Healthcare IT News - Telehealth

APRIL 30, 2021

senators has reintroduced the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021. Questions about the future of telehealth regulations have endured ever since the federal government opted to relax some of them during the COVID-19 pandemic. A bipartisan group comprising half of U.S.

COVID-19 217

COVID-19 Medicare Medicare Public Health 217

Healthcare IT News - Telehealth

JULY 23, 2020

Wolf also pointed out that the recent bloom in telehealth is rooted, in part, in the government's electronic health record incentive program and meaningful use. She also pointed out that many state governments have also been in limbo waiting for the federal government to take action. " she said.

COVID-19 192

COVID-19 Electronic Medical Records Medicare Medicare 192

Healthcare It News

FEBRUARY 28, 2023

UPMC Central Pennsylvania, a hospital that in 2021 achieved Stage 7, the top of the HIMSS Electronic Medical Record Adoption Model, has been a leader in telemedicine, with more than two dozen robust virtual care programs. The virtual-first primary care was launched in January of 2021 to a ten-county geography in central Pennsylvania.

Electronic Medical Records 281

Electronic Medical Records Telemedicine Health Insurance COVID-19 281

Healthcare It News

JANUARY 4, 2022

"As a result of reaching a tipping point on these issues, I believe 2022 will see the beginning of a Peace Corps-type effort to address burnout through a combination of industry innovation and government incentives," he said.

COVID-19 359

COVID-19 Hospitals Nurses Medicaid 359

Health Populi

JUNE 18, 2021

Even in 2021, we still see so-called “job-lock” with workers staying in jobs that offer health insurance benefits. adults aged 18 and over in March 2021 for this study. Compared with people enrolled in Medicaid, members of private insurance plans were more likely to have medical debt. California v. One-half of U.S.

ACA 139

ACA Health Insurance Medicaid Medicaid 139

Med-Net Compliance

JULY 11, 2022

The report says that in FY 2021 the DOJ opened 831 new criminal healthcare fraud investigations. HHS-OIG also excluded 1,689 individuals and entities from participation in Medicare, Medicaid, and other federal healthcare programs. In FY 2021, the FBI opened 593 new healthcare fraud investigations. Discussion Points.

Fraud 59

Fraud Compliance Medicaid Medicaid 59

Bill of Health

JANUARY 23, 2024

for every 100,000 live births in 2021, nearly 33 pregnant people lost their lives. Medicaid pays for more than 40% of births in the U.S., Medicaid pays for more than 40% of births in the U.S., Examining efforts at the federal and state level, I highlight three options, leveraging Medicaid as a policy lever. In the U.S.,

Medicaid 113

Medicaid Medicaid Patient Satisfaction Health Insurance 113

Bill of Health

DECEMBER 6, 2023

To tackle this issue, federal and state governments should strengthen the regulation of insurance networks and insurers should address underlying causes of inadequate networks. The Consolidated Appropriations Act of 2023 requires Medicaid plans to publish and update accurate and searchable provider directories.

Governance 147

Governance Medicaid Medicaid Medicare 147

Healthcare IT News - Telehealth

FEBRUARY 21, 2023

The division's previous school-based telehealth project pilots with the Switzerland of Ohio School District in Monroe County in 2020 and multiple districts in the Muskingum Valley Educational Service Center in 2021 provided nearly 22,000 students with telehealth services. THE LARGER TREND Broadband and telehealth access go hand in hand.

Governance 142

Governance Medicaid Medicaid Public Health 142

Provider Trust

AUGUST 9, 2022

During the fiscal year 2021, the report states that the federal government won or negotiated over $5 billion in healthcare fraud judgments and settlements. billion was returned to the government or paid to private persons. The DOJ opened 831 new criminal healthcare fraud investigations in 2021. Monetary Penalties.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Health Law Advisor

AUGUST 30, 2023

TMA III challenged certain portions of the July 2021 No Surprises Act (“NSA”) interim final rules proposed by the U.S. In a decision that significantly levels the field for providers, the District Court ruled in part for the provider plaintiffs and in part for the Government in the TMA III ruling. Earlier this month, the U.S.

Governance 105

Governance Medicaid Medicaid Medicare 105

HIT Consultant

SEPTEMBER 12, 2022

– Using Gainwell’s advanced research platform and de-identified Medicaid claims data from select clients, Stanford concluded that 30 percent of patients prescribed opioids for the first time developed a dependency. Stanford used 180,000 de-identified Medicaid claims from six states. According to the U.S.

Medicaid 97

Medicaid Medicaid Health Outcomes Governance 97

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.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Healthcare Law Blog

OCTOBER 2, 2023

The government buys billions of dollars in healthcare-related goods and services every year, and no government procurement is perfect. If the answer is “yes”—or even “maybe”—healthcare companies may file a bid protest at the Government Accountability Office (“GAO”) or the U.S. 2021 CPD ¶ 325 (Nov. In Ohio KePRO, Inc. ,

Governance 52

Governance Department of Veterans Affairs Medicaid Medicaid 52

HIT Consultant

MARCH 8, 2022

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . By December 2021, enrollment in Medicaid and CHIP (Children’s Health Insurance Program) grew to a record high of more than 83 million individuals, primarily due to the continuous coverage requirements of the PHE.

Public Health 98

Public Health Medicaid Medicaid COVID-19 98

HIT Consultant

AUGUST 5, 2022

– Healthcare & Life Science M&A activity plummeted to 338 deals in Q2 2022 versus 535 in Q2 2021 and a record 565 deals in Q4 2021. In California, Medicaid has become an attractive and lucrative business for providers who know how to effectively operate in the segment. .

Telemedicine 98

Telemedicine Medicaid Medicaid Malpractice 98

Healthcare IT Today

OCTOBER 19, 2022

In October 2021, leading pediatric healthcare associations declared a national emergency in child and adolescent mental health. For example, it’s not easy and can saddle providers with a large administrative investment on a state-by-state basis; but more telehealth companies could expand their payer contracts to include Medicaid.

Medicaid 119

Medicaid Medicaid COVID-19 Telemedicine 119

Healthcare Law Blog

AUGUST 3, 2022

is a reminder that the government will use the FCA to target medical device manufacturers for off-label use of medical devices, even where healthcare providers have decided the use is safe and effective. The government is attempting to prove materiality using Medicare’s coverage requirement that procedures must be “reasonable and necessary.”

Governance 52

Governance FDA Medicare Medicare 52

HIT Consultant

JULY 17, 2023

The CDC reported 100,306 drug overdose deaths in the US in the 12 months ending in April 2021, the highest number ever recorded in 12 months and a staggering 28.5% Cessation of PHE telehealth, prescribing, and mental health access exceptions could impact the Medicaid population the most. increase from the previous year.

Public Health 98

Public Health Medicaid Medicaid Electronic Medical Records 98

Compliance Now

DECEMBER 28, 2022

The guidance establishes limited deadline and enforcement relief for the 2020 and 2021 Prescription Drug Data Collection (RxDC) submissions that were due by December 27, 2022. This deadline and enforcement relief is transitional and only applies to the 2020 and 2021 calendar year submissions that were originally due on December 27, 2022.

Health Insurance 100

Health Insurance Compliance Medicaid Medicaid 100

Hall Render

FEBRUARY 4, 2022

billion from False Claims Act (“FCA”) cases in the federal fiscal year 2021, “the second largest annual total in False Claims Act history” and more than doubling the FCA recoveries for the DOJ from fiscal year 2020. That figure does not include even more funds recovered for state Medicaid programs.

Fraud 40

Fraud Governance Medicare Medicare 40

Healthcare IT News - Telehealth

JUNE 19, 2023

Based on his success in building chronic care business for seniors, Sinclair’s role was broadened to focus on all government lines of business (Medicare Advantage, Managed Medicaid and Marketplace) and all virtual care offerings (urgent care, mental health, chronic care, specialty care and primary care).

Medicare 162

Medicare Medicare Telemedicine Medicaid 162

Healthcare IT News - Telehealth

SEPTEMBER 9, 2024

Meanwhile, the American Telemedicine Association is pleading with the Centers for Medicare and Medicaid Services for expanded flexibilities and further guidance on payment and coverage. According to a 2021 study , 65% of U.S. The government must take the lead. One recent study reported on telehealth trends in U.S.

Telemedicine 160

Telemedicine Licensing Health Outcomes Governance 160

HIT Consultant

AUGUST 3, 2022

million—between February 2020 and November 2021, with decreasing employment nearly every month. Medicaid reimbursement, which comprises the largest share of nursing home reimbursement, has not kept pace, resulting in SNFs and medical providers assuming the burden of those costs. . million to 1.35 As of late February 2022, 35.9%

Nursing Homes 98

Nursing Homes Nurses COVID-19 Medicaid 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 136

Hospitals COVID-19 Medicaid Medicaid 136

Healthcare IT Today

OCTOBER 12, 2023

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. The federal government has been haranguing vendors and clinicians to make interoperable systems since the HITECH act was passed in 2009. A CMS fact sheet offers more details on CMS’s thinking and plans.

Electronic Medical Records 122

Electronic Medical Records Doctors Governance Medicaid 122

HIT Consultant

NOVEMBER 29, 2022

In October 2021, leading pediatric healthcare associations declared a national emergency in child and adolescent mental health. For example, it’s not easy and can saddle providers with a large administrative investment on a state-by-state basis; but more telehealth companies could expand their payer contracts to include Medicaid.

Medicaid 98

Medicaid Medicaid Telemedicine Governance 98

HIPAA Journal

MARCH 6, 2023

Cedar Park, TX-based Dental Health Management Solutions (DHMS), a provider of dental services to the government/military and private patients has recently announced – via its legal counsel – that the protected health information of certain patients was exposed in a 2021 hacking incident.

Electronic Medical Records 85

Electronic Medical Records HIPAA Licensing Nurses 85

Healthcare Law Blog

JANUARY 31, 2023

Venture capital funding for digital mental health services for children and teens was close to $1 billion in 2021, more than double from 2020. Part 2, which governs the medical records of federally assisted substance use treatment programs. In December 2022, the U.S. vi] “Psychedelic Therapeutics Market Worth $8.31

COVID-19 105

COVID-19 Medicare Medicare Medicaid 105

HIPAA Journal

NOVEMBER 4, 2022

Warner suggests the only way to improve healthcare cybersecurity rapidly is through a collaborative effort involving the public and private sectors, with the federal government providing overall leadership. In 2021, 45 million Americans had their sensitive personal and healthcare exposed or stolen in healthcare industry cyberattacks.

HIPAA 125

HIPAA Governance FDA Medicaid 125

Healthcare IT Today

FEBRUARY 17, 2023

government and calls for better oversight , the Centers for Medicare & Medicaid Services announced in early February that it would investigate overbilling by those plans. In 2020 and 2021, doctors, nurses, and other staff risked their lives hourly to treat patients who had COVID-19, often without knowing who had it.

Overpayments 89

Overpayments Overpayment COVID-19 Medicare 89

Innovaare Compliance

FEBRUARY 9, 2021

Annually, the Centers for Medicare & Medicaid Services (CMS) releases star ratings, which measure the quality of care health plans deliver for its members. The higher the ratings, the larger the bonus payments health plans receive from the government. New CMS star ratings criteria 2021. Centers for Medicare & Medicaid.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Healthcare Blog

APRIL 13, 2023

As hospitals have become increasingly complex organizations, effective governance, risk, and compliance (GRC) strategies have become essential for ensuring patient safety and regulatory compliance. What are the Key Components of a Successful Governance, Risk, and Compliance (GRC) Strategy? Nurs Forum , 56(1):89-94. doi: 10.1111/nuf.12514.

Governance 40

Governance Compliance Hospitals Regulatory Compliance 40

HIPAA Journal

MARCH 15, 2023

FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida. The contract was renewed by FHKC through 2020, with the federal government covering 86% of the payments to Jelly Bean Communications Design.

Health Insurance 82

Health Insurance HIPAA Fraud Due Diligence 82

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Enrollee Participation in Plan Governance (§ 422.107).

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

HIPAA Journal

OCTOBER 11, 2022

The investigation confirmed that several employee email accounts had been accessed by an unknown actor between November 4, 2021, and February 14, 2022. Unusual activity was detected in the email account of a Centerstone employee on February 14, 2022.

Licensing 79

Licensing HIPAA Health Insurance Medicaid 79

HIT Consultant

SEPTEMBER 14, 2023

Health equity allows people to lead active and productive lives, reduces the healthcare burden on the government, and contributes to economic growth. By one estimate, healthcare improvements accounted for one-third of the economic growth of developed nations over the last century. And only 25% of U.S.

Doctors 115

Doctors Telemedicine Medicaid Medicaid 115