HIT Consultant

SEPTEMBER 20, 2022

Currently, less than 2% of the health insurance population requiring specialty drugs is responsible for 51% of drug spending. With Lyfegen’s patent-pending platform, health insurances & hospitals can implement and scale value-based healthcare, improving access to treatments, patient health outcomes and affordability. “We

Health Insurance 98

Health Insurance Health Outcomes Governance Hospitals 98

Health Populi

SEPTEMBER 17, 2020

Census Bureau found that the level of health insurance enrollment fell by 1 million people in 2019 , with about 30 million Americans not covered by health insurance. In fact, the number of uninsured Americans rose by 2 million people in 2018 , and by 1.9 lacked health insurance.

COVID-19 62

COVID-19 Health Insurance Public Health Health Care Access 62

Health Populi

FEBRUARY 27, 2020

Those costs are shown in the household expenditure table here, illustrating that by 2018, the median household expenditures in the U.S. Note how health insurance, in particular, swelled as a component of family budgets more than housing, transportation, and college education. That is, government spending.

Health Insurance 96

Health Insurance Public Health Governance 96

Health Populi

OCTOBER 8, 2018

It’s National Health IT Week in the US, so I’m kicking off the week with this post focused on how digital health can bolster economic development. As the only health economist in the family of the 2018 HIMSS Social Media Ambassadors, this is a voice through which I can uniquely speak. GDP, in 2018.

Hospitals 61

Hospitals Health Insurance Health Outcomes Telemedicine 61

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

HIPAA Journal

SEPTEMBER 12, 2023

Feedback is also sought on the challenges that have been experienced in complying with the data privacy frameworks that have been implemented in 9 states since 2018, and whether any lessons have been learned as states have implemented these frameworks for the governance of health data.

HIPAA 114

HIPAA Health Insurance Governance 114

Health Populi

FEBRUARY 6, 2018

The Founders Council of advisors includes activists and actors, ex-government health care managers, health industry executives, and innovators, including Mark Cuban, the entrepreneur; Todd Park ( father of “Data Liberacion!” Shall we just say: “it’s about the health care, stupid?”

Health Insurance 89

Health Insurance Medicaid Medicaid Medicare 89

Health Populi

FEBRUARY 21, 2019

National health spending in the U.S. every year from 2020 to 2027, the actuaries at the Centers for Medicare and Medicaid Services forecast in their report, National Health Expenditure Projections, 2018-2927: Economic And Demographic Trends Drive Spending And Enrollment Growth , published yesterday by Health Affairs.

Medicare 91

Medicare Medicare Medicaid Medicaid 91

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-19 218

COVID-19 Hospitals Doctors Health Insurance 218

Compliancy Group

JANUARY 25, 2022

Protected health information (PHI) from more than 45.7 This is the second-largest number of records reported breached on the government site since 2015. The 2015 total included the largest single healthcare data breach on record – health insurer Anthem’s 77.8 Cyber insurance can certainly lessen the blow.”.

HIPAA 98

HIPAA Ransomware Governance Fraud 98

Physician Credentialing Company

DECEMBER 20, 2024

Health insurance companies also allow credentialed providers to submit claims for healthcare services. Legal and financial risks For not following government and payer-specific guidelines, providers may have to bear legal penalties in terms of finances or exclusion from the program.

Medical Billing 52

Medical Billing Compliance Malpractice Regulatory Compliance 52

Health Populi

OCTOBER 17, 2019

adults in September 2019 on issues concerning health care costs, shopping, value, saving and spending. points in 2018 to 57.9 While two-thirds of consumers say they understand their insurance coverage, only one-half of them can correctly answer questions about the definition of premiums and deductibles. households.

Health Insurance 61

Health Insurance Medicare Medicare Governance 61

Health Populi

MARCH 1, 2018

To more effectively help patients manage diabetes , CentraForce Health used geospatial mapping of SBDoH data to develop deeper insights into peoples’ health needs and behaviors — such as eating fast food in the past 30 days, sufficient time to eat healthy food, and tendency to follow a doctor’s recommendations.

Health Insurance 82

Health Insurance Medicaid Medicaid Public Health 82

HIT Consultant

NOVEMBER 14, 2022

Highmark Health, Google Cloud , and League unveiled their collaboration on an interoperable, digital health platform that makes it simple for individuals to navigate healthcare and connect to the right tools and resources when and where they need them. Twilio, Healthfirst Launch CDP for Health Plans and Providers.

Doctors 97

Doctors Health Insurance Hospitals HIPAA 97

The Health Law Firm

FEBRUARY 14, 2019

Board Certified by The Florida Bar in Health Law Last year (2018) the government collected over $27million in fines levied on health care providers and other covered entities for Health Insurance Portability and Accountability Act (HIPAA) privacy violations. By George F. Indest III, J.D.,

HIPAA 40

HIPAA Health Insurance Governance 40

Health Populi

MARCH 21, 2019

Over one-half of 213 retail chains listed in Internet Retailers top 1000 offered “buy online, pick up in store” fulfillment in 2018. Walmart, in particular, had a huge uptick in this during the 2018 holiday shopping season. Now consider a vision/optical insurance plan entering the retailing side of the business.

HIPAA 102

HIPAA Health Insurance Doctors Medical Billing 102

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.

Doctors 124

Doctors Nurses Public Health Medical Billing 124

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

JANUARY 11, 2019

In June 2018, the FCC rolled back net neutrality, a policy that President Obama had put in place. I’ve asserted for many years that connectivity and broadband are a social determinant of health. Federal government shutdown. In no particular order… Where was the Chairman of the FCC?

FDA 87

FDA Health Insurance Governance 87

Health Populi

AUGUST 29, 2018

Health Populi’s Hot Points: Pre-existing conditions are a big deal to Americans these days: among registered voters, ensuring that health plans cover pre-existing conditions is the most important health care issue on Americans’ minds, the June 2018 Kaiser Family Foundation Health Tracking Poll found.

ACA 48

ACA Health Insurance Medical Billing Public Health 48

Health Populi

JULY 11, 2018

Another important policy that embeds health for the nation would be for States and local governments to identify opportunities to use agriculture, education, transportation, tax, and zoning approaches that would bake health into the policies. Expanding access for affordable, nutritious food.

Health Outcomes 85

Health Outcomes Public Health Health Care Access Health Insurance 85

Jane Sarashon

JULY 29, 2022

” Well beyond our individual genetic codes, our health is made where we live, work, play, pray, learn, and shop… also well beyond hospitals and doctors’ offices in-between appointments, and often paid-for out-of-pocket quite separate from peoples’ health insurance plans. government would have saved $2.6

COVID-19 72

COVID-19 Health Insurance Telemedicine Doctors 72

Health Populi

MARCH 7, 2018

I greatly appreciated the opportunity today to attend a luncheon at the HX360 meeting which convened as part of the 2018 HIMSS Conference. There’s an old saw that the US government is an insurance company with an army” quips @PaulKrugman @HIMSS #HIMSS18 #HX360 #Healthinsurance #Medicare #Healthcare #Healthcosts.

ACA 48

ACA Governance Nurses Medicare 48

Health Populi

OCTOBER 24, 2022

Add into this picture a CCS Insight analyst’s forecast last week that Apple could enter the health insurance market in 2024. Consumers will be facing greater medical price inflation in 2023 for health insurance plans, based on the latest forecast from WTW.

COVID-19 54

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 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

HIT Consultant

DECEMBER 26, 2023

Is anyone still using Microsoft Health Vault (RIP: 2007–2019)? How did giants like JP Morgan, Berkshire Hathaway, and Amazon perform with Haven (RIP: 2018 – 2021)? He has more than 25 years of entrepreneurial and executive experience in the American and international health technology and insurance industry.

Governance 59

Governance Health Insurance 59

Redox

SEPTEMBER 13, 2021

In 2018, providers and payers released a consensus statement that called for improvements, and in 2019, the ONC leader had some choice words. 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.

Health Insurance 59

Health Insurance Doctors Governance Hospitals 59

Kaiser Health News

JULY 11, 2023

The public school system here had to scramble in 2018 when the local hospital, newly purchased, was converted to a tax-exempt nonprofit entity. The takeover by Tower Health meant the 219-bed Pottstown Hospital no longer had to pay federal and state taxes. POTTSTOWN, Pa. —

Hospitals 72

Hospitals Medicaid Medicaid Medical Billing 72

Health Populi

MAY 6, 2018

Universal health care was covered in a section on 28 April 2018, and coverage on financial inclusion was bundled into the 5th May edition. ” At the time, this was one of the world’s biggest public-sector financed health plan.

Medicaid 54

Medicaid Medicaid Medicare Medicare 54

AIHC

FEBRUARY 24, 2025

Lets look at the government auditing standards for a moment. In the 2018 Revision of Government Auditing Standards, the US Government Accountability Office it states (page 175, Section 8.73): Fraud involves obtaining something of value through willful misrepresentation.

Fraud 52

Fraud Compliance Governance Compliance Officers 52

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

HIPAA Journal

JULY 24, 2023

The False Claims Amendment Act in 1986 lowered the bar for proof of fraud and increased the fines the OIG could impose, while the Health Insurance Portability and Accountability Act ( HIPAA ) in 1996 established the Health Care Fraud and Abuse Control (HCFAC) Program.

Fraud 52

Fraud Medicare Medicare Medicaid 52

HIT Consultant

JULY 28, 2022

Despite gloomy headlines and the seemingly harrowing declines in valuation, it’s important to not lose sight of the steady climb in valuations since the beginning of 2018. Compared to the period between Jan 2018 – March 2020, deal volume and value in the US are up by 8% and 45% respectively.

US Department of Health and Human Services 98

US Department of Health and Human Services COVID-19 Health Insurance Telemedicine 98

Healthcare Law Blog

JANUARY 26, 2023

BACKGROUND The Proposed Rule is the latest in a long line of federal legislation and rulemakings governing the conscience rights of healthcare providers and entities. The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C.

ACA 105

ACA Medicaid Medicaid Compliance 105

Health Populi

JULY 1, 2019

federal government’s oversight wheels began to grind into a different gear, signaling that they did not like that a Chinese firm was gaining such access to U.S. Following a review by the Committee on Foreign Investment in the United States (CFIUS), the government mandated that iCarbonX divest its ownership in PLM. But the U.S.

Health Insurance 86

Health Insurance Pharmaceutical Industry HIPAA Bioethics 86

Hall Render

FEBRUARY 23, 2024

Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

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. Key provisions of the Proposed Rule are summarized below. Comments are due by March 7, 2022.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98