17 Oct, 2024 AI and Unnecessary Utilization By Mike Ruggio A noteworthy concern surrounding the use of artificial intelligence (AI) in healthcare is its potential exploitation to drive unnecessary...
15 Oct, 2024 AI and Risk Adjustment Abuse: A Double-Edged Sword By Mike Ruggio An area particular concern is the potential for AI to exacerbate existing problems of risk adjustment abuse. AI, while promising for...
14 Oct, 2024 Upcoming Changes to Fully Insured Health Plans in California: What Employers Need to Know By Brandie Barrows The California legislative season drew to a close September 30th, with Governor Newsom signing several Senate and Assembly Bills that...
19 Sep, 2024 DAOs: A Future-Forward Approach for Healthcare? By Mike Ruggio Unlike traditional hierarchical corporations, Decentralized Autonomous Organizations (DAOs) operate on a consensus-driven model,...
27 Aug, 2024 California's DMV Takes a Bold Step with Blockchain - Is Healthcare Next? By Mike Ruggio The California DMV recently announced using blockchain technology to manage car titles, aiming to combat fraud. This is a significant...
22 Aug, 2024 Contractual Considerations for AI Vendor Partnerships By Mike Ruggio A thoughtfully constructed contract can serve as a valuable tool in managing the complexities of an AI vendor partnership. By carefully...
20 Aug, 2024 Data Privacy and Security: Safeguarding Patient Information By Mike Ruggio Healthcare organizations handle sensitive patient data, making data privacy and security paramount. When selecting an AI vendor, it is...
15 Aug, 2024 Technology Evaluation: Understanding the AI Behind the Curtain By Mike Ruggio Once you've established a strong foundation by assessing the vendor, it's time to examine the heart of the technology: the AI model...
13 Aug, 2024 Vendor Assessment: The Cornerstone of AI Risk Mitigation By Mike Ruggio Selecting the right AI vendor is paramount for healthcare organizations seeking to leverage AI while minimizing legal exposure. A...
08 Aug, 2024 Due Diligence in AI Vendor Selection: A Cornerstone for Healthcare Organizations By Mike Ruggio The healthcare industry is undergoing a rapid transformation as artificial intelligence (AI) emerges as a powerful tool for improving...
06 Aug, 2024 More Than Money: The Stark Law and Non-Monetary Incentives By Mike Ruggio The Stark Law acts as a safeguard against healthcare fraud by ensuring physician referrals are based on a patient's medical needs, not...
30 Jul, 2024 Beyond Imaging: Understanding the Scope of the Stark Law By Mike Ruggio The Stark Law, a cornerstone regulation in preventing healthcare fraud, aims to ensure physician referrals are based on a patient's...