HIPAA Journal

NOVEMBER 17, 2022

The offline data included patient names, guarantor names, parent names, addresses, email addresses, birth dates, Social Security numbers, health insurance information, dates of service, locations, services requested/procedures performed, diagnoses, prescription information, physician names, medical record numbers, and billing and claims information.

Ransomware 80

Ransomware Health Insurance Fraud HIPAA 80

Health Populi

JUNE 1, 2018

I’ve mined Meeker’s report for several years here on Health Populi: 2017 – Digital healthcare at the inflection point, via Mary Meeker. 2015 – Musings with Mary Meeker on the digital/health nexus. 2011 – Meeker & Murphy on mobile – through the lens of health.

Health Insurance 54

Health Insurance 54

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 106

HIPAA Compliance Medicare Medicare 106

Health Populi

AUGUST 23, 2021

When we think about health care pricing variations, then, it’s not just between hospitals in a particular geography or ZIP code, but it happens within institutions based on contract negotiations with health plans. in July 2021, the lowest read since December 2011. health citizens.

COVID-19 90

COVID-19 Medical Billing Health Insurance Hospitals 90

Compliancy Group

JUNE 12, 2024

In May of 2011, the Texas Legislature attempted to update Chapter 181 of the Texas Health and Safety Code, with new legislation called “ HB 300.” “HB” HB 300 was the 300th House Bill introduced during the legislative session for 2011. HB” stands for “House Bill.” “300” This article discusses the topic of HB 300 covered entities.

HIPAA 52

HIPAA Health Insurance Governance Compliance 52

Compliancy Group

SEPTEMBER 18, 2024

The HITECH Act requires the Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) to conduct periodic audits of HIPAA covered entity and business associate compliance with the HIPAA Privacy, Security, and Breach Notification Rules. This request for information may indicate that a third round of audits is on its way.

HIPAA 52

HIPAA Compliance Health Insurance 52

Health Populi

DECEMBER 7, 2018

After five years of modest premium cost increases between 2011-16, premiums for employer-sponsored health insurance dramatically increased in 2017: for single-person coverage. premiums were over $7,000 in eight states. For family premiums, they were at least $20,000 or higher in seven states and Washington, D.C.

Health Insurance 54

Health Insurance Medicaid Medicaid Medicare 54

Jane Sarashon

AUGUST 12, 2024

retiring in 2024 will need to bank $165,000 to pay for health care costs in retirement — a sum that does not include long-term care, Fidelity Investments advises us in the 23rd annual look at this always-impactful (and sobering) forecast. The average person in the U.S.

Medicare 59

Medicare Medicare Hospitals Medical Billing 59

HIT Consultant

DECEMBER 26, 2021

Government mandates were an impetus for change, starting with the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 to “promote the adoption and meaningful use of health information technology” (Office of Civil Rights (OCR), 2017).

Due Diligence 98

Due Diligence Compliance HIPAA Nurses 98

Health Populi

AUGUST 13, 2019

Looking forward, “nudging” employees to physician-based ACOs through strategic plan design (think: behavioral economics) and promoting virtual primary care services will gain traction in 2011-2022.

Health Care Access 61

Health Care Access Governance Health Insurance 61

Hall Render

FEBRUARY 4, 2025

On January 21, 2025, the Department of Homeland Security (“DHS”) rescinded its Protected Areas policy that had been in place since 2011. This policy largely restricted the U.S.

HIPAA 52

HIPAA Compliance Hospitals Health Insurance 52

Kaiser Health News

JUNE 29, 2022

AHIP, which represents the health insurance industry, released a statement that said Medicare Advantage plans “deliver better service, access to care, and value for nearly 30 million seniors and people with disabilities and for American taxpayers.” Cathy Rodgers (R-Wash.)

Medicare 107

Medicare Medicare Governance Overpayments 107

HIT Consultant

FEBRUARY 6, 2023

Education and conversation around women’s healthcare are evolving, however, women’s health technology is still, by far, an emerging industry. For example, only 3% of the 2,728 US digital health deals since 2011 have focused on women’s health.

FDA 98

FDA Health Insurance Hospitals Doctors 98

Health Populi

NOVEMBER 5, 2018

Governor Kasich has led the Buckeye State since 2011, and his second and final term ends in January 2019. “Citizens scare politicians,” I heard Governor John Kasich say to Nicole Wallace on her show Deadline: White House yesterday, just hours from today’s U.S. 2018 midterm elections.

Medicaid 91

Medicaid Medicaid Nursing Homes Nurses 91

Health Populi

NOVEMBER 7, 2019

Opioid-related deaths grew some 20% since 2011 in the U.S. health care versus the OECD peer nations. fall below the OECD average, and the proportion of people who self-report that they are in “good health” is the third highest in the OECD. and are impacting mortality rates in Canada, Estonia and Sweden, too. For the U.S.

Doctors 90

Doctors Medical Billing Health Insurance Public Health 90

Health Populi

OCTOBER 24, 2022

Add into this picture a CCS Insight analyst’s forecast last week that Apple could enter the health insurance market in 2024. ” Over 11 years ago, I listened to Dr. Toby Cosgrove, then CEO of The Cleveland Clinic, warn in his 2011 State of the Clinic annual address that, “we have to do better with less.”

COVID-19 54

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 54

Health Populi

MAY 20, 2024

health care, noting that as of June 2023 there were 132 active shortages — 58% of which were in shortage for over 2 years. Combatting the opioid overdose epidemic has some good news emerging from the medicines sector, with per capita prescribing of opioids down 67% since its apex in 2011.

FDA 71

FDA Medicaid Medicaid Medicare 71

Healthcare Law Blog

APRIL 6, 2022

The new state plan option allows state Medicaid and Children’s Health Insurance Program (“CHIP”) agencies to provide 12 months of continuous postpartum coverage, regardless of any changes in circumstances, through a state plan amendment (“SPA”). This option is available for five years and ends on March 31, 2027. 31, 2022). [2]

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Healthcare Law Blog

JANUARY 26, 2023

The amendment defines healthcare entity to include any individual physician or other healthcare professional, a hospital, a provider-sponsored organization, a health maintenance organization, a health insurance plan, or any other kind of healthcare facility, organization, or plan.

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.

Licensing 40

Licensing Medicaid Medicaid Nurses 40

Healthcare Law Blog

JANUARY 10, 2022

To ensure MA plan benefits do not discriminate against higher cost enrollees, MA plans are required to establish a limit on beneficiary cost-sharing for Medicare Part A and B services after which the plan pays 100 percent of the service costs.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

Health Populi

OCTOBER 15, 2020

More than four times as many Black women believe that it’s a bad time to be Black in America in 2020 versus 2011, we learn from The Undefeated Survey on Race and Health from Kaiser Family Foundation (KFF). elections, up and down the ballot, is one way to engage with your health citizenship.

COVID-19 86

COVID-19 Public Health Governance Health Insurance 86

C&M Health Law

JANUARY 25, 2023

The Act’s health care offset title includes Section 4163, which extends the 2% Budget Control Act of 2011 Medicare sequester for six months into FY 2032 and lowers the payment reduction percentages in FYs 2030 and 2031. The Act also provides investments in Medicaid and the Children’s Health Insurance Program (CHIP).

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

Drug & Device Law

NOVEMBER 9, 2023

IMS Health Inc. , 552 (2011); Thompson v. First, such communications may now be directed to any health care provider – not just health insurers seeking to determine whether an off-label use should be covered, as was previously the case. E.g. , Sorrell v. Western States Medical Center , 535 U.S. Caronia , 703 F.3d

FDA 64

FDA Health Insurance Nurses Medicare 64