Bill of Health

MARCH 25, 2022

Medicaid Expenditures and Estimated Rebates on Line Extension Drugs, 2010-2018. New EU regulation on health technology assessment of cancer medicines. Lancet Oncol. 2022 Feb;23(2):e58. PMID: 35114127. Hwang TJ, Feng J, Maini L, Kesselheim AS. J Gen Intern Med. 2022 Feb 22. Epub ahead of print. PMID: 35194743.

FDA 208

FDA COVID-19 Medicaid Medicaid 208

Bill of Health

MAY 19, 2022

from 2018-2019. Therapeutic Value Assessments of Novel Medicines in the US and Europe, 2018-2019. A full posting of abstracts/summaries of these articles may be found on our? Aboy M, Liddell K, Jordan M, Crespo C, Liddicoat J. European patent protection for medical uses of known products and drug repurposing. JAMA Oncol.

Health Insurance 208

Health Insurance Hospitals FDA Medicaid 208

Healthcare IT Today

DECEMBER 22, 2024

That said, rejection rates hit a trough in 2018 and have increased 16% since then. DUOS updated its digital health platform for seniors to enable end-to-end applications for federal and state assistance programs such as SNAP and Medicaid. Dexcom launched a proprietary generative AI platform build on Google Cloud.

Medicare 88

Medicare Medicare FDA Telemedicine 88

Compliancy Group

DECEMBER 20, 2024

The attacks affected the electronic protected health information (ePHI) of approximately 85,000 individuals between February and March of 2018. In May of 2018, Gulf Coast hired an independent contractor to provide business consulting services. HIPAA 2024 Year in Review: Gulf Coast In early December of 2024, OCR announced a $1.19

Ransomware 98

Ransomware HIPAA Fraud Electronic Medical Records 98

Bill of Health

MARCH 24, 2023

US Food and Drug Administration Approval of Drugs Not Meeting Pivotal Trial Primary End Points, 2018-2021. Market dynamics of authorized generics in Medicaid from 2014 to 2020. JAMA Intern Med. 2022 Dec 1;182(12):1321-1323. Johnston JL, Ross JS, Ramachandran R. JAMA Intern Med. 2023 Feb 13:e226444. Epub ahead of print. JAMA Intern Med.

Medicare 147

Medicare Medicare Medicaid Medicaid 147

Healthcare IT News - Telehealth

OCTOBER 19, 2020

In the suit, the EHR giant argues that it has used the CarePort trademark since 2013 and that in 2018 the telemedicine company changed its name from ER at Home to CarePortMD. In 2018, CarePort Health took over management of AllScripts' Care Management technology to aid with acute-case management and post-acute referrals.

Telemedicine 162

Telemedicine Medicaid Medicaid Hospitals 162

Healthcare IT News - Telehealth

JUNE 26, 2020

Throughout 2018 and 2019, Northwell Health piloted small-scale programs in partnership with the Gary and Mary West Health Institute Collaboration to bring medical services virtually to the homes of their patients. "I know their baseline and when they call, I send the [mobile telemedicine technicians] there."

COVID-19 202

COVID-19 Telemedicine Medicaid Medicaid 202

Healthcare Compliance Blog

APRIL 27, 2022

A Georgia district court has issued a summary judgment against a state rehabilitation center for 808 false claims billed to Medicaid and Tricare between November 2015 and June 2020. The post Georgia Rehabilitation Center Submitted 808 False Claims to Medicaid/Tricare appeared first on Med-Net.

Medicaid 59

Medicaid Medicaid Compliance Governance 59

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. ” Health Populi’s Hot Points: The 2018 mid-term elections in America will be strongly focused on healthcare and health costs.

Health Insurance 54

Health Insurance Public Health Medical Billing Medicaid 54

Healthcare Law Blog

MAY 16, 2022

More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. In 2018, DHCS also launched the HHP pilot. In 2015, DHCS launched the WPC Pilots as part of its Medi-Cal 2020 Section 1115 Demonstration.

Medicaid 59

Medicaid Medicaid Nurses Health Care Access 59

Healthcare IT News - Telehealth

APRIL 24, 2020

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). Over three quarters of 2018, AICNY inpatient expenditures saw a 6% reduction. THE PROBLEM. ” PROPOSAL. MARKETPLACE.

Telemedicine 197

Telemedicine COVID-19 Medicaid Medicaid 197

Healthcare IT News - Telehealth

MAY 13, 2020

"For example, the Centers for Medicare and Medicaid Services declared it would reimburse for telemedicine visits in both rural and urban communities, and services could be delivered into patients' homes," study authors wrote. The shift to telemedicine was made simpler, researchers note, by regulatory and reimbursement changes.

Telemedicine 218

Telemedicine COVID-19 HIPAA Medicare 218

Health Law Advisor

FEBRUARY 2, 2023

On February 1, 2023, the Centers for Medicare & Medicaid Services (CMS) published a final rule outlining its audit methodology and related policies for its Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. The final rule codifies long-awaited regulations first proposed by CMS in 2018. This total includes $41.1

Medicare 98

Medicare Medicare Overpayments Overpayment 98

HIPAA Journal

JULY 15, 2022

OCR launched a HIPAA investigation after receiving a breach report on January 5, 2018, in response to the hacking of an OSU-CHS web server. OSU-CHS determined that malware had been installed on the server which allowed the hacker(s) to access the electronic protected health information of 279,865 individuals.

HIPAA 144

HIPAA Compliance Medicaid Medicaid 144

Healthcare Law Blog

FEBRUARY 1, 2023

On January 30, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). One thing that is certain, CMS can expect further challenges to its RADV audit methodology. See also Ratanasen v.

Medicare 105

Medicare Medicare Overpayments Overpayment 105

HIPAA Journal

MARCH 20, 2025

2023, OCR reported a 239% increase in hacking-related data breaches between January 1, 2018, and September 30, 2023, and a 278% increase in ransomware attacks over the same period. PA Business Associate 2,675,934 Hacking/IT Incident 45 2018 AccuDoc Solutions, Inc. In 2019, hacking accounted for 49% of all reported breaches.

HIPAA 111

HIPAA Ransomware Compliance Hospitals 111

Healthcare IT News - Telehealth

APRIL 9, 2019

The ability of such analytics to both assess patients in the moment and point toward their potential future condition had health systems investing more than $566 million in the technology during 2018, the report notes.

Hospitals 167

Hospitals Medicaid Medicaid Medicare 167

Healthcare IT News - Telehealth

JANUARY 5, 2021

In 2018 and 2019, 36% of the organization's transplanted population were Medicaid and others were in rural areas with poor access to local care, necessitating travel to the center for routine or acute care and follow-up. THE PROBLEM.

COVID-19 195

COVID-19 Electronic Medical Records Telemedicine Patient Satisfaction 195

Compliancy Group

JULY 15, 2022

The information accessed included patient names, Medicaid numbers, healthcare provider names, dates of service, dates of birth, addresses, and treatment information. The university announced the HIPAA breach on January 5, 2018.

HIPAA 97

HIPAA Medicaid Medicaid Compliance 97

Kaiser Health News

MARCH 15, 2022

But the new benefit for people enrolled in Medi-Cal, the state’s Medicaid health insurance program, has been delayed twice as the state and doulas — nonmedical workers who help parents before, during, and after birth — haggle over how much they should get paid.

Medicaid 89

Medicaid Medicaid Health Insurance Public Health 89

Healthcare IT Today

APRIL 4, 2025

Nationally, the Centers for Medicare & Medicaid Services (CMS) has reported that only 18% of TCM visits were billed. Since its inception in 2018, NEC X has helped launch and grow more than 130 startups. Hospitals experience an average of 17 readmissions per 100 Medicare discharges. Their Silicon Valley programs Elev X!

Records Management 52

Records Management Hospitals Medicare Medicare 52

Compliancy Group

AUGUST 23, 2023

In a shocking turn of events, a dental office manager from Worcester has been sentenced for participating in a scheme to defraud the Massachusetts Medicaid program, MassHealth. Deceiving MassHealth: The Disturbing Truth Behind Dental Services From 2014 to 2018, a shocking scheme unfolded within the realm of dental services.

Fraud 52

Fraud Medicaid Medicaid Governance 52

Health Populi

DECEMBER 4, 2019

With new rules emanating from the White House this month focusing on health care price transparency, health care costs are in the spotlight at the Centers for Medicare and Medicaid Services. Read my post on getting transparent about transparency in Medecision’s blog here for more details and a deeper dive into this important issue.

Medicaid 83

Medicaid Medicaid Medicare Medicare 83

HIT Consultant

JUNE 12, 2024

Additionally, the Centers for Disease Control and Prevention reported a 39% increase in SUD cases in emergency departments (ED) from 2018 to 2021, exacerbating issues of overcrowding and overspending. Department of Health and Human Services revealed that in 2022, 17% of people aged 12 or older reported a substance use disorder (SUD).

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Healthcare IT News - Telehealth

MARCH 4, 2019

As a federally qualified health center, Vista Community Clinic is a safety net for its neighborhood, managing an uninsured or underinsured patient population – in this case, 58 percent Medicaid, 2 percent Medicare and 32 percent uninsured. THE PROBLEM.

Telemedicine 164

Telemedicine Medicaid Medicaid Medicare 164

Health Populi

JUNE 27, 2022

The second bar chart illustrates the per member/per month (PMPM) spend for commercially insured workers, showing growth of over 7% from 2018 to 2019, and nearly 7% drop from 2019 to 2020 in the first year of the pandemic. But flat growth is expected for 2022, Castlight forecasts.

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COVID-19 Health Insurance Medicaid Medicaid 125

CMS.gov

OCTOBER 2, 2018

Better Data Will Serve as the Foundation in Modernizing the Medicaid Program. Tue, 10/02/2018 - 15:36. Administrator, Centers for Medicare & Medicaid Services. Medicaid & CHIP. Better Data Will Serve as the Foundation in Modernizing the Medicaid Program. Jeremy.Booth@c…. Seema Verma.

Medicaid 40

Medicaid Medicaid Fraud Health Outcomes 40

Health Populi

FEBRUARY 21, 2019

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. National health spending in the U.S.

Medicare 91

Medicare Medicare Medicaid Medicaid 91

Health Populi

DECEMBER 6, 2018

Now, in late 2018, we look toward 2019 and the 2020 Presidential elections and must also contemplate the lower darker green line. Gallup points out in its analysis that the government is already a major health care channeler and funder through Medicare and Medicaid. That’s the top lighter green line in the first chart.

Governance 73

Governance Medical Billing Medicaid Medicaid 73

HealthStream

DECEMBER 19, 2019

Leaders are looking to optimize software solutions which provide methods to improve efficient communication and required payer ongoing verifications, as well as integration with the Council for Accountable Quality Healthcare (CAQH), State Medicaid, and Medicare enrollment.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Healthcare Law Blog

DECEMBER 27, 2022

The Centers for Medicare and Medicaid Services (“CMS”) has issued a proposed rule which would amend the existing regulations for reporting and returning identified overpayments (the “Proposed Rule”). 2018), rev’d in part on other grounds sub nom. FOOTNOTES. [1] 1] See UnitedHealthcare Ins. Azar , 330 F. 3d 173 (D.D.C. Becerra , 16 F.4th

Overpayment 98

Overpayment Overpayments Medicare Medicare 98

HIT Consultant

MARCH 30, 2023

The platform allows connectivity to the key services providers require to address patient needs including prescription delivery, stress-free rides, and soon, the delivery of healthy food and over-the-counter medicine for those who need it most—including Medicare Advantage and Medicaid beneficiaries.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Healthcare IT News - Telehealth

JUNE 12, 2024

Centers for Disease Control said it measured 39% more SUD cases between 2018 and 2021, according to the company. million lives across Medicaid and commercial contracts," Abhinav Shashank, cofounder and CEO at Innovaccer, said in the announcement. "Pediatric Associates has an impressive track record in managing over 1.5

Hospitals 163

Hospitals COVID-19 Medicaid Medicaid 163

HIT Consultant

AUGUST 5, 2022

Predictions regarding Home Care and Medicaid Outlook: As a general observation, Stout thinks that many states will increase reimbursement rates and funding for Medicaid recipients, who have often had difficulty accessing quality home care due to providers declining to participate in government-funded programs.

Telemedicine 98

Telemedicine Medicaid Medicaid Malpractice 98

Health Populi

AUGUST 24, 2020

Four in five large employers believe virtual health will play a significant role in how care is delivered int he future, up from 64% in 2019 and 52% in 2018. On the payor front, large U.S. Furthermore, nine in ten companies plans to offer virtual care for telemental health, a fast-growing aspect of virtual care.

COVID-19 154

COVID-19 Telemedicine Doctors Medicare 154

HIT Consultant

APRIL 3, 2023

Progress toward VBC adoption hasn’t achieved its potential yet, hovering around 60% of all payment models from 2018 to 2021, with the remaining 40% comprised of traditional fee for service (FFS).

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Health Populi

FEBRUARY 6, 2018

Andy Slavitt, former Acting Administrator of the Centers for Medicare and Medicaid Services (CMS), has assembled a diverse group of health care leaders who care about those patients/people, too, appropriately named the United States of Care. That is, U.S.

Health Insurance 89

Health Insurance Medicaid Medicaid Medicare 89