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. See Vista Health Plan, Inc. United States Dep’t of Health & Hum.

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

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”).

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US Department of Health and Human Services HIPAA Medicaid Medicaid 52

C&M Health Law

JANUARY 20, 2023

This builds on the HIPAA Transactions Rule standards for financial and administrative transactions among health care providers and health plans and aligns with Department of Health and Human Services (HHS) interoperability regulations.

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

HIT Consultant

JULY 28, 2022

Since 2008, the US economy functioned with remarkably low inflation and interest rates. We leveraged our experience executing transactions, extensive network, and market analysis from our 16-year history of advising and selectively investing across the ever-evolving Health IT and Digital Health sectors to gather key market information.

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Health Populi

AUGUST 19, 2019

Data security breaches, access challenges, and privacy leakages plague the current state of Americans’ personal health information (PHI). The Scorecard was developed to gauge the progress (and lack thereof) of patient information access afforded by peoples’ health care providers. What did Ciitizen learn from this process?

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US Department of Health and Human Services HIPAA Hospitals Electronic Medical Records 82

Health Populi

DECEMBER 30, 2019

the health/care ecosystem warmly embraced social determinants of health as a concept in 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. CVS building out an SDOH platform , collaborating with Unite US for the effort.

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

Health Populi

OCTOBER 12, 2018

CVS Health’s acquisition of Aetna was approved this week by U.S. 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. Federal regulators after months of scrutinizing the antitrust-size-market control implications of the deal.

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