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. What States Are Doing Now. Continuity of Coverage.

Medicaid 147

Medicaid Medicaid COVID-19 Public Health 147

Fierce Healthcare

MARCH 21, 2024

More than 100 provider organizations want the Centers for Medicare & Medicaid Services (CMS) to take a tougher stance on Medicare Advantage (MA) plans’ practices following an industry survey es | Providers spent nearly $20 billion in 2022 pursuing delays and denials across all payer types, yet those efforts are substantially more costly on average (..)

Medicare 144

Medicare Medicare Medicaid Medicaid 144

Fierce Healthcare

DECEMBER 21, 2022

It's finally here': States have long sought Medicaid eligibility redetermination deadline. Wed, 12/21/2022 - 16:58.

Medicaid 120

Medicaid Medicaid 120

Bill of Health

OCTOBER 28, 2022

2022 Sep 19. 2022 Sep;40(9):1319-1325. 2022 Sep 1;9(2):lsac022. 2022 Sep 27:10234184. Associations Between Copays, Coverage Limits for Naloxone, and Prescribing in Medicaid. 2022 Sep 29;16:11782218221126972. 2022 Sep;172:349-356. FDA validation of surrogate endpoints in oncology: 2005-2022.

FDA 241

FDA Medicaid Medicaid 241

Fierce Healthcare

NOVEMBER 23, 2022

Google rolls out search features that aim to make it easier to sign up for Medicaid, Medicare. Wed, 11/23/2022 - 11:12.

Medicaid 125

Medicaid Medicaid Medicare Medicare 125

HIPAA Journal

APRIL 14, 2023

The Iowa Department of Health and Human Services (DHHS) has confirmed that the personal information of 20,800 Iowans who receive Medicaid was exposed in a cyberattack at a subcontractor of one of its business associates between June 30, 2022, and July 5, 2022. It is currently unclear how many individuals have been affected.

Medicaid 114

Medicaid Medicaid Ransomware HIPAA 114

Fierce Healthcare

DECEMBER 8, 2022

to settle Medicaid fraud allegations in California. Thu, 12/08/2022 - 16:58. 3 providers to pay $22.5M

Fraud 109

Fraud Medicaid Medicaid 109

Healthcare IT Today

NOVEMBER 19, 2024

Additionally, Maven will use this capital to bolster its value-based offerings across both fully insured and Medicaid populations. With this funding, Maven will leverage AI to further personalize care to support the diverse needs of its highest-risk members across its commercial, fully-insured and Medicaid lines of business.

Medicaid 109

Medicaid Medicaid COVID-19 Public Health 109

HIPAA Journal

OCTOBER 18, 2022

Chambersburg, PA-based Keystone Health has recently announced that it fell victim to a cyberattack on August 19, 2022, which caused temporary disruption to its computer systems. The forensic investigation revealed the hackers first gained access to its systems on July 28, 2022, with access terminated on August 19.

HIPAA 122

HIPAA Health Insurance Licensing Medicaid 122

Fierce Healthcare

NOVEMBER 21, 2022

4 ways Medicaid could manage high-price drugs. Mon, 11/21/2022 - 15:09.

Medicaid 98

Medicaid Medicaid 98

Healthcare IT Today

OCTOBER 21, 2022

Brave Health , the largest virtual mental health provider and engagement platform focused on serving Medicaid populations, today announced a $40M Series C funding round led by Town Hall Ventures, with existing investors Union Square Ventures, City Light Capital and others joining as well.

Medicaid 115

Medicaid Medicaid Health Outcomes Public Health 115

Fierce Healthcare

NOVEMBER 16, 2022

Urban Institute: Most adults unaware of looming Medicaid eligibility redeterminations. Wed, 11/16/2022 - 17:17.

Medicaid 96

Medicaid Medicaid 96

Bill of Health

MARCH 25, 2022

2022 Feb 9. 2022 Feb 3. 2022 Feb 24. 2022 Feb 9. 2022 Feb;97(2):250-260. 2022 Feb 9. 2022 Feb 21. 2022 Feb;23(2):e58. Medicaid Expenditures and Estimated Rebates on Line Extension Drugs, 2010-2018. 2022 Feb 22. 2022 Feb 10. 2022 Feb 19. 2022 Feb 1;182(2):228-229.

FDA 208

FDA COVID-19 Medicaid Medicaid 208

Fierce Healthcare

NOVEMBER 8, 2022

Supreme Court hears case on Medicaid patients' rights to sue, with advocates warning of far-reaching implications. Tue, 11/08/2022 - 16:45.

Medicaid 104

Medicaid Medicaid 104

HIT Consultant

AUGUST 8, 2022

FAIR Health Monthly Telehealth Regional Tracker, May 2022, United States. The data represent the privately insured population, including Medicare Advantage and excluding Medicare Fee-for-Service and Medicaid. – FAIR Health reports national telehealth utilization increased 10.2 percent, from 4.9 percent in May. percent in May.

COVID-19 98

COVID-19 Medicare Medicare Medicaid 98

HIT Consultant

AUGUST 24, 2023

Contrary to perception, access to broadband and mobile phones are not the greatest barrier to digital health among Medicaid recipients. With the infrastructure to deliver remote care already in place, it’s often the most sensible solution for both Medicaid patients and providers. population.

Medicaid 97

Medicaid Medicaid Doctors COVID-19 97

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. Five state Medicaid programs, two Medicare Administrative Contractors, and two private health insurers were tricked into changing the bank account details for payments. Medicare, Medicaid, and private health insurers suffered losses of more than $4.7

Medicaid 101

Medicaid Medicaid Medicare Medicare 101

HIPAA Journal

JUNE 8, 2023

The Iowa Department of Health and Human Services has announced there have been three separate breaches of the protected health information of Iowa Medicaid recipients in the past two months – two hacking incidents and an impermissible disclosure, all three of which involved third-party contractors.

Medicaid 98

Medicaid Medicaid Ransomware Health Insurance 98

HIT Consultant

MAY 9, 2022

FAIR Health Monthly Telehealth Regional Tracker, February 2022, National. The FAIR Health data represent the privately insured population, including Medicare Advantage and excluding Medicare Fee-for-Service and Medicaid. percent nationally in February 2022, from 5.4 percent of all medical claim lines1 in January 2022 to 4.9

COVID-19 98

COVID-19 Medicare Medicare Medicaid 98

Bill of Health

NOVEMBER 17, 2022

2022 Oct 3:e224226. 2022 Oct 24. 2022 Oct 5;379:e071752. 2022 Oct 27;387(17):1539-1541. Epub 2022 Oct 22. 2022 Oct 13. 2022 Oct 13;387(15):1347-1349. Epub 2022 Oct 8. 2022 Oct 24. 2022 Oct 31. 2022 Oct;22(10):15-17. 2022 Oct 17:S1098-3015(22)02181-7. JAMA Intern Med.

FDA 189

FDA World Health Medicaid Medicaid 189

Fierce Healthcare

NOVEMBER 7, 2022

Expanded Medicaid coverage may lower kidney-related hospitalizations. Mon, 11/07/2022 - 13:04.

Medicaid 78

Medicaid Medicaid Hospitals 78

Healthcare IT Today

OCTOBER 25, 2024

The following is a guest article by Mike Crouse, Director of Insider Risk at Everfox Ransomware attacks on the healthcare sector continue to grow, with incidents nearly doubling from 2022 to 2023—a concerning figure considering their potential to leave patients in life-or-death situations.

Ransomware 121

Ransomware Hospitals Medicaid Medicaid 121

HIT Consultant

NOVEMBER 30, 2022

Key Themes and Ideas Regarding Value-Based Care Reimbursement 2022. Significant Growth Anticipated for Medicaid and Capitation Contracts: Most respondents report strategic plans to expand their VBC contracts over the next three years.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Fierce Healthcare

DECEMBER 6, 2022

Urban: 18M could lose Medicaid coverage after COVID-19 emergency expires, likely next year. Tue, 12/06/2022 - 16:07.

COVID-19 84

COVID-19 Medicaid Medicaid 84

Health Populi

JUNE 22, 2022

states to live in for health and health care are Hawaii, Massachusetts, Connecticut, Washington, Vermont, Rhode Island, and Maryland… Those are the top health system rankings in the new 2022 Scorecard on State Health System Performance annual report from the Commonwealth Fund. The best U.S. I’m sympathetic to the fact that U.S.

COVID-19 115

COVID-19 ACA Public Health Medicaid 115

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

AIHC

MARCH 31, 2025

The "Sunshine Act," officially known as the Physician Payments Sunshine Act, mandates those manufacturers of drugs, medical devices, and biologics report payments and transfers of value to physicians and teaching hospitals to the Centers for Medicare & Medicaid Services (CMS).

Compliance 64

Compliance COVID-19 Compliance Officers Medicaid 64

Bill of Health

DECEMBER 27, 2022

2022 Nov;18(2):14-26. 2022 Nov 28. 2022 Nov 14. 2022 Nov 19. 2022 Nov 1;24(11):E1083-1090. 2022 Nov 7:e224131. 2022 Dec;40(12):1131-1142. Variations in Use of Diabetes Drugs With Cardiovascular Benefits Among Medicaid Patients. 2022 Nov 1;5(11):e2240117. Healthcare Policy.

Medicare 147

Medicare Medicare Medicaid Medicaid 147

Bill of Health

APRIL 25, 2022

Anticipated efficiencies, real costs: Medicaid managed care organizations and the pharmacy benefit. 2022 Mar;28(3):354-361. 2022 Mar 16. 2022 Mar 14:e220184. 2022 Mar 15. 2022 Mar;31(3):179-190. 2022 Mar 10. 2022 Apr;23(4):514-520. 2022 Mar 1;182(3):332-341. J Manag Care Spec Pharm.

COVID-19 147

COVID-19 Medicaid Medicaid FDA 147

Healthcare IT Today

JULY 23, 2022

Medical imaging vendor Intelerad announced a growth investment from TA Associates that is expected to close in the third quarter of 2022. Pediatric virtual behavioral health provider Brightline received a $10 million extended Series C investment from Northwell Health , which is the largest pediatric care provider in the state of New York.

Hospitals 88

Hospitals Medicaid Medicaid Medicare 88

Healthcare It News

OCTOBER 25, 2022

Specifically, HIMSS is in support of the the Advancing Telehealth Beyond COVID-19 Act of 2022, which was passed by the House of Representatives by a wide margin this past July but has stalled in the Senate. has the highest maternal mortality rate when compared with other countries with similar wealth.

COVID-19 264

COVID-19 Medicaid Medicaid Public Health 264

Bill of Health

MAY 19, 2022

2022 Apr;40(4):465-471. 2022 Apr 1;182(4):418-425. 2022 Apr 1;5(4):e227958. 2022 Apr 15. 2022 Apr 19. 2022 Apr 8;12(4):e058279. 2022 Apr 26:S1098-3015(22)00154-1. 2022 Apr 28:e220864. 2022 Apr 1;5(4):e226479. 2022 Apr 5. 2022 Apr 18. Nat Biotechnol. JAMA Intern Med.

Health Insurance 208

Health Insurance Hospitals FDA Medicaid 208

Fierce Healthcare

OCTOBER 24, 2023

The Center for Medicare and Medicaid Innovation (CMMI) unveiled 2022 calendar year results for the Direct Contracting Model on Monday. More than three-quarters of those who participated in the program reaped savings, data from CMMI revealed.

Medicaid 115

Medicaid Medicaid Medicare Medicare 115

Healthcare IT Today

OCTOBER 22, 2022

Funding and M&A Activity: Brave Health announced a $40 million Series C round ; the virtual mental health provider focuses on Medicaid populations. Provider resource optimization platform DexCare acquired eCommerce and merchandising company Womp.

Patient Advocacy 91

Patient Advocacy Medicaid Medicaid 91

Fierce Healthcare

NOVEMBER 2, 2023

The Centers for Medicare & Medicaid Services has dropped the final rule to remedy the invalidated 340B-acquired drug payment policy for calendar years 2018 to 2022. |

Hospitals 117

Hospitals Medicare Medicare Medicaid 117

Healthicity

JULY 20, 2022

Mental Health Parity. Mental health services have not always had the same parity of coverage.

Compliance Officers 98

Compliance Officers Medicaid Medicaid Medicare 98

Healthcare IT News - Telehealth

JANUARY 23, 2023

With Congress providing telehealth waivers as part of its omnibus spending bill at the close of 2022, delaying the "telehealth cliff" for two years, HIMSS says it's now ready to make the case for permanent reimbursement of virtual care. Creating standards synergy for 'Interoperability 3.0'

Medicare 189

Medicare Medicare Governance Medicaid 189