New Study Reviews Legal Settlements of 6 Healthcare Software Vendors

14 Nov, 2022 F.J. Thomas

                               

Sarasota, FL (WorkersCompensation.com) – Healthcare is certainly feeling the squeeze between pay cuts, new regulations, short staffing and increased labor expenses. Some estimates show that labor expenses have increased 37 percent above what they were prior to the pandemic. A recent report from Healthleaders indicates that the clinical turnover rate has increased 16 percentage points since 2018. Additionally, the search for more physicians and advanced practice providers has reached an all-time high, indicating that the clinician shortage could be increasing in the coming years.

Between all of these issues, practice managers have their hands full trying to take care of patients and still remain in business while compliant. To address increase patient volumes paired with staffing shortages, many practices are entertaining the idea of implementing automated processes to keep up with the demand. As a result, healthcare is once again focusing on healthcare platforms and software at a rate not seen since the electronic health record requirement that began in 2009.

While providers are in the midst of deciding their software priorities and which software entity they want to use, surveys have indicated providers are overwhelmed with the task. Anyone that lived through the original EHR implementations knows firsthand the headaches that providers  and their staff may be in for. In the first wave of moving to electronic records, many providers quit or retired early just due to difficulty with software. This new wave of software implementations could have an even greater impact as many of the software platforms are not just clinically focused, but will effect revenue processes directly.

While providers are entertaining the thought of new software, they may want to take close note of a recent study from MedStar Health National Center for Human Factors in Healthcare in Washington, D.C. The researchers analyzed the list of settlements with the Department Of Justice and found that 6 well known EHR vendors had reached settlement agreements that totaled $379.8 million. The settlement time ranged from 2011 to 2016, which correlated to the Meaningful Use requirements that were being implemented at the time.

Five of the 6 vendors were involved in settlements that included alleged kickbacks with payments to clinicians. Most of the kickbacks were due to promotion of the software, however one case was related to influencing physicians to prescribe opioids. Additionally, allegations of misrepresentation of the EHR capabilities such as claiming the ability to create standardized patient information export summaries, and over-calculating abilities to integrate with current systems and obtain meaningful use information.

The study serves as a real life cautionary tale for those healthcare administrators that are once again in the throes of implementing far-reaching software changes in the face of multiple challenges. While administrators may be overwhelmed with the task, this example clearly shows it pays to fully understand the software and know its capabilities.


  • AI california case management case management focus claims compensability compliance courts covid do you know the rule ethics exclusive remedy florida glossary check health care Healthcare hr homeroom insurance iowa leadership medical medicare NCCI new jersey new york ohio opioids osha pennsylvania Safety simply research state info technology texas violence washington WDYT west virginia what do you think women's history month workers' comp 101 workers' recovery workers' compensation contact information Workplace Safety Workplace Violence


  • Read Also

    About The Author

    • F.J. Thomas

      F.J. Thomas has worked in healthcare business for more than fifteen years in Tennessee. Her experience as a contract appeals analyst has given her an intimate grasp of the inner workings of both the provider and insurance world. Knowing first hand that the industry is constantly changing, she strives to find resources and information you can use.

    Read More

    Request a Demo

    To request a free demo of one of our products, please fill in this form. Our sales team will get back to you shortly.