How to Increase Clinical Trial Participation in Community Oncology

In November, I co-authored an article in Oncology Practice Management with Randy Erickson, RN, MBA, Chief Executive Officer of Utah Cancer Specialists, Johnny Walker, Director of Research of Utah Cancer Specialists, and Linh Mekuria, MPA, clinical informaticist with XIFIN, Inc. The article, titled “Increasing Clinical Trial Participation in the Community,” explores the structural barriers to...

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No Surprises Act: Your Top Questions Answered - Part 2

This blog is part two of a blog series focusing on answering the most common questions regarding the No Surprises Act. View Part One, which focused on questions related to providing a good faith estimate and obtaining patient consent.The No Surprises Act (NSA) — which provides patient protections by addressing surprise billing and banning balance billing — has many people wondering which parts of...

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HRSA Set to Stop Accepting Claims on March 22, 2022

On Wednesday, March 15, 2022, the Office of Management and Budget (OMB) submitted a letter to Speaker of the House, Nancy Pelosi, regarding concerns of dwindling funds for the Health Resources and Services Administration (HRSA) Uninsured Program. In this letter, OMB stated that “On March 3, we requested $22.5 billion in emergency funding by mid-March to avoid severe disruptions to our COVID...

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An LIS Built to Support the Future of Diagnostics

The pandemic has taught the lab industry many valuable lessons. As an industry we need to be nimble and prepared to expand our operations rapidly, not only to manage larger volumes of testing but new diagnostic tests, as well.The laboratory information system (LIS) plays a vital role in test menu expansion, from receiving electronic orders or manually accessioning cases to providing an ordering...

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United Healthcare Expanding Designated Diagnostic Provider Program to Imaging Providers

United Healthcare has launched the Designated Diagnostic Provider (DDP) program for laboratory and major imaging services. In 2021, the program was implemented for laboratory facilities and is now expanding to include major imaging services in 2022. According to United Healthcare, the program is designed to help improve member access to quality care and reduce member healthcare costs.  As part of...

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No Surprises Act: Your Top Questions Answered - Part 1

The No Surprises Act (NSA), which went into effect on January 1, has many providers scrambling. The No Surprises Act provided protections for patients who unknowingly receive care from an out-of-network provider by addressing surprise billing and banning balance billing. Implementing the requirements of the No Surprises Act will require a new level of coordination between providers, payors, and...

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Using Real-World Data for Oncology Treatment

Last year, I had the pleasure of co-authoring an article in Oncology Practice Management with Randy Erickson, RN, MBA, Chief Executive Officer of Utah Cancer Specialists, Nitin Chandramouli, MD, FACP, President of Utah Cancer Specialists, and Linh Mekuria, MPA, clinical informaticist with XIFIN, Inc. The article, titled “Treatment Patterns and Prescribing Practices Based on Real-World Data”...

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Making Telehealth Coverage a Permanent Benefit for U.S. Consumers

One of the most significant legislative changes caused by the COVID-19 pandemic was the temporary measure taken by legislators to cover telehealth visits. It was an overwhelming success in the eyes of patients and providers. Telehealth services rapidly expanded to cover primary care, behavioral health, mental health care, and remote patient monitoring. Now that those rule changes, initiated by...

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