Health Populi

JUNE 5, 2022

Fast-forward through the 1990s and the advent of PBMs — pharmacy benefit management companies — the intermediaries managing drug benefits for health insurance plans. Today, the three largest PBMs, processing about 4 in 5 retail prescription claims, are embedded in large health insurance companies.

Overpayments 154

Overpayments Overpayment Medicare Medicare 154

HIPAA Journal

FEBRUARY 23, 2022

HIPAA is an acronym for the Health Insurance Portability and Accountability Act. When the Health Insurance Portability and Accountability Act was passed by Congress in 1996, the establishment of federal standards for safeguarding PHI was not one of the primary objectives. What is HIPAA? What is HIPAA Title II?

HIPAA 103

HIPAA Fraud Health Insurance Medicaid 103

Health Populi

DECEMBER 6, 2018

This sentiment has been relatively stable since 2000 except for two big outlying years: a spike of 69% in 2006, and a low-point in 2003 of 42%. In 2006, Medicare Part D launched, which may have boosted consumers’ faith in Federal healthcare programs. What happens to these patients’ financial health?

Governance 73

Governance Medical Billing Medicaid Medicaid 73

Health Populi

APRIL 16, 2018

Walmart has been a health/care destination for many years. The company that defined Big Box stores in their infancy grew in healthcare, health and wellness over the past two decades, pioneering the $4 generic prescription back in 2006. Today, that low-cost generic Rx is ubiquitous in the retail pharmacy. Just sayin’]).

Health Insurance 54

Health Insurance Medicare Medicare Doctors 54

MedTrainer

SEPTEMBER 8, 2023

The information on the laptops included names, addresses, dates of birth, Social Security numbers, clinical information, and health insurance information. Details of the settlement indicate the submission of false claims to Medicare, Medicaid, TRICARE, and FECA programs. Loss of reimbursements. Patient privacy.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

Kaiser Health News

JUNE 16, 2022

Ariane Buck, a young father in Arizona who sells health insurance, couldn’t make an appointment with his doctor for a dangerous intestinal infection because the office said he had outstanding bills. And they had retiree health insurance through Con Edison. The health system is not affiliated with KHN.).

US Department of Health and Human Services 145

US Department of Health and Human Services Medical Billing Hospitals Medicare 145

Hall Render

MAY 31, 2024

margin in Q1 AI + navigation = faster cancer care at Northwell Mount Sinai’s Beth Israel submits revised closure plan Dollars can boost health equity, but broad change is just as important Montefiore records $27.9M -area philanthropist opens women’s wellness center in Bethesda D.C. operating income, 4.1%

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40