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

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

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

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

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

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. The coronavirus pandemic has only exacerbated the erosion of the health insured population. lacked health insurance.

COVID-19 62

COVID-19 Health Insurance Public Health Health Care Access 62

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

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Medicaid Medicaid ACA Public Health 52

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

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 90

Medicaid Medicaid Health Insurance Public Health 90

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 133

Ransomware Fraud HIPAA Licensing 133

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 116

Licensing Health Insurance Medicaid Medicaid 116

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.

COVID-19 154

COVID-19 Telemedicine Doctors Medicare 154

Health Care Law Brief

FEBRUARY 2, 2024

While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5 billion in Medicaid investments over the next three years. Services will be delivered via a two-tiered system.

Medicaid 52

Medicaid Medicaid Medicare Medicare 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.

Telemedicine 82

Telemedicine Doctors Medicaid Medicaid 82

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 Doctors Hospitals Nurses 71

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 87

Hospitals Fraud Licensing HIPAA 87

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

Jane Sarashon

DECEMBER 18, 2024

But today we report out the latest data from the Centers for Medicare and Medicaid Services (CMS) that national health spending in America reached $4.9 The full report on national health expenditures (NHE) in the U.S. was published today in Health Affairs, which came off embargo at 4 pm. trillion in 2023. respectively.

Medicare 52

Medicare Medicare Health Insurance COVID-19 52

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.

Telemedicine 40

Telemedicine Public Health Medicaid Medicaid 40

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

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

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

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

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

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

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. .

COVID-19 98

COVID-19 Medicare Medicare Telemedicine 98

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

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.

COVID-19 77

COVID-19 Health Insurance Medicaid Medicaid 77

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.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Health Populi

FEBRUARY 11, 2019

Patients most-trust their clinicians, physicians and nurses, as safe places in which to have an honest SDoH discussion, compared with a health insurance representative. But age is a factor in these conversations, where younger people are more comfortable talking about SDoHs with clinicians than older people.

Medicare 95

Medicare Medicare Doctors Health Insurance 95

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

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

NOVEMBER 19, 2019

In the past decade, I’ve been spending a lot of time considering SDoH through a variety of lenses across the health/care ecosystem, including care providers like hospitals, health insurance companies, pharma and life science, retail health care front doors, and non-profits and foundations.

Medicare 59

Medicare Medicare Health Care Access Health Insurance 59

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.

FDA 71

FDA Medicaid Medicaid Medicare 71

HIPAA Journal

JUNE 20, 2023

A third million+ record data breach resulted in the exposure and potential theft of the protected health information of 2,550,922 Harvard Pilgrim Health Care plan members following a cyberattack on its parent Company, Point32Health, the second largest health insurer in Massachusetts.

Ransomware 102

Ransomware HIPAA Compliance Health Insurance 102