Compliancy Group

FEBRUARY 12, 2024

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

Fraud 52

Fraud Medicare Medicare US Department of Health and Human Services 52

Health Populi

MARCH 11, 2021

These services are enumerated in Section 2713 in the ACA , prompting Dr. Kavita Patel to assert in the first panel of the day that, “2713 is my favorite number.” Some of the most important areas of the Center’s impact include initiatives addressing low-value care, waste in U.S.

Health Insurance 101

Health Insurance ACA Medicare Medicare 101

Medisys Compliance

NOVEMBER 6, 2023

Compliance with Regulatory Guidelines Ensure that all claims are submitted per all applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Fraud, Waste, and Abuse (FWA) laws. Stay up-to-date on all changes to regulatory requirements.

Compliance 59

Compliance Medical Billing Outsourcing Medical Billing ACA 59

Health Populi

SEPTEMBER 5, 2018

98% of Americans rank paying their medical bills is an important pain point in their patient journey, according to Embracing consumerism: Driving customer engagement in the healthcare financial journey , from Experian Health. Beyond the physical and emotional pain that people experience when they become a patient, in the U.S.

Health Insurance 63

Health Insurance Medical Billing Medicaid Medicaid 63

Medisys Compliance

APRIL 25, 2023

It is crucial to verify that the billing company is adhering to industry standards, such as HIPAA (Health Insurance Portability and Accountability Act) regulations, which protect patients’ medical information.

Regulatory Compliance 52

Regulatory Compliance ACA Medical Billing Outsourcing Compliance 52

Hall Render

AUGUST 19, 2022

‘The unwinding’: Idaho Medicaid must recheck eligibility for 131K people when U.S. Collapse of private equity-backed Missouri hospitals mired employees in medical bills. Eastern New Mexico Medical Center names Adelane Kelly CFO and Kyle Stepp assistant CEO. Failed Medicaid expansion negotiations reveal N.C.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

NOVEMBER 27, 2023

face growing challenges to stay open KENTUCKY BehaVR merges with New York City-based Fern Health For years, a powerful Louisville hospital sued people for unpaid bills. face growing challenges to stay open KENTUCKY BehaVR merges with New York City-based Fern Health For years, a powerful Louisville hospital sued people for unpaid bills.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Health Populi

MARCH 15, 2021

household budgets have been particularly hard-hit in paying off credit cards and bills (23%), paying for food (17%), falling behind paying rent or mortgage (16%), affording health insurance coverage (16%), and paying for medical bills (16%). State Governors to expand Medicaid. electorate is in favor.

COVID-19 117

COVID-19 Health Insurance ACA Medicaid 117

Hall Render

APRIL 7, 2023

Judge denies challenge to measure that would cap LA hospital exec pay COLORADO Builders show little interest in city, hospital employee housing project Capitol Pain Institute acquires 3 Colorado practices, ASC Colorado lawmakers seek financial information from hospitals in larger debate over health care costs Colorado to advance $1.4

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

MAY 12, 2023

Connecticut is weighing several changes to Medicaid. Here’s what it means. Cloud Hospital names Chief Quality Officer Tampa’s Lions Eye Institute adopts new name Troubled Cano Health records $60.6M

COVID-19 40

COVID-19 US Department of Health and Human Services Nurses Hospitals 40

Health Populi

FEBRUARY 6, 2020

Improving Medicaid. modernizing the Stark Law and Anti-Kickback Statute, modifying Medicare Part D drug benefits to cap out-of-pocket spending, and other items), and to improve Medicaid. With the goal of “fixing the current system,” BPC’s recommendations focus on: Lowering consumer health care costs. patients?

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79

Health Populi

MAY 10, 2018

Half of under-insured adults had problems with medical bills or debt, and 2 in 5 said they did not get needed healthcare due to cost. That’s more per capita spending than for obesity, and nearly equal to Medicaid spending. The post Guns, Jobs, or Health Care?

Health Insurance 54

Health Insurance Public Health Medical Billing Medicaid 54

Hall Render

JUNE 16, 2023

Artificial Intelligence Poses Threat to Patient Privacy Bill for Rural Hospital Cyber Skills Passes Senate Committee Chemotherapy shortages push cancer centers toward crisis CMS estimates national spending on hospital care grew just 0.8% before Baptist merger Bankruptcy Trustee Wants Doctor To Pay Her $1.6M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JUNE 2, 2023

to resolve False Claims allegations Q&A with Ken DeFurio, CEO of the new Independence Health System St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Health Populi

DECEMBER 6, 2023

A close second in line is affordability of health care, as consumers’ household budgets must make room for paying medical bills — with prescription drug costs also very important as a discussion topic for 2024 Presidential candidates, we learn from the latest KFF Health Tracking Poll published 1 December.

Prescription Drug Pricing 87

Prescription Drug Pricing Medicaid Medicaid ACA 87

Health Populi

MAY 3, 2019

This was equally true for people whether enrolled in Medicare, Medicaid, or covered by private insurance. Two-thirds of people also prioritized expanding financial help to include more people who buy insurance on the ACA marketplace. By late 2018, seven in ten Americans had a negative view of the U.S.

ACA 75

ACA Doctors Health Care Reform Health Insurance 75

Jane Sarashon

NOVEMBER 14, 2024

What’s uncertain is the policy side of things, and how the market will respond to evolving views on PBMs and policy reforms that may emerge in a Trump administration.

Prescription Drug Pricing 52

Prescription Drug Pricing ACA Health Insurance Medicaid 52

Health Populi

SEPTEMBER 12, 2019

The big headline in this poll following last night’s third Democratic Presidential debate is that 55% of Democrats and Democrat-leaning Independent voters prefer a candidate that will build on the Affordable Care Act (ACA) versus a President that would replace the ACA with a Medicare For All plan (M4A).

ACA 54

ACA Medicare Medicare Medical Billing 54

Health Populi

JANUARY 24, 2019

Most Americans believe in building onto existing programs — that is, making incremental changes to what they know-they-know — like expanding Medicaid or Medicare buy-in for people who don’t have health coverage. percent in 2016 at the moment when President Trump promised to “repeal and replace” the ACA.

ACA 67

ACA Medicare Medicare Health Insurance 67

Health Populi

OCTOBER 28, 2024

We should also keep in mind what consumers told PhRMA and Ipsos were health citizens’ priorities for policy making: the top four “tied” positions were reducing inefficiency and bureaucracy (which could account for up to 30% of U.S.

Health Insurance 62

Health Insurance Medicare Medicare Hospitals 62

Kaiser Health News

JULY 24, 2023

The latest round of rules and legislation comes as the ACA — passed in 2010 — is now cemented in the system. More than 16 million people enrolled in their own plans this year, and millions more are getting coverage through expanded Medicaid in all but 10 states, leading to an all-time-low uninsured rate.

ACA 90

ACA Health Insurance Medicaid Medicaid 90

Kaiser Health News

JANUARY 20, 2022

And while President Joe Biden has accomplished a lot in his first 365 days in office, such as expanding health insurance coverage and implementing a congressional ban on “surprise” medical bills, a big part of his health agenda remains mired in Congress.

ACA 79

ACA Medical Billing Health Insurance Medicaid 79