Remove 2024 Remove Medicare Remove US Department of Health and Human Services
article thumbnail

Bonus Features – June 30, 2024 – 56% of organizations say shortage of IT talent is a key challenge, 87% of physicians say at-home testing improves access to diagnostic services, plus 22 more stories

Healthcare IT Today

News HHS revealed disincentives for providers that commit information blocking , with organizations subject to lower scores and reduced reimbursements under the Medicare Promoting Interoperability Program and ineligible for MSSP participation for at least one year. RCM services vendor Savista launched Sophia , a patient-facing digital agent.

article thumbnail

Vendor notebook: New AI partnerships with Dell, Google enhance workflows and communications

Healthcare It News

Northwestern Medicine, the Nevada Health Link, Cohere Health and Kyruus Health are partnering withDell Technologies, Google Cloud Marketplace and others to offer providers and payers ways to tackle the daily challenges that delay care approvals and prevent patients from seeking care and enrolling in health plans.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Two Healthcare Organizations Caught Up in Medicare Fraud Schemes

Compliancy Group

In one incident, a New Jersey pharmacy admitted to conspiracies to defraud benefits providers, including Medicare and Medicaid, of $65 million for medications never provided to patients. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received.

Fraud 52
article thumbnail

From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

Jane Sarashon

As a constant observer and advisor across the health/care ecosystem, for me the concept of a “health plan” in the U.S. Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. is getting fuzzier by the day.

article thumbnail

UnitedHealth Group Confirms Data Stolen in Change Healthcare Ransomware Attack

HIPAA Journal

While it is currently unclear what types of data were stolen in the attack, UnitedHealth Group said personally identifiable health information, eligibility and claims information, and financial information are likely to have been compromised. United Health Group has also confirmed that it has paid out more than $3.3 40% of the $3.3

article thumbnail

What’s Your Approach to CMS Compliance Requirements?

Compliancy Group

Within the US Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing and administering various healthcare programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

article thumbnail

The Economic Contours of the Change Healthcare Cyber Attack: Taking Stock So Far

Jane Sarashon

On February 22, 2024, I went to a CVS Pharmacy-Inside-Target in my community to fill a prescription for benzonatate 200 mg capsules. That’s TMI for me to write about in the Health Populi blog, but this story has a current-events twist: the pharmacist could not electronically link with my insurance company to transact my payment.