Private insurers in Medicare Advantage allegedly received $50B through questionable diagnoses, triggering increased False Claims Act scrutiny. The DOJ secured over $2.68B in 2023 FCA settlements. Quandary Peak Research offers expertise in Health IT compliance and fraud investigations, aiding clients in navigating complex legal challenges.
Quandary Peak Research played a key role in a $1.4 billion biometric data privacy settlement for Texas against Meta. Expert Jason Frankovitz analyzed Meta’s source code, establishing improper biometric data collection.
More states establish laws protecting consumer health data. Learn more about the definitions and requirements to avoid violations of consumer privacy laws.
Biometric privacy laws emerge in fourteen states. Understand the implications for businesses and the key differences in enforcement and the heightened risk of non-compliance for companies dealing with biometric data.
Explore how leveraging patient personas, segmentation, and journey mapping can enhance medication adherence strategies. This article from our team member, Ajit Dhavle with co-author Kaley Simon, examines the integration of advanced computational techniques with rich patient data to deliver precise, impactful care.
Discover how personalized patient messaging, utilizing digital channels like SMS, chatbots, and avatars, can revolutionize medication adherence. Learn how segmentation, behavioral data, and tailored content can enhance engagement and drive positive health outcomes.
Medical miscoding drains precious resources and can result in serious charges of abuse and fraud. Proactively identify medical coding errors by conducting preemptive audits.
There is now a perfect storm of ubiquitous Health IT adoption and expansive needs for interoperable health information that necessitates attention on meeting Information Blocking requirements. The HHS OIG and ONC are treating this as a top enforcement priority. Read our key takeaways and learn more about compliance strategies to avoid violations.