Kaiser Health News

JANUARY 19, 2022

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. The new broker provision aims to deter fraudulent sign-ups by clarifying that applicants must attest that the income projections listed are correct.

ACA 80

ACA Health Insurance Licensing Governance 80

Healthcare IT Today

DECEMBER 17, 2023

Though this is a significant increase from 2012, numbers haven’t budged much since 2015. eClinicalWorks completed Phase 1 of the QHIN application process , while the CommonWell Health Alliance intends to complete its application in early 2024 amid launching a new platform.

Hospitals 95

Hospitals Nurses Compliance Regulatory Compliance 95

Healthcare IT Today

APRIL 10, 2023

Uncle Roy spent years on dialysis and passed away after having a stroke in 2015. Uncle Roy’s story is not unique; the individual behaviors that people with chronic conditions perform on a daily basis are the most important determinant of future health outcomes. Medicare Advantage, Medicaid, ACA/Exchange) that share in our mission.

Health Outcomes 111

Health Outcomes ACA Hospitals Doctors 111

Healthcare IT News - Telehealth

DECEMBER 16, 2020

” Stronger forecasting could help health services providers predict volumes by service lines and sites of service, as well as plan for clinician staffing, personal protective equipment needs and vaccine distribution, HRI said. Implications of altered health portfolios.

COVID-19 218

COVID-19 Hospitals Doctors Health Insurance 218

HIPAA Journal

JULY 3, 2024

During the 1970s and 1980s, an increasing number of organizations in the healthcare and health insurance industries adopted Electronic Data Interchanges (EDIs) to accelerate manual healthcare processes such as eligibility checks, treatment authorizations, and remittance advices.

HIPAA 56

HIPAA Medicaid Medicaid Compliance 56

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 52

Compliance HIPAA Telemedicine ACA 52

HIT Consultant

APRIL 12, 2022

Second, the number of unpaid family caregivers in the United States increased by nearly 10 million people between 2015 and 2020 to 54 million. Through interpersonal communication and technology, DUOS identifies and addresses the individual needs of older adults by leveraging Medicare benefits, trusted partners, and local service providers.

Medicare 52

Medicare Medicare COVID-19 Health Insurance 52

Health Populi

JUNE 13, 2018

. “Employer health spending has grown from 6 percent of total wages in 1988 to more than 12 percent in 2018,” driven by healthcare prices growing faster than the general economy, and the adoption of new technologies, procedures, and increasingly expensive new prescription drugs, PwC observes. economy by 2026.

Medicaid 63

Medicaid Medicaid Health Insurance Medicare 63

CMS.gov

AUGUST 23, 2018

But did you know that you can also enroll in an HSA-eligible High Deductible Health Plan (HDHP) in the individual health insurance market through HealthCare.gov? Coupling an HSA-eligible HDHP with a Health Savings Account is often something that employers offer to provide for their employees. Percentage [3].

Health Insurance 42

Health Insurance Medicare Medicare 42

HIT Consultant

FEBRUARY 7, 2022

Medicare and Medicaid have an obligation to taxpayers who are paying into the system to help as many people as possible. If a health insurance company’s risk pool is warped toward people who are very sick and don’t have decent access to healthcare, it’s going to make that health plan a lot less profitable, increasing premiums for everyone.

Doctors 98

Doctors COVID-19 Health Outcomes Health Insurance 98

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). OCR can impose civil money penalties up to $1.5

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

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”). 1] Kaiser Family Foundation, Medicaid Postpartum Coverage Extension Tracker (Mar. 31, 2022). [2]

Medicaid 52

Medicaid Medicaid ACA Public Health 52

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.

Medicare 20

Medicare Medicare Overpayments Overpayment 20

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). OCR can impose civil money penalties up to $1.5

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

HIPAA Journal

DECEMBER 31, 2022

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was introduced to simplify the administration of healthcare, eliminate wastage, prevent healthcare fraud, and ensure employees could maintain healthcare coverage between jobs. What is HIPAA and Who Does It Apply To? What are the 3 types of HIPAA violations?

HIPAA 133

HIPAA Due Diligence Compliance Fraud 133

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

Hall Render

APRIL 22, 2022

San Francisco’s Laguna Honda Hospital Loses Medicaid, Medicare Funding. SuperCare Health sued after data breach of 318,000 patient files. Sutter Health: Nurses who staged 1-day strike must wait 5 days to return to work. Thousands of health care workers strike over staffing, COVID protocols, pay.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

JANUARY 3, 2025

in Medicare fraud settlement 10 behavioral health policy changes taking effect in 2025 An uncertain era for Stark law: 12 updates in 2024 CMS launches campaign to support nursing home staffing rule CMS taps 4 states for behavioral innovation model: 5 things to know Epic files to dismiss antitrust lawsuit Healthcare company to pay $15.2

Nursing Homes 40

Nursing Homes Fraud Nurses Hospitals 40

Hall Render

DECEMBER 29, 2023

hospitals for maternity care UMass Memorial Medical Center to reinstate caregiver mask mandate Massachusetts health system sees over $17M FY ’23 profit Mass. system turns profit for 1st time in 4 years Mass.

Nursing Homes 40

Nursing Homes US Department of Health and Human Services COVID-19 Nurses 40

Hall Render

DECEMBER 22, 2023

health care spending hits $4.5 Yale New Haven sale key to Prospect hospitals’ survival, CEO says YNHH sale ‘paramount’ to CT Prospect hospitals’ survival, CEO says Connecticut hospital cut ED visits by nearly 50% Hartford HealthCare unveils new ‘health desk’ model Connecticut physician sentenced for $2.6M

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40

CMS.gov

OCTOBER 22, 2018

New State Relief and Empowerment Waiver Guidance Gives States Tools to Help Fix Broken Health Insurance Markets. Administrator, Centers for Medicare & Medicaid Services. million Americans remain without health insurance. keya.joy-bush@…. Mon, 10/22/2018 - 16:57. Seema Verma. Affordable Care Act.

Health Insurance 55

Health Insurance ACA Medicaid Medicaid 55

Health Populi

DECEMBER 30, 2019

A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor. Humana’s Bold Goal initiative targeting Medicare Advantage enrollees. CVS building out an SDOH platform , collaborating with Unite US for the effort.

US Department of Health and Human Services 130

US Department of Health and Human Services Prescription Drug Pricing Public Health Medicare 130

Health Populi

JUNE 3, 2021

So you might think that the most important public priority for Congress might have something to do with COVID-19, vaccines, or health insurance coverage. Methodology-wise, the June 2015 KFF Poll analyzed opinions of 1,526 adults 18 and over living in the U.S. People living in the U.S. On the cost-front, 90% of U.S.

Governance 71

Governance COVID-19 Vaccine COVID-19 Medicare 71

Hall Render

APRIL 21, 2023

Billion in Community Benefit in 2021 OhioHealth buys land in Canal Winchester – 3 miles from competitor’s ER Quipt Home Medical inks $26M stock deal with Beacon Securities, Canaccord Genuity Corp.,

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Drug & Device Law

NOVEMBER 9, 2023

The FDA’s chief concern about off-label communications from manufacturers has less to do with the safety of such uses − many of which are medical standard of care and Medicare reimbursable − than with the agency’s own bureaucratic imperative. Caronia , 703 F.3d 3d 149 (2d Cir. 2012); Amarin Pharma, Inc. FDA , 119 F. 3d 196 (S.D.N.Y.

FDA 64

FDA Health Insurance Nurses Medicare 64