Healthcare IT News - Telehealth

OCTOBER 21, 2020

Data released this past week from the Centers for Medicare and Medicaid Services show that more than 34.5 million services were delivered via telehealth in Medicare and in the Children's Health Insurance Program from March through June. WHY IT MATTERS. As of June 2020, said CMS, more than 91.8 ON THE RECORD.

Medicaid 210

Medicaid Medicaid Medicare Medicare 210

HIT Consultant

FEBRUARY 16, 2022

In 2019, Kristina Saffran and Dr. Erin Parks founded Equip, with a dream of making sure that everyone had access to evidence-based treatment for eating disorders. But 2019 was hardly the beginning of their dream. The company operates in most states and is partnered with nearly every major health insurance plan. .

Health Insurance 98

Health Insurance Medicaid Medicaid COVID-19 98

Health Populi

JUNE 23, 2023

A critical insight that’s quite clear from this chart from the report is that deaths from preventable and treatable causes substantially rose especially in certain states between 2019 and 2021 in the thick of the COVID-19 pandemic. And, a major input into access and affordability is having health insurance coverage.

COVID-19 133

COVID-19 Medicaid Medicaid Health Outcomes 133

Healthcare IT News - Telehealth

MARCH 25, 2021

Using data from Blue Health Intelligence data repository – an independent data and analytics company that is a licensee of the Blue Cross and Blue Shield Association – researchers from the Johns Hopkins Bloomberg School of Public Health compared claims data from March through June 2019 with March through June 2020.

COVID-19 210

COVID-19 Public Health Medicare Medicare 210

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

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 Law Blog

JANUARY 25, 2023

Introduction: Defining Interprofessional Consultation In a January 5, 2023, letter to state health officials, the Centers for Medicare & Medicaid Services (“CMS”) clarified a Medicaid and Children’s Health Insurance Program (“CHIP”) policy on the coverage and payment of interprofessional consultations (the “Guidance”).

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

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

Redox

FEBRUARY 7, 2019

Is 2019 the year we see telemedicine take the leap? Now that we are all on the same page, let’s explore what new developments make 2019 feel like the year telemedicine utilization takes a leap. For 2019, CMS has implemented a few changes that promise to have a significant impact on the telemedicine industry. Learn more.

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Telemedicine Public Health Medicaid Medicaid 40

HIPAA Journal

JUNE 28, 2023

A lawsuit – Young, et al. Good Samaritan Hospital ­­ – was filed in the California Superior Court for Los Angeles County against the hospital on behalf of individuals impacted by the data breach.

Hospitals 89

Hospitals Fraud Licensing HIPAA 89

HIPAA Journal

OCTOBER 18, 2022

A review of the account confirmed no financial information was compromised; however, there may have been unauthorized access to names, dates of birth, Social Security numbers, medical record numbers, health insurance information, and limited clinical information related to billing, such as diagnosis codes and treatment information.

HIPAA 124

HIPAA Health Insurance Licensing Medicaid 124

Health Populi

OCTOBER 22, 2021

trillion of health care spending in 2019; medical spending received 75% of the U.S. health care dollar. Sahni and colleagues published the data-details in an article published by McKinsey & Company , the top-line of which appears in the first graphic from the publication. Administrative spending comprise 25% of the $3.8

Electronic Medical Records 174

Electronic Medical Records Health Insurance Medicaid Medicaid 174

HIPAA Journal

MAY 23, 2023

The investigation confirmed its systems were accessed by an unauthorized individual between April 5, 2019, and May 7, 2019, and again from August 27, 2021, to October 10, 2021.

Licensing 117

Licensing Health Insurance Medicaid Medicaid 117

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

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Fraud Medicaid Medicaid Medicare 52

HIPAA Journal

MAY 25, 2022

The data includes names, dates of birth, ID numbers, expected due dates, referring physician names, sonographer names, ultrasound results, drug and alcohol use histories, other health information, and some records include credit card information and health insurance information.

Ransomware 134

Ransomware Fraud HIPAA Licensing 134

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

NOVEMBER 3, 2022

The breach involved names, Social Security numbers, dates of birth, driver’s license numbers, financial account information, health insurance policy numbers, medical record numbers, Medicaid/Medicare IDs, and health information, including diagnosis and treatment information. The tool was removed in August 2022.

HIPAA 68

HIPAA Health Insurance Licensing Medicaid 68

Health Populi

NOVEMBER 19, 2019

In research from HealthPocket , 2 in 5 Americans said they needed to reduce other household expenses to be able to afford their monthly insurance premiums. Four in ten consumers said their monthly health insurance premiums were increasing. on an annual basis as of October 2019. in the 12 months including October 2019.

Health Insurance 71

Health Insurance Hospitals Doctors Nurses 71

Healthcare Law Today

FEBRUARY 6, 2023

According to the Administration for Community Living (ACL), 1 as of 2019, people 65 and older represented 16% of the population of the United States; that is approximately 54 million people. As of 2019 almost 95% of such persons had Medicare coverage and about half of those also had some sort of supplemental health insurance coverage.

US Department of Health and Human Services 52

US Department of Health and Human Services Electronic Medical Records Medicare Medicare 52

Health Populi

JULY 16, 2020

FAIR Health based these numbers on private insurance claims associated with COVID-19 diagnoses, evaluating patient demographics (age, gender, geography), hospital charges and estimated allowed amounts, and patient comorbidities. privately-insured people. They used two ICD-10-CM diagnostic codes for this research: U07.1,

COVID-19 148

COVID-19 Hospitals Health Insurance Medicare 148

Healthcare Law Blog

APRIL 24, 2023

On April 17, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Department of Health and Human Services (“HHS”) Notice of Benefit and Payment Parameters for 2024 Final Rule (the “Notice”) that includes standards for issuers and Marketplaces, and requirements for agents, brokers, web-brokers and others.

Medicaid 52

Medicaid Medicaid Compliance Health Insurance 52

Health Populi

AUGUST 5, 2019

Power,” your mind probably imagines reviews of automotive performance, retail shopping experiences, or perhaps even health insurance plan customer service. Expanding its report-card role in the health ecosystem. Power polled 1,000 consumers in June 2019. In 2019, 28 states have payment parity policies for Medicaid.

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Telemedicine Doctors Medicaid Medicaid 82

HIT Consultant

SEPTEMBER 10, 2021

Federally funded community health centers are critical, especially in underserved communities. In 2019, nearly 30 million people across the U.S. visited an HRSA health center. of residents lacking health insurance. Social Determinants of Health.

COVID-19 98

COVID-19 Hospitals Health Insurance Medicaid 98

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. The post Being Transparent About Healthcare Transparency – My Post on the Medecision Blog appeared first on HealthPopuli.com.

Medicaid 83

Medicaid Medicaid Medicare Medicare 83

Health Populi

JUNE 6, 2021

Commercial Member Health Plan Study. exploring consumer satisfaction with some 150 health insurance plans operating in 22 regions around the U.S. Power assessed the opinions of 32,066 commercial health plan members between January and March 2021. Power has conducted the U.S. This year, J.D.

Patient Satisfaction 87

Patient Satisfaction COVID-19 Telemedicine Medicaid 87

Health Populi

JANUARY 18, 2019

I’m glad to be getting back to health economic issues after spending the last couple of weeks firmly focused on consumers, digital health technologies and CES 2019. There’s a lot for me to address concerning health care costs based on news and research published over the past couple of weeks.

Prescription Drug Pricing 66

Prescription Drug Pricing Health Insurance Doctors Medicare 66

Innovaare Compliance

MAY 28, 2024

The Centers for Medicare & Medicaid Services (CMS) has added another category of drugs—immunosuppressants—to their national audits in collaboration with the Integrity Medicare Drug Integrity Contractor (PPI MEDIC). CMS began covering end-stage renal disease (ESRD) in 1973, which includes kidney transplants and dialysis.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

AUGUST 10, 2023

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3% in FY 2024 but applies a 0.2%

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

Health Populi

MAY 20, 2024

Acute Rx’s increased to 4% above 2019 (pre-pandemic) levels, in large part due to historic high levels seasonal respiratory illnesses as the pandemic emergency cooled. By contrast, Medicaid enrollment declines in 2023 saw Rx’s per enrollee up from 9 prescriptions to 10 in 2023.

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FDA Medicaid Medicaid Medicare 71

HIT Consultant

JULY 24, 2022

For example, while Medicare only accounts for approximately 20% of the country’s population, data from the Centers for Medicare and Medicaid Services (CMS) detailing utilization for this small segment of Americans have not only served as the foundation for regulatory decisions but has also become the industry proxy for other population segments. .

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COVID-19 Medicare Medicare Telemedicine 98

Health Populi

JUNE 13, 2018

That’s how media outlets will cover the top-line of PwC’s report Medical cost trend: Behind the numbers 2019. medical trend growth projected for 2019 that will impact healthcare providers, insurers, and suppliers to the industry. However, there are other forces underneath the stable-looking 6.0% economy by 2026.

Medicaid 63

Medicaid Medicaid Health Insurance Medicare 63

Health Populi

MAY 14, 2019

Respondents were both uninsured and insured through individual coverage, Medicare, Medicaid, and dual enrollees. To further bolster SDoHs that address health equity, public policies can and must also be baked with health, from transportation to food systems and education.

Health Insurance 103

Health Insurance Public Health Hospitals Medicaid 103

Health Populi

AUGUST 24, 2020

Ranking top for great or high harm, three in four physicians said that the, “loss of health insurance because of employment changes caused by COVID-19” would cause great harm to patients. Furthermore, nine in ten companies plans to offer virtual care for telemental health, a fast-growing aspect of virtual care.

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COVID-19 Telemedicine Doctors Medicare 154

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”).

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Medicaid Medicaid 52

Health Populi

JULY 30, 2020

In America, health insurance coverage is tied to employment, so some portion of health citizens who filed for unemployment will fall into the uninsurance rolls, unable to afford buying into COBRA plans when offered or without an ability to buy a plan in a state that did not expand Medicaid under the Affordable Care Act.

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COVID-19 Health Insurance Medicaid Medicaid 77

Health Populi

JUNE 22, 2022

These conditions, such as diabetes and heart disease, exacerbated for some patients due to peoples’ “medical distancing” — avoiding or postponing outpatient visits for routine health services and chronic care management. deaths per 100,000 population between 2019 and 2020.

COVID-19 115

COVID-19 ACA Public Health Medicaid 115

AIHC

SEPTEMBER 5, 2023

Behavioral telehealth may also be referred to as telebehavioral health, telemental health, telepsychiatry, or telepsychology. Higher rates of use of telehealth are now standard in many practices since the coronavirus disease 2019 (COVID-19) pandemic. This is also called “store-and-forward telemedicine.”

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COVID-19 Telemedicine Informed Consent Compliance 59