Healthcare IT Today

APRIL 11, 2024

In addition, it covers up to 60 million lives, representing 9 out of every 10 Medicare lives and partners with 5 of the Top 6 Medicare Advantage health plans. The Innovaccer platform is an industry-leading data and analytics platform, the Best in KLAS CRM solution, and the #1 rated population health technology platform by Black Book.

Medicare 119

Medicare Medicare Medicaid Medicaid 119

HIT Consultant

MAY 2, 2023

Modern NEMT solutions streamline the ride booking and scheduling process, introduce new modalities, improve the overall experience for patients, and decrease fraud, waste and abuse (FWA). With the introduction of on-demand ride-booking services through rideshare partners like Uber and Lyft, member needs are prioritized and personalized.

Medicaid 96

Medicaid Medicaid Medicare Medicare 96

Health Populi

MAY 16, 2019

Lately, one of my speaking topics is the “Amazon Prime-ing” of health consumers, which is also a chapter in my book, HealthConsuming: From Health Consumer to Health Citizen. A common theme at health care meetings these days is how and when health care will meet its Amazon, Apple, or Uber moment?

US Department of Health and Human Services 123

US Department of Health and Human Services Doctors Payment Systems Medicare 123

Healthcare IT News - Telehealth

JULY 25, 2024

Individual healthcare identifiers, Medicare card numbers, and prescription medications and instructions are some types of information that were exposed in the hack, it added. In an update, MediSecure said affected individuals included those who used its service between March 2019 and November 2023.

Governance 145

Governance Ransomware Medicare Medicare 145

HIT Consultant

JULY 18, 2024

– In accordance with the AMA semi-annual early release schedule, the new codes will be effective January 1st, 2025 and published in the 2025 CPT Code book. CPT Codes: CPT codes are essential for healthcare reimbursement, used by government payers such as Medicare and Medicaid, as well as commercial insurance companies.

FDA 114

FDA Medicaid Medicaid Medicare 114

Healthcare IT Today

DECEMBER 30, 2024

The challenge is that access to quality care isn’t always easy to come by, with appointments often booked out for months. This API-first approach will be driven by health plans needing to perform with Medicare Advantage and managed Medicaid. Government-funded capitation has to ensure care is adequate.

US Department of Health and Human Services 88

US Department of Health and Human Services Nurses Medicare Medicare 88

Health Populi

DECEMBER 9, 2019

That program has the potential to change our Medicare members manage meds at home to ensure better adherence, supporting better health outcomes and personal feelings of efficacy and control. [As Those born before 1985 are generally considered as digital immigrants, so people aging into Medicare today are certainly in that cohort.

Medicare 62

Medicare Medicare Health Outcomes Health Insurance 62

HIT Consultant

OCTOBER 21, 2024

Enhancing Health Outcomes for Older Adults through Uber Health and NationsBenefits Partnership The Uber Health and NationsBenefits partnership streamlines access to essential services, facilitating a seamless experience from booking to payment. Additionally, Uber Health will expand access to health benefits cards through 2025.

Health Outcomes 98

Health Outcomes Medicare Medicare 98

Bill of Health

MARCH 25, 2022

Recent Orange and Purple Book legislation suggests a need to bridge drug and biologic patent regimes. Competition law and pricing among biologic drugs: the case of VEGF therapy for retinal diseases. J Law Biosci. 2022 Feb 22;9(1):lsac001. PMID: 35211322. Walsh BS, Darrow JJ, Kesselheim AS. Nat Biotechnol. 2022 Feb;40(2):167-169.

FDA 208

FDA COVID-19 Medicaid Medicaid 208

Health Populi

APRIL 14, 2019

Today, I announce my new book, HealthConsuming: From Health Consumer to Health Citizen, long-evolved over the past several years. I’ll share more with you about the book throughout this week and ongoing as the book makes its way to Amazon in print and Kindle formats.

Telemedicine 91

Telemedicine Hospitals Medicare Medicare 91

Health Populi

OCTOBER 15, 2019

I include this Aflac workforces study in my book, HealthConsuming , in a chapter titled, “How Amazon Has Primed Health Consumers.” Do not assume that older people, and especially “younger older” Medicare members between 65 and 74 don’t increasingly feel this way.

Medical Billing 97

Medical Billing Doctors Medicare Medicare 97

Compliancy Group

JANUARY 31, 2025

Last year was truly one for the books, with 13 breaches affecting more than one million patients. Centers for Medicare & Medicaid Services In May 2023, the Clop group exploited a zero-day vulnerability to gain unauthorized access to the networks of 2,500 companies. Not so shocking? 3,998,163 patients PHI exposed.

Ransomware 52

Ransomware HIPAA Medicare Medicare 52

Healthcare IT Today

JULY 23, 2023

News and Studies The 2024 Medicare Physician Fee Schedule Proposed Rule from CMS would continue many of the public health emergency telehealth flexibilities, such as an expanded definition of telehealth practitioners, continued payments to rural health centers and FQHCs, and the expansion of originating sites.

Medicare 75

Medicare Medicare Telemedicine Public Health 75

Health Populi

JUNE 3, 2020

McKinsey’s report models outpatient and office visits that can be virtually enabled for patients covered by both commercial and public sector health plans (Medicare and Medicaid). This graphic comes out of my book, HealthConsuming: From Health Consumer to Health Citizen. 24% of all office visits and outpatient encounters, plus.

COVID-19 153

COVID-19 Hospitals Medicaid Medicaid 153

Healthcare IT Today

APRIL 29, 2024

A Congressional bill would promote behavioral therapy for obesity and extend Medicare coverage for drugs treating obesity. A recently released book that explores Flegal’s impact, as well as many other psychological, historical, and sociological themes, is Unshrinking: How to Face Fatphobia by philosopher and social activist Kate Manne.

Medicare 120

Medicare Medicare Medicaid Medicaid 120

Healthcare IT News - Telehealth

JUNE 12, 2020

The good news for telehealth is that the reimbursement environment has improved, with the Center for Medicare and Medicaid Services bringing telehealth and eVisits on par with in-person visits for the duration of the pandemic, along with a relaxing of rules for virtual consults across state lines.

COVID-19 218

COVID-19 Hospitals Medicaid Medicaid 218

Health Populi

FEBRUARY 6, 2020

isn’t repealing or replacing the Affordable Care Act or moving to a Medicare-for-All government-provided plan. Improving Medicare. 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. Improving Medicaid.

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79

Healthcare IT News - Telehealth

DECEMBER 13, 2024

Called PfizerForAll, the DTP space allows patients to use their existing health insurance and pharmacy programs to talk to a doctor at UpScript or book an appointment on Zocdoc and get support on prior authorizations for medications. Senate Majority Whip Dick Durbin, D-Ill.,

Doctors 147

Doctors Health Analytics FDA Health Insurance 147

HIT Consultant

MARCH 15, 2023

Clinicians can manage appointments, write prescriptions, chart notes and handle booking and payments all in one place. Their API-driven platform can be aligned to meet brand needs and securely houses patient PII with its built-in HIPAA compliance software.

Medicaid 98

Medicaid Medicaid Compliance Medicare 98

Health Populi

JANUARY 9, 2020

For overall healthcare reform, the plurality of Americans prefer improving the current system (that is, building on the Affordable Care Act) versus repealing and replacing the ACA or adopting a Medicare for All plan.

ACA 77

ACA FDA Public Health Medicare 77

Healthcare IT Today

MARCH 27, 2023

Clinicians can manage appointments, write prescriptions, chart notes and handle booking and payments all in one place. Their API-driven platform can be aligned to meet brand needs and securely houses patient PII with its built in HIPAA compliance software.

Licensing 111

Licensing Health Outcomes Medicaid Medicaid 111

Jane Sarashon

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

ACA 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

Health Populi

MAY 14, 2019

Respondents were both uninsured and insured through individual coverage, Medicare, Medicaid, and dual enrollees. In my book, HealthConsuming: From Health Consumer to Health Citizen , I discuss “Zip Codes, Genetic Codes, Food and Health” in Chapter 7. McKinsey conducted the survey among over 12,500 U.S.

Health Insurance 103

Health Insurance Public Health Hospitals Medicaid 103

HIT Consultant

JULY 24, 2022

For example, while Medicare only accounts for approximately 20% of the country’s population, data from the Centers for Medicare and Medicaid Services (CMS) detailing utilization for this small segment of Americans have not only served as the foundation for regulatory decisions but has also become the industry proxy for other population segments. .

COVID-19 98

COVID-19 Medicare Medicare Telemedicine 98

HIT Consultant

DECEMBER 15, 2022

Think Uber’s ride-sharing data ecosystem, which connects customers seeking to book an on-demand ride with thousands of drivers as partners, or Airbnb’s data ecosystem, which enables hosts with extra rooms or space to connect with guests seeking a place to stay. Data-sharing is common in some industries but less so in healthcare.

Governance 98

Governance Medicaid Medicaid Public Health 98

Healthcare IT Today

OCTOBER 22, 2023

Medicare Advantage plan eternalHealth chose 9amHealth for at-home, virtual cardiac care. People Would care and rehab EHR vendor Net Health appointed Ron Books as Chief Executive Officer. Ambulatory network United Medical extended its contract with Oracle Health. Diagnostic testing platform ixlayer added Kevin Ban, M.D.,

Hospitals 95

Hospitals Nurses Medicare Medicare 95

Healthcare IT Today

OCTOBER 2, 2023

The “silver tsunami” is also to blame, with 10K baby boomers aging into Medicare coverage daily, placing even further strain on the situation. Hospital CEOs agree that workforce challenges are the biggest issue they face, with 90% saying nursing shortages are the most pressing – a trend driven by the 4.7M healthcare workers retiring by 2030.

Nurses 124

Nurses Hospitals COVID-19 Licensing 124

Health Populi

AUGUST 25, 2020

In my new book on Health Citizenship , to be published in September 2020, I document the growing ethos among many health consumers I coin as the “fear of going out” — the opposite life-flow to some peoples’ “fear of missing out,” or FOMO.

COVID-19 171

COVID-19 Telemedicine Doctors Hospitals 171

HIT Consultant

APRIL 20, 2022

Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. Hospitals report the data to the Centers for Medicare & Medicaid Services (CMS), which uses that data to create the Overall Hospital Quality Star rating for each hospital. Tom Zaubler, MD, Chief Medical Officer of NeuroFlow.

Medicare 98

Medicare Medicare Telemedicine Medicaid 98

Jane Sarashon

JUNE 10, 2024

I’ll be leading 2 panels covering the huge and growing challenge of trust in health care, and then the future of the health consumer looking to 2030, as well as doing a book signing for my look at HealthConsuming: From Health Consumer to Health Citizen , addressing growing consumerization in health care.

Health Insurance 59

Health Insurance Ransomware Hospitals Doctors 59

Healthcare IT Today

JULY 2, 2024

We’re not moving fast enough, as an estimated 11,000 people age into Medicare every day,” said Dr. Patrick McGill, Chief Transformation Officer at Community Health Network.

Doctors 70

Doctors Medicare Medicare Hospitals 70

HIT Consultant

NOVEMBER 10, 2021

Although many companies had plans on the books to advance telemedicine, the crisis revealed that virtual care is not only possible but in many cases is also preferred by patients. Larry English, President & cofounder of Centric Consulting. – Finally, estimates say U.S. The insurance side is jumping on board, too.

COVID-19 105

COVID-19 Telemedicine Medicaid Medicaid 105

Health Populi

MARCH 7, 2018

“There’s an old saw that the US government is an insurance company with an army” quips @PaulKrugman @HIMSS #HIMSS18 #HX360 #Healthinsurance #Medicare #Healthcare #Healthcosts. Jared Kushner found a book on @Amazon and found Peter Navarro’s book. How did @POTUS #trade czar get his role?

ACA 48

ACA Governance Nurses Medicare 48

Medisys Compliance

JANUARY 29, 2024

Utilize coding manuals and reference books: Comprehensive references like the Medicare Claims Processing Manual and CPT Assistant offer detailed guidance on specific procedures. Subscribe to coding updates: The American Medical Association regularly updates CPT codes. Stay informed through their website or professional organizations.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

HIT Consultant

FEBRUARY 5, 2024

Although the surgeon falsely claimed in his application that he had privileges at nearby hospitals, the hospital’s urgency to book cases and its failure to verify credentialing led to accepting responsibility for the majority of damages. Mistake No. 4: Not updating and verifying information. 8: Failing to take peer review activity seriously.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

Health Populi

JULY 10, 2020

” A new study from Sage Growth Partners and Black Book Research demonstrates some ambivalence among physicians — especially among medical and surgical doctors. Are they as enthusiastic about supplying virtual care to their patients once COVID cools and physicians get back to some sort of “normal?”

COVID-19 116

COVID-19 Doctors Hospitals Health Insurance 116

Healthcare IT Today

JANUARY 12, 2023

Book Care with One Click: As technology advances across industries, people are seeking the same convenient booking processes in healthcare that they are accustomed to with other services. The Walmart Optum/United Partnership will incentivize Walmart to pivot its focus from in-store clinics to Medicare patients specifically.

Hospitals 87

Hospitals COVID-19 Medicare Medicare 87