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

DECEMBER 7, 2018

These annual numbers come out of the annual report from the Centers for Medicare and Medicaid Services, published yesterday in Health Affairs. Underneath these macro-health economic numbers is the fact that inflation averaged 1.6% This means that health care spending grew twice the rate of inflation.

Health Insurance 54

Health Insurance Medicaid Medicaid Medicare 54

Kaiser Health News

JUNE 29, 2022

The watchdogs also recommended imposing limits on home-based “health assessments,” arguing these visits can artificially inflate payments to plans without offering patients appropriate care. Cathy Rodgers (R-Wash.) said she was “disappointed” CMS had punted, calling it a “missed opportunity.”

Medicare 106

Medicare Medicare Governance Overpayments 106

Health Populi

NOVEMBER 5, 2018

Governor Kasich has led the Buckeye State since 2011, and his second and final term ends in January 2019. The Governor expanded Medicaid under the Affordable Care Act in the State of Ohio, discussed in this insightful Washington Post article. “I When the Supreme Court made Medicaid expansion optional, Kasich didn’t hesitate.

Medicaid 91

Medicaid Medicaid Nursing Homes Nurses 91

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Health Populi

MAY 20, 2024

By contrast, Medicaid enrollment declines in 2023 saw Rx’s per enrollee up from 9 prescriptions to 10 in 2023. In the commercial payment sector of health plans, the number of prescriptions per enrollee fell from 23 to 22. Drug shortages impacting patient care are a new-normal to deal with in U.S.

FDA 71

FDA Medicaid Medicaid Medicare 71

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