Kale Derbis’ Post

Wondering what to expect from a regulatory perspective in the next few months? Here are the notices to watch for in Q3.

Health Insurance is constantly evolving due to many factors, one being the regulatory environment. Refer to the link below for information that may be helpful to you or your organization.

Wondering what to expect from a regulatory perspective in the next few months? Here are the notices to watch for in Q3.

Wondering what to expect from a regulatory perspective in the next few months? Here are the notices to watch for in Q3.

While there wasn't earth-shattering new guidance here, the OIG's new compliance guidance reinforces past statements and formalizes insights learned from past enforcement--and it's likely to be just the beginning. Also, there continues to be a push to ensure that new participants in this area, such as private equity investors for healthcare entities, have basic compliance knowledge and exercise reasonable oversight. Please take a look at this new article by myself and colleagues, Holly Buckley, Tim Fry, Kim Kannensohn, Kristen Chang, Sydney Menack and Danny Bush!

From compliance regulations to rising costs, the healthcare industry is always evolving. It can be difficult to prepare for what’s coming next—and that includes renewal season. RMTS is here to make sure you’re ready for 7.1 renewals and fully prepared to pass this season with confidence. With our expert services and team of champions in your corner, we’re dedicated to keeping you on top of the latest updates, all while helping your shape your risk and stop loss needs. Learn more about how pricing transparency is shaping that risk in 2024 in our latest blog: https://lnkd.in/eDUqdYSk #rmts #stoploss #renewals #compliance

State AGs are leveraging third-party monitorships more than ever as a potent compliance tool. Comprehending why State AGs requesting a monitorship is key to deciding if your company is ready to accept this oversight via a negotiated settlement. Dive into our latest blog for a case study on a monitorship prompted by North Carolina AG Josh Stein's actions against HCA Healthcare. Very well written, Abbey Thornhill. #RegulatoryCompliance #Monitorships #StateAG20"

Most care providers believe that because they meet the regulatory requirements of their care or service regulator, means they also comply with their sponsor duties. The reality is far from this mistaken belief. So, How do you know you are compliant? Join my FREE webinar, Wednesday, 22nd May 2024, at 1:00 PM Register here: https://lnkd.in/dJuq25B5

A recent Kaiser Health article revealed ten FDA panel doctors assessing Abbott's TriClip device had financial ties to the company, spotlighting the tightrope walk between innovation and integrity. While such relationships aren't inherently wrong, they underscore a vital concern: the appearance of conflict can erode public trust as much as actual conflict. This scenario isn't just about the transparency of financial relationships; it's a stark reminder of the high stakes involved in maintaining public trust. The cost of reputational damage in healthcare? Immeasurable. Here's the crux: perception is as potent as reality. When advisory panels have even a hint of financial conflict, the fallout can ripple across the entire sector, undermining confidence in critical regulatory processes and innovations. It's a wake-up call for an industry where integrity is non-negotiable. At Conflixis, we champion a proactive stance. Don't just manage reputational risks—anticipate and address them head-on. It's about setting a new standard for transparency, where disclosures aren't just a formality but a testament to the sector's commitment to ethical stewardship. Let's ensure the narrative around healthcare innovation is shaped by trust, not tarnished by suspicion. #HealthcareIntegrity #BeyondTransparency #TrustInMedicine #Conflictsofinterest #conflixis #abbott #fca #hcca #stark #compliance

LAST CHANCE TO REGISTER Struggling to navigate complex regulatory updates in-home care? 🏡 Join us for Session 3 of our Compliance Strategies program on September 24th, 2:00 – 3:00 pm. Gain insights, share experiences, and streamline your compliance practices. Register now! #ComplianceStrategies #HomeCare #RegulatoryUpdates Member Portal https://lnkd.in/gXAn5gc4