HealthIT Answers

JANUARY 29, 2025

Reported payers and health insurance industry news from Humana, Aetna, Anthem Blue Cross and Blue Shield, UnitedHealth Group, Banner|Aetna, CVS Health, Cigna, and more. The post Revenue Cycle and Payer News – January 29, 2025 appeared first on Health IT Answers.

Health Insurance 59

Health Insurance 59

HIPAA Journal

APRIL 16, 2025

Legal counsel for Medical Express confirmed that the data mining process was completed on January 30, 2025, and a mailing vendor was engaged on March 3, 2025. The final list for notifications was obtained on March 19, 2025, and the notification letters were mailed on April 14, 2025.

Licensing 81

Licensing Health Insurance HIPAA Ransomware 81

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. will indeed keep on keepin’ on.

Health Insurance 62

Health Insurance Prescription Drug Pricing COVID-19 Governance 62

Healthcare Dive

APRIL 25, 2025

Centene’s first quarter results didn’t appear to quell investor concerns about volatility in the health insurance market.

Health Insurance 157

Health Insurance 157

HIT Consultant

NOVEMBER 22, 2024

What You Should Know: – A new report from the Commonwealth Fund reveals that despite significant progress in expanding health insurance coverage under the Affordable Care Act (ACA), millions of Americans still lack adequate and affordable healthcare.

ACA 98

ACA Health Insurance Medicaid Medicaid 98

Bill of Health

OCTOBER 17, 2024

Finally, SB 1120 limits the degree to which health insurers can use AI to determine medical necessity for member health care services. 2025) research interests are focused on the intersection of health and the law. This article seeks to summarize these developments in the law. Rebekah Ninan’s (J.D.

Medicare 150

Medicare Medicare Health Insurance Licensing 150

Jane Sarashon

DECEMBER 30, 2024

Health/care is everywhere is the mantra on the back of my business card. The 2025 convening of CES (once known as the Consumer Electronics Show) in Las Vegas officially kicks off on 7 January 2025. In the sleep-health segment, beds and CPAP devices have been part of CES for many years. There are more!

FDA 52

FDA Medicare Medicare Medical Billing 52

HIPAA Journal

MARCH 25, 2025

Columbia Eye Clinic, South Carolina Columbia Eye Clinic, a medical and surgical ophthalmology practice with four locations in Columbia and Lexington in South Carolina, announced a data security incident on March 14, 2025, involving the exposure of patients’ protected health information.

Ransomware 86

Ransomware Licensing Electronic Medical Records Health Insurance 86

HIPAA Journal

MARCH 28, 2025

Two breach notices have been added to the Beacon Health System website, the first on March 24, 2025, involving a business associate called CPS Solutions, a provider of services to support pharmacy operations. Notification letters were mailed to the affected individuals on February 10, 2025.

Licensing 60

Licensing Health Insurance HIPAA Medicaid 60

AIHC

APRIL 22, 2025

Atkins, PhD, MSW, LMSW, CPC, CIGE The governments new whistleblower complaint portal launched in April 2025 emphasizes the importance of complying with regulations related to qui tam suits, OCR investigations and protecting the rights of employees submitting a tip or complaint internally or to authorities. Written by Dr. Stacey R.

Compliance 89

Compliance HIPAA Compliance Officers Fraud 89

Center for Health Insurance Reform

NOVEMBER 25, 2024

Enhanced premium tax credits (PTCs) have significantly reduced health insurance premiums and expanded coverage for millions of Americans, particularly low- and middle-income individuals, but these subsidies are set to expire in 2025.

Health Insurance 69

Health Insurance 69

Healthcare Dive

JULY 24, 2024

The acquisition, expected to close in the first half of 2025, will bring the health insurer into Connecticut.

Health Insurance 157

Health Insurance 157

Center for Health Insurance Reform

JULY 29, 2024

July is rate review season for state insurance departments. Proposed premiums for 2025 can help reveal how health insurers are responding to market trends, policy changes, and underlying drivers of health care cost growth.

Health Insurance 88

Health Insurance 88

Bill of Health

APRIL 25, 2025

Published April 25, 2025 Photo Credit Rupa Palanki Share Share on LinkedIn Share on X Share on Facebook Share on Reddit Imagine rushing to an emergency room after developing chest pain and shortness of breath. A staff member hands you a financial responsibility contract that you sign without reading.

Medical Billing 130

Medical Billing Hospitals Health Insurance 130

HIT Consultant

NOVEMBER 3, 2024

A recent report by Aon projects that the average cost of employer-sponsored health plans is expected to grow an additional 9% next year if significant cost-cutting strategies aren’t implemented. This increase could bump employer-sponsored plan costs past $16,000 per employee in 2025. Coverage is becoming unaffordable for many.

ACA 98

ACA Health Insurance Governance Compliance 98

Bill of Health

NOVEMBER 17, 2024

by Rebekah Ninan A recent lawsuit in the Southern District of New York has alleged that the health insurance company Anthem Blue and Cross Blue Shield violated state laws and committed fraud by maintaining “ghost networks” of mental health providers. Rebekah Ninan’s (J.D.

Licensing 124

Licensing COVID-19 Fraud Health Care Access 124

Hanys

FEBRUARY 28, 2025

Hochul, Senate Majority Leader Stewart-Cousins, Speaker Heastie and our Senate and Assembly health, insurance and higher education committee chairs for speaking during the event and for their staunch commitment to preserving New Yorkers' access to care in the face of federal uncertainty. We're grateful to Gov.

Health Insurance 52

Health Insurance 52

Jane Sarashon

APRIL 14, 2025

.” I’d further argue that with this hard-headed approach that I endorse, we add in our softer hearts and empathy as health care and related public policies are put to various tests in the coming weeks and months. The post U.S.

Medicaid 59

Medicaid Medicaid Medicare Medicare 59

HIPAA Journal

MARCH 11, 2025

The file review confirmed that the types of data compromised in the cyberattack included names, addresses, dates of birth, Social Security numbers, drivers license numbers, medical information, and health insurance information. During that time, files were exfiltrated from its network, some of which contained patient data.

Department of Veterans Affairs 81

Department of Veterans Affairs Licensing Ransomware Fraud 81

HIPAA Journal

APRIL 1, 2025

A comprehensive and time-intensive review of the affected accounts was recently concluded, and it was confirmed that names, addresses, Social Security numbers, drivers license numbers, bank account information, payment card information, dates of birth, medical information, and health insurance information were stored in the accounts.

Licensing 67

Licensing HIPAA Health Insurance 67

HIPAA Journal

APRIL 16, 2025

The hackers encrypted files and stole data such as names, addresses, telephone numbers, email addresses, dates of birth, demographic information, Social Security numbers, drivers license numbers, medical record numbers, health information, payment information, and health insurance information.

Ransomware 55

Ransomware Fraud Licensing HIPAA 55

HIPAA Journal

APRIL 18, 2025

The document review was completed on January 30, 2025, when it was confirmed that the exposed information included first and last names, clinical/treatment information, medical provider names, medical record numbers, and patient account numbers. Notification letters were mailed to the affected individuals two months later, on March 31, 2025.

Ransomware 52

Ransomware Hospitals HIPAA Health Insurance 52

Health Populi

SEPTEMBER 11, 2019

(You can read more about Broussard’s consumer-centric approach discussed at HIMSS 2015 here in Health Populi ). as a “health insurance company” evolving to its vision as technology-informed health care. Thus began the reinvention of Humana from V 1.0

Health Insurance 88

Health Insurance 88

Healthcare IT Today

FEBRUARY 26, 2025

Here’s a quick look at some of the health IT jobs we found: Oracle Health Perioperative Analyst – Stoltenberg Consulting Medical Compliance Manager – Washington Center for Bleeding Disorders (WACBD) EPIC Analyst – Access and Revenue Cycle – University Medical Center of Southern Nevada (UMC) Health Insurance Specialist (..)

Due Diligence 52

Due Diligence Health Insurance Compliance Hospitals 52

Healthcare IT News - Telehealth

JULY 25, 2024

ABDM, tele-mental health budgets reduced Early this week, India's Finance Minister Nirmala Sitharaman announced the official Union Budget for 2024-2025. This includes Rs 200 crore ($24 million) for the Ayushman Bharat Digital Health Mission, which is lower than the Rs 341 crore ($40.7 crore ($10.8

Health Insurance 147

Health Insurance Ransomware Governance 147

Healthcare IT News - Telehealth

MAY 21, 2024

In its latest 2024-2025 Budget, for example, the Ministry of Health and Aged Care announced a funding of A$588 million over eight years to establish a new national digital service to provide support for people in temporary distress. It will be implemented initially over the next two years starting in November.

Hospitals 181

Hospitals Governance Health Insurance COVID-19 181

Center for Health Insurance Reform

OCTOBER 23, 2024

We we review several important policies and programmatic changes that could effect Marketplace consumers in 2025. Open enrollment for the Affordable Care Act Marketplaces begins on November 1.

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HIT Consultant

NOVEMBER 12, 2024

in 2025 and 3% by 2029. The goal is to implement spending caps on hospitals, physician groups, and health insurers, with the expectation that these savings will ultimately benefit consumers. California isn’t alone in its efforts; eight other states have enacted similar cost-control measures, with mixed success.

Ransomware 104

Ransomware Licensing Health Insurance Hospitals 104

Jane Sarashon

MARCH 3, 2025

As HIMSS 2025, the largest annual conference on health information and innovation meets up in Las Vegas this week, we can peek into what’s on the organization’s CEO’s mind leading up to the meeting in this conversation between Hal Wolf, CEO of HIMSS, and Gil Bashe, Managing Director of FINN Partners. health care.

Medical Billing 59

Medical Billing Health Insurance Doctors Electronic Medical Records 59

Healthcare IT Today

OCTOBER 29, 2024

This new capital will help extend the company’s market leadership and momentum, by adding partnerships with more provider groups, growing payer coverage, servicing new employer partners, and expanding into Medicare populations beginning in 2025.

Patient Satisfaction 106

Patient Satisfaction Health Insurance Medicare Medicare 106

Healthcare IT Today

APRIL 22, 2025

AGNES Connect seamlessly integrates into healthcare facilities electronic health record (EHR) systems, simplifying clinical workflows and documentation. Ensuring strict adherence to healthcare data protection standards, UniDocs NEIL Connect platform supports compliance with the Health Insurance Portability and Accountability Act (HIPAA).

Telemedicine 64

Telemedicine Health Insurance HIPAA Compliance 64

HIPAA Journal

MARCH 11, 2025

The data review was completed on February 13, 2025, and confirmed that names, dates of birth, Social Security numbers, medical information, treatment information, healthcare provider information, and health insurance information had been exposed.

Ransomware 57

Ransomware HIPAA Licensing Health Insurance 57

HIPAA Journal

MARCH 25, 2025

A minority of the affected individuals had their Social Security numbers and/or drivers license numbers exposed.Individual notification letters are now being mailed to the affected individuals, and complimentary credit monitoring and identity theft protection services have been offered to individuals whose Social Security numbers were involved.

Ransomware 64

Ransomware HIPAA Licensing Health Insurance 64

Healthcare IT News - Telehealth

DECEMBER 28, 2020

Fueled by COVID-19, digitally enabled remote care and clinical trials will drive 70% growth in spending on connected health technologies by providers and life science companies by 2023.

COVID-19 217

COVID-19 Health Insurance 217

Center for Health Insurance Reform

APRIL 22, 2024

Department of Health & Human Services recently released a final rule setting standards for the Affordable Care Act Marketplaces and health insurers for plan year 2025.

Health Insurance 52

Health Insurance 52

Hall Render

APRIL 9, 2025

On January 14, 2025, the Wage and Hour Division of the Department of Labor (DOL) issued two opinion letters. Entitled individuals receive job protection and continuation of group health insurance coverage during their leave as long as the leave is for specified family, medical or military exigency reasons.

Health Insurance 52

Health Insurance Governance Compliance 52

Kaiser Health News

NOVEMBER 22, 2022

Thousands of nurses at Stanford Health Care were told in April they would lose their health insurance if they did not return to work during their weeklong strike. The enhanced subsidy will continue through 2025 under the Inflation Reduction Act. “Never try it again.”

Health Insurance 61

Health Insurance Medicaid Medicaid Nurses 61