Chief Medical Officers across the country know employee burnout, medication shortages and respiratory infections, among a wealth of other challenges, have created the not-so-perfect storm in hospitals. Richard Shannon, MD, chief quality officer at Duke Health in Raleigh, N.C., told Becker’s something has to give or clinicians will continue to react to overwhelming working conditions “with their feet,” referring to the several recent nurses’ strikes at New York hospitals. The main thing clinical leaders can […]

Prior to the pandemic, claims fraud, waste and abuse (FWA) was a priority issue for health plans aiming to improve both care quality and the member experience. But, accelerated by the pandemic, health plans are now grappling with compounding operational challenges — from aberrant services related to COVID-19 diagnoses, to service shifts, to uncontrolled telehealth expansion and, of course, labor shortages. These converging challenges has brought a sense of urgency to the need for a […]