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System Dynamics
Justice Department Sleeping at the Healthcare Fraud Wheel
In a 4sight Health blog post published last month, I said there were only two possible reasons why… Read More
By February 28, 2024
Up the AI Without a Paddle
As governments, government agencies, lawmakers, technology companies, special interest groups and consumer watchdogs debate how to regulate healthcare… Read More
By February 21, 2024
The Costly Lever of Prior Authorization
The long-running debate over prior authorization (PA) typically is framed around patient care. PA delays or denials prevent… Read More
By February 14, 2024
Price Transparency? I Don’t Know About That
One of my all-time favorite Saturday Night Live sketches is this one about a voice-activated personal assistant for… Read More
By February 7, 2024
Another Lesson in Drugs, Drug Prices and Drug Spending
It’s that time of year again when I try to educate myself on drugs, drug prices and drug… Read More
By January 31, 2024
System Dynamics
Diagnosing the Revenue Potential of Telemedicine
There’s an intriguing dance taking place right now among patients, physicians, telemedicine technology vendors, regulators and healthcare finance… Read More
By January 24, 2024
Bad Billing
If you tell consumers in a timely manner exactly what they owe and when they have to pay… Read More
By January 17, 2024
Less Healthcare Fraud or Less Healthcare Fraud Detection?
Nearly a year ago, I missed a big story. Every February, the U.S. Justice Department (DOJ) releases an… Read More
By January 10, 2024
Catching Up on Alternative Payment Models
I couldn’t remember off the top of my head what I was doing Monday, Oct. 30, 2023, so… Read More
By January 3, 2024
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