Healthcare Dive

FEBRUARY 9, 2022

The California hospital system is accused of wielding its market power to drive up health insurance premiums for hundreds of thousands of consumers.

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Health Insurance Hospitals 246

Healthcare Dive

MARCH 30, 2022

A growing number of health insurers, private equity companies and hospitals are snapping up home health and hospice practices, with hopes for a substantial ROI.

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Health Insurance Hospitals 238

Bill of Health

OCTOBER 17, 2024

Finally, SB 1120 limits the degree to which health insurers can use AI to determine medical necessity for member health care services. Furthermore, AI cannot be used in isolation to deny admission or downgrade hospital stays. This article seeks to summarize these developments in the law.

Medicare 150

Medicare Medicare Health Insurance Licensing 150

Healthcare IT Today

JUNE 3, 2024

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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Health Insurance ACA Doctors Fraud 80

Becker's Health IT

NOVEMBER 22, 2023

Warren General Hospital reported a data breach affecting 169,000 patients, with Social Security numbers, names, financial account info, health insurance claims

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Hospitals Health Insurance 111

AIHC

NOVEMBER 12, 2024

Written by Gabriella Neff, RHIA, CHA, CHC, CHRC, CHPC This past year, in 2024, revisions were made to clarify hospital guidelines related to informed consent specifically addressing UIEs (unconsented intimate exams) to patients while under anesthesia. OCR recently issued an FAQ focusing on this right. [6]

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Informed Consent HIPAA Compliance Hospitals 98

HIPAA Journal

JUNE 29, 2022

On June 25, 2022, a spokesperson for a threat group called DAIXIN Team contacted HIPAA Journal to share information about a ransomware attack and data theft incident at Fitzgibbon Hospital in Marshall, Missouri. The post Fitzgibbon Hospital, Diskriter, Christiana Spine Center Suffer Ransomware Attacks appeared first on HIPAA Journal.

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Ransomware Hospitals HIPAA Health Insurance 139

Bill of Health

JANUARY 26, 2022

In other words, both convicted individuals and those still presumed innocent are stripped of their access to the federal health insurance program for low-income individuals. Gamble (1976), affirmed that incarcerated individuals have the constitutional right to health care. The Supreme Court’s ruling in Estelle v.

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Medicaid Medicaid COVID-19 Public Health 299

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

HIPAA Journal

MARCH 29, 2023

Atlantic General Hospital – Ransomware Attack Atlantic General Hospital (AGH) in Berlin, MD, has recently reported a ransomware attack to the Maine Attorney General that has affected up to 30,704 individuals. OU Health – Stolen Laptop Computer OU Medicine Inc.

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Hospitals Ransomware Licensing Health Insurance 122

HIPAA Journal

JULY 11, 2022

Phoenixville Hospital Fires Employee for HIPAA Violation. Phoenixville Hospital in Pennsylvania has recently fired an employee for accessing the medical records of patients without authorization. Some of the accessed records included partial Social Security numbers and health insurance information.

Hospitals 124

Hospitals HIPAA Health Insurance Licensing 124

HIPAA Journal

JUNE 27, 2023

In March 2023, Atlantic General Hospital notified the Maine Attorney General that it had fallen victim to a ransomware attack in which the protected health information of 30,704 individuals was exposed; however, the ransomware attack was far more extensive than was previously thought and the total has been upwardly revised to 136,981 individuals.

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Ransomware Hospitals Health Insurance HIPAA 113

HIPAA Journal

JANUARY 5, 2023

Back in June 2022 , HIPAA Journal reported on a cyberattack on Fitzgibbon Hospital in Marshall, MO, after being contacted directly by a spokesperson for a threat group called DAIXIN Team, who claimed responsibility for the attack. Howard Memorial Hospital Announces December 2022 Cyberattack.

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Ransomware Hospitals HIPAA Licensing 119

Bill of Health

OCTOBER 30, 2023

Public Health Awareness First, hospitals might try to reach patients through engaging ads that deploy emojis. Engaging content can improve top of mind awareness and increase the likelihood a patient will consider the hospital when they need care. Hospitals should also consider the AMA code of ethics when making ads.

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Doctors Hospitals Fraud Health Insurance 290

HIPAA Journal

JUNE 22, 2022

A lawsuit has been filed against Meta that alleges the social media giant has been knowingly collecting patient data from hospital websites via the Meta Pixel tracking tool, and in doing so has violated the privacy of millions of patients. Facebook – over the collection of browsing data from hospital websites.

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Hospitals HIPAA Health Insurance 129

HIPAA Journal

APRIL 6, 2023

hospitals have been using tracking software on their websites that captures visitor data, including health information, and transfers that information to third parties. The study – published this month in Health Affairs – was conducted by researchers at the University of Pennsylvania. hospitals were assessed in the study.

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Hospitals HIPAA Health Insurance Compliance 119

HIPAA Journal

NOVEMBER 15, 2022

Five former employees of Methodist Hospital in Tennessee have been indicted by a federal grand jury in Memphis for criminal violations of the Health Insurance Portability and Accountability Act (HIPAA) for impermissibly accessing the protected health information of patients and providing that information to another individual for financial gain.

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HIPAA Hospitals Health Insurance 113

HIPAA Journal

MAY 10, 2023

McPherson Hospital – Ransomware Attack McPherson Hospital in Kansas has recently issued notification letters to 19,020 patients to alert them about a July 2022 ransomware attack. McPherson Hospital said its technical safeguards have been reviewed and enhanced to prevent similar incidents in the future.

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Hospitals Ransomware Health Insurance Fraud 110

Healthcare It News

APRIL 7, 2023

transactions each year for more than 347,000 healthcare providers and 8,000 health insurance payers. Marcus Perez, president of Altera Digital Health, told Healthcare IT News in January that cloud technology will improve patient care, and through the use of human-centered design , create more efficient workflows for clinicians.

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Health Insurance Hospitals 314

Center for Health Insurance Reform

JANUARY 18, 2023

Health insurance is becoming increasingly unaffordable for employers and workers alike. Continue reading → The post Can Employer-sponsored Insurance Be Saved? A Review of Policy Options: Price Regulation appeared first on Center on Health Insurance Reforms.

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Health Insurance Hospitals 137

HIPAA Journal

JUNE 1, 2023

Mountain View Hospital, Idaho Falls Community Hospital, and several clinics in rural Idaho run by the same operator have been affected by a recent cyberattack. The cyberattack was detected on Memorial Day, and ambulances were diverted to other hospitals as a precaution.

Hospitals 103

Hospitals Electronic Medical Records Ransomware Health Insurance 103

Healthcare IT News - Telehealth

OCTOBER 15, 2021

Bupa Arabia , the Saudi-owned and publicly traded health insurance company, has just announced its backing of the Dubai-based online appointment booking platform, Okadoc. The two MENA businesses have signed a “strategic partnership”, which includes an undisclosed equity investment by Bupa Arabia in Okadoc.

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Doctors Health Insurance Telemedicine Public Health 204

HIT Consultant

DECEMBER 30, 2024

Mateusz Krempa, COO, Piwik PRO As healthcare providers increasingly embrace big data, they find themselves at a crossroads: the challenge of using relevant data to improve patient care while ensuring the highest levels of privacy and compliance with regulations like the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA 116

HIPAA Compliance Health Insurance Hospitals 116

HIPAA Journal

JUNE 28, 2023

Good Samaritan Hospital in San Jose, CA, has agreed to settle a class action lawsuit that was filed in response to a data breach that exposed the protected health information of up to 233,835 individuals. The post Good Samaritan Hospital Settles Class Action Data Breach Lawsuit appeared first on HIPAA Journal.

Hospitals 101

Hospitals Fraud Licensing HIPAA 101

Bill of Health

MARCH 15, 2022

During the early months of the pandemic, disabled people became unemployed at disproportionate rates , likely related to substantial employment declines in certain industries, such as retail and hospitality, where disabled people are overrepresented. In July 2021, the U.S.

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HIPAA Journal

JUNE 1, 2023

Clarke County Hospital in Osceola, IA, has recently started notifying 28,003 current and former patients about a security breach that exposed some of their protected health information. The post 28,000 Clarke County Hospital Patients Affected by April Cyberattack appeared first on HIPAA Journal.

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Hospitals Electronic Medical Records HIPAA Health Insurance 105

HIT Consultant

AUGUST 29, 2024

Chris Bowen, Founder and CISO, ClearDATA The recent $50 million initiative announced by the Advanced Research Projects Agency for Health (ARPA-H) can’t hurt in the ongoing battle against ransomware in the healthcare sector.

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Ransomware Hospitals Compliance Health Insurance 110

HIPAA Journal

MARCH 28, 2024

Cyberattacks have been reported by Pembina County Memorial Hospital, Pomona Valley Hospital Medical Center, and Rancho Family Medical Group. The forensic investigation and document review took almost a year, with the hospital stating in its breach notice that those processes were not completed until March 4, 2024.

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Hospitals Ransomware HIPAA Licensing 92

Healthcare It News

JANUARY 30, 2024

We’ve seen successful adoption and integration of genAI into our product, which is now used in clinics and hospitals. Some are cultural, but many are due to the health systems. In Japan, one of the biggest hurdles in genAI adoption in hospitals is the network because a majority of hospitals don't have internet access.

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Doctors Hospitals Governance Health Insurance 326

Healthcare It News

JUNE 21, 2023

As I mentioned, 2022 was a difficult year for providers financially, with overall hospital margins down at the end of the year. Meaningful technology and patient touchpoints can help providers increase patient satisfaction and payment rates. Healthcare consumers experience a lot of friction along their healthcare journeys. Not only do U.S.

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Health Insurance Patient Satisfaction Hospitals 335

Healthcare IT News - Telehealth

MARCH 17, 2021

"Amazon Care gives instant access to a range of urgent and primary care services, including COVID-19 and flu testing, vaccinations, treatment of illnesses and injuries, preventive care, sexual health, prescription requests, refills, and delivery, and much more," the release says. ON THE RECORD.

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COVID-19 Health Insurance Hospitals 218

HIPAA Journal

MARCH 31, 2023

New York Presbyterian Hospital has reported a 54K-record data breach due to website tracking tools, ransomware attacks have been reported by Atlantic Dialysis Management Services and American Pain & Wellness, and there has been an impermissible disclosure of PHI by a former New Medical Health Care employee.

Hospitals 116

Hospitals Ransomware HIPAA Health Insurance 116

Healthcare IT Today

OCTOBER 19, 2024

Erin Weber at CAQH indicated accurate provider data drives the healthcare experience , as it helps patients find in-network care, providers obtain credentials seamlessly, and health plans meet regulatory requirements for directory accuracy. Read more… Making Hospital-at-Home Work Require Intentional Innovation and Design.

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Health Insurance Medicare Medicare Hospitals 94

HIT Consultant

APRIL 22, 2024

Since 1996, when the Health Insurance Portability and Accountability Act (HIPAA) became law, there have been good advances in patient data interoperability, but as a whole, the industry has not embraced them. Hospitals and healthcare systems can do better. Sharing data through faxing and CDs is still very common.

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Hospitals Electronic Medical Records Governance Health Insurance 105

Healthcare It News

MAY 14, 2024

Besides being all the rage in the industry, digital transformation is a key component to the strategy of forward-leaning hospitals and health systems today. This is one of the most important topics healthcare CIOs and other C-suite and health IT leaders can be talking about today.

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Health Insurance Hospitals Doctors Nurses 329

HIT Consultant

FEBRUARY 24, 2025

What You Should Know: – A new survey from the American Medical Association (AMA) reveals growing concern among physicians about the use of artificial intelligence (AI) in prior authorization decisions by health insurers.

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Health Insurance Hospitals 52

HIT Consultant

NOVEMBER 12, 2024

The goal is to implement spending caps on hospitals, physician groups, and health insurers, with the expectation that these savings will ultimately benefit consumers. The scale of healthcare data is staggering, with hospitals generating an average of 50 petabytes annually, of which up to 97% remains underutilized.

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Ransomware Licensing Health Insurance Hospitals 104