Healthcare IT Today

DECEMBER 4, 2024

The ban has been opposed by ACA International, Healthcare Financial Management Association, Medical Group Management Association, and the American Hospital Association. A Big Change There’s no question that the healthcare industry is experiencing a medical debt crisis.

Medical Billing 64

Medical Billing ACA Compliance Governance 64

Medisys Compliance

JULY 27, 2022

Section 4104 of the Affordable Care Act (ACA) defined the term ‘preventive services’ to include ‘colorectal cancer screening tests’ and, as a result, it waives any coinsurance that would otherwise apply under Section 1833(a)(1) of the Social Security Act for screening colonoscopies. Background for Reduced Co-Insurance. Reference: [link].

Medical Billing 52

Medical Billing Medical Billing Outsourcing ACA Medicare 52

Health Populi

FEBRUARY 12, 2019

Several factors underpin the adoption of telehealth in 2019: Consumers’ demand for accessible, lower-cost health care services as people face greater financial responsibility for paying the medical bill (via high-deductible health plans and greater out-of-pocket costs for co-payments).

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ACA Health Insurance Medical Billing Telemedicine 97

Health Populi

JUNE 20, 2022

By age group, people 30 t0 49 years of age were more likely to have fallen into medical debt: think Sandwich-generation adults with children and aging parents, seriously financially stretched and stressed. Here’s an additional detail showing the mainstream, Main Street nature of medical debt in the U.S.:

Medical Billing 124

Medical Billing Health Insurance ACA 124

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.

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Health Insurance ACA Medicare Medicare 101

Healthcare IT Today

NOVEMBER 19, 2022

The digitization wave triggered by the HITECH Act and the ACA has yet to hit long-term care , John learned in his conversation with Bill Charnetski at PointClickCare. Read more… Reducing Confusion Eases Medical Billing Stress. Read more… Regulators Need to Pay More Attention to Long-Term Care.

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ACA Medical Billing Hospitals HIPAA 90

Compliancy Group

FEBRUARY 12, 2024

Meeting Medical Billing Compliance Standards Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

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Fraud Medicare Medicare US Department of Health and Human Services 52

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

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

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

Health Populi

FEBRUARY 22, 2024

health citizens are worried about unexpected medical bills (net 74%), the cost of health care services (net 74%), their prescription drug costs (net 55%) and their monthly health insurance premium (net 48%), shown in the second bar chart. economy is “not so good” or “poor.” ” More granularly, most U.S.

Medical Billing 83

Medical Billing Health Insurance Health Care Access ACA 83

Health Populi

APRIL 1, 2020

health consumers’ trust in hospitals fell (partly due to surprise medical bills and patients-as-payors’ financial stress). Edelman’s Trust Barometer has noted a precipitous decline in Americans’ trust in government and media over the past several years. In the past one year, U.S.

COVID-19 77

COVID-19 Doctors Nurses Governance 77

Hall Render

AUGUST 19, 2022

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. Medical billing vendor data breach affects more than 942,000 patients. ACA health plan costs to drop sharply in Virginia. WASHINGTON.

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

HIPAA Journal

SEPTEMBER 16, 2022

Prior to joining OCR, Fontes Rainer served as Counselor to Secretary Becerra and provided strategy guidance on issues pertaining to civil rights, patient privacy, reproductive health, the Affordable Care Act (ACA), competition in healthcare, equity, and the private insurance market.

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ACA HIPAA Medical Billing Compliance 97

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.

US Department of Health and Human Services 40

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

Health Populi

MARCH 13, 2019

These people included the official “navigators” conceived and funded by the ACA, certified application counselors, and other people who help consumers identify health insurance plans on the marketplaces. Taken together, these four papers from Health Affairs lead to the following themes: By 2019, patients in the U.S.

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ACA Health Insurance Prescription Drug Pricing Bioethics 102

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%). adults had trouble affording any of these basic living expenses. electorate is in favor.

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COVID-19 Health Insurance ACA Medicaid 117

Hall Render

APRIL 7, 2023

Jude names Greg Armstrong chair of Department of Epidemiology and Cancer Control Wellvana Health closes $84 million round of funding Why freestanding emergency departments could be key to TriStar Health’s expansion plans Hospital: Treatment, discharge of Tennessee woman who died appropriate Chris Cosby named CEO of Parkridge hospital Methodist (..)

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

Here’s what it means. Connecticut is weighing several changes to Medicaid.

COVID-19 40

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

Health Populi

OCTOBER 30, 2018

One-half of people age 18 to 64 have received a surprise medical bill they thought would be covered by insurance, and one-third say that the ability to pay for care they need is the most pressing issue in American healthcare. adults in August 2018.

Health Insurance 88

Health Insurance Medical Billing Public Health Hospitals 88

Health Populi

AUGUST 29, 2018

Protecting pre-existing conditions in health insurance outranks lowering the price of prescription drugs and repealing the ACA, voters say. The second chart (called Figure 3 in the KFF poll report) illustrates this political fact. This whole world is rough, it’s just getting rougher. Cover me, come on baby, cover me.

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ACA Health Insurance Medical Billing Public Health 48

Health Populi

FEBRUARY 6, 2020

The objectives would be to stabilize the insurance premiums in individual health insurance marketplaces, to provide relief and flexibility to employers, to reduce system-wide health care costs across payers (including ending surprise medical bills and eliminating barriers to prescription drug competition), to improve Medicare (eg.,

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. One-fourth of insured Americans, about 41 million people, were defined as under-insured in late 2016, double the 2003 rate when The Fund began to poll on this question.

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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%

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.

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Prescription Drug Pricing Medicaid Medicaid ACA 87

Health Populi

NOVEMBER 4, 2019

Americans are roughly split — and/or equally confused — about the differences between three major health reform approaches: Medicare -for-All, improving the existing Affordable Care Act, or replacing the ACA with state-run health plans. And many – more than four in ten – find affording basic medical care a hardship.

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ACA Health Care Reform Medicare Medicare 54

Health Populi

MAY 3, 2019

A Kaiser Family Foundation Health Tracking Poll published April 24, 2019 found that most Americans health care policy priorities were to lower health care and prescription drug costs, ensure the ACA’s coverage of pre-existing conditions, and protect people from surprise medical bills.

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Kaiser Health News

OCTOBER 31, 2024

The Host Emmarie Huetteman KFF Health News Emmarie Huetteman, senior editor, oversees a team of Washington reporters, as well as “Bill of the Month” and KFF Health News’ “What the Health?” Trump also unveiled his own proposal to address the long-term care crisis: a tax credit for family caregivers.

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ACA Health Care Reform Health Insurance Medical Billing 89

Health Populi

MAY 10, 2018

This bar chart shows that 50% of working-age adults would not have sufficient funds to pay an unexpected $1,000 medical bill within 30 days. One-third of people with individual health insurance coverage told the Fund their healthcare has become harder to afford over the past 12 months.

Health Insurance 75

Health Insurance Prescription Drug Pricing Medical Billing Governance 75

Health Populi

JANUARY 30, 2020

Third and fourth on voters’ minds are protecting patients from surprise medical bills and better addressing drug addiction. For Democrats, ensuring ACA protections for pre-existing conditions holds. Lowering Rx prices is the top health policy issue for Republicans tied with addressing the drug epidemic.

ACA 91

ACA Medical Billing Health Insurance Medicare 91

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).

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ACA Medicare Medicare Medical Billing 54

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

JULY 10, 2018

.” In the sample, two-thirds of respondents had seen a health care provider for an illness or medical condition in the past 12 months, so two-thirds of the survey sample have faced a medical encounter yielding some kind of medical bill in the past year. The second chart shows the roughly 50/50 split of U.S.

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Medical Billing Health Insurance ACA 48

Health Populi

JANUARY 24, 2019

Other issues, like a new Medicare-for-All plan, repealing/replacing the ACA, and protecting people from surprise medical bills were less important to people. percent in 2016 at the moment when President Trump promised to “repeal and replace” the ACA. from a low of 10.9 Of course, this has not happened.

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ACA Medicare Medicare Health Insurance 67

Health Populi

FEBRUARY 20, 2020

This links to protecting coverage with pre-existing conditions and surprise medical bill concerns, as well. Cast your eyes to the fourth to the last line item: “trying again to repeal and replace the Affordable Care Act (aka ACA or Obamacare”). There’s another interesting data point in the detail in the second busy table.

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ACA Medical Billing Public Health 79

Kaiser Health News

SEPTEMBER 19, 2024

The Host Emmarie Huetteman KFF Health News @emmarieDC Emmarie Huetteman, senior editor, oversees a team of Washington reporters, as well as “Bill of the Month” and KFF Health News’ “What the Health?” Republicans would also likely let enhanced subsidies for ACA premiums expire.

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