Healthcare It News

OCTOBER 15, 2021

Bupa Arabia , the Saudi-owned and publicly traded health insurance company, has just announced its backing of the Dubai-based online appointment booking platform, Okadoc. The two MENA businesses have signed a “strategic partnership”, which includes an undisclosed equity investment by Bupa Arabia in Okadoc.

Doctors 295

Doctors Health Insurance Telemedicine Public Health 295

Bill of Health

MAY 19, 2022

from 2018-2019. Therapeutic Value Assessments of Novel Medicines in the US and Europe, 2018-2019. Hospital-Administered Cancer Therapy Prices for Patients With Private Health Insurance. The post Monthly Round-Up of What to Read on Pharma Law and Policy appeared first on Bill of Health. JAMA Oncol. JAMA Netw Open.

Health Insurance 209

Health Insurance Hospitals FDA Medicaid 209

Bill of Health

OCTOBER 17, 2024

AB 3030 requires that health care providers disclose when they have used generative AI to create communications with patients. SB 1223 amended the California Consumer Privacy Act of 2018 to include neural data as sensitive personal information, whose collection and use companies can be directed to limit.

Medicare 150

Medicare Medicare Health Insurance Licensing 150

HIT Consultant

OCTOBER 11, 2023

What You Should Know: – Amwell forms a strategic partnership with Discovery Health, a health insurance administrator, which will introduce the first-ever digital therapeutic benefits funded by a health insurer in South Africa.

Health Insurance 59

Health Insurance World Health 59

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

JUNE 5, 2018

The study, Adjuvant Chemotherapy Guided by a 21-Gene Expression Assay in Breast Cancer, was published in The New England Journal of Medicine on June 3, 2018, coinciding with the researchers’ ASCO presentation of the results. ” A genetic test that costs $3,000 helps to identify women who could benefit from avoiding chemo.

Doctors 89

Doctors Medical Billing Hospitals Health Insurance 89

Health Populi

JUNE 5, 2022

Fast-forward through the 1990s and the advent of PBMs — pharmacy benefit management companies — the intermediaries managing drug benefits for health insurance plans. Today, the three largest PBMs, processing about 4 in 5 retail prescription claims, are embedded in large health insurance companies.

Overpayments 154

Overpayments Overpayment Medicare Medicare 154

Health Populi

APRIL 9, 2018

consumers rank supermarkets, fast food chains, retailers, and banks as their top performing industries for experience according to the 2018 Temkin Experience Ratings. Peoples’ experience with health plans rank at the bottom of the roster, on par with rental cars and TV/Internet service providers.

Health Insurance 67

Health Insurance Telemedicine 67

Health Populi

FEBRUARY 10, 2020

Even with the prospect of enrolling in Medicare sooner in a year or two or three, Americans approaching retirement are growing concerned about health care costs, according to a study in JAMA Network Open. One-half said they weren’t confident in their ability to afford health insurance in or near retirement.

Health Insurance 109

Health Insurance Health Care Reform Federal Policy Medicare 109

Health Populi

JUNE 27, 2022

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic. But Castlight expects a flat-line in PMPM spending for 2022, leveling out at $4,232 per member/per month for commercially-insured employees.

COVID-19 125

COVID-19 Health Insurance Medicaid Medicaid 125

Healthcare It News

NOVEMBER 29, 2021

The DiGA initiative is part of the 2019 Digital Healthcare Act (DVG) that sets the legal framework for doctors to prescribe DiGAs to the 73 million citizens insured with a statutory health insurer that reimburses their use, and has been recognised as a pioneering approach globally. WHY IT MATTERS.

Doctors 319

Doctors Nurses Health Insurance Governance 319

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. New Mexico Health Connections v. United States Dep’t of Health & Human Servs. ,

ACA 52

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

Healthcare IT Today

JUNE 8, 2024

Read more… Reforming Health Insurance by Automating It. Only 53% of health insurance premiums go back to members as benefits. When it comes to bringing AI to RCM, Austin Ward at Fathom recommended organizations consider automation rate, accuracy, EHR compatibility, adaptability, scalability, and vendor support.

Health Insurance 115

Health Insurance 115

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

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. Hospitals’ fall from 70% to 63% between 2018 and 2019.

COVID-19 127

COVID-19 COVID-19 Vaccine Health Insurance Medicare 127

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.

Health Insurance 52

Health Insurance 52

CMS.gov

NOVEMBER 16, 2018

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Fri, 11/16/2018 - 18:46. 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. percent in 2018. percent in 2018.

Medicare 20

Medicare Medicare Overpayments Overpayment 20

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

HIT Consultant

NOVEMBER 14, 2024

Noah Nasser, CEO, datma The healthcare industry is a wellspring of data, from electronic health records to data from wearables, health insurance claims, and a multitude of real-world data (RWD) points. Noah led Counsyl’s commercial team through its acquisition in 2018 by Myriad Genetics.

Regulatory Compliance 84

Regulatory Compliance World Health Health Insurance Compliance 84

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

HIPAA Journal

MAY 16, 2023

In July 2018, MedEvolve informed OCR that an error had been made configuring an FTP server. The exposed information included names, billing addresses, telephone numbers, health insurer information, doctor’s office account numbers, and, for some individuals, Social Security numbers. 164.308(a)(1)(ii)(A).

HIPAA 101

HIPAA Health Insurance Compliance 101

HIPAA Journal

AUGUST 10, 2023

For the research study, the data was published on the tool on February 25, 2018, and for the quality improvement project, on January 14, 2023. The research study data was accessible between February 25, 2018 – June 13, 2023, and the quality improvement project data was exposed between January 14, 2023 – June 13, 2023.

HIPAA 79

HIPAA Ransomware Licensing Health Insurance 79

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. could barely be covered by median household income.

Health Insurance 96

Health Insurance Public Health Governance 96

HIPAA Journal

JUNE 9, 2022

The data mostly related to patients who were insured through Humana and received medical services from Platinum providers at acute hospitals and other medical facilities in the Las Vegas area between approximately October 2018 and March 2022.

Licensing 128

Licensing HIPAA Health Insurance Hospitals 128

Compliancy Group

MAY 16, 2023

Due to a July 2018 hacking incident, the Office for Civil Rights (OCR) investigated MedEvolve to determine if the business associate was HIPAA compliant. In July 2018, MedEvolve submitted a breach report to OCR indicating that they experienced a network server hack that affected 230,572 patients. The result?

HIPAA 52

HIPAA Compliance Health Insurance Doctors 52

HIT Consultant

JANUARY 31, 2024

What You Should Know: Since 2018, we have been working with employer and payer partners to put Health Payment Accounts (HPAs) into the hands of Americans to help them more equitably access and afford healthcare. 92% expressed higher satisfaction with health benefits. 66% noted improved health for themselves and their families.

Health Insurance 52

Health Insurance 52

Health Populi

JUNE 28, 2021

. — in particular, impacts on mental health, access to care, and health equity and d isparities the latter of which have been a research focus from the initiation of this research. I participated with the Aetna Foundation and team on examining the health equity aspects of this study in 2018, linked here.

COVID-19 133

COVID-19 Health Insurance Health Outcomes Public Health 133

Health Populi

JULY 15, 2018

The cost of a healthcare data breach is $408, nearly three-times the cross-industry average, revealed in the 2018 Cost of a Data Breach Study: Global Overview , from IBM Security and the Ponemon Institute. This 2018 report found the average cost of a data breach globally was $3.86 million, up 6.4%

Health Insurance 86

Health Insurance Hospitals HIPAA 86

HIPAA Journal

MAY 19, 2023

.” During that period, the FTC alleged the Premom app transmitted the sensitive health information of app users to third-party advertisers without user consent.

HIPAA 97

HIPAA Health Insurance 97

Jane Sarashon

JULY 18, 2024

Following the BLS report on the CPI for June 2024, PwC published their new annual report from PwC titled Behind the Numbers 2025 tells us that commercial health care spending is expected to grow some 8.0% for Individual health plans — increasing from 7.5% for Group plans and 7.5% and 7.0%, respectively.

Doctors 59

Doctors Prescription Drug Pricing Hospitals Health Insurance 59

Jane Sarashon

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. According to the online Merriam-Webster dictionary , the first use of the phrase “health insurance” occurred in 1901. Consulting Noah Webster….and

US Department of Health and Human Services 75

US Department of Health and Human Services Health Insurance Medicare Medicare 75

HIPAA Journal

SEPTEMBER 12, 2023

Feedback is requested on how this can be achieved, how data practices should be communicated to consumers, whether consumers should have the right to request non-HIPAA-covered data be deleted, and if there should be an opt-in or opt-out method of data collection for health data not covered by HIPAA.

HIPAA 112

HIPAA Health Insurance Governance 112

HIPAA Journal

APRIL 5, 2024

In 2018, the Supreme Court declined a review of the case, which was referred back to the District Court, then followed several years of back-and-forth litigation. The lawsuit was dismissed in 2016 due to a lack of standing, as the plaintiffs failed to allege a concrete, identifiable injury had been sustained as a result of the breach.

Fraud 77

Fraud HIPAA Health Insurance Compliance 77

Healthcare IT Today

JANUARY 12, 2024

In an era where the HHS itself notes a 93% increase in large healthcare data breaches from 2018 to 2022, as well as a 278% increase in those that involve ransomware, suggesting “voluntary cybersecurity goals” is akin to applying a band-aid on a hemorrhage.

Ransomware 126

Ransomware Hospitals HIPAA Health Insurance 126

Health Populi

OCTOBER 3, 2018

Family premiums for health insurance received at the workplace grew 5% in 2018: to $19,616, according to the 2018 KFF Employer Health Benefits Survey released today by the Kaiser Family Foundation (KFF). Three in four large firms covers telemedicine in 2018, KFF found. in the same period.

Telemedicine 66

Telemedicine Health Insurance Medical Billing 66

Health Populi

FEBRUARY 20, 2020

One-third of Americans would opt into using a personal monitoring system 24/7 by an insurance company or health care provider in exchange for lower-cost insurance. 1 in 4 people would work with an artificial intelligence (AI) technology for lower health care costs.

Telemedicine 172

Telemedicine Medical Billing Health Insurance Hospitals 172

Health Populi

FEBRUARY 27, 2019

More grocery stores added dietitians to their operations in 2018, as well. As people take on more self-care for health care, they are looking to access products and services in retail bricks-and-mortar and ecommerce channels in the same places they buy food and other products. ACSI’s research found U.S. percentage points.

Health Insurance 74

Health Insurance Hospitals 74