Jane Sarashon

JUNE 10, 2024

Health insurance plans make mainstream media news every week, whether coverage deals with the cost of a plan, the cost of out-of-network care, prior authorizations, or cybersecurity and ransomware attacks, among other front-page issues. Lowering costs and bolstering value for payers….including including consumers.

Health Insurance 59

Health Insurance Ransomware Hospitals Nurses 59

MedTrainer

JULY 31, 2024

Healthcare organizations of all sizes and types are increasingly adopting governance, risk, and compliance (GRC) frameworks to address the industry’s complex regulatory landscape and evolving challenges. Healthcare GRC programs are relatively new, having gained prominence over the past two decades.

Governance 52

Governance Compliance HIPAA Regulatory Compliance 52

MedTrainer

JANUARY 30, 2024

What types of healthcare facilities are required by the government to have a compliance program? In this blog, we’ll outline what types of healthcare facilities are required by the government to have a compliance program and why compliance is crucial for both healthcare organizations and the agencies that support them.

Governance 52

Governance Compliance Nursing Homes Medicaid 52

HIPAA Journal

JULY 31, 2023

a government services contracting company, has announced in a Securities and Exchange Commission (SEC) filing that hackers exploited a zero-day vulnerability in Progress Software’s MOVEit Transfer solution in May 2023 and accessed the protected health information (PHI) of between 8 and 11 million individuals.

Governance 81

Governance Medicare Medicare Ransomware 81

Healthcare Dive

MARCH 29, 2023

The groups argue the expansion of the FCA would threaten the “legitimate business activities of every government contractor, hospital, healthcare provider, health insurance provider, and grant recipient in the nation.”

Health Insurance 263

Health Insurance Governance Hospitals 263

Fierce Healthcare

AUGUST 27, 2024

A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars—only to abruptly back off amid an “uproar” fr | Filings and testimonies in a multibillion-dollar Justice Department civil fraud case against UnitedHealth Group outline industry pressure that led the (..)

Medicare 131

Medicare Medicare Fraud Governance 131

HIPAA Journal

MARCH 15, 2023

FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18. FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida.

Health Insurance 84

Health Insurance HIPAA Due Diligence Fraud 84

Fierce Healthcare

SEPTEMBER 19, 2024

Major Indiana managed care organizations and health systems are blamed for defrauding the state Medicaid system by tens, if not hundreds, of millions of dollars, says a newly unsealed whistleblower | A newly unsealed lawsuit alleges major health insurers and health systems defrauded Indiana Medicaid by hundreds of millions of dollars, with the government (..)

Medicaid 136

Medicaid Medicaid Fraud Hospitals 136

Electronic Health Reporter

SEPTEMBER 24, 2018

This content is copyrighted strictly for Electronic Health Reporter. Despite the best efforts of the government, there are still millions of US citizens who don’t have healthcare coverage. While bureaucrats continue to rewrite laws and introduce legislation that might make health care more affordable, more […].

Health Insurance 79

Health Insurance Governance 79

Becker's Health IT

MAY 3, 2023

Russian ransomware gang Clop is suspected in a cyberattack targeting Santa Clara Family Health Plan, resulting in the breach of 276,993 members' personal health information, Government Technology reported May 2.

Ransomware 62

Ransomware Health Insurance Governance 62

Fierce Healthcare

JULY 12, 2024

government lifted a pandemic-era restriction on removing people from the health insurance program. Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S.

Medicaid 117

Medicaid Medicaid Health Insurance Governance 117

Kaiser Permanente

JANUARY 27, 2022

Medicaid provides health coverage to eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements and is jointly funded by states and the federal government. Kaiser Permanente’s Participation in Oregon Health Plan.

Health Insurance 52

Health Insurance Medicaid Medicaid Governance 52

Healthcare Law Blog

DECEMBER 2, 2022

Department of Health and Human Services (“HHS”) has announced proposed changes (the “Proposed Rule”) to 42 C.F.R. Part 2 (“Part 2”). Part 2 was implemented to encourage patients to seek substance abuse treatment without fear of prosecution by limiting a treatment program’s ability to use or disclose SUD Records.

Governance 52

Governance COVID-19 HIPAA Health Insurance 52

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 113

Health Insurance Governance Hospitals 113

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 113

Health Insurance Governance Hospitals 113

Healthcare IT News - Telehealth

JULY 25, 2024

For healthcare, the government set aside Rs 90,958.63 This includes Rs 200 crore ($24 million) for the Ayushman Bharat Digital Health Mission, which is lower than the Rs 341 crore ($40.7 The government scheme is building the foundations of a digitally connected health ecosystem through the creation of electronic health records.

Health Insurance 115

Health Insurance Governance Ransomware 115

Healthcare IT News - Telehealth

MAY 21, 2024

" This is also what nine in 10 psychiatrists recently polled by the Royal Australian and New Zealand College of Psychiatrists thought about the ongoing staff shortage in the mental health sector. The government seems to be also keen on utilising telehealth in addressing accessibility issues in mental healthcare.

Hospitals 143

Hospitals Governance Health Insurance COVID-19 143

Health Populi

SEPTEMBER 17, 2020

Census Bureau found that the level of health insurance enrollment fell by 1 million people in 2019 , with about 30 million Americans not covered by health insurance. The coronavirus pandemic has only exacerbated the erosion of the health insured population. lacked health insurance.

COVID-19 62

COVID-19 Health Insurance Public Health Health Care Access 62

Health Populi

MAY 5, 2019

This is what rationing health care looks like in America: one in two people in families dealing with a chronic health condition have difficulty affording paying medial bills before meeting a deductible, unexpected medical bills, co-payments for prescription drugs, co-payments for physician visits, and/or their monthly health insurance premium.

Health Insurance 98

Health Insurance Medical Billing Governance 98

Center for Health Insurance Reform

OCTOBER 20, 2022

In a new report for the Commonwealth Fund, CHIR experts look at how states are working with the federal government to implement this landmark law. Continue reading → The post New CHIR Report Examines Federal-State Partnership in No Surprises Act Implementation appeared first on Center on Health Insurance Reforms.

Medical Billing 93

Medical Billing Health Insurance Governance 93

Bill of Health

JUNE 15, 2023

Both Lilly and Novo invoked the unconstitutional conditions doctrine, which they argued prohibited the government from requiring them to relinquish their property without just compensation as a condition of participating in federal health-insurance programs. Both courts pointed to the Supreme Court’s decision in Ruckelhaus v.

Medicare 195

Medicare Medicare Medicaid Medicaid 195

Healthcare IT News - Telehealth

NOVEMBER 10, 2024

The Chinese government is promoting the family doctor service to make high-quality primary care services more accessible to the general population and help decongest hospitals. Enterprise Taxonomy: Telehealth Patient Access Population and Public Health Healthcare Reform Regulation Care Public Policy

Doctors 121

Doctors Public Health Nurses Hospitals 121

Healthcare It News

JUNE 29, 2022

Dubai Health Authority ( DHA ) and its health insurance regulatory body have launched a “first-of-its-kind” digital-led programme that is expected to form the foundation for value-based healthcare adoption in the emirate, it has been announced.

Health Insurance 185

Health Insurance Governance Public Health 185

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

HIPAA Journal

APRIL 29, 2024

Berry, Dunn, McNeil & Parker, LLC (BerryDunn) provides health data analytics services to healthcare providers, health insurers, and government regulatory and healthcare policy agencies and its clients provide BerryDunn with personal and health data to allow the firm to perform its contracted services.

Health Insurance 107

Health Insurance Health Analytics HIPAA Medicaid 107

Center for Health Insurance Reform

JULY 21, 2022

Department of Health and Human Services recently approved a new Section 1332 waiver authorizing Colorado’s public option-style law. Continue reading → The post HHS Approves Nation’s First Section 1332 Waiver for a Public Option–Style Health Care Plan in Colorado appeared first on Center on Health Insurance Reforms.

Health Insurance 97

Health Insurance Governance 97

Kaiser Health News

APRIL 16, 2024

District Court for the Southern District of Florida, two such call centers paid tens of thousands of dollars a day to buy names of people who responded to misleading advertisements touting free government “subsidies” and other rewards. Some consumers were switched multiple times or had duplicative policies.

ACA 141

ACA Health Insurance Governance Medical Billing 141

Health Populi

JUNE 18, 2021

with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. Health Populi’s Hot Points: U.S. One-half of U.S.

ACA 139

ACA Health Insurance Medicaid Medicaid 139

HIT Consultant

MAY 27, 2022

What You Should Know: New price transparency government mandates are on the horizon, but how much does cost really impact consumers? Strong Support for Price Transparency Government Mandates. – Among those with a high-deductible health plan, 51% avoided care due to unknown costs.

Governance 98

Governance Health Insurance Doctors 98

HIT Consultant

SEPTEMBER 20, 2022

Currently, less than 2% of the health insurance population requiring specialty drugs is responsible for 51% of drug spending. With Lyfegen’s patent-pending platform, health insurances & hospitals can implement and scale value-based healthcare, improving access to treatments, patient health outcomes and affordability. “We

Health Insurance 98

Health Insurance Health Outcomes Governance Hospitals 98

Health Populi

NOVEMBER 8, 2022

“Two intersecting and interdependent systems comprise democracy in the United States,” Eileen Salinsky, Program Advisor with Grantmakers in Health, wrote in a compelling essay in April 2022. Most Americans don’t feel the government cares about them, nor do most feel protected by U.S.

COVID-19 83

COVID-19 Health Insurance Governance Health Outcomes 83

HIPAA Journal

JANUARY 1, 2023

Most state that HIPAA is an acronym of the Health Insurance Portability and Accountability Act of 1996 and that it led to the development of standards for the privacy of Protected Health Information. However, at the time, the healthcare insurance industry was governed by a hotchpotch of federal and state legislation.

HIPAA 84

HIPAA Health Insurance Fraud Governance 84

Bill of Health

APRIL 4, 2024

On top of that comprehensive rulebook, the European Data Strategy bundle of laws encompasses the EU General Data Protection Regulation (GDPR), the Free Flow of Non-Personal Data Regulation, the Data Governance Act and the Data Act, as part of the EC’s ambition to establish a single unified market for data. Sectoral US Laws In the U.S.,

FDA 288

FDA Malpractice Regulatory Compliance Health Insurance 288