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Ghost Networks and Mental Healthcare

Bill of Health

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. Still, telehealth has remained popular.

Licensing 124
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DOJ charges four in $37M global telehealth fraud scheme

Healthcare IT News - Telehealth

Department of Justice announced this past Friday that it had charged four people, one of whom is a licensed physician, in an international telehealth fraud and kickback scheme. million in a case the DOJ described as one of the "largest healthcare fraud schemes in United States history. WHY IT MATTERS. " ON THE RECORD.

Fraud 177
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Indiana Dental Practice Experiences Ransomware Attack That Exposed PHI

Compliancy Group

Patient files, clinical and treatment information, and information related to insurance or claim information, constitute electronic protected health information (ePHI) under the Health Insurance Portability and Accountability Act (HIPAA).

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Cyberattack on Sunflower Medical Group Affects 221,000 Patients

HIPAA Journal

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.

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Reforming Health Insurance

Healthcare IT Today

Nobody really knows or cares what health care costs, because they aren’t paying. He further asserts that on average, only 53% of your health insurance premiums get returned to you as benefits. However, the ACA states “…an insurance company must assign 80% of their premiums to activities that develop the healthcare sector.”

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Multiple Class Action Lawsuits Filed Against City of Hope National Medical Center Over Data Breach

HIPAA Journal

The exposed and stolen data included contact information, Social Security numbers, driver’s license numbers, financial information, health insurance information, medical records, medical histories, diagnoses/conditions, and health insurance information.

Fraud 120
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70,000 Valle del Sol Community Health Patients Affected by Cyberattack

HIPAA Journal

The exposed information included names, dates of birth, Social Security numbers, driver’s license numbers, clinical/diagnosis information, health insurance member ID numbers, medical record numbers, and Medicare or Medicaid numbers.