Kaiser Health News

JULY 11, 2023

But it can also include underpayments from public health plans, as well as the costs of training medical professionals and doing research. Hospitals also claim as community benefits the difference between what it costs to provide a service and what Medicaid pays them, known as the Medicaid shortfall.

Hospitals 72

Hospitals Medicaid Medicaid Medical Billing 72

CMS.gov

NOVEMBER 16, 2018

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program. Seema Verma.

Medicare 20

Medicare Medicare Overpayments Overpayment 20

HIPAA Journal

JANUARY 12, 2024

The changes attributable to the Genetic Information Nondiscrimination Act (GINA) were published as a Proposed Rule in April 2009, while the proposed modifications to the Privacy, Security, and Enforcement Rules were published in July 2010. The addition of standards to account for the passage of the GINA Act 2008.

HIPAA 107

HIPAA Compliance Health Insurance Medicaid 107

MedTrainer

JANUARY 12, 2024

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. Compliance efforts expanded to encompass EHR security.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Health Populi

JUNE 13, 2018

In 2007, the year I launched Health Populi , the inaugural post focused on just this issue; the post was titled, “Health care is the #1 line item in our national economy…and taking more out of your pocket.” economy by 2026. Now, to Figure 4 (the third graphic).

Medicaid 63

Medicaid Medicaid Health Insurance Medicare 63

Hall Render

AUGUST 10, 2023

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3% in FY 2024 but applies a 0.2%

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

HIPAA Journal

MARCH 31, 2023

This is because – for example – in addition to HIPAA records retention, health insurance companies may be subject to the complexities of FINRA, while employers that are Covered Entities may have to comply with the record retention requirements of the Employee Retirement Income Security Act and Fair Labor Standards Act.

HIPAA 128

HIPAA Medicare Medicare Compliance 128

MedTrainer

MARCH 28, 2024

Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 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. Patient debt is piling up despite the landmark 2010 Affordable Care Act. 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

Healthcare Law Blog

JANUARY 6, 2023

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. Medicaid & CHIP Adjustments. Medicaid Improvement Fund. The Act provides for nearly $1.7

COVID-19 52

COVID-19 Medicaid Medicaid COVID-19 Vaccine 52

Healthcare Law Blog

JANUARY 26, 2023

The PHS Act requires post-graduate physician training programs that do not perform induced abortions to be deemed accredited and protects governmental payments provided as reimbursement for carrying out health related activities. Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat.

ACA 105

ACA Medicaid Medicaid Compliance 105

New Jersey Healthcare Blog

JANUARY 12, 2022

1791(c), the Department of Human Services, Division of Aging Services, Office of the State Health Insurance for the Aged and Disabled, readopted a rule regarding the Senior Gold Prescription Program Manual. On October 18, 2021, at 53 N.J.R. See readopted N.J.A.C. On October 18, 2021, at 53 N.J.R. On November 1, 2021, at 53 N.J.R.

Licensing 40

Licensing Medicaid Medicaid Nurses 40

AIHC

AUGUST 13, 2024

It applies to health programs and activities that receive federal financial assistance, known as covered entities. Those covered by the rule may include hospitals, health clinics, health insurance issuers, state Medicaid agencies, community health centers, physicians’ practices, and home health care agencies.

Compliance 52

Compliance ACA Health Insurance Medicaid 52

C&M Health Law

JANUARY 25, 2023

Acute Care Hospital at Home Program and Rural Health Section 4140 of the Act extends the Acute Hospital Care at Home program for two years, through December 31, 2024. Section 1001 of the Act delays the 4% Statutory Pay-As-You-Go Act of 2010 (PAYGO) sequester for two years, through the end of calendar year 2024.

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

Bill of Health

FEBRUARY 28, 2023

That approach successfully transformed public and private health care — albeit not without challenges for coordination and political resistance — through the Patient Protection and Affordable Care Act of 2010. This was accomplished by the U.S.

Public Health 182

Public Health COVID-19 Medicaid Medicaid 182

Kaiser Health News

AUGUST 24, 2023

” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to Z,” now in its third edition. During the primary, Republican presidential candidates don’t really want to talk about health insurance and health care.

COVID-19 59

COVID-19 Medicaid Medicaid Health Insurance 59

Kaiser Health News

JULY 24, 2023

House Republicans have advanced a package of bills that could reduce health insurance costs for certain businesses and consumers, partly by rolling back some consumer protections. Health policy experts aren’t surprised. Chan School of Public Health in Boston, who worked on the original ACA legislation.

ACA 90

ACA Health Insurance Medicaid Medicaid 90

Kaiser Health News

JANUARY 12, 2023

And as of right now, CMS [the Centers for Medicare & Medicaid Services] or Medicare is not going to be covering it at all because right now the drug only has what’s known as an accelerated approval. Finally this week, but not least, there’s also news on the health insurance coverage front. Rovner: Yeah.

US Department of Health and Human Services 52

US Department of Health and Human Services FDA Medicare Medicare 52