HIPAA Journal

NOVEMBER 15, 2022

Five former employees of Methodist Hospital in Tennessee have been indicted by a federal grand jury in Memphis for criminal violations of the Health Insurance Portability and Accountability Act (HIPAA) for impermissibly accessing the protected health information of patients and providing that information to another individual for financial gain.

HIPAA 111

HIPAA Hospitals Health Insurance 111

HIPAA Journal

MARCH 29, 2024

BWPO said the backup file included data from January 1, 2017, to May 1, 2019, including names, addresses, phone numbers, dates of birth, medical record numbers, health insurance numbers, and limited clinical information, such as lab results, procedures, medications, and diagnoses related to care provided at BWPO.

Ransomware 77

Ransomware HIPAA Health Insurance 77

HIPAA Journal

FEBRUARY 28, 2023

Department of Health and Human Services (HHS) has restructured its Office for Civil Rights (OCR) and has created new divisions that will help improve the enforcement of HIPAA and civil rights laws and clear the current backlog of complaints and investigations.

HIPAA 106

HIPAA Health Insurance Compliance 106

HIT Consultant

DECEMBER 11, 2023

What You Should Know: – Health insurer Cigna has called off its attempt to acquire rival Humana after failing to reach an agreement on price, according to sources familiar with the matter, CNBC first reports. This latest development highlights the ongoing challenges of consolidation in the sector.

Medicare 52

Medicare Medicare Health Insurance Health Outcomes 52

HIT Consultant

NOVEMBER 29, 2023

What You Should Know: – Cigna and Humana are in talks to merge in a deal that would create a US health insurance giant worth $140B and provide a significant test for antitrust authorities. Both companies have previously had deals blocked.

Health Insurance 52

Health Insurance 52

Healthcare Law Blog

MARCH 25, 2022

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. Once the new rules were published, Vista Health Plan, Inc., 2018 Final Rule, 83 Fed.

ACA 52

ACA US Department of Health and Human Services Health Insurance Medicaid 52

HIPAA Journal

JULY 3, 2024

A Seattle, WA, plastic surgery practice has been ordered to pay a financial penalty of $5 million to the Office of the Washington Attorney General to resolve alleged violations of the Health Insurance Portability and Accountability Act (HIPAA), Washington Consumer Protection Act (CPA), and the federal Consumer Review Fairness Act (CRFA).

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HIPAA Health Insurance Doctors Compliance 117

HIPAA Journal

MAY 18, 2023

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA). million 78.8 million 78.8 million 78.8 million 78.8

HIPAA 103

HIPAA Compliance Ransomware Hospitals 103

Health Populi

APRIL 24, 2018

Among these people, healthcare trust fell by 20 percentage points between 2017 and 2018, a “crash” (Edelman’s descriptor) from 75 percent to 55%. Biotech is roughly tied for second place with consumer health, dropping also by 7 points. Pharma is the only segment among the five healthcare businesses where U.S.

Health Insurance 74

Health Insurance Fraud Hospitals Nurses 74

CMS.gov

SEPTEMBER 13, 2019

Census Bureau released their annual report on health insurance coverage in the United States which shows the number of uninsured Americans rose from 2017 to 2018.

Health Insurance 56

Health Insurance 56

The Health Law Firm

NOVEMBER 4, 2021

Board Certified by The Florida Bar in Health Law On October 7, 2021, 18 former NBA players were charged in New York federal court for an alleged health insurance fraud scheme to rip off the league's benefit plan, according to an indictment filed in the Southern District of New York. Indest III, J.D.,

Fraud 40

Fraud Health Insurance 40

HIT Consultant

AUGUST 8, 2022

Wall Street has largely focused on CVS’s efforts to add primary-care practices and doctors to its payroll, though executives have also discussed their ambitions to expand its in-home health presence. New York-based private-equity firm New Mountain Capital is an investor in Signify after first backing it in 2017. B last month.

Governance 97

Governance Medicare Medicare Health Insurance 97

HIPAA Journal

AUGUST 3, 2022

The health insurer Aetna ACE is one of the latest healthcare organizations to announce it has been affected by a ransomware attack on a mailing vendor, which involved the protected health information of 326,278 plan members. Aetna also experienced another mailing-related data breach in 2017 that affected 12,000 individuals.

Ransomware 135

Ransomware HIPAA Health Insurance 135

Total HIPAA

NOVEMBER 15, 2023

This isn’t just about ticking off a checklist; it’s about safeguarding the future of your organization, whether you’re a medical practice, a health insurance agent, a self-funded employer, or a business associate in the healthcare realm.

HIPAA 98

HIPAA Compliance Due Diligence Health Insurance 98

HIPAA Journal

MARCH 29, 2022

The Department of Health and Human Services’ Office for Civil Rights (OCR) has announced its first financial penalties of 2022 to resolve alleged violations of the Health Insurance Portability and Accountability Act (HIPAA). Three of the cases were settled with OCR, and one resulted in a civil monetary penalty being imposed.

HIPAA 126

HIPAA Compliance Health Insurance 126

Health Populi

MAY 20, 2021

Year-on-year, different spikes and ups-and-downs call out for special mention, such as: Pharma’s 13-point steep dive to 38% between 2017 and 2018, dramatically recovering by 9 points in the last year to 47% [with the wild card here of whether U.S. Consumer health’s fall from 63% in 2019 to 51% in 2020.

COVID-19 127

COVID-19 COVID-19 Vaccine Health Insurance Medicare 127

HIPAA Journal

MARCH 23, 2022

Webb Mason provided patient data to Quantum Group in 2017 to assist with marketing efforts for Highmark, and that information has potentially been accessed by unauthorized individuals. Highmark Inc., Highmark stressed that its own IT systems were not compromised. Notification letters have been sent to affected patients.

HIPAA 130

HIPAA Licensing Health Insurance Governance 130

Health Populi

JANUARY 9, 2019

All health/care is retail now in America. who have health insurance must take on a deductible of some amount, which compels that insured individual to spend the first dollar on medical services up until they meet their financial commitment. I say this as most people in the U.S. In the median U.S.

Health Insurance 94

Health Insurance FDA 94

HIPAA Journal

JUNE 2, 2023

An Arizona man has been sentenced to 54 months in jail for aggravated identity theft and criminal violations of the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA 58

HIPAA Fraud Health Insurance Compliance 58

HIPAA Journal

NOVEMBER 3, 2022

The breach involved names, Social Security numbers, dates of birth, driver’s license numbers, financial account information, health insurance policy numbers, medical record numbers, Medicaid/Medicare IDs, and health information, including diagnosis and treatment information.

HIPAA 68

HIPAA Health Insurance Licensing Medicaid 68

HIT Consultant

OCTOBER 23, 2024

The doctors will review the information before saving it in electronic medical records (EMRs) and transferring it to other digital health systems, i.e., e-pharmacy or digital health insurance.

Telemedicine 121

Telemedicine Doctors Electronic Medical Records COVID-19 121

Health Populi

FEBRUARY 14, 2018

Three factors will drive healthcare costs to 2026: prices for medical goods and services, changes in income growth, and shifting enrollment from private health insurance to Medicare — driven by the aging of Boomers. per year, 2017-26, expected to hit $5.7 The annual growth rate of medical spending will be 5.5%

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79

Health Populi

JUNE 8, 2022

Consider: fighting health insurance appeals, crafting countless medical necessity letters, justifying being discharged against medical orders, and other battles fought hand-in-hand with her husband on behalf of Emmett and his well-being.

Patient Advocacy 174

Patient Advocacy Health Insurance Nurses 174

Health Populi

MARCH 22, 2018

“These costs may have considerable adverse consequences,” calling out the Oregon Health Insurance Experiment which saw that these adverse impacts can be helped by health insurance coverage. health citizens of the economic hardship of high-cost health problems.

Hospitals 67

Hospitals Health Insurance Medical Billing 67

HIPAA Journal

MARCH 11, 2022

Protenus has been releasing annual Breach Barometer reports since 2016, and the number of healthcare data breaches has increased every year, with the number of breached records increasing every year since 2017. 905 incidents are included in the report, which is a 19% increase from 2020.

HIPAA 117

HIPAA Ransomware Health Insurance 117

Health Populi

MAY 30, 2018

This is important because in 2017, one in four new drugs approved by the FDA were designed to treat a small population, falling. An essay in Health Affairs speaks to Data Sharing For Precision Medicine: Policy Lessons and Future Directions, written by a team of researchers based in Zurich a the Swiss Federal Institute of Technology (ETH).

Informed Consent 69

Informed Consent FDA Health Insurance HIPAA 69

Health Populi

SEPTEMBER 19, 2019

This latter point suggests that for these people, there may be concern that their current health insurance coverage could be limited or otherwise “shrink” based on next year’s potentially slimmed-down health plan. Health care costs are a pocketbook issue for families at all income levels in the U.S.

Health Insurance 79

Health Insurance Hospitals 79

Health Populi

APRIL 23, 2018

in 2017 after accounting for discounts and rebates. a report from the IQVIA Institute for Health Data Science. a report from the IQVIA Institute for Health Data Science. The report reviews medicines spending in 2017 looking forward to 2022. billion prescriptions dispensed in 2017, and generic drugs accounted 90% of them.

Doctors 48

Doctors Health Insurance FDA 48

HIT Consultant

DECEMBER 26, 2023

day average wait for a new family medicine appointment is a 30% reduction in wait times since the last survey in 2017. He has more than 25 years of entrepreneurial and executive experience in the American and international health technology and insurance industry. New market competitors see an opportunity. What changed?

Governance 59

Governance Health Insurance 59

Health Populi

SEPTEMBER 5, 2018

The largest patient experience workflows included shopping for health insurance, preparing to see a healthcare provider, connecting with that provider, managing a diagnosis, shopping for services, receiving treatment, and finally, paying for the services. Experian surveyed 1,000 consumers in September 2017 for this study.

Health Insurance 63

Health Insurance Medical Billing Medicaid Medicaid 63

HIPAA Journal

JANUARY 6, 2023

Washington Attorney General Bob Ferguson is suing a plastic surgery provider for falsely inflating online ratings, bribing, and threatening patients, and alleges the actions of the practice violated the Health Insurance Portability and Accountability Act (HIPAA) Rules. The lawsuit was filed in the U.S.

HIPAA 86

HIPAA Health Insurance Compliance 86

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

SEPTEMBER 4, 2018

Nearly all Americans (86% net responsible) first blame health insurance companies, followed by hospitals (82%). I wrote my first post on Health Populi nearly eleven years ago Labor Day week 2007. .” In 2017, healthcare made up 18.2% Who’s responsible? of the U.S.

Medical Billing 47

Medical Billing Health Insurance Doctors Hospitals 47

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

HIPAA Journal

MAY 19, 2023

The app allows users to upload pictures of ovulation test strips that the app analyses to predict the user’s next ovulation cycle and the app allows users to upload health data from other devices and apps.

HIPAA 97

HIPAA Health Insurance 97

Health Populi

AUGUST 8, 2018

The first chart shows consumers’ concerns about health care expenses over time, comparing perceptions in 2009 and 2017. By 2017, just under one-half of Americans were concerned about healthcare and health insurance costs, and 34% concerned about routing medical expenses.

Health Insurance 81

Health Insurance Hospitals Doctors 81

Health Populi

JUNE 1, 2022

MMI 2018 Health Care for Typical Working Family of Four in America Will Cost $28,166. MMI 2017 Health Care Costs for Family of Four Will Reach $27,000 in 2017. MMI 2019 Milliman Finds PPO for Family of 4 in 2019 Will Cost $28,386.

COVID-19 87

COVID-19 Hospitals Public Health Health Insurance 87