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Healthcare Policy: What Is It and Why Is It Important?

University of St. Augustine for Health Sciences

Subcategories of health policy include public health, global health, healthcare services, health insurance, mental health and pharmaceuticals. Healthcare Coverage In 2023, 92 percent of Americans had some form of healthcare coveragewhether employer-provided coverage, Medicare or Medicaid or private health insurance.

HIPAA 45
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The Exec: Advanced Practice Providers Key to Managing Physician Shortages

Health Leaders | Nursing

As we move toward value-based care, we have to take care of lots of people, especially as Medicaid is expanded throughout our country. We’ve found that utilizing pharmacy technicians to help with some of the paperwork required by pharmaceutical companies and insurance companies can be incredibly beneficial.

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Dental Healthcare Fraud, Waste, and Abuse (FWA) Training

American Medical Compliance

The Centers for Medicare and Medicaid Services (CMS) require FWA training. Medicare Part D requires specific pharmaceutical standards for reporting potential fraud, waste, and abuse. Abuses create a variety of issues, including: Wasteful Medicaid and Medicare program expenses.

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Fraud, Waste and Abuse Training for Workers in Emergency Medical Services (EMS)

American Medical Compliance

The Centers for Medicare and Medicaid Services (CMS) require FWA training. Medicare Part D requires specific pharmaceutical standards for reporting potential fraud, waste, and abuse. Abuses create a variety of issues, including: Wasteful Medicaid and Medicare program expenses.

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False Claims Act Update: A Mid-Year Review (2023)

Healthcare Law Insights blog

This point is driven home in Piacentile , where relators alleged that a pharmaceutical company paid illegal kickbacks to oncologists to encourage their use of the company’s drugs over competitors. Thus, in cases involving pre-2010 conduct, relators must still have firsthand knowledge to qualify as an original source.

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The Cost of ‘Free’: Advising Patients About Sponsored Genetic Testing

Consult QD

Many laboratories have alternative options for low-cost or no-cost testing that do not involve a third-party sponsor and have financial assistance programs (based on a sliding income-based scale) and laboratory billing policies (such as no balance-billing for those with Medicaid).

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The Lived Experience of Providing Preventative Caries Care in Missouri Post COVID-19 and Cannabis Legalization

American Nurse

Missouri skilled nursing facility residents (N=253) reported that 49% of residents rely on staff to clean their mouth, many have no Medicare dental coverage, and Medicaid covers a limited number of dental services (The Oral Health of Adults, 2022). American Journal of Pharmaceutical Education. References American Dental Association.