Health insurers well-positioned to weather inflation, utilization shifts in 2023: Fitch
Fierce Healthcare
JANUARY 18, 2023
Health insurers well-positioned to weather inflation, utilization shifts in 2023: Fitch. Wed, 01/18/2023 - 16:51.
Denials of health insurance claims are rising—and getting weirder
Fierce Healthcare
MAY 30, 2023
Denials of health insurance claims are rising—and getting weirder pminemyer Tue, 05/30/2023 - 10:51
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LivaNova Facing Multiple Class Action Lawsuits Over October 2023 Cyberattack
HIPAA Journal
JULY 9, 2024
The Houston, TX-based medical device company, LivaNova, is facing multiple class action lawsuits over an October 2023 cyberattack that exposed the protected health information of 180,000 patients. The post LivaNova Facing Multiple Class Action Lawsuits Over October 2023 Cyberattack appeared first on The HIPAA Journal.
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Health Insurers are Ignoring Price Transparency Rules at the Expense of Private Practice
HealthIT Answers
JUNE 9, 2024
By Nathaniel Arana - Since January 1, 2023, The Transparency in Coverage Rule required health insurance providers and health insurers to provide price information to participants in a publicly accessible place. This means consumers should, in theory, be able to to go to any payer’s website and see.
The Health Insurance Premium for a Family Averages $25,572 in 2024 – KFF’s Annual Update on Employer-Sponsored Benefits
Health Populi
OCTOBER 14, 2024
The premium for employer-sponsored health plans grew by 6-7% between 2023 and 2024, according to the report on Employer Health Benefits 2024 Annual Survey from the Kaiser Family Foundation, KFF’s 26th annual study into U.S. companies’ spending on workers’ health care.
Editor's Corner—Fierce Health Payer's top 10 stories of 2023
Fierce Healthcare
DECEMBER 20, 2023
Many of the most-read health insurance stories from Fierce Healthcare in 2023 center on Medicare Advantage. Among our most-read stories of the year, one topic clearly rose to the top: Medicare Advantage.
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Proposed Regulations Issued to Substantially Increase Access to Federally Subsidized Health Insurance
Compliance Now
APRIL 6, 2022
Notably, the rules only impact whether an individual is eligible for federally subsidized health insurance; they DO NOT change the affordability requirements for applicable large employers under the ACA’s employer mandate. If finalized, the new rules will increase access to federal subsidies beginning January 1, 2023.
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What’s New for 2023 Marketplace Enrollment?
Center for Health Insurance Reform
OCTOBER 3, 2022
There are many new policies impacting the Marketplace in 2023, including an extension of enhanced financial assistance through the Inflation Reduction Act; a federal fix to the “family glitch” that will create more affordable coverage opportunities for families; and tools to make shopping for a Marketplace plan more consumer-friendly.
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2 health insurance execs make list of the world's 10 most influential CEOs
Fierce Healthcare
MARCH 21, 2023
2 health insurance execs make list of the world's 10 most influential CEOs pminemyer Tue, 03/21/2023 - 13:10
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Substance use disorders cost employer-sponsored health insurance over $35B a year: CDC study
Fierce Healthcare
JANUARY 23, 2023
Substance use disorders cost employer-sponsored health insurance over $35B a year: CDC study fdiamond Mon, 01/23/2023 - 16:36
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J.D. Power Study: 32% of Health Insurance Websites & Apps Lack Basic Functionality
HIT Consultant
APRIL 10, 2024
Power reveals significant shortcomings in the digital experiences offered by health insurance providers in the United States. Healthcare Digital Experience Study found that a surprising 42% of insured adults have encountered problems using their health insurance company’s website or app in the past year.
The Impact of Unions on Employer-Sponsored Health Insurance
Center for Health Insurance Reform
NOVEMBER 20, 2023
In just the first eight months of 2023, over 323,000 workers engaged in a labor action against their employers. Unions have been demanding better wages, protections, and benefits—including better health plans.
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November 8, 2023, Healthcare Data Breach Round-Up
HIPAA Journal
NOVEMBER 8, 2023
The attack was detected on September 5, 2023, when files on its network were encrypted. The compromised information included names, addresses, dates of birth, Social Security numbers, driver’s license numbers or state IDs, medical treatment information, and health insurance information.
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Kisco Senior Living & Island Ambulatory Surgery Center Disclose Summer 2023 Cyberattacks
HIPAA Journal
APRIL 23, 2024
Kisco Senior Living experienced its attack in June 2023, and Island Ambulatory Surgery Center suffered an attack in July. According to the notification letters mailed to the affected individuals in April 2024, a cyberattack was detected on June 6, 2023, when its network was disrupted.
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Humana posts big loss, dour outlook on Medicare Advantage cost spike
Healthcare Dive
JANUARY 24, 2024
The health insurer’s stock plunged Thursday morning following its 2023 results, which fell startlingly short of Wall Street’s expectations.
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Patients, Nurses and Doctors Blame Health Insurers for Increasing Costs and Barriers to Care
Health Populi
JULY 17, 2023
Most patients, nurses and doctors believe that health insurance plans reduce access to health care which contributes to clinician burnout and increases costs, based on three surveys conducted by Morning Consult for the American Hospital Association (AHA). We must shift our True North mantra for improving health care in the U.S.
Patient Data Stolen from Livanova in October 2023 Ransomware Attack
HIPAA Journal
APRIL 30, 2024
The ransomware attack was discovered on November 19, 2023, and the forensic investigation confirmed that hackers gained access to its network on October 26, 2023. million in Q4, 2023, as a result of the attack. The post Patient Data Stolen from Livanova in October 2023 Ransomware Attack appeared first on HIPAA Journal.
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Personalizing Health Means Personalizing Health Insurance for Patient-Members – Learning from HealthEdge
Health Populi
AUGUST 21, 2023
” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.
Party’s Over: Health Plan Premiums Poised to Spike in 2023, After Period of Modest Growth
Center for Health Insurance Reform
JULY 14, 2022
Health insurers have begun to submit their proposed premium rates for 2023, and they're not looking pretty. CHIR's Sabrina Corlette dives into what is driving hefty premium increases in her annual review of the rate justifications insurers submit to state insurance departments.
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Revenue Cycle and Payer News – November 22, 2023
HealthIT Answers
NOVEMBER 22, 2023
Latest news being reported on payers and the health insurance industry including news from Cedar, Independence Blue Cross, CVS Health, UnitedHealth Group, Oscar Health, Vivante Health, and more. The post Revenue Cycle and Payer News – November 22, 2023 appeared first on Health IT Answers.
Elevance, BCBSLA pause $2.5B merger amid regulatory scrutiny
Healthcare Dive
SEPTEMBER 26, 2023
The health insurers originally expected their merger to close before the end of 2023, but have hit snags receiving the regulatory green light in Louisiana.
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Major Massachusetts Health Insurer Suffers Ransomware Attack
HIPAA Journal
APRIL 21, 2023
Point32 Health, the second-largest health insurer in the state of Massachusetts, has announced it has experienced a ransomware attack that has resulted in system outages, including systems that are used to service its members, accounts, brokers, and providers. Tufts Health Plan members are not understood to have been affected.
The Latest KFF Poll on Consumer Experiences with Health Insurance Speaks Volumes About Patients’ Administrative Burden
Health Populi
JUNE 26, 2023
People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB).
Revenue Cycle and Payer News – October 25, 2023
HealthIT Answers
OCTOBER 25, 2023
Latest news being reported on payers and the health insurance industry including news from Sendero Health Plans, CVS Health, RxBenefits, IBX, UnitedHealthcare, Humana, Lumeris, Aetna, CVS Health, Blue Cross Blue Shield Association, UnitedHealth Group, and more.
Revenue Cycle and Payer News – September 20, 2023
HealthIT Answers
SEPTEMBER 20, 2023
Latest news being reported on payers and the health insurance industry including news from CVS Health, American Medical Association, UnitedHealthcare, Independence Blue Cross, Humana, CareSource, Blue Cross Blue Shield, Cigna, and more.
Revenue Cycle and Payer News – Septmeber 20, 2023
HealthIT Answers
SEPTEMBER 20, 2023
Latest news being reported on payers and the health insurance industry including news from CVS Health, American Medical Association, UnitedHealthcare, Independence Blue Cross, Humana, CareSource, Blue Cross Blue Shield, Cigna, and more.
New and Improved Navigator Resource Guide Answers Common Enrollment Questions and Reflects Policy Changes for 2023
Center for Health Insurance Reform
NOVEMBER 4, 2022
Navigators and other enrollment assisters can access over 300 frequently asked questions and answers, state fact sheets, a summary of new federal policies for 2023, and more.
Stakeholder Perspectives and Feedback on Health Equity in the 2023 Notice of Benefit and Payment Parameters
Center for Health Insurance Reform
MARCH 31, 2022
In the proposed Notice of Benefit and Payment Parameters for 2023, the Centers for Medicare & Medicaid Services asked for feedback on how to promote health equity through ACA marketplace operations and plan certification standards.
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Revenue Cycle and Payer News – August 23, 2023
HealthIT Answers
AUGUST 23, 2023
Latest news being reported on payers and the health insurance industry including news from CVS Health, HHS, UnitedHealthcare, Independence Blue Cross, Humana, CareSource, Cigna, CareFirst BlueCross BlueShield, and more. The post Revenue Cycle and Payer News – August 23, 2023 appeared first on Health IT Answers.
Revenue Cycle and Payer News – July 26, 2023
HealthIT Answers
JULY 26, 2023
Latest news being reported on payers and the health insurance industry including news from Anthem Blue Cross and Blue Shield, IBX, CareSource, NAACOs, Blue Cross Blue Shield Association, CareSource, and more. The post Revenue Cycle and Payer News – July 26, 2023 appeared first on Health IT Answers.
ACA marketplace premiums poised to jump
Healthcare Dive
JULY 19, 2022
Health insurers' preliminary filings with state regulators point to a 10% median bump in rates for enrollees in 2023, according to the Kaiser Family Foundation.
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Healthcare Security and Risk – 2023 Health IT Predictions
Healthcare IT Today
JANUARY 2, 2023
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. We are going to see an increased demand for privacy-preserving technology in 2023, and therefore more investment in the space. during 2023. Check out our community’s healthcare Security and Risk predictions.
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Revenue Cycle and Payer News – June 21, 2023
HealthIT Answers
JUNE 21, 2023
Latest news being reported on payers and the health insurance industry including news from Independence Blue Cross, Aetna, CVS Health, Humana, CareSource, MultiPlan, ECHO Health, AHIP and more. The post Revenue Cycle and Payer News – June 21, 2023 appeared first on Health IT Answers.
May 2023 Healthcare Data Breach Report
HIPAA Journal
JUNE 20, 2023
May 2023 was a particularly bad month for healthcare data breaches. More healthcare records have been breached in the first 5 months of 2023 (36,437,539 records) than in all of 2020 (29,298,012 records). 75 data breaches of 500 or more healthcare records were reported to the HHS’ Office for Civil Rights (OCR) in May.
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Revenue Cycle and Payer News – May 24, 2023
HealthIT Answers
MAY 24, 2023
Latest news being reported on payers and the health insurance industry including news from CVS Health, IBX, UnitedHealthcare, Humana, CareSource, Cigna, AHIP, Superior HealthPlan and more. The post Revenue Cycle and Payer News – May 24, 2023 appeared first on Health IT Answers.
Revenue Cycle and Payer News – April 26, 2023
HealthIT Answers
APRIL 26, 2023
Latest news being reported on payers and the health insurance industry including news from Oscar Health, AHIP, Independence Blue Cross, Independence Health Group, CVS Health, UnitedHealth Group, Humana, and more. The post Revenue Cycle and Payer News – April 26, 2023 appeared first on Health IT Answers.
Revenue Cycle and Payer News – March 29, 2023
HealthIT Answers
MARCH 29, 2023
Latest news being reported on payers and the health insurance industry including news from Humana, Aetna Better Health of Illinois, UnitedHealth Group, Oscar Health, CVS Health, Independence Blue Cross, BCBS Association, AHIP, Cigna, CareSource, and more.
Revenue Cycle and Payer News – March 1, 2023
HealthIT Answers
MARCH 1, 2023
Latest news being reported on payers and the health insurance industry including news from CVS Health, CareSource, Humana, Blue Cross Blue Shield Association, UnitedHealthcare, UnitedHealth Group, Humana, Independence Blue Cross, One Medical, Amazon and more.
Revenue Cycle and Payer News – February 1, 2023
HealthIT Answers
FEBRUARY 1, 2023
Latest news being reported on payers and the health insurance industry including news from Angle Health, SmartRx, Elevance Health, Cigna Corporation, UnitedHealthcare, CVS Health, HHS, Independence Blue Cross, Blue Cross Blue Shield Association, Humana, and more.
Telehealth and RPM – 2023 Health IT Predictions
Healthcare IT Today
JANUARY 6, 2023
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. We have seen unprecedented growth in the digital healthcare space and this momentum will only continue in 2023 – bringing more innovation, smarter technology, and impactful legislation and business initiatives.
Weekly Roundup – November 25, 2023
Healthcare IT Today
NOVEMBER 25, 2023
Read more… Toward Wider Adoption of Digital Insurance Cards. Like most of us, Andy Oram has a health insurance card in his wallet. Here’s what he learned about SMART Health, FHIR, registries, EHR integrations, and other technology that could support digital insurance cards in the not-too-distant future.
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Weekly Roundup – April 15, 2023
Healthcare IT Today
APRIL 15, 2023
Where to Find Healthcare IT Today at HIMSS 2023. In addition, the team has a few events lined up, including the Medigy HITMC 2023 Awards Ceremony and the Healthcare IT Today Community Celebration , and can be found at panels, meetups, and educational sessions throughout the week. Headed to Chicago?
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Key Takeaways from PegaWorld iNspire 2023
HIT Consultant
JUNE 21, 2023
The success of the project has led the company to invest in further enhancing the new mobile solution to take payment at the point of delivery from October 2023. One of Apria’s priorities for the project was an easy installation, which is why they chose Pega’s low code, off-the-shelf solution to integrate into their existing system.
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22 Executive Digital Health Predictions to Watch in 2023
HIT Consultant
JANUARY 16, 2023
From a digital health perspective, 2022 was a reset year for many and a serious reality check. We went from sky high growth to the sky is falling, and in 2023 I think this market correction movement will continue forward. Nate Fox, co-founder and CTO, Ribbon Health. Jon Bloom, MD, CEO and Co-founder of Podimetrics.
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