Healthcare Compliance Blog

MARCH 31, 2022

The agencies received millions of dollars in funding from Medicaid, which is funded in part by the federal government, and much of that money was meant to pay the wages and benefits of their aides. It can also include health insurance, pension plans, or educational assistance. million to the Unites States and $2.4

Medicaid 59

Medicaid Medicaid Governance Fraud 59

Health Populi

FEBRUARY 27, 2020

Note how health insurance, in particular, swelled as a component of family budgets more than housing, transportation, and college education. The table (Appendix: The Cost-of-Thriving Data) organizes the growing costs by household line item including housing, health insurance, transportation and college. In the U.S.,

Health Insurance 96

Health Insurance Public Health Governance 96

Health Populi

JANUARY 30, 2020

has health insurance coverage, the third chart tells us. Note that the same proportions of higher-income and middle-income Americans call out a high priority for the Federal government to make sure all Americans have health insurance. Health Populi’s Hot Points: Over the past twenty years in the U.S.,

Health Insurance 79

Health Insurance Public Health Medicare Medicare 79

Health Populi

NOVEMBER 1, 2018

Among people who have health insurance, managing the costs of their medical care doesn’t rank as a top frustration. Instead, attending to health and wellbeing, staying true to an exercise regime, maintaining good nutrition, and managing stress top U.S. health-insured adults in July 2018.

Health Insurance 73

Health Insurance Doctors Medicaid Medicaid 73

Health Populi

FEBRUARY 18, 2018

The report analyzes results of a survey of over 2,000 Change Healthcare customers (from academia, government, technology vendors, hospitals, providers, and health plans), conducted in October-November 2017. Remember that health insurers rank very low on consumer experience compared with retailers and grocers.

Health Insurance 104

Health Insurance Health Outcomes Governance Compliance 104

Health Populi

MARCH 7, 2018

As I wrote here in April 2017, telehealth and virtual healthcare are mainstreaming. The evidence for telehealth’s tipping point is rooted in new research published today by Accenture on Patients + Doctors + Machines, Accentures’ 2018 Consumer Survey on Digital Health. Accenture surveyed 2,301 U.S.

Telemedicine 76

Telemedicine Patient Satisfaction Health Insurance Nurses 76

Health Populi

MARCH 1, 2018

“Health agencies will have to become at least as sophisticated as other consumer/retail industries in analyzing a variety of data that helps uncover root causes of human behavior,” Gartner recommended in 2017. That’s because “health” is not all pre-determined by our parent-given genetics.

Health Insurance 82

Health Insurance Medicaid Medicaid Public Health 82

Redox

SEPTEMBER 13, 2021

Many of us have experienced a prior authorization (PA) process – when a doctor requests approval from a health insurance company before providing a medical service or treatment. Approval indicates the insurer will pay when they get the bill. What is prior authorization?

Health Insurance 59

Health Insurance Doctors Governance Hospitals 59

Health Populi

OCTOBER 28, 2019

Cost concerns are playing into peoples’ perspectives on health care reform proposals, with a majority of survey respondents saying they’d be more likely to vote for a candidate that would support expanding private health insurance reforms versus scrapping commercial insurance for a Medicare for All proposal.

Single Payer Health Care 54

Single Payer Health Care Medical Billing Health Care Reform Governance 54

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

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 IT Today

AUGUST 25, 2022

Jain, physician executive with government, pharmaceutical, payer and provider experience, joins Board. Fetter also launched adjacent businesses—Conifer Health Solutions and United Surgical Partners International—which are now multi-billion-dollar enterprises and leaders in their respective fields. and Make-A-Wish America.

Licensing 52

Licensing Health Insurance Medicaid Medicaid 52

Healthcare IT News - Telehealth

DECEMBER 16, 2020

The virtual trial, to be sure, is not a new concept: One team of researchers counted more than 1,100 trials listed on ClinicalTrials.gov employing connected digital products for remote data collection in both 2017 and 2018, the organization observed. " Healthcare organizations also need to convene regional collaborations, HRI said.

COVID-19 214

COVID-19 Hospitals Doctors Health Insurance 214

Health Populi

APRIL 1, 2019

Health Populi’s Hot Points: VisitPay included this third line chart in the report, more closely looking at household income cohorts. In quintiles, 2017 median income ranged from the bottom fifth of homes with $13K, fourth group $35K, middle quintile $61K (close to the median overall), second group at $99K, and top at $221K. .”

Medical Billing 113

Medical Billing Doctors Governance Hospitals 113

Health Law RX

MARCH 27, 2023

For example, between 2017 and 2018, BetterHelp allegedly provided Facebook with lists of over 7 million consumers’ email addresses, and Facebook then matched over 4 million of these consumers with their Facebook accounts, targeting these individuals and similar users with advertisements. Evaluate your compliance staffing needs.

HIPAA 52

HIPAA Compliance Health Insurance Governance 52

Health Populi

FEBRUARY 4, 2019

Consumers point to some organizations that they perceive may be working against their better health: these include fast food manufacturers, the entertainment industry, food processors (“Big Food”), the media, government agencies, and health insurance companies.

Nurses 124

Nurses Doctors Public Health Medical Billing 124

Healthcare Law Blog

JANUARY 10, 2022

Enrollee Participation in Plan Governance (§ 422.107). CMS believes its proposals would improve Federal and State oversight of certain D-SNPs (and their affiliated MCOs) through greater information-sharing among government regulators. just three denials since 2017). Key provisions of the Proposed Rule are summarized below.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

SQA

JUNE 10, 2021

183/2017, which provides the procedures to obtain the Brazilian Good Manufacturing Practices (BGMP) Certification for medical devices. Health Canada – Biologics. Backgrounder – Government of Canada Investments in Biomanufacturing, Development of COVID-19 Vaccines and Therapeutics, and Research, 18 May 2021.

COVID-19 52

COVID-19 FDA COVID-19 Vaccine Compliance 52

HIPAA Journal

JANUARY 2, 2023

In March 2017, an employee of New Jersey-based BioReference Laboratories was terminated from their position for failing to securely dispose of documents containing the PHI of 1,772 patients. Also in 2017, an employee of Lowell General Hospital in Massachusetts was fired for snooping on the healthcare records of 769 patients.

HIPAA 110

HIPAA Compliance Hospitals Medicare 110

Health Populi

NOVEMBER 22, 2019

.: Relatively high levels of obesity are literally weighing down Americans’ health status, contributing to higher rates of diabetes, raising risks for many cancers, and reversing gains made in heart disease. The 2017 U.S. But in the latter five-year period, 2012-2017, life expectancy gains in the U.S.

Health Insurance 99

Health Insurance Doctors Governance Hospitals 99

HIT Consultant

JULY 28, 2022

In the first half of 2022, we have observed that a few sectors saw their median multiples tick up relative to the period between January 2017 – December 2021, namely Analytics (by 1.3x), Infrastructure Technology (by 0.9x), and RCM Services (by 0.7x). With low unemployment, wages are gaining but at a lower rate than prices overall. ?

US Department of Health and Human Services 97

US Department of Health and Human Services COVID-19 Health Insurance Telemedicine 97

Health Populi

JULY 1, 2019

To address that challenge, in 2017 PLM secured a $100 million (controlling interest) investment from iCarbonX , a Chinese company that is amassing patient data to discover cures for disease. And none of these laws apply in the context of life insurance. But the U.S. citizens’ personal data. Should it be? Hell, yes it could.

Health Insurance 86

Health Insurance Pharmaceutical Industry HIPAA Bioethics 86

Health Populi

OCTOBER 12, 2018

I wrote this post on the deal as an inflection point in American healthcare on 3rd December 2017 when CVS and Aetna announced their marriage intentions. This post updates my initial thoughts on the deal, given the morphing US healthcare market on both the traditional health services front and fast-evolving retail health environment.

US Department of Health and Human Services 61

US Department of Health and Human Services Prescription Drug Pricing Health Insurance Medicare 61

Jane Sarashon

DECEMBER 13, 2021

Between 2017 to 2021, there was also significant movement in a few other areas: identity and self-esteem (up 11 points from 2017), as well as control and reality (up 7 points between 2017 to 2021). affected by behavioral health conditions: mental health and substance use disorders,” GAO highlighted.

COVID-19 64

COVID-19 Public Health Governance Medicaid 64

Jane Sarashon

SEPTEMBER 9, 2022

Peoples’ highest ratings of industry in American occurred in 2017 when nearly 50% of people gave business a very or somewhat positive grade. The year-on-year decline from 2021 find oil and gas at the lowest level of positivity, advertising/PR, legal, the Federal government, and pharma at the bottom of the ratings.

Prescription Drug Pricing 52

Prescription Drug Pricing Health Insurance Medical Billing Doctors 52

Health Populi

FEBRUARY 4, 2018

Health care ranks highest among working Americans as the top critical issue facing the country, well above terrorism, the role of the Federal government, unemployment and jobs, education, immigration and taxes. healthcare is based largely on cost: one-half of workers experienced an increase in health care costs in the past year.

Medicare 59

Medicare Medicare Health Insurance Doctors 59

Health Populi

DECEMBER 30, 2019

The goal of the research was to study the lifestyle behaviors of staff working in three federal agencies to create health-risk profiles of government employees in the Bureau of Printing, the Pension Benefit Guaranty Corporation, and the DHHS itself. Connectivity can happen in other ways and bolster wellness: consider art-as-medicine.

US Department of Health and Human Services 130

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

Health Populi

MAY 22, 2018

Thus, employees’ share of health care costs will approach 20% of family income in 2018 for the typical working family covered by health insurance, based on this year’s Milliman Medical Index. The median income for a family of four in the U.S. was $59,214 in February 2018.

Hospitals 91

Hospitals Health Insurance Medicare Medicare 91

HIPAA Journal

MARCH 17, 2023

Considering the Health Insurance Portability and Accountability Act (HIPAA) is now in its third decade, the Privacy Rule took effect 20 years ago, and compliance with the HIPAA Security Rule has been mandatory for 18 years, there have been relatively few financial penalties over the years, with just 130 imposed by OCR to resolve HIPAA violations.

HIPAA 100

HIPAA Compliance Health Insurance Governance 100

Health Populi

MAY 14, 2018

Seniors and government programs over-paying for drugs. High and rising out-of-pocket costs for health consumers. Foreign governments’ “free-riding” Americans’ investment in innovation. health consumers/voters want to see, shown in the second graph.

Prescription Drug Pricing 48

Prescription Drug Pricing Governance ACA Medicare 48

Hall Render

JANUARY 28, 2022

Florida health officials face hurdles with limited supply of monoclonal antibody from government. Study finds employees in Florida pay among the highest rates for health insurance. Bayada Home Health Care laying off 682 employees in Tampa Bay area. SSM Health To Open New Outpatient Clinic In Wisconsin.

COVID-19 40

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

Health Populi

DECEMBER 6, 2018

believe that the Federal government should ensure that their fellow Americans, a new Gallup Poll found. This asked people whether they would prefer a government-run health system. Most say, “no,” a proportion falling from the high of 47% “yes” in 2017 to 40% this year. Most people in the U.S.

Governance 73

Governance Medical Billing Medicaid Medicaid 73

Health Populi

AUGUST 29, 2018

Protecting pre-existing conditions in health insurance outranks lowering the price of prescription drugs and repealing the ACA, voters say. On a party-identification basis, this sentiment is shared across a majority of Democrats, Independents and Republicans, the third chart illustrates.

ACA 48

ACA Health Insurance Medical Billing Public Health 48

Kaiser Health News

JUNE 29, 2022

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. billion in 2017 for diagnoses backed up only by the health assessments; she said 3.5

Medicare 107

Medicare Medicare Governance Overpayments 107

Hall Render

APRIL 21, 2023

Mississippi Dept.

US Department of Health and Human Services 40

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

Kaiser Health News

JUNE 13, 2024

. “There were a number of practices used by insurance companies to essentially protect themselves from the costs associated with people who have preexisting conditions,” said Sabrina Corlette , a co-director of the Center on Health Insurance Reforms at Georgetown University and an expert on the health insurance marketplace.

ACA 110

ACA Health Insurance Medicaid Medicaid 110

Health Populi

MAY 10, 2018

by the fourth quarter of 2017, up 1.3 2017 reversed advancements in health insurance coverage increases since the advent of the Affordable Care Act, and for the first time since 2014 no states’ uninsured rates fell. ” That’s because being health-insured is a social determinant of health.

Health Insurance 75

Health Insurance Prescription Drug Pricing Medical Billing Governance 75