbacks," said one federal agent.
Larry Everett Smith is among five defendants who have recently pleaded guilty for their role in a healthcare fraud conspiracy that allegedly lasted for years.
Lawmakers in legislatures nationwide have introduced about 300 bills aimed at expanding access to telemedicine – but not every bill is equally helpful.
Compliance is a serious, enforceable matter – and must be properly addressed in the context of the workplace challenges and changes that have emerged amid the pandemic.
As health systems prepare for new interoperability and price transparency regs, Deloitte describes steps they can take to make that work a cornerstone of a broader competitive strategy around consumer experience and cost.
The Protecting Access to Post-COVID-19 Telehealth Act of 2021 includes broadly popular provisions such as eliminating geographic and originating site restrictions.