Healthcare IT Today

OCTOBER 29, 2024

This new capital will help extend the company’s market leadership and momentum, by adding partnerships with more provider groups, growing payer coverage, servicing new employer partners, and expanding into Medicare populations beginning in 2025. Founded in 2014, Oak HC/FT has invested in over 85 portfolio companies and has over $5.3

Patient Satisfaction 106

Patient Satisfaction Health Insurance Medicare Medicare 106

HIT Consultant

DECEMBER 9, 2024

Founded in 2014 and headquartered in the San Francisco Bay Area, Cala Health is backed by leading healthcare and technology investors and is developing therapies in neurology, cardiology, and psychiatry. Improved clinical outcomes and patient quality of life.

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The Health Law Firm

AUGUST 30, 2013

Board Certified by The Florida Bar in Health Law On August 2, 2013, the Centers for Medicare and Medicaid Services (CMS) released the 2014 Inpatient Prospective Payment System (IPPS) Final Rule (the 2014 IPPS Final Rule). Indest III, J.D.,

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Healthcare IT News - Telehealth

DECEMBER 17, 2021

According to the indictment , starting in May 2014 the defendants and their co-conspirators allegedly used telehealth to generate prescriptions for compounded medications and durable medical equipment, regardless of medical necessity.

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Healthcare IT News - Telehealth

SEPTEMBER 19, 2022

in 2014 and 45.5% Reforming Medicare payment. The study, published in Mayo Clinic Proceedings, found that the prevalence of burnout among U.S. physicians was 62.8% in 2021, compared with 38.2% in 2020, 43.9% in 2017, 54.4% The result is that one in five physicians intends to leave their current practice within two years.

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Healthicity

OCTOBER 16, 2023

Medicare Advantage Compliance Under the Spotlight: Lessons from Cigna's $172 Million Settlement $172 million is a lot of money. It's also the amount that the Cigna Group recently agreed to pay to resolve allegations it violated the False Claims Act in relation to its Medicare Advantage (MA) plan enrollees. government joined the action.

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HIT Consultant

APRIL 11, 2022

Specializing in Medicare Value-Based Care Programs. Vytalize Health started as a Medicare-focused primary care practice in New York in 2014. The company will use the new capital to continue investing in its care delivery infrastructure, partner with Medicare Advantage and commercial plans, and expand its team. ”

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HealthIT Answers

NOVEMBER 14, 2022

By Jordan Rau - The federal government has eased its annual punishments for hospitals with higher-than-expected readmission rates in an acknowledgment of the upheaval the covid-19 pandemic has caused, resulting in the lightest penalties since 2014.

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Health Populi

JUNE 18, 2021

workers with private insurance more likely report poor access to health care, greater costs of care, and lower satisfaction with care versus people covered by public health insurance plans — whether Medicaid, Medicare, VHA or military coverage. Health Populi’s Hot Points: U.S. households.

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Health Populi

APRIL 8, 2019

That retirement cost gap is the sticker-shock assumption that Medicare is going to cover all health care expenses in retirement. The $285K also assumes the couple doesn’t have employer-sponsored retiree health care coverage and qualifies for “Original Medicare” (not Medicare Advantage, for example).

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Medicare Medicare Health Care Reform Nursing Homes 108

Hall Render

MARCH 12, 2025

Background of the Case Relator Rosales filed a qui tam action in June 2020 against a hospice care provider and its subsidiaries, alleging fraudulent conduct aimed at securing payments from Medicare and Medicaid.

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VW Health Care Law Blog

NOVEMBER 9, 2016

The Centers for Medicare and Medicaid Services finalized a rule in March 2014 that required healthcare providers prescribing medication, where the prescription is paid for by a Medicare Part D plan, to enroll in Medicare as a prescriber.

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The Health Law Firm

APRIL 21, 2014

Board Certified by The Florida Bar in Health Law For years, the Centers for Medicare and Medicaid Services (CMS) kept private its records on Medicare reimbursement payments made to physicians, however, on April 9, 2014, that all changed. Indest III, J.D.,

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The Health Law Firm

JANUARY 13, 2014

Board Certified by The Florida Bar in Health Law The Centers for Medicare and Medicaid Services (CMS) is proposing to exclude providers from Medicare if the government determines a pattern of abusive prescribing practices of Medicare Part D drugs. CMS described these efforts on January 6, 2014, in a proposed rule.

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Innovaare Compliance

AUGUST 24, 2023

Medicare Advantage plans (MAO) have been increasingly popular with Medicare eligible beneficiaries enrolling 51% of the eligible population in 2023 taking in $454 billion (or 54%) in Medicare spending. MLR measures the percentage of premium income and Medicare payments a Sponsor pays for medical claims.

Medicare 52

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The Health Law Firm

FEBRUARY 20, 2016

Circuit ordered the US District Court for the District of Columbia to reconsider a lawsuit seeking to compel the Department of Health and Human Services (HHS) to meet statutory deadlines for reviewing Medicare claims denials. The district court had decided that judicial intervention was not appropriate in such Medicare administrative cases.

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HIT Consultant

JULY 14, 2023

FCA Allegations The allegations contends that NextGen falsely obtained certification for its software in connection with the 2014 Edition certification criteria published by HHS’s Office of the National Coordinator. The whistleblowers in this case will receive $5.58M.

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HIPAA Journal

MARCH 20, 2025

Many of the hacking incidents between 2014 and 2018 occurred many months – and in some cases years – before they were detected. NY Health Plan 9,358,891 Hacking/IT Incident 10 2023 Perry Johnson & Associates, Inc. dba PJ&A NV Business Associate 9,302,588 Hacking/IT Incident 11 2023 Maximus, Inc.

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HIPAA Ransomware Compliance Hospitals 109

The Health Law Firm

DECEMBER 11, 2014

Board Certified by The Florida Bar in Health Law Stop me if you've heard this one before: the Centers for Medicare and Medicaid Services (CMS) recently increased Medicare's authority over physicians and other health care providers. On December 3, 2014, CMS released these new anti-fraud measures. Indest III, J.D.,

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The Health Law Firm

JUNE 4, 2014

The Health Law Firm On June 1, 2015, doctors and other health care providers will be under tighter restrictions when prescribing to Medicare Part D patients. Most health care providers are already enrolled in Medicare. Leider, J.D.,

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The Health Law Firm

JUNE 6, 2014

Under a rule finalized by the Centers for Medicare and Medicaid Services (CMS) on May 19, 2014, doctors and other health care professionals will be required to enroll in the Medicare program, or have a valid opt-out affidavit on file, for prescriptions to be covered under Part D. By Lance O. Leider, J.D., The Health Law Firm.

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The Health Law Firm

AUGUST 22, 2016

Board Certified by The Florida Bar in Health Law On July 11, 2016, a federal appeals court stated that a bankruptcy judge did not have the authority to block government health officials from cutting off Medicare and Medicaid payments to a Florida nursing home that was alleged to have violated patient-care regulations. Indest III, J.D.,

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Nursing Homes US Department of Health and Human Services Medicaid Medicaid 40

HIT Consultant

FEBRUARY 10, 2022

– The company plans to utilize the funds to grow our team and build on our growing customer traction with Medicare Advantage plans and hospital systems in value-based care delivery contracts. Intervene when it Matters Most. Such opportunities to intervene often occur at care transitions.

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Patient Satisfaction Hospitals Health Insurance Nurses 97

HIT Consultant

MARCH 2, 2023

Centers for Medicare and Medicaid Services (CMS) to continue its work supporting Healthcare.gov. – In 2014, Accenture Federal Services was awarded a prime contract to take over management of the Federally-Facilitated Exchange (FFE).

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Jane Sarashon

AUGUST 12, 2024

I’ve covered this study every year since 2011 here in Health Populi, continuing to add to this bar chart; in the interest of space and legibility, I started this year’s version of the chart at 2014, when the cost for a couple was gauged at $220K. The post The Health Care Costs for Someone Retiring in 2024 in the U.S.

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Medicare Medicare Hospitals Medical Billing 59

Med-Net Compliance

JULY 20, 2022

A federal jury convicted a New York ENT doctor for defrauding Medicare and Medicaid by causing the submission of false and fraudulent claims for surgical procedures that were not performed. Specifically, between January 2014 and February 2018, the doctor billed Medicare and Medicaid approximately $585,000 and was paid approximately $191,000.

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Fraud Doctors Medicare Medicare 59

HIPAA Journal

SEPTEMBER 11, 2023

In 2016, a media outlet reported that members of the health plan were able to access the protected health information (PHI) of other members via the online member portal over a 2-day period in 2014 due to a manual processing error. OCR informed L.A. Care Health Plan it had initiated a compliance review and in February 2016, L.A. The post L.A.

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HIPAA Compliance Medicaid Medicaid 96

Healthcare Law Blog

MAY 16, 2022

On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). With a few exceptions, the Final Rule is a wholesale codification of the proposed rule.

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Health Populi

FEBRUARY 21, 2023

This has been a consistent health consumer sentiment for a long time: here’s how I covered PwC’s study on The Wearable Future back in 2014. ” As employers increasingly pay attention to worker wellness and population health, the enterprise-coverage vision that PwC began to quantify in 2014 is (finally) gaining traction.

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Medical Device Industry Medicare Medicare FDA 62

HIT Consultant

JUNE 6, 2022

Founded in 2014 by former National Coordinator for Health IT, Farzad Mostashari, Aledade began building ACO networks for independent physicians through the Medicare Shared Savings Program, but now also partners with commercial payers across the country. Delivering Value-Based Primary Care.

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Medicare Medicare Doctors 52

Healthcare Compliance Blog

MARCH 16, 2022

In a March 11, 2022, release by the Northern District of Georgia’s Office of the Department of Justice, it was reported that an investigation determined a Georgia nursing home knowingly submitted claims for unreasonable, unnecessary, and unskilled services for Medicare patients. This amount was based on the nursing home’s ability to pay.

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Nursing Homes Nurses Overpayment Overpayments 59

Health Populi

OCTOBER 8, 2018

At the time of the signing of HITECH, Medicare and healthcare costs were seen as a key driver of America’s long-term deficit spending at this low point in the national economy. Some historical perspective is useful for context. Beyond the local economic effects, think about the larger region or State.

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Hospitals Health Insurance Health Outcomes Telemedicine 61

The Health Law Firm

JANUARY 2, 2014

Board Certified by The Florida Bar in Health Law On December 12, 2013, the US House of Representatives passed a three-month patch to stabilize physicians’ Medicare payments, delaying a nearly twenty-four percent (24%) cut in Medicare payments that was scheduled for physicians in 2014. Indest III, J.D.,

Medicare 40

Medicare Medicare 40

The Health Law Firm

FEBRUARY 14, 2014

Board Certified by The Florida Bar in Health Law After months of negotiations on how to revise Medicare's payment system for physicians, the bipartisan team of Senate and House committees have reached a deal on the policy. On February 6, 2014, lawmakers unveiled the agreement to repeal Medicare's sustainable growth rate (SGR).

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HIT Consultant

JULY 16, 2024

In January 2024, the Centers for Medicare and Medicaid Services (CMS) ruled that Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs) can now bill for RPM under new global coding. But there’s a lot of reasons to be optimistic. Since the company’s inception, they have raised over $40M.

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The Health Law Firm

MAY 29, 2014

Board Certified by The Florida Bar in Health Law Talk about cracking down on Medicare fraud. On May 14, 2014, a Brevard County radiation oncologist received his final judgment in a whistleblower Medicare fraud case. The doctor was charged with defrauding Medicare under the False Claims Act. By George F. Indest III, J.D.,

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The Health Law Firm

MARCH 6, 2014

Board Certified by The Florida Bar in Health Law The Centers for Medicare and Medicaid Services (CMS) continues to stop fraudulent repayment claims before they happen. The six-month moratorium began January 31, 2014. Indest III, J.D., Click here to read the press release from CMS.

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