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

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

Healthcare IT News - Telehealth

JANUARY 23, 2023

We spoke with the HIMSS government relations team for their thoughts on those priorities and more in 2023 and beyond. By July 2022, all state Medicaid programs provided at least some audio-only coverage for behavioral wellness, according to a recent Kaiser Family Foundation report.

Medicare 171

Medicare Medicare Governance Medicaid 171

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

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

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

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

APRIL 25, 2023

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

Medicaid 105

Medicaid Medicaid 105

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 128

Ransomware HIPAA Hospitals Compliance 128

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

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 106

Medicaid Medicaid Ransomware HIPAA 106

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

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

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

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 It News

JUNE 13, 2023

THE LARGER TREND Food as medicine programs from Medicaid are being tested under the supervision of the Centers for Medicare and Medicaid Services through a framework for Health-Related Social Needs services under Section 1115s.

Medicaid 233

Medicaid Medicaid HIPAA Hospitals 233

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

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

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

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

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

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

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

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

Healthcare Law Today

NOVEMBER 30, 2022

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final 2023 Medicare Physician Fee Schedule (PFS) rule. With the extension of the PHE through January 11, 2023, virtual direct supervision will be available through at least the end of 2023.

Medicare 132

Medicare Medicare Telemedicine Nurses 132

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 107

Ransomware HIPAA Medicaid Medicaid 107

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

JANUARY 24, 2023

Managed care plans, states can now text Medicaid beneficiaries to warn of enrollment changes rking Tue, 01/24/2023 - 13:59

Medicaid 91

Medicaid Medicaid 91

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 89

Medicaid Medicaid Ransomware Health Insurance 89

Provider Trust

APRIL 30, 2024

This year, as always, the Medicaid Fraud Control Units (MFCUs) released an annual report dissecting the exclusions, enforcements, and overall takeaways from their work throughout the previous fiscal year (FY). MFCUs reported 1,143 total convictions in FY 2023—a marked decrease from 1,327 convictions in FY 2022.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

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

Medisys Compliance

DECEMBER 23, 2022

The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Effects of the PFS in 2023 on providers. Principles of PFS.

Medicare 98

Medicare Medicare Medical Billing Medical Billing Outsourcing 98

HIT Consultant

JANUARY 18, 2023

Community pharmacists trusted to deliver care: In 2023, pharmacists will play an integral role as part of the team managing patient care for diseases like diabetes, hypertension, or multiple comorbidities. In 2022, 135 new bills that impacted PBM business practices were introduced in 36 states and many will continue to be in review in 2023.

Compliance 98

Compliance Medicaid Medicaid Medicare 98