Drug-seeking behavior or mental health problems?

By Victor S. Sierpina, MD With pressure from every side, doctors like you and me are pressed to taper, stop, or refuse to start habit forming pain medications. Our EPIC electronic medical record system now pushes us to inquire the Texas Prescription Monitoring Program prior to our electronic dual authentication signature for any controlled substance. On face value, this is highly sensible in the context of tens of thousands of deaths annually from opioid overdoses...

First false claims act settlement of 2020 and trends from 2019 in Department of Justice settlements

By Elizabeth H. Jepson, Esq. and Beth Anne Jackson, Esq. In fiscal year 2019 (FY 2019), which ended September 30, 2019, the U.S. Department of Justice (DOJ) recovered over $2.6 billion in civil health care fraud actions.  This amount comprises the vast majority of the more than $3 billion recovered by DOJ in all civil fraud cases in FY 2019.  And early in January 2020, DOJ announced its first civil health care settlement of the...

New tax rules and what to do

By Catherine Lightfoot, CPA, CHBC, EEPB Signed into law on December 20, 2020, the federal government spending bill did more than avoid a government shutdown. The Further Consolidated Appropriations Act, 2020, repealed certain health care taxes, makes many changes to retirement plan rules, extends several expired tax provisions, and more. Health care taxes Previously extended many times and mostly forgotten, the three taxes that were originally enacted to fund health care reform have now been...

A recent employment law victory for employers provides a timely reminder for health care providers

By Joe Gagnon, Fisher Phillips, LLP The Fifth Circuit Court of Appeals recently handed employers an important legal victory with respect to managing employees with disabilities and considering accommodation requests. While the case involved a security company, the Court’s opinion offers important reminders to employers in other industries, including health care. As medical facilities strive to maintain the delicate balance between competing interests such as ensuring patient safety and complying with employment law, the Court’s...

Your voice counts for hospitals and patients

By Ted Shaw, President/CEO, Texas Hospital Association If there was ever a critical time to put a stake in the ground for Texas health care, it’s now. It’s a new year. There are major elections around the corner that will have a significant impact on health care. Plus, it’s a Census year, with the federal government launching its once-a-decade official calculation of the country’s population and demographics. Health care is one of the most important...

Traumatic brain injury impairs hormone production, disrupting sleep, cognition, memory

More than 2.5 million people in the United States alone experience a traumatic brain injury, or TBI, each year. Some of these people are plagued by a seemingly unrelated cascade of health issues for years after their head injury, including fatigue, depression, anxiety, memory issues, and sleep disturbances.   A collaborative team, led by Dr. Randall Urban, The University of Texas Medical Branch at Galveston’s Chief Research Officer and Professor of Endocrinology, has spent the past 20...

Grooves hold promise for sophisticated healing

The Rice University team led by Antonios Mikos says otherwise with its development of a groovy method to seed sophisticated, 3D-printed tissue-engineering scaffolds with living cells to help heal injuries.   The researchers are literally carving grooves into plastic threads used to build the scaffolds. The grooves are then seeded with cells or other bioactive agents that encourage the growth of new tissue.   The strategy protects cells from the heat and shear stresses that would likely...

Study demonstrates liquid biopsy as effective predictor of stage III melanoma relapse and treatment

A study at The University of Texas MD Anderson Cancer Center showed that circulating tumor cells (CTCs), a form of liquid biopsy, was independently associated with melanoma relapse, suggesting CTC assessment may be useful in identifying patients at risk for relapse who could benefit from more aggressive therapy following primary treatment.   Although CTCs can be detected in melanoma patients, there is limited data regarding their significance in stage III (node-positive) disease. This prospective study was based on earlier research that found...

MJH News February 2020 Digital Edition

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