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

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. Implications of altered health portfolios.

COVID-19 216

COVID-19 Hospitals Doctors Health Insurance 216

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

CMS.gov

JANUARY 31, 2019

As Poverty Awareness Month comes to an end this January, it’s a time for us to remember the strong relationship between poverty and health, and to consider the ongoing challenges of poverty among older adults. One in four Medicare beneficiaries has less than $15,000 in total savings, and almost one in 12 has no savings or is in debt. [1]

Medicare 49

Medicare Medicare Health Insurance Medicaid 49

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

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

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

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

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

Health Law RX

DECEMBER 21, 2023

Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is signaling that it is cracking down on healthcare organizations that fail to identify and address cybersecurity vulnerabilities as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA Rules).

HIPAA 52

HIPAA Ransomware Compliance Medicaid 52

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

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

MARCH 19, 2019

Payors have begun to recognize the value of nudging consumers toward over-the-counter products under Medicare Advantage plans. Some specific consumer health brands and categories were faster-growing than others: Garden of Life, Sambucol, Pedialyte, Nature’s Truth, among them. Globally, health care trust hit 67, and in the US, 61.

Health Insurance 63

Health Insurance Hospitals Medicare Medicare 63

Healthcare Law Blog

MARCH 7, 2023

The Centers for Medicare & Medicaid Services (“CMS”), on behalf of the U.S. Department of Health and Human Services (“HHS”), recently issued a proposed rule to adopt standards under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) for “health care attachment” transactions (the “Proposed Rule”).

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Medicaid Medicaid 52

Healthcare IT Today

AUGUST 25, 2022

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. Fetter retired as chairman and CEO of Tenet in late 2017. He also serves on the boards of Cardiovascular Systems Inc.

Licensing 52

Licensing Health Insurance Medicaid Medicaid 52

CMS.gov

JUNE 11, 2018

However, it is important for our beneficiaries across the country to know that the Centers for Medicare & Medicaid Services (CMS) is exploring all of our options to address this national crisis. These are just some of the ways we are looking to protect and care for people with Medicare.

Medicaid 20

Medicaid Medicaid Medicare Medicare 20

C&M Health Law

JANUARY 20, 2023

Volume 1 — Introductory Material, June 2019 with Errata HL7 Implementation Guide for CDA Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1,

HIPAA 52

HIPAA US Department of Health and Human Services Compliance Health Insurance 52

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. to approve Medicare’s negotiation of drug prices with pharmaceutical companies].

COVID-19 127

COVID-19 COVID-19 Vaccine Health Insurance Medicare 127

HIPAA Journal

MAY 29, 2023

It has been 27 years since President Clinton signed the Health Insurance Portability and Accountability Act (HIPAA) into law, but compliance is still proving a challenge for many HIPAA-regulated entities. The 2016-2017 HIPAA audit program identified many areas of noncompliance. million in 2018 to just $1.6 million in 2022.

HIPAA 105

HIPAA Compliance Due Diligence COVID-19 105

New Jersey Healthcare Blog

JANUARY 12, 2022

1791(c), the Department of Human Services, Division of Aging Services, Office of the State Health Insurance for the Aged and Disabled, readopted a rule regarding the Senior Gold Prescription Program Manual. 3A:58 by the Department of Children and Families in 2017. On October 18, 2021, at 53 N.J.R. See readopted N.J.A.C.

Licensing 40

Licensing Medicaid Medicaid Nurses 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. percent in 2019 and more insurers will enter the market—premiums are still far too high.

Health Insurance 55

Health Insurance ACA Medicaid Medicaid 55

Health Populi

MAY 8, 2019

Two-thirds of Rx’s were dispensed to treat chronic conditions, notably hypertension, mental health, lipid management, diabetes, and anti-coagulants. In 2018, we saw more incentives to inspire adherence to prescription drug regimens, particularly in Medicare Part D along with increasing focus by pharmacists and providers.

Prescription Drug Pricing 63

Prescription Drug Pricing Medicare Medicare Health Insurance 63

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

Health Populi

FEBRUARY 4, 2018

Furthermore, only 22% are satisfied with the cost of their health insurance plan, 18% are satisfied with the costs of healthcare services not covered by that insurance. In 2017, most workers adapted their use of health care services based on cost increases. The survey was conducted in June 2017 among 1,518 U.S.

Medicare 59

Medicare Medicare Health Insurance Doctors 59

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. In May 2017, AMIA called for the same , and the issue is getting the traction it merits. such as in the U.K.

US Department of Health and Human Services 130

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

CMS.gov

NOVEMBER 26, 2018

Proposed Changes to Lower Drug Prices in Medicare Advantage and Part D. Medicare Part D. Proposed Changes to Lower Drug Prices in Medicare Advantage and Part D. Today the Centers for Medicare & Medicaid Services (CMS) announced proposed changes to Medicare Part D to lower prescription drug costs for beneficiaries.

Medicare 52

Medicare Medicare Pharmaceutical Industry Health Insurance 52

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). FarmboxRx works with providers and insurers in the U.S.

COVID-19 64

COVID-19 Public Health Medicaid Governance 64

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 Medicare Medicare Health Insurance 91

Health Populi

OCTOBER 1, 2018

I’ve talked about the importance of connectivity as a social determinant of health here on this site in December 2017, as well as in July 2016 in the Huffington P ost (appropriately published in the “Life/Wellness” section).

Health Insurance 93

Health Insurance Public Health Health Care Access Medicare 93

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. in the second half of 2022, families and households faced financial stress that strained peoples’ ability to make ends meet… and that included health care, as 5.7

Prescription Drug Pricing 52

Prescription Drug Pricing Health Insurance Medical Billing Doctors 52

Health Populi

MAY 14, 2018

Incentives for lowering list prices for medicines, such as FDA requiring that drug companies include list prices in ads and bringing more transparency to Medicare drug pricing and generic competition, and. 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

Medicare posts key nursing home staffing info for consumers. Former UAMS employee exposes 518 patients’ health information. Medicare scheme. Arkansas health officials weigh in on mask debate, warn of fake masks. Florida health officials face hurdles with limited supply of monoclonal antibody from government.

COVID-19 40

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

Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M NATIONAL Addressing Staff Burnout In Healthcare Design Amazon completes $3.9B Can Hospitals Change in Time to Keep Them?

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

APRIL 21, 2023

Mississippi Dept.

US Department of Health and Human Services 40

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

Health Populi

DECEMBER 6, 2018

In 2006, Medicare Part D launched, which may have boosted consumers’ faith in Federal healthcare programs. 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

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. ” The health plan required patients to have an X-ray first to prove a CT scan was needed.

Medicare 107

Medicare Medicare Governance Overpayments 107

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 111

ACA Health Insurance Medicaid Medicaid 111