2018, Health Insurance and Medical Billing - Health Care Compliance Brief

The Patient As Payor: Workers Covered by Employer Health Insurance Spend 11.5% of Household Incomes on Premiums and Deductibles

Health Populi

DECEMBER 5, 2019

Workers covered by health insurance through their companies spend 11.5% of their household income on health insurance premiums and deductibles based on The Commonwealth Fund’s latest report on employee health care costs, Trends in Employer Health Coverage, 2008-2018: Higher Costs for Workers and Their Families.

Health Insurance

Health Insurance Medical Billing

Surprise, Surprise: Most Americans Have Faced a “Surprise” Medical Bill

Health Populi

SEPTEMBER 4, 2018

Most Americans have been surprised by a medical bill, a NORC AmeriSpeak survey found. Nearly all Americans (86% net responsible) first blame health insurance companies, followed by hospitals (82%). Most of the surprise bills were for charges associated with a physician’s service or lab test. Plus ça change.

Medical Billing

Medical Billing Health Insurance Doctors Hospitals

Insured, Sick and Broke – The Latest on the State of U.S. Health-Insured Consumers’ Financial Health

Health Populi

MAY 5, 2019

This is what rationing health care looks like in America: one in two people in families dealing with a chronic health condition have difficulty affording paying medial bills before meeting a deductible, unexpected medical bills, co-payments for prescription drugs, co-payments for physician visits, and/or their monthly health insurance premium.

Health Insurance

Health Insurance Medical Billing Governance

Tools for Paying Medical Bills Don’t Help Health Consumers Manage Their Financial Health

Health Populi

FEBRUARY 24, 2020

.” Yet it’s health care costs that rank top in U.S. health citizens’ minds in 2020 leading up to the election. Health Populi’s Hot Points: The HIMSS-CCM research focused on “digital patient experience.” Even trust with pharmaceutical companies increased that year.

Medical Billing

Medical Billing Patient Satisfaction Hospitals Doctors

Will Trade Data for (Cheaper) Health Care – USC’s View of the Future

Health Populi

FEBRUARY 20, 2020

health care system. As such, American health consumers are wrestling with sticker shock from surgical procedures, surprise medical bills weeks after leaving the hospital, and the cost of prescription drugs — whether six-figure oncology therapies or essential medicines like insulin and EpiPens.

Telemedicine

Telemedicine Medical Billing Health Insurance Hospitals

Doing Less Can Be Doing More for Healthcare – the Biggest Takeaway From ASCO 2018

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

Doctors Medical Billing Hospitals Health Insurance

Outpatient is the New Inpatient – The Future of Hospitals in America

Health Populi

FEBRUARY 26, 2020

There’s no mistaking that more Supercenters are located in areas with greater levels of people without insurance based on data from 2019 (Walmart store location count) and 2018 (uninsured rates). This week, too, The Wall Street Journal analyzed the impact of insurer-owned retail clinics’ potential threat to hospitals.

Hospitals

Hospitals Health Insurance Medical Billing

As Workers’ Healthcare Costs Increase, Employers Look to Telehealth and Wearable Tech to Manage Cost & Health Risks

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

Telemedicine Health Insurance Medical Billing

The Top Pain Point in the Healthcare Consumer Experience is Money

Health Populi

SEPTEMBER 5, 2018

98% of Americans rank paying their medical bills is an important pain point in their patient journey, according to Embracing consumerism: Driving customer engagement in the healthcare financial journey , from Experian Health. health citizens support continuity of care for our fellow patients, whatever political stripe.

Health Insurance

Health Insurance Medical Billing Medicaid Medicaid

“It’s the Deductible, Stupid” – Health Premiums Reach $20,576 in 2019 for a Family

Health Populi

SEPTEMBER 26, 2019

In 2019, ”cost” for health consumers translates into the premium, deductible, out-of-pocket spending, and surprise medical bills — an issue that’s getting a lot of attention in U.S. Overall, 57% of employers offer health benefits — equal to offer levels in 2018 and similar to the 2009 level of 59%.

Federal Policy

Federal Policy Health Insurance Medical Billing

From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

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. and ChatGPT.

US Department of Health and Human Services

US Department of Health and Human Services Health Insurance Medicare Medicare

Consumers Expand Their Definition of Well-Being to Include Food-As-Medicine

Health Populi

FEBRUARY 4, 2019

The report’s insights are based on surveys FMI has conducted over the past two years, as the Foundation has observed that consumers broadening their definition of health to include emotional health, energy levels, and sleep quality.

Doctors

Doctors Nurses Public Health Medical Billing

Isn’t It Eyeconic? Vision Care in the Evolving Health Care Ecosystem

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. Frictionless retail is also an important paradigm for health care, an industry rife with friction.

HIPAA

HIPAA Health Insurance Doctors Medical Billing

Can a Non-Credentialed Provider Bill Under Another Provider

Physician Credentialing Company

DECEMBER 20, 2024

Health insurance companies also allow credentialed providers to submit claims for healthcare services. However, the question arises whether there is any condition in which a non-credentialed provider can be billed independently or under a supervising provider in medical billing.

Medical Billing

Medical Billing Compliance Malpractice Regulatory Compliance

In U.S. Health Care, It’s Still the Prices, Stupid – But Transparency and Consumer Behavior Aren’t Working As Planned

Health Populi

JANUARY 18, 2019

Research published in JAMA Internal Medicine in December 2018 found that as out-of-pocket costs for insulin have increased over the past few years, many patients use less insulin than needed. EBRI also found in this study that most workers said the most important benefit in making a job decision is health insurance.

Prescription Drug Pricing

Prescription Drug Pricing Health Insurance Doctors Medicare

The Patient As the Payer: Self-Pay, Bad Debt, and the Erosion of Hospital Finances

Jane Sarashon

SEPTEMBER 13, 2022

And bad debt — write-offs that come out of uncollected patient bill balances after “significant collection efforts” by hospitals and doctors — is challenging their already-thin or negative financial margins. Only 17% of that amount was collected falling between $7,501 and $10,000, Crowe calculated.

Hospitals

Hospitals Health Insurance Nurses COVID-19

Will Technology Cure Americans’ Health Care System Ills? Considering Google and Ascension Health’s Data Deal

Health Populi

NOVEMBER 12, 2019

What’s underneath that macro “healthcare” index number of 67 is a precipitous decline in the past year for Americans’ trust in hospitals, compared with biotech, pharma, consumer healthcare, and even health insurance — all of which grew in trust between 2018 and 2019, but not so with the hospital segment of U.S.

Hospitals

Hospitals Doctors Medical Billing Health Insurance

A Dose of Optimism Is a Prescription for Financial Health, Says Frost Bank

Health Populi

APRIL 24, 2019

adults 18 and over in September 2018 in English and Spanish. As the National Center for Health Statistics has reported , people with HDHPs are far more likely than those with traditional health plans to forgo or delay medical care or to be in a household that is having difficulty paying medical bills.”

Health Care Reform

Health Care Reform Medical Billing Health Insurance

No Surprise Billing Requirements to be Implemented Jan 1, 2022

Florida Health Care Law Firm

DECEMBER 9, 2021

On January 1, 2022, a new federal law, “ Requirements Related to Surprise Billing, Part I ” (“The Rule”), goes into effect for health care providers and facilities and for providers of air ambulance services. The Rule will restrict excessive out-of-pocket costs to consumers which resulting from surprise billing and balance billing.

Medical Billing

Medical Billing Medicare Medicare Compliance

OCR Will Focus on You if You Don’t Focus on Cybersecurity

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

HIPAA Ransomware Compliance Medicaid

Money First, Then Kids: The State of the American Family in 2018

Health Populi

DECEMBER 3, 2018

Most American families with children at home are concerned about paying bills on a monthly basis. One in two people have had at least one personal “economic crisis” in the past year, we learn in the American Family Survey 2018 , released last week from Deseret News and The Brookings Institution. The fact that half of U.S.

Health Insurance

Health Insurance Medical Billing Doctors

Great Expectations for Health Care: Patients Look for Consumer Experience and Trust in Salesforce’s Latest Research

Health Populi

NOVEMBER 5, 2019

health care economics, patients are now payors as health consumers with more financial skin in paying medical bills. As consumers, people have great expectations from the organizations on the supply side of health care — providers (hospitals and doctors), health insurance plans, pharma and medical device companies.

Health Care Reform

Health Care Reform Medical Billing Hospitals Health Insurance

Health Care for a Typical Working Family of Four in America Will Cost $28,166 in 2018

Health Populi

MAY 22, 2018

What could $28,166 buy you in 2018? Welcome to this year’s edition of the Milliman Medical Index (MMI), one of the most important forecasts of the year in the world of the Health Populi blog and THINK-Health universe. home healthcare, ambulance services, durable medical equipment). A new car?

Hospitals

Hospitals Medicare Medicare Health Insurance

Hospitals Suffer Decline in Consumer Satisfaction

Health Populi

NOVEMBER 27, 2019

While customer satisfaction with health insurance plans slightly increased between 2018 and 2019, patient satisfaction with hospitals fell in all three settings where care is delivered — inpatient, outpatient, and the emergency room, according to the 2018-2019 ACSI Finance, Insurance and Health Care Report.

Hospitals

Hospitals Patient Satisfaction Doctors Health Care Reform

Benefit Cost Increases Overwhelm Flat Wages for Most in US: Pew

Health Populi

AUGUST 9, 2018

Pew also calculated that median weekly earnings increased from $232 in the beginning of 1979 to $879 in 2018. The fact that wages have stayed flat for over a decade have effectively compelled employers, who wanted to provide for workers’ health insurance benefits, to stem wage growth in favor of sponsoring health insurance benefits.

Health Insurance

Health Insurance Medical Billing

Health Provider News

Hall Render

APRIL 28, 2023

Be prepared to drive to deliver Mount Sinai launches regenerative medicine outpost to translate research into medicines Northwell marketing chief joins Ad Council board Ribbon cut at Watertown’s new mental health urgent care Surgical communication platform raises $4.2

COVID-19

COVID-19 Nursing Homes Nurses Hospitals

Healthcare Costs Stress Out U.S. Voters One Week Ahead of 2018 Mid-Term Elections

Health Populi

OCTOBER 30, 2018

.” Perhaps this is why healthcare has become a top voting issue for the 2018 mid-term elections that will be held on November 6 one week from today. adults in August 2018. Health Populi’s Hot Points: The vast majority of the most seriously ill patients in the U.S. The post Healthcare Costs Stress Out U.S.

Health Insurance

Health Insurance Medical Billing Public Health Hospitals

Guns, Jobs, or Health Care? In 2018, Voters Split as to Top Issue

Health Populi

MAY 10, 2018

It’s a fairly even split between voting first on gun policy, jobs, or healthcare for the 2018 mid-term elections, ac. cording to the May 2018 Kaiser Family Foundation Health Tracking Poll. Financial stress is a social determinant of health, and as U.S. The post Guns, Jobs, or Health Care?

Health Insurance

Health Insurance Public Health Medical Billing Medicaid

The Hospital CFO in the Anxiety Economy – My Talk at Cerner’s Now/Next Conference

Health Populi

OCTOBER 6, 2019

As patients have taken on more financial responsibility for first-dollar costs in high-deductible health plans and medical bills, hospitals and health care providers face growing fiscal pressures for late payments and bad debt. adults who were “extremely or very afraid” of getting seriously ill.

Hospitals

Hospitals Medical Billing Health Insurance

Most Americans Want the Federal Government to Ensure Healthcare for All

Health Populi

DECEMBER 6, 2018

But while there’s majority support for universal health care, we should think broadly about this concept at this moment. Now, in late 2018, we look toward 2019 and the 2020 Presidential elections and must also contemplate the lower darker green line. This asked people whether they would prefer a government-run health system.

Governance

Governance Medical Billing Medicaid Medicaid

Pre-Existing Conditions: A Bipartisan, National Health Priority

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

ACA Health Insurance Medical Billing Public Health

As Nonprofit Hospitals Reap Big Tax Breaks, States Scrutinize Their Required Charity Spending

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

Hospitals Medicaid Medicaid Medical Billing

Will Health Consumers Morph Into Health Citizens? HealthConsuming Explains, Part 5

Health Populi

MAY 3, 2019

” I note that, by the time Americans voted in the 2018 mid-term elections, it was no surprise that lower-income Americans were highly concerned about paying higher premiums, most people earning over $75,000 a year were also very worried about covering the costs of health insurance. health care system , Gallup learned.

ACA

ACA Doctors Health Care Reform Health Insurance

Consumers Consider Cost When They Think About Medical Innovation

Health Populi

JULY 10, 2018

.” In the sample, two-thirds of respondents had seen a health care provider for an illness or medical condition in the past 12 months, so two-thirds of the survey sample have faced a medical encounter yielding some kind of medical bill in the past year. adults in April-May 2018 for this survey.

Medical Billing

Medical Billing Health Insurance ACA

Americans Are Warming to Universal Health Care, Kaiser Poll Finds

Health Populi

JANUARY 24, 2019

Most Americans like the idea of universal health care as a guaranteed right, Kaiser Family Foundation learned in this month’s Health Tracking Poll. This finding reinforces the voter turnout for the 2018 mid-term elections which was largely driven by peoples’ concerns for losing health access for pre-existing conditions.

ACA

ACA Medicare Medicare Health Insurance

Most U.S. Voters Support Building on the ACA, Not Medicare For All, As Fewer Americans Have Insurance Coverage

Health Populi

SEPTEMBER 12, 2019

The second bar chart illustrates the tri-partisan concurrence supporting surprise medical bill legislation: overall, 8 in 10 U.S. adults support a law to ensure against surprise bills, including 84% of Democrats, 78% of Independents, and 71% of Republicans. Census Bureau, published this week.

ACA

ACA Medicare Medicare Medical Billing

Health Care Compliance Brief

The Patient As Payor: Workers Covered by Employer Health Insurance Spend 11.5% of Household Incomes on Premiums and Deductibles

Surprise, Surprise: Most Americans Have Faced a “Surprise” Medical Bill

Trending Sources

Insured, Sick and Broke – The Latest on the State of U.S. Health-Insured Consumers’ Financial Health

Tools for Paying Medical Bills Don’t Help Health Consumers Manage Their Financial Health

Will Trade Data for (Cheaper) Health Care – USC’s View of the Future

Doing Less Can Be Doing More for Healthcare – the Biggest Takeaway From ASCO 2018

Outpatient is the New Inpatient – The Future of Hospitals in America

As Workers’ Healthcare Costs Increase, Employers Look to Telehealth and Wearable Tech to Manage Cost & Health Risks

The Top Pain Point in the Healthcare Consumer Experience is Money

“It’s the Deductible, Stupid” – Health Premiums Reach $20,576 in 2019 for a Family

From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

Consumers Expand Their Definition of Well-Being to Include Food-As-Medicine

Isn’t It Eyeconic? Vision Care in the Evolving Health Care Ecosystem

Can a Non-Credentialed Provider Bill Under Another Provider

In U.S. Health Care, It’s Still the Prices, Stupid – But Transparency and Consumer Behavior Aren’t Working As Planned

The Patient As the Payer: Self-Pay, Bad Debt, and the Erosion of Hospital Finances

Will Technology Cure Americans’ Health Care System Ills? Considering Google and Ascension Health’s Data Deal

A Dose of Optimism Is a Prescription for Financial Health, Says Frost Bank

No Surprise Billing Requirements to be Implemented Jan 1, 2022

OCR Will Focus on You if You Don’t Focus on Cybersecurity

Money First, Then Kids: The State of the American Family in 2018

Great Expectations for Health Care: Patients Look for Consumer Experience and Trust in Salesforce’s Latest Research

Health Care for a Typical Working Family of Four in America Will Cost $28,166 in 2018

Hospitals Suffer Decline in Consumer Satisfaction

Benefit Cost Increases Overwhelm Flat Wages for Most in US: Pew

Health Provider News

Healthcare Costs Stress Out U.S. Voters One Week Ahead of 2018 Mid-Term Elections

Guns, Jobs, or Health Care? In 2018, Voters Split as to Top Issue

The Hospital CFO in the Anxiety Economy – My Talk at Cerner’s Now/Next Conference

Most Americans Want the Federal Government to Ensure Healthcare for All

Pre-Existing Conditions: A Bipartisan, National Health Priority

As Nonprofit Hospitals Reap Big Tax Breaks, States Scrutinize Their Required Charity Spending

Will Health Consumers Morph Into Health Citizens? HealthConsuming Explains, Part 5

Consumers Consider Cost When They Think About Medical Innovation

Americans Are Warming to Universal Health Care, Kaiser Poll Finds

Most U.S. Voters Support Building on the ACA, Not Medicare For All, As Fewer Americans Have Insurance Coverage

Stay Connected