HIPAA Journal

OCTOBER 21, 2022

The passage of HIPAA resulted in multiple benefits for the health insurance industry, the healthcare industry, and the people that they serve. For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing.

HIPAA 107

HIPAA Compliance Medicare Medicare 107

Health Populi

MARCH 11, 2021

Fendrick was part of a team that wrote one of the first research articles on the effects of increasing patient cost sharing on health disparities — published in 2008 in the Journal of General Internal Medicine.

Health Insurance 101

Health Insurance ACA Medicare Medicare 101

HIPAA Journal

JANUARY 12, 2024

The addition of standards to account for the passage of the GINA Act 2008. The addition of standards to account for the passage of the GINA Act 2008. The adoption of a four-tired civil monetary penalty structure for violations of HIPAA. The finalization of the Breach Notification Rule and the revised “harm” threshold.

HIPAA 91

HIPAA Compliance Health Insurance Medicaid 91

Health Populi

JUNE 13, 2018

. “Employer health spending has grown from 6 percent of total wages in 1988 to more than 12 percent in 2018,” driven by healthcare prices growing faster than the general economy, and the adoption of new technologies, procedures, and increasingly expensive new prescription drugs, PwC observes. economy by 2026.

Medicaid 63

Medicaid Medicaid Health Insurance Medicare 63

Verisys

DECEMBER 22, 2021

Passed last December, the Act requires group health plans and health insurance issuers to improve the verification and refresh process of their provider directory systems. Donald Potts has helped healthcare customers define business problems and design innovative solutions since he started at Optum in 2008.

Compliance 52

Compliance Regulatory Compliance Healthcare information Technology Health Insurance 52

AIHC

NOVEMBER 29, 2023

The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models. As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models. As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar.

Medicare 52

Medicare Medicare Medicaid Medicaid 52