Healthcare IT Today

DECEMBER 11, 2020

As 2020 comes to a close, healthcare industry leaders are looking ahead to 2021 with excitement and anticipation. The following is a guest article by Mike Noshay, MSE, Founder and Chief Strategy & Marketing Officer at Verinovum.

COVID-19 Vaccine 145

COVID-19 Vaccine COVID-19 Fraud Medicaid 145

Fierce Healthcare

SEPTEMBER 23, 2021

CMS official says Medicaid must cover Aduhelm as industry awaits national coverage decision. Thu, 09/23/2021 - 10:54.

Medicaid 145

Medicaid Medicaid 145

Bill of Health

APRIL 13, 2022

When the PHE ultimately expires, this will also trigger the end of the Medicaid continuous enrollment requirement, under which states must provide continuous Medicaid coverage for enrollees through the end of the last month of the PHE in order to receive enhanced federal funding. Continuity of Coverage.

Medicaid 147

Medicaid Medicaid COVID-19 Public Health 147

Fierce Healthcare

SEPTEMBER 15, 2021

Aetna misrepresented network to secure Pennsylvania Medicaid contract, lawsuit claims. Wed, 09/15/2021 - 11:33.

Medicaid 128

Medicaid Medicaid 128

Fierce Healthcare

MARCH 20, 2024

Ophelia has been part of Highmark Health’s network in Pennsylvania since 2021, serving 2.9 It is now in-network for Wholecare Medicaid and dual-eligible members. Ophelia works with 13 Medicaid plans overall. Ophelia, a virtual provider of opioid use disorder (OUD) treatment, is now in-network for Highmark Wholecare members.

Medicaid 122

Medicaid Medicaid 122

Fierce Healthcare

SEPTEMBER 24, 2021

Brooks-LaSure: ACA marketplace key to Medicaid redeterminations after COVID-19 PHE ends. Fri, 09/24/2021 - 09:57.

COVID-19 131

COVID-19 ACA Medicaid Medicaid 131

Fierce Healthcare

DECEMBER 21, 2021

CMS: Medicaid, CHIP enrollment increases by 433K in June and 17% since start of pandemic. Tue, 12/21/2021 - 12:36.

Medicaid 132

Medicaid Medicaid 132

Fierce Healthcare

NOVEMBER 22, 2021

Survey: Majority of Medicaid managed care plans offered health equity benefits in 2020. Mon, 11/22/2021 - 14:40.

Medicaid 124

Medicaid Medicaid 124

Fierce Healthcare

SEPTEMBER 21, 2021

OIG: Most states not doing enough to monitor Medicaid telehealth fraud for behavioral health services. Tue, 09/21/2021 - 16:26.

Fraud 126

Fraud Medicaid Medicaid 126

Fierce Healthcare

DECEMBER 10, 2021

Study: Medicaid expansion not a 'panacea' for solving critical access hospitals' financial woes. Fri, 12/10/2021 - 12:11.

Medicaid 122

Medicaid Medicaid Hospitals 122

Fierce Healthcare

SEPTEMBER 16, 2021

Study: 15M people could lose Medicaid coverage after COVID-19 emergency ends. Thu, 09/16/2021 - 15:06.

COVID-19 119

COVID-19 Medicaid Medicaid 119

Fierce Healthcare

NOVEMBER 4, 2021

5 to continue Medicare, Medicaid participation. Thu, 11/04/2021 - 09:51. CMS: Healthcare workers must receive their first COVID vaccine by Dec.

Medicaid 122

Medicaid Medicaid Medicare Medicare 122

Healthcare It News

OCTOBER 4, 2022

The Electronic Healthcare Network Accreditation Commission and The CARIN Alliance have partnered to bring both the CARIN Code of Conduct and EHNAC’s criteria review process to health plans, health systems, EHR vendors and others for reporting to the Centers for Medicare & Medicaid Services on their data practices and privacy protections.

COVID-19 Vaccine 309

COVID-19 Vaccine COVID-19 Medicaid Medicaid 309

Fierce Healthcare

OCTOBER 26, 2021

Startup Brave Health picks up $10M to expand access to behavioral health care for Medicaid patients. Tue, 10/26/2021 - 07:03.

Medicaid 119

Medicaid Medicaid 119

HIPAA Journal

APRIL 4, 2023

On November 5, 2021, AHCV determined that the email accounts of two of its employees had been accessed by unauthorized individuals after the employees responded to phishing emails. On December 21, 2021, AHCV determined that one of the email accounts did contain patient information, which may have been accessed in the attack.

Hospitals 110

Hospitals Medicaid Medicaid HIPAA 110

Fierce Healthcare

NOVEMBER 11, 2021

Urban Institute: Benefits of closing Medicaid coverage gap outweigh proposed DSH cuts. Thu, 11/11/2021 - 13:01.

Medicaid 110

Medicaid Medicaid 110

HIPAA Journal

MAY 16, 2022

According to the April 29, 2022, notification on the healthcare provider’s website, “We recently discovered unauthorized access to our network occurred between May 31, 2021, and June 1, 2021.” The post Refuah Health Center Alerts 260K Patients About May 2021 Cyberattack appeared first on HIPAA Journal.

Health Insurance 116

Health Insurance Ransomware HIPAA Licensing 116

Fierce Healthcare

SEPTEMBER 30, 2021

Centene to pay more than $71M to settle Medicaid overpayment cases in Illinois, Arkansas. Thu, 09/30/2021 - 16:43.

Overpayments 105

Overpayments Overpayment Medicaid Medicaid 105

Fierce Healthcare

DECEMBER 20, 2021

Drug price reforms, Medicaid coverage gap in balance after Manchin opposition to Build Back Better Act. Mon, 12/20/2021 - 15:20.

Medicaid 105

Medicaid Medicaid 105

HIT Consultant

OCTOBER 26, 2021

What You Should Know: – Brave Health , a Miami-based virtual behavioral health provider for Medicaid, today announced it has closed a $10M Series B round ($20.75M in total) led by City Light Capital, Union Square Ventures and Able Partners, bringing its total funding to $20.75M. Recent Traction/Milestones. ”

Medicaid 97

Medicaid Medicaid Health Outcomes Public Health 97

Fierce Healthcare

OCTOBER 19, 2021

Senate bill aims to make it easier for Americans to qualify for coverage such as Medicaid, ACA subsidies. Tue, 10/19/2021 - 16:35.

ACA 105

ACA Medicaid Medicaid 105

Fierce Healthcare

AUGUST 31, 2021

Uber Health to expand nonemergency medical transportation to Texas Medicaid recipients. Tue, 08/31/2021 - 12:38.

Medicaid 94

Medicaid Medicaid 94

Fierce Healthcare

AUGUST 11, 2023

Access to care for Medicaid fee-for-service beneficiaries with substance use disorder has improved from 2014 until 2021, but much more can be done to improve it further, researchers say. Nonetheless, there’s room for yet more improvement.

Medicaid 98

Medicaid Medicaid 98

Health Populi

JULY 20, 2021

Furthermore, the flow of medical debt was greater among health citizens living in states that did not expand Medicaid as part of the Affordable Care Act, compared with patients who reside in Medicaid expansion states, according to an original research essay, Medical Debt in the US, 2009-2020 published in JAMA on 20 July 2021.

Medicaid 93

Medicaid Medicaid ACA Doctors 93

Kaiser Permanente

JANUARY 1, 2022

Medicaid and the Children’s Health Insurance Program (CHIP) have served as critical supports to children, pregnant women, parents, seniors, and individuals with disabilities – covering 80 million individuals during the COVID-19 pandemic. Since February 2020, Medicaid enrollment has grown sharply to cover an additional 9.9

Medicaid 92

Medicaid Medicaid Medicare Medicare 92

Bill of Health

OCTOBER 28, 2022

Associations Between Copays, Coverage Limits for Naloxone, and Prescribing in Medicaid. Dose modification rules and availability of growth factor support: A cross-sectional study of head-to-head cancer trials used for US FDA approval from 2009 to 2021. Subst Abuse. 2022 Sep 29;16:11782218221126972. Olivier T, Haslam A, Prasad V.

FDA 241

FDA Medicaid Medicaid 241

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. According to the FBI, more than $43 billion was lost to these scams between June 2016 and December 2021, and in 2021 alone, the FBI Internet Crime Complaint Center received reports of losses of $2,395,953,296 to BEC scams. million, and $6.4

Medicaid 86

Medicaid Medicaid Medicare Medicare 86

Health Law RX

SEPTEMBER 14, 2021

Medicare and Medicaid certified facilities will be required to ensure that their employees are vaccinated for COVID-19, the Centers for Medicare & Medicaid Services (CMS) announced on September 9, 2021. The Interim Final Rule will apply to any healthcare facility receiving Medicare or Medicaid reimbursement.

Medicaid 75

Medicaid Medicaid Medicare Medicare 75

HIT Consultant

OCTOBER 14, 2021

Before HLTH 2021 kicks off in Boston on October 17th, here are 15 predictions from digital health executives to watch: Siva Namasivayam, co-founder and CEO of Cohere Health. In 2021, health systems will shift their focus from facilitating basic two-way video visits to implementing strategic enterprise-wide virtual care delivery solutions.

COVID-19 98

COVID-19 FDA Medicare Medicare 98

Healthcare It News

JULY 19, 2022

intake appointments, group meetings) to telehealth in March 2020 and rolled out a pilot of its proprietary mobile app in April 2021. But consider this – 70% of our members are on Medicaid today. ” Groups also found that in 2021, nearly 90% accessed their group therapy sessions via a smartphone. MEETING THE CHALLENGE.

COVID-19 285

COVID-19 Telemedicine Medicaid Medicaid 285

Bill of Health

MARCH 15, 2022

Further, safety net programs, such as Medicaid and Supplemental Security Income (SSI), have stringent rules that prevent people with disabilities from working while simultaneously forcing them to live in poverty. However, expanding safety net programs , such as SSI and Medicaid, would be important as an interim measure.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

Healthcare IT News - Telehealth

DECEMBER 14, 2020

The American Telemedicine Association, the Connected Health Initiative and other industry groups issued a letter to Congress on Friday urging legislators to extend temporary telehealth flexibilities until the end of 2021. THE LARGER TREND. Despite bipartisan support such legislation has failed to gather significant momentum.

COVID-19 196

COVID-19 Telemedicine Public Health Medicaid 196

Compliance Now

MAY 5, 2022

The Centers for Medicare and Medicaid Services recently opened the much-anticipated federal Independent Dispute Resolution (IDR) Portal , a component of the No Surprises Act section of the Consolidated Appropriations Act of 2021 (the Act). By: Jessica Waltman, Principal, Forward Health Consulting.

Medicaid 189

Medicaid Medicaid Medicare Medicare 189

Compliance Now

MARCH 15, 2022

This relief was initially established as a component of emergency COVID-19 legislation, and it expired on December 31, 2021. The legislation also allows both Medicare and Medicaid to continue covering select telehealth services for 151 days after the COVID-19 public health emergency ends.

COVID-19 189

COVID-19 Telemedicine Medicare Medicare 189

Healthcare IT News - Telehealth

JANUARY 25, 2021

The Protecting Access to Post-COVID-19 Telehealth Act of 2021 legislation was introduced this past week by Rep. Authorize the Centers for Medicare and Medicaid Service to continue reimbursement for telehealth for 90 days beyond the end of the public health emergency. A bipartisan group of U.S. Mike Thompson, D-Calif.,

COVID-19 214

COVID-19 Medicare Medicare Telemedicine 214

Healthcare It News

DECEMBER 6, 2023

Unfortunately, Medicaid does not provide reimbursement for RPM services. "With more than half of our patients on Medicaid and another quarter uninsured, we had no way to fund the initial startup costs or the ongoing service costs," said Howard Rubin, CIO at Evara Health.

Nurses 291

Nurses Medicaid Medicaid Hospitals 291

Healthcare It News

MARCH 30, 2022

By analyzing Medicare fee-for-service claims data and Medicare Advantage encounter data from March 1, 2020, to February 28, 2021, along with those from the same period the year prior, the agency calculated the total number of services used via telehealth and in-person, as well as the types of services used.

Medicare 284

Medicare Medicare US Department of Health and Human Services COVID-19 284