Bill of Health

FEBRUARY 28, 2024

in 2019, the NIH invested $1.9 It will also be essential to develop strategies to minimize barriers, such as health insurance and access to the health care system. Another concern is that, given the limited funding allocated towards food and nutrition (e.g.,

Health Insurance 234

Health Insurance Medicaid Medicaid Health Care Reform 234

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

OCTOBER 17, 2019

For years, Alegeus found that patients were indeed growing those consumer health muscles to save and shop for health care. In 2019, it appears that patients have backslid, according to the 2019 Healthcare Consumerism Index from Alegeus. The first chart shows that the 2019 Index fell from 60.1 households.

Health Insurance 61

Health Insurance Medicare Medicare Governance 61

Health Populi

JUNE 2, 2021

All categories of health care costs were lower in 2020 versus 2019, with the exception of prescription drugs. The team also calculated annual health care costs per individual, which are expected to be $6,516 in 2021, about 7.6% higher than in 2020. This study analyzed the assessments of 149,290 U.S.

COVID-19 174

COVID-19 Health Insurance Health Outcomes Public Health 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

Healthcare IT Today

APRIL 30, 2023

from 2019 to 2022 – or more than double the rate of increase for Medicare IPPS reimbursement (7.5%). over the same time period, Additionally, 74% of hospitals reported an increase in the number of administrative tasks related to health insurance policies, compared to just 2% who reported a decrease.

Medicare 81

Medicare Medicare Hospitals Health Insurance 81

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

JUNE 24, 2019

Cost is the major reason why Medicare Advantage plan beneficiaries switch plans, but people who switch also tend to have lower satisfaction scores based on non-cost factors. Power’s 2019 Medicare Advantage Plan Study. Power surveyed 3,233 members of Medicare Advantage plans in January through March 2019.

Medicare 59

Medicare Medicare Health Insurance 59

Health Populi

JUNE 1, 2021

Laurie also pointed out that both men and women are Apple Watch consumers, with nearly one-half of purchases made by women in 2019. The older adult consumer segment for Apple Watch adoption has the greatest growth, increasing 15% in 2019. largely made by older men, by 2019, women liked them too – and nearly half of the watches are.

COVID-19 138

COVID-19 Elder Care Telemedicine Doctors 138

HIT Consultant

AUGUST 8, 2022

Wall Street has largely focused on CVS’s efforts to add primary-care practices and doctors to its payroll, though executives have also discussed their ambitions to expand its in-home health presence. Signify uses analytics and technology to help health plans, employers, physician groups and health systems with in-home care.

Governance 97

Governance Medicare Medicare Health Insurance 97

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

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

Healthcare Law Blog

MAY 5, 2022

Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Thirteen percent of denied prior authorization requests met Medicare coverage rules. The OIG Report.

Medicare 52

Medicare Medicare Licensing Health Insurance 52

Health Populi

OCTOBER 15, 2019

consumers age 18 and over in August and September 2019. One-third of these patients had a health care bill go to collections in the past year, according to Cedar’s 2019 U.S. When Aflac asked prospective buyers of health insurance what their shopping experience should feel like, 1 in 2 consumers said, “like Amazon.”

Medical Billing 97

Medical Billing Doctors Medicare Medicare 97

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

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

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. Retail health-meets-Medicare.

US Department of Health and Human Services 75

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

Bill of Health

JULY 26, 2022

Iora Health was acquired by ONEM in September 2021 for approximately $2.1 Amazon now has an important foothold in the Medicare market. This is not meant to be a victory lap as the stars of the Iora Health story were squarely the management team, particularly the founding CEO, Rushika Fernandopulle. Amazon Health Insurance?

US Department of Health and Human Services 173

US Department of Health and Human Services Health Insurance HIPAA Medicare 173

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

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

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

HIPAA Journal

MARCH 9, 2022

A review of the emails and attachments was conducted and it was confirmed on February 25, 2022, that the accounts contained names along with one or more of the following data types: inpatient/outpatient status, internal patient account number, service date, treatment cost, procedure code, provider name, and/or health insurance provider.

Health Insurance 71

Health Insurance Licensing Hospitals HIPAA 71

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

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 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 30, 2020

But most Americans, rich or not, believe that it’s unfair for wealthier people to get better health care, according to a January 2020 poll from NPR, the Robert Wood Johnson Foundation and Harvard Chan School of Public Health, Life Experiences and Income Equality in the United States. adults 18 or older. Higher-income, 16%.

Health Insurance 79

Health Insurance Public Health Medicare Medicare 79

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. To mitigate SDoH risks for older Americans, Medicare has begun to pay for services that promote coordinated care.

Medicare 95

Medicare Medicare Doctors Health Insurance 95

Health Populi

AUGUST 16, 2019

Employers cited several main tactics to address coupon cards looking forward from 2019 to 2022. One-third of employers were already doing this in 2019, with another 20% adding in 2020 and 16% considering for 2021-22. In contrast, employers have used rebate payments to defray premium costs). Across party identification, U.S.

Governance 79

Governance Health Care Reform FDA ACA 79

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

Health Populi

MARCH 26, 2020

health care spending will grow to 20% of the national economy by 2028, forecasted in projections pre-published in the April 2020 issue of Health Affairs, National Health Expenditure (NHE) Projections. 2019-28: Expected Rebound in Prices Drives Rising Spending Growth. NHE will grow 5.4% in the decade, the model expects.

COVID-19 77

COVID-19 Health Insurance Public Health Medical Billing 77

Innovaare Compliance

APRIL 10, 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). Before January 1, 2021, beneficiaries with ESRD could not join a Medicare Advantage (MA) plan.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

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

OCTOBER 28, 2019

Rising health care costs continue to concern most Americans, with one in two people believing they’re one sickness away from getting into financial trouble, according to the 2019 Survey of America’s Patients conducted for The Physicians Foundation. health care system every other year. health care system model.

Single Payer Health Care 54

Single Payer Health Care Medical Billing Health Care Reform Governance 54

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

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). Before January 1, 2021, beneficiaries with ESRD could not join a Medicare Advantage (MA) plan.

Medicare 52

Medicare Medicare Medicaid Medicaid 52