HIT Consultant

JULY 17, 2023

Talib Jaber, RPh, VP of Customer Success, Sunwave Health The pandemic caused a significant increase in overdose and Substance Use Disorder (SUD) related deaths, exposing long-standing deficiencies in the identification and treatment of SUD. It’s important to note that Medicaid is the leading payer for SUD treatment in the country.

Public Health 98

Public Health Medicaid Medicaid Electronic Medical Records 98

Bill of Health

FEBRUARY 23, 2023

Over the course of the COVID-19 pandemic, now entering its fourth year in 2023, legislators, executives, and judges at every level of government have sought measures to derail efficacious public health interventions. By James G. And that’s where they are wrong. Some victories came easy.

COVID-19 182

COVID-19 Public Health COVID-19 Vaccine Governance 182

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

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

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

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. An end to the Public Health Emergency (PHE) is likely to be announced and end mid-January followed by a grace period of approximately 5 months. With the market downturns we’ve seen in 2022, that trend will shift.

US Department of Health and Human Services 103

US Department of Health and Human Services Doctors Telemedicine Public Health 103

Healthcare IT News - Telehealth

FEBRUARY 3, 2023

The Telehealth Benefit Expansion for Workers Act would amend the Public Health Service Act, the Employee Retirement Income and Security Act of 1974 and the Internal Revenue Code of 1986 to allow employers to treat benefits for telehealth services like excepted benefits. In an announcement about the bipartisan bill, Rep.

COVID-19 178

COVID-19 Public Health Medicare Medicare 178

Healthcare IT Today

APRIL 29, 2023

The pandemic highlighted all too well the value of readily available and reliable public health data , noted Chris Anello at iTech AG. This has required the industry to rethink how this data is presented to the public, and getting that right requires an increased emphasis on how consumers interact with data.

Medicaid 92

Medicaid Medicaid Public Health Licensing 92

Bill of Health

NOVEMBER 15, 2023

health care system, but that are especially present for behavioral health needs like substance use, and are exacerbated by other challenges related to stigma, lack of employment, and fragmented or nonexistent care coordination. This reality reflects structural, policy, and legal misalignments common to the entire U.S.

Governance 173

Governance Public Health Telemedicine COVID-19 173

Bill of Health

NOVEMBER 9, 2023

To design systems and policies that promote the right to health, a holistic and proactive approach is needed, one in which people, institutions, and corporations have a shared responsibility in promoting physical, mental, and social well-being. health care system. America is the only wealthy nation to lack universal health coverage.

COVID-19 162

COVID-19 Public Health ACA Health Insurance 162

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Additional Opportunities for Integration through State Medicaid Agency Contracts.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

Healthcare IT Today

APRIL 26, 2023

The following is a guest article by Ashley Perry, MPH, Chief Strategy and Solutions Officer at Socially Determined When Congress passed the Consolidated Appropriations Act of 2023 , it decoupled the Public Health Emergency (PHE) from the Medicaid program’s continuous enrollment provision, which was implemented as part of the PHE in March 2020.

Medicaid 75

Medicaid Medicaid Public Health Health Outcomes 75

Center for Health Insurance Reform

DECEMBER 8, 2022

States are expected to resume redeterminations of Medicaid eligibility in early 2023, resulting in a projected 15 million people losing access to Medicaid. Ensuring these individuals transfer to another source of coverage smoothly and seamlessly is a particular challenge for states.

Medicaid 70

Medicaid Medicaid Health Insurance Public Health 70

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 COVID-19 Health Insurance 64

YouCompli

MARCH 29, 2023

In this article, she discusses several issues that hospitals and health systems need to consider as a result of the scheduled end of the COVID-19 public health emergency. Department of Health & Human Services (HHS) reports that 80% of the U.S. population previously received at least one COVID-19 vaccination.

Public Health 52

Public Health COVID-19 COVID-19 Vaccine Medicare 52

Healthcare Blog

OCTOBER 19, 2023

Public health policy encompasses various levels of healthcare, from federal legislation to state or local laws, community-based health initiatives, and facility-level policies. It also encourages good health and helps achieve designated health objectives. What Is Public Health Policy?

Public Health 52

Public Health Compliance Hospitals Health Insurance 52

Health Populi

JUNE 23, 2023

If you live in Massachusetts, Hawaii, and New Hampshire, you win a kind of state lottery for public health and well-being, based on this year’s read of the 2023 Scorecard on State Health System Performance from The Commonwealth Fund. states ranked by a mash-up of health system indicators.

COVID-19 133

COVID-19 Medicaid Medicaid Health Outcomes 133

Bill of Health

JANUARY 23, 2024

Medicaid pays for more than 40% of births in the U.S., Examining efforts at the federal and state level, I highlight three options, leveraging Medicaid as a policy lever. In the past, when individuals were Medicaid-eligible due to pregnancy, federal law required states to provide coverage for at least 60 days postpartum.

Medicaid 113

Medicaid Medicaid Patient Satisfaction Health Insurance 113

Healthcare IT News - Telehealth

AUGUST 29, 2024

The American Telemedicine Association and ATA Action in a letter to the Centers for Medicare and Medicaid Services seeks to preserve pandemic-era Medicare telehealth flexibilities that it says are responsible for improving access to healthcare across the U.S.

Medicare 122

Medicare Medicare Medicaid Medicaid 122

Health Law Advisor

APRIL 13, 2023

On March 22, 2023, the U.S. Department of Health and Human Services’ Office of Inspector General (“OIG”) updated its Frequently Asked Questions (“FAQs”), drafting 13 FAQs aimed at easing the transition from COVID-era flexibilities to the end of the Public Health Emergency (“PHE”) on May 11, 2023.

Public Health 52

Public Health Fraud COVID-19 Medicaid 52

Jane Sarashon

DECEMBER 18, 2024

But today we report out the latest data from the Centers for Medicare and Medicaid Services (CMS) that national health spending in America reached $4.9 trillion in 2023. The full report on national health expenditures (NHE) in the U.S. was published today in Health Affairs, which came off embargo at 4 pm.

Medicare 52

Medicare Medicare Health Insurance COVID-19 52

MedTrainer

MAY 4, 2023

The end of the federal Public Health Emergency (PHE) will reinstate regulations that have been absent for years… and many healthcare workers have never had to follow. There are plenty of compliance implications for the end of the Public Health Emergency on May 11, 2023 , and an assessment is a great place to start.

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

HIPAA Journal

APRIL 25, 2023

Data breaches have recently been announced by Santa Clara Family Health Plan, United Steelworkers Local 286, Robeson Health Care Corporation, Two Rivers Public Health Department, and NewBridge Services. According to the notification, malware was detected within its network on February 21, 2023.

Health Insurance 95

Health Insurance Public Health Ransomware Fraud 95

HIT Consultant

SEPTEMBER 27, 2024

The data is based on responses from 4,070 healthcare customers who utilized telehealth services in the past year, collected between September 2023 and July 2024. – Direct-to-Consumer: MyTelemedicine leads in telehealth satisfaction with a score of 747, followed by Doctor On Demand and Teladoc Health, both at 743.

Patient Satisfaction 105

Patient Satisfaction Medicaid Medicaid Public Health 105

Healthcare IT Today

APRIL 2, 2023

With the end of the public health emergency, DEA is proposing a rollback on flexibility for remote prescribing. If the DEA’s proposed rules become final, ATA warned in a statement , patients “will fall through the cracks, creating a significant and avoidable public health crisis.”

Nurses 81

Nurses Medical Billing Telemedicine Public Health 81

Provider Trust

AUGUST 9, 2023

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. Led by acting Inspector General Christi A.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

HIT Consultant

APRIL 4, 2023

What You Should Know: 2023 started off with the hallmarks of a rebound year. While Q4 2022 signaled the tail end of the digital health funding cycle, January and February funding numbers began to suggest that sector investment was slowly but surely inching back upwards. digital health funding closed with $3.4B and Q3 2022’s $2.2B

FDA 52

FDA Medicaid Medicaid COVID-19 52

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. As a result, these flexibilities will be in place until at least Dec. 1, 2024.

Payment Systems 97

Payment Systems Public Health Medicare Medicare 97

HIT Consultant

AUGUST 5, 2022

CMS Proposed Changes to the Physician Fee Schedule 2023 : On July 7, 2022, the CMS announced that it is soliciting public comment on proposed policy changes for Medicare payments under the Physician Fee Schedule (“PFS”) effective on or after January 1, 2023. in CY 2023. from $34.61 in CY 2022 to $33.08 in the quarter.

Telemedicine 98

Telemedicine Medicaid Medicaid Malpractice 98

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? But these programs cannot be controlled by Medicaid and Medicare alone. But these programs cannot be controlled by Medicaid and Medicare alone. With this legislation, Medicaid Fraud Control Units (MFCUs) were born.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

Kaiser Health News

MARCH 15, 2022

But the new benefit for people enrolled in Medi-Cal, the state’s Medicaid health insurance program, has been delayed twice as the state and doulas — nonmedical workers who help parents before, during, and after birth — haggle over how much they should get paid.

Medicaid 90

Medicaid Medicaid Health Insurance Public Health 90

Bill of Health

DECEMBER 6, 2023

The Consolidated Appropriations Act of 2023 requires Medicaid plans to publish and update accurate and searchable provider directories. Both private and public insurance reimbursement rates are not comparable to what mental health providers could make if they charged patients out-of-pocket.

Governance 147

Governance Medicaid Medicaid Medicare 147

Innovaare Compliance

OCTOBER 6, 2022

According to the Centers for Medicare & Medicaid Services (CMS), enrollment in MAPD keeps rising. And, in 2023, there will be more enrollees in MAPD than in original Medicare. Another highly anticipated change to begin on January 1, 2023 pursuant to the IRA is the $35 cap per month on out-of-pocket costs to Medicare beneficiaries.

Medicare 52

Medicare Medicare Compliance Public Health 52

Healthcare Law Blog

JANUARY 31, 2023

[ii] Investments in behavioral digital health services have the potential to transform the healthcare system in several key areas. In November 2020, Oregon became the first state to legalize psilocybin-assisted therapy and began accepting applications for licensure on January 2, 2023. [v] vi] “Psychedelic Therapeutics Market Worth $8.31

COVID-19 105

COVID-19 Medicare Medicare Medicaid 105

Jane Sarashon

FEBRUARY 27, 2024

The aspirational document sets out the mission that “every individual deserves the right to obtain health care that is comprehensive, equitable and compassionate.” Health Populi’s Hot Points: Is there an American Civil Right for health care?

ACA 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

Health Care Law Brief

MAY 11, 2022

As part of the Fiscal Year 2023 New York state Executive Budget legislation , $1.2 No bonus amount may be paid to any worker who has been suspended or excluded under the Medicaid program during the vesting period and at the time an employer submits a claim. Covered Employers. Covered Employer Tracking and Recordkeeping.

Medicaid 97

Medicaid Medicaid Overpayments Overpayment 97

Health Law Advisor

AUGUST 14, 2023

3] As indicated above, the temporary waiver that allowed mailing or home delivery of DME during the COVID-19 PHE expired May 11, 2023 and is no longer available. 2, 2023). [2] 2, 2023). [4] 2, 2023). [2] 2, 2023). [4] 11, 2023) 51011, 51019 (Sept. 5, 2007) (emphasis added). [5] at 51020. [6]

COVID-19 52

COVID-19 Medicare Medicare Public Health 52