And the weapon of choice: algorithms. This fierce fighting is taking place between auditors and providers, and the stakes are high: money. Lots of it. Other segments to be featured during the live broadcast include the following:.
What's Monitor Mondays about?
Read Less. In recent weeks, several major pharmaceutical manufacturers have taken actions that could lead to narrowing the B Drug Pricing Program, which provides outpatient drugs to safety-net hospitals, health centers, and clinics at discount prices. The savings are invested in care for patients with low incomes, living in rural communities. The actions by Eli Lilly, Merck, and Sanofi are being challenged by a coalition of safety-net providers, including B Health, which represents more than 1, B hospitals. Reporting our lead story during this edition of Monitor Mondays is Maureen Testoni, president and CEO of B Health, who will discuss why she is concerned by these actions by drugmakers. Other segments to be featured during the live broadcast include the following:. Error - There was an error with your download request. Try again later. Get the Stitcher App Take your podcasts on-the-go!
SHARE THIS POST
Major pharmaceutical manufacturers have taken actions that could lead to narrowing the B Drug Pricing Program, which provides outpatient drugs to safety-net hospitals, health centers, and clinics at discount prices. California is one of two states in the country that rewards whistleblowers for bringing forward information about private insurance fraud. On the next live edition of Monitor Mondays, we will explore the impact of the coronavirus on audits and auditing, proposed rules, guidance, and waivers. Ronald Hirsch and Terry Fletcher to explain the significance of these proposals in a special Friday edition of Monitor Mondays. Two major storylines are discussed during this edition of Monitor Mondays, with the exclusive minute broadcast to focus on the raging coronavirus pandemic and the imminent auditing of Medicare and Medicaid claims scheduled to begin Aug. Welcome to the new normal. A hefty amount of money is being invested in contact tracing, including the development of new automated tools. The global COVID pandemic has presented a multitude of logistical challenges to healthcare providers across the country and beyond. But few are as daunting as the protocols utilization management UM directors are being asked to implement regarding patient status assignment.
Subscribe to our show to get the latest episode every week. Recent episodes of our show are available to stream or download via these podcast apps:. Register to listen. View Archive. Free eNews Sign Up. Please select 1 field to search. Keyword [? Fehn, Esq. Wachler, Esq.