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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.
HIPAA consisted of five Titles addressing the primary objectives of the Act: Title I: Healthcareaccess, portability, and renewability. Title II: Preventing healthcarefraud and abuse; administration simplification; medical liability reform. What is HIPAA Title II?
The Final Rule adopts a host of reforms aimed at improving healthcareaccess, quality, and equity for Medicare beneficiaries that receive coverage through Part C (“Medicare Advantage” or “MA”) and prescription drug benefits through Part D. 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R.
SDOH are generally grouped into five areas, including: Social and community – Access to fresh food, and the ability to participate in social activities Quality education – Access to schools, language, and literacy skills Neighborhood and built environment – Feeling safe and having basic needs met, such as clean water and reliable transportation (..)
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Medical Society names Hamilton primary care physician as new president Mass. primary care system is in ‘crisis’, says new report Meet the Mass. Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. California to make $3.3 Luke’s Hospital sees record number of twin births Iowa Gov.
in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. s health, hospital chief says Raising Ky.’s
million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.
News & World Report for the Best Hospitals for Maternity Englewood Health Expands Local Availability of Specialized Medical and Surgical Expertise with the Addition of Several New Specialists Hackensack Meridian Jersey Shore University Medical Centers New $45 Million Cardiovascular Suite Opens Dec. TEXAS Bivacor to implant more U.S.
Melhem Solh Wellstar Kennestone Regional Medical Center becomes a Level I trauma center This initiative at Mercer hopes to bolster pediatric health How a small Georgia town is feeling the rural healthcare crisis HAWAII Executive Insight: Ching Jen Lum funds Kahala Nui’s mission to help Hawaii seniors Kaiser Permanente provides grants for behavioral (..)
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who has troubled track record Nursing home accused of disability discrimination will pay employee $50K, feds say Saint Peter’s Healthcare, Atlantic Health move toward merger New Jersey Makes Hospital at Home a State Program N.J. continues crackdown on nursing homes, 2 more cited for poor care and ‘massive fraud’ Wow!
Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass. Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass.
New report brings grim statistic to Mississippi maternal health UMMC program provides mental healthcare for moms Faith, medical leaders to discuss expanding healthcareaccess at Gov. Months later, apparently only a third qualify.
New report brings grim statistic to Mississippi maternal health UMMC program provides mental healthcare for moms Faith, medical leaders to discuss expanding healthcareaccess at Gov. Months later, apparently only a third qualify.
Elizabeth ranks second UofL Health – Heart Hospital recognized by Becker’s Hospital Review Waystar buys fellow health tech firm HealthPay24 West Louisville nonprofit calls on Rep. Morgan McGarvey to improve healthcareaccess COVID hospitalizations jump again: Where do West Virginia, Ohio and Kentucky stand?
healthcare fraud scheme New Orleans launches tool to help doctors find reproductive care drug amid tight state restrictions MAINE Owner of Woonsocket hospital expands into Maine St. Josephs expands executive team with NJ healthcare industry veteran J&J set to acquire drugmaker for $14.6B
fraud scheme Newly filed legislation in Missouri aims to address workplace violence in healthcare Pressures to merge are high for KC-area hospitals, experts say SSM Health to buy home health business St. Evers’ task force to address challenges in Wisconsin’s healthcare system Gov.
in 2023 income Ransomware group leader told hackers to attack hospitals, FBI, HHS say The 23 health systems pushing Congress to act on virtual care Three examples of how AI is going to change medicine U.S. R1 RCM posts $3.3M Luke’s hospital to undergo $4.2
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margin in Q1 AI + navigation = faster cancer care at Northwell Mount Sinai’s Beth Israel submits revised closure plan Dollars can boost health equity, but broad change is just as important Montefiore records $27.9M -area philanthropist opens women’s wellness center in Bethesda D.C. operating income, 4.1%
healthcare Skilled nursing providers embrace bill nixing staff mandate, despite uncertain fate US News to begin rating ASCs ALABAMA Birmingham business lands pharmacy contract with Louisiana hospital Madison Co. Luke’s partners with TytoCare for virtual primary care at home ‘We are heartbroken.’ NATIONAL 8.5M
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2 sentenced for $48M medical reimbursement account fraud scheme. How New Orleans health leaders are reacting to city’s lifted vaccine mandate. MA Unveils Bill to Boost Behavioral Health, Primary CareAccess. Massachusetts Doctor Faces HealthCareFraud Charges. 2 subvariant rises.
billion in unpaid care to loved ones 2 RI Hospitals Among Best In U.S., Newsweek Says In New Ranking SOUTH CAROLINA Prisma Health breaks ground on new surgery center in Greenville MUSC invested $15M into RMC partnership; CEO says system focused on quality S.C.
Rules Luna and MedStar Health partner to improve access to in-home, in-person outpatient physical therapy across Washington, D.C., federal fraud settlement Local nursing home employees picket for better wages and benefits amid contract negotiations Medical office building in Halfmoon sold for $5.5
Alameddin Named All of Us Arizona Health Champion for Her Work to Improve HealthCareAccessibility, Equity. Arkansas healthcare group asks to intervene, says overturning lawsuit could lead to higher drug prices for patients. Fraud plagues California’s hospice industry, audit finds.
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UConn Health to hire formerly incarcerated people. s Rose Health acquired by West Coast behavioral health company. New Ward 8 urgent care opens in effort to expand healthcareaccess. DC Health to Merge Monkeypox and COVID Centers. GW urgent care unit opens in Southeast.
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for Family Medicine Residency Programs in South Arkansas CALIFORNIA 6 planned hospital reopenings Alliant International University expands mental healthaccess with new Sacramento telehealth clinic California bans sham health plans, reaches $1.3M healthcare, advocates warn Physician indicted for $7.8M
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