Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

Medicaid 100

Medicaid Medicaid Compliance COVID-19 100

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

Medicaid 100

Medicaid Medicaid Compliance COVID-19 100

Fierce Healthcare

NOVEMBER 11, 2024

Accountable care organizations in the ACO Reach program can claim credit for saving the Centers for Medicare & Medicaid Services (CMS) hundreds of millions of dollars | CMS released favorable savings results for ACO REACH Model participants, as industry group NAACOS begins to push for the program's extension through 2030.

Medicaid 111

Medicaid Medicaid Medicare Medicare 111

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. Telligen performs annual assessments on Medicaid recipients for the Iowa DHSS.

Medicaid 108

Medicaid Medicaid Ransomware HIPAA 108

HIT Consultant

OCTOBER 18, 2023

Chris Oskuie, VP, State & Local Government &Education Sales at Software AG Government Solutions As a result of the Families First Coronavirus Response Act (FFCRA), Medicaid programs were required to keep citizens continuously enrolled through the COVID-19 public health emergency (PHE).

Medicaid 103

Medicaid Medicaid Governance COVID-19 103

Fierce Healthcare

MAY 30, 2023

Medicaid work requirements dropped in debt ceiling deal pminemyer Tue, 05/30/2023 - 12:20

Medicaid 116

Medicaid Medicaid 116

Center for Health Insurance Reform

AUGUST 28, 2023

A massive coverage transition is underway for millions of people who have relied on Medicaid throughout the COVID-19 pandemic. After a three-year pause, states have begun disenrolling residents from Medicaid, leaving millions of people in need of new coverage.

Medicaid 98

Medicaid Medicaid COVID-19 98

Fierce Healthcare

APRIL 14, 2023

Fitch Ratings says Medicaid disenrollment will pinch revenue for not-for-profit hospitals fdiamond Fri, 04/14/2023 - 14:26

Medicaid 126

Medicaid Medicaid Hospitals 126

Fierce Healthcare

APRIL 5, 2023

Medicaid payment for mental health services shortchanges psychiatrists in many states: study fdiamond Wed, 04/05/2023 - 15:21

Medicaid 119

Medicaid Medicaid 119

Fierce Healthcare

APRIL 17, 2023

14M people could lose dental coverage as Medicaid redeterminations restart: report pminemyer Mon, 04/17/2023 - 15:58

Medicaid 116

Medicaid Medicaid 116

Fierce Healthcare

APRIL 25, 2023

Centene CEO offers look at progress around Medicaid redeterminations pminemyer Tue, 04/25/2023 - 06:43

Medicaid 105

Medicaid Medicaid 105

Fierce Healthcare

MAY 23, 2023

CMS proposed rule aims to shed light on prescription drug costs for Medicaid hlandi Tue, 05/23/2023 - 23:18

Medicaid 119

Medicaid Medicaid 119

HIPAA Journal

JANUARY 31, 2024

Report: Security Breaches in Healthcare (Direct Download PDF, 1.9MB, 16 pages) An unwanted record was set in 2023 with 725 large security breaches in healthcare reported to the Department of Health and Human Services (HHS) Office for Civil Rights (OCR), beating the record of 720 healthcare security breaches set the previous year.

Ransomware 129

Ransomware HIPAA Hospitals Compliance 129

Fierce Healthcare

MAY 24, 2023

With Medicaid redeterminations underway, many are unaware of the process: KFF pminemyer Wed, 05/24/2023 - 16:07

Medicaid 104

Medicaid Medicaid 104

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 90

Medicaid Medicaid Ransomware Health Insurance 90

Center for Health Insurance Reform

JUNE 3, 2022

Beginning in 2023, CMS will require QHP provider networks for plans sold on the federal marketplace to meet minimum time-and-distance standards and, beginning in 2024, minimum standards for appointment wait times.

Medicaid 98

Medicaid Medicaid Health Insurance 98

Healthcare Dive

JULY 19, 2023

Although it’s still early in the redeterminations process, Elevance is seeing “encouraging” signs that many Medicaid members who lose coverage are transitioning onto ACA plans, according to its CFO.

ACA 130

ACA Medicaid Medicaid 130

Fierce Healthcare

MARCH 10, 2023

Medicaid health plans try to protect members—and profits—during unwinding pminemyer Fri, 03/10/2023 - 13:44

Medicaid 111

Medicaid Medicaid 111

Fierce Healthcare

APRIL 11, 2023

Loss of Medicaid supplemental coverage disproportionately harms Black, Hispanic patients: study fdiamond Tue, 04/11/2023 - 09:14

Medicaid 98

Medicaid Medicaid 98

Fierce Healthcare

APRIL 13, 2023

House oversight committee seeks answers on hospitals' COVID relief funds, improper Medicaid payments dmuoio Thu, 04/13/2023 - 13:59

Medicaid 105

Medicaid Medicaid Hospitals 105

Fierce Healthcare

JANUARY 26, 2023

CMS approves waiver to enable California to offer Medicaid coverage to incarcerated individuals rking Thu, 01/26/2023 - 16:16

Medicaid 111

Medicaid Medicaid 111

HealthIT Answers

JANUARY 31, 2024

The Centers for Medicare & Medicaid Services opened data submission for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2023 performance year of the Quality Payment Program. The post Reminder: MIPS 2023 Data Submission is Open appeared first on Health IT Answers.

Payment Systems 59

Payment Systems Medicaid Medicaid Medicare 59

Fierce Healthcare

JANUARY 13, 2023

KFF study details the challenges in addressing mental health in Medicaid. Fri, 01/13/2023 - 08:25.

Medicaid 110

Medicaid Medicaid 110

Fierce Healthcare

MARCH 17, 2023

House lawmakers seek to ban spread pricing in Medicaid in latest PBM reform effort rking Fri, 03/17/2023 - 16:25

Medicaid 111

Medicaid Medicaid 111

Fierce Healthcare

JANUARY 9, 2023

JPM23: Centene gears up for Medicaid redeterminations to begin this spring. Mon, 01/09/2023 - 14:19.

Medicaid 105

Medicaid Medicaid 105

Healthicity

NOVEMBER 4, 2022

2023 is fast approaching, and so are new changes from the Centers for Medicaid & Medicare (CMS)!

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Fierce Healthcare

FEBRUARY 17, 2023

Urban: Majority surveyed not aware of looming Medicaid eligibility redeterminations rking Fri, 02/17/2023 - 16:40

Medicaid 96

Medicaid Medicaid 96

Fierce Healthcare

MAY 8, 2023

could lose coverage if Medicaid work requirements are rolled out under debt plan pminemyer Mon, 05/08/2023 - 16:29

Medicaid 98

Medicaid Medicaid 98

Fierce Healthcare

MARCH 20, 2023

MACPAC calls for states to have power to restrict Medicaid coverage of some accelerated approval drugs rking Mon, 03/20/2023 - 16:13

Medicaid 98

Medicaid Medicaid 98

HIPAA Journal

MAY 23, 2023

Largest Healthcare Data Breaches Reported in April 2023 As previously mentioned, April saw a major data breach reported that affected 3,037,303 individuals – The third largest breach to be reported by a single HIPAA-covered entity so far this year, and the 19 th largest breach to be reported by a single HIPAA-regulated entity to date.

Ransomware 108

Ransomware HIPAA Medicaid Medicaid 108

HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

Medicaid 64

Medicaid Medicaid Health Insurance COVID-19 64

The Health Law Firm Blog

SEPTEMBER 20, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.] Indest III, J.D.,

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

The Health Law Firm Blog

AUGUST 24, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.] Indest III, J.D.,

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

Healthcare Law Blog

AUGUST 25, 2023

On August 21, 2023, the New York State Office of the Medicaid Inspector General (OMIG) announced updates to the Medicaid overpayment self-disclosure program, which now includes an abbreviated process for reporting and explaining overpayments that are considered routine or transactional in nature and have been already voided and adjusted.

Overpayments 52

Overpayments Overpayment Medicaid Medicaid 52

Fierce Healthcare

JANUARY 6, 2023

Study: Medicaid expansion states saw declines in postpartum hospitalizations. Fri, 01/06/2023 - 15:49.

Medicaid 85

Medicaid Medicaid Hospitals 85

Fierce Healthcare

MARCH 9, 2023

Industry groups form coalition to avoid coverage lapses as Medicaid redeterminations loom pminemyer Thu, 03/09/2023 - 15:14

Medicaid 85

Medicaid Medicaid 85

The Health Law Firm Blog

JULY 19, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.] Indest III, J.D.,

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52