States have always been the primary regulators of their local health care markets and have increasingly used All Payer Claims Databases (APCDs) as one tool to help them make data-driven policy decisions.
In FY 2020, the Department of Justice opened 1,079 new civil health care fraud investigations and had 1,498 civil health care fraud matters pending at the end of the fiscal year.
The nation’s overdose and death epidemic continues to get worse, but policymakers and other stakeholders have yet to fully embrace evidence-based solutions to help those with a substance use disorder, patients with pain or those who need harm reduction services.
Since 2014, states have had the option to expand Medicaid eligibility to include adults with incomes under 138 percent of the federal poverty level.
Many who work in and around the U.S. health care system share a vision of primary care as the foundation for all health care.
Joint ventures are becoming a mission-critical strategy for an increasing number of health care entities seeking to build a stronger business model and a more efficient health care system.
One of the most transformative trends in health care is the accelerating shift to increasingly interwoven organizations.
The COVID-19 pandemic drove significant expansion in state and federal telehealth policies, playing a critical role in ensuring access to substance use disorder (SUD) services, even during quarantine.
An interdisciplinary service line is the organization of multidisciplinary clinical programs into an integrated care continuum around a population or disease state.
When the Health Insurance Portability and Accountability Act (HIPAA) was enacted in 1996, there was virtually no Internet utilization, smartphones or artificial intelligence.