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Settlement Agreed with Florida Children’s Health Insurance Website Contractor to Resolve False Claims Act Allegations

HIPAA Journal

FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18. FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida.

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Editorial: 5 Gaps in HIPAA and How They Are Being Filled

HIPAA Journal

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.

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Data Breach Affects 120,000 Priority Health Plan Members

HIPAA Journal

That investigation confirmed that the attackers had gained access to parts of its network that contained the protected health information of approximately 120,000 members of Priority Health’s health plans.

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Telehealth Awareness, Access and Adoption: Updates from J.D. Power, the ATA and FAIR Health

Health Populi

Power,” your mind probably imagines reviews of automotive performance, retail shopping experiences, or perhaps even health insurance plan customer service. Expanding its report-card role in the health ecosystem. In 2019, 28 states have payment parity policies for Medicaid. That is, mental health issues.

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As Nonprofit Hospitals Reap Big Tax Breaks, States Scrutinize Their Required Charity Spending

Kaiser Health News

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.

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CMS Updates IPPS Rates, Wage Index and DSH Uncompensated Care in 2024 Final Rule

Hall Render

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%

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California Handed Its Medicaid Drug Program to One Company. Then Came a Corporate Takeover.

Kaiser Health News

Prescription drug costs for California’s massive Medicaid program were draining the state budget, so in 2019 Gov. The new Medicaid drug program debuted this January, with a private company in charge. Centene was already a big player in state Medicaid drug programs — but one with a questionable record. SACRAMENTO, Calif.

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