Healthcare IT Today

DECEMBER 7, 2024

Tim Calahan at Michigan Medicine joined John to discuss why migrating Epic to the cloud should be a key priority for hospitals. Read more… How Simplifying Medical Bills Improves Health Equity. Fewer than half of Americans understand how health insurance works , and are likely to skip care as a result.

Regulatory Compliance 94

Regulatory Compliance Medical Billing Health Analytics Health Insurance 94

Health Populi

SEPTEMBER 4, 2018

Most Americans have been surprised by a medical bill, a NORC AmeriSpeak survey found. Nearly all Americans (86% net responsible) first blame health insurance companies, followed by hospitals (82%). Who’s responsible? I included this image from Tom’s Shell petrol station in that first post.

Medical Billing 47

Medical Billing Health Insurance Doctors Hospitals 47

Health Populi

FEBRUARY 12, 2024

Those with medical debt in the U.S. Health Populi’s Hot Points: Having health insurance in the U.S. is no guarantee of being safe from medical debt exposure. ” Here we see that among people who have health insurance in the U.S.,

Medical Billing 122

Medical Billing Health Insurance Doctors Health Care Access 122

Compliancy Group

JANUARY 3, 2024

One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. This mistake resulted in millions of dollars in lost revenue for hospitals.

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

Health Populi

FEBRUARY 1, 2022

consumers are facing historically high levels of inflation for household spending on food, petrol, and home goods, health consumers will be dealing with greater out-of-pocket spending based on health insurance forecasts such as this latest one from Segal. For more on health care costs facing U.S.

Medical Billing 62

Medical Billing Health Insurance Hospitals 62

HIT Consultant

OCTOBER 21, 2024

Charlie Byrge, Senior Vice President of Tendo Surprise medical bills can be a major headache for anyone, but they can be annoyingly common for those with high-deductible health insurance plans (HDHPs). However, these plans can leave patients on the hook for unexpected medical costs that they may not be able to afford.

Health Insurance 52

Health Insurance Medical Billing Doctors Hospitals 52

Health Populi

MARCH 22, 2018

The concept of “ financial toxicity” for cancer patients was raised by concerned clinicians at Sloane-Kettering Medical Center, who discussed the topic on 60 Minutes in 2014 and have published papers on the issue. Beyond strong medicines, a new financial toxicity has emerged for patients due to hospital inpatient admissions.

Hospitals 67

Hospitals Health Insurance Medical Billing 67

Health Populi

FEBRUARY 20, 2020

health care system. As such, American health consumers are wrestling with sticker shock from surgical procedures, surprise medical bills weeks after leaving the hospital, and the cost of prescription drugs — whether six-figure oncology therapies or essential medicines like insulin and EpiPens.

Telemedicine 172

Telemedicine Medical Billing Health Insurance Hospitals 172

Health Populi

AUGUST 2, 2021

This has raised the importance of price transparency, which is based on the hypothesis that if patients had access to personally-relevant price/cost information from doctors and hospitals for medical services, and pharmacies and PBMs for prescription drugs, the patient would behave as a consumer and shop around.

Doctors 133

Doctors COVID-19 Health Insurance ACA 133

Health Populi

JUNE 26, 2023

People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB).

Health Insurance 62

Health Insurance Doctors COVID-19 Medical Billing 62

Health Populi

MARCH 13, 2025

The Propel study’s insights build on what we know is a growing ethos among health consumers seeking to take more control over their health care and the rising costs of medical bills and out-of-pocket expenses. That includes oral health and dental bills: 2 in 5 U.S.

Doctors 71

Doctors Public Health Medical Billing Hospitals 71

Physician Credentialing Company

DECEMBER 20, 2024

Health insurance companies also allow credentialed providers to submit claims for healthcare services. However, the question arises whether there is any condition in which a non-credentialed provider can be billed independently or under a supervising provider in medical billing.

Medical Billing 52

Medical Billing Compliance Malpractice Regulatory Compliance 52

Health Populi

OCTOBER 15, 2019

These study respondents had also visited a doctor or hospital and paid a medical bill in the past year. One-third of these patients had a health care bill go to collections in the past year, according to Cedar’s 2019 U.S. 50% want clearer, easier-to-understand medical bills.

Medical Billing 97

Medical Billing Doctors Medicare Medicare 97

Health Populi

JULY 24, 2023

Health Populi’s Hot Points: That’s a lot of “free” for $39.99 in any one’s definition of value-based health care — most especially, a consumer’s. ” A: “Nope — insurance isn’t needed or accepted.”

Health Insurance 118

Health Insurance Medical Billing Licensing HIPAA 118

Jane Sarashon

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. The Affordable Care Act (ACA) of 2010 had embedded within the law a Patient’s Bill of Rights.

ACA 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

Jane Sarashon

NOVEMBER 18, 2024

health consumers is with the health care system industry segments like hospitals, insurance companies, and pharma — as patients differentiate between the “system” and the “people” working in it. Start with over-arching finding that, “Three out of four patients believe the U.S.

Nurses 52

Nurses Telemedicine Doctors Medical Billing 52

Jane Sarashon

SEPTEMBER 13, 2022

“The odds are against hospitals collecting patient balances greater than $7,500,” the report analyzing Hospital collection rates for self-pay patient accounts from Crowe concludes. Crowe benchmarked data from 1,600 hospitals and over 100,00 physicians in the U.S.

Hospitals 59

Hospitals Health Insurance Nurses COVID-19 59

HIPAA Journal

JANUARY 25, 2023

Under the terms of the settlement, Logan Health has agreed to create a fund of $4.3 Logan Health, formerly Kalispell Regional Medical Center, is a 622-bed health system based in Kalispell, MT, which operates six hospitals and more than 68 provider clinics in the state. A lawsuit – Tafelski, et al.

Medical Billing 103

Medical Billing Fraud HIPAA Health Insurance 103

Health Populi

APRIL 27, 2020

economy, impacting jobs, wages, and health insurance rolls. With most Americans living paycheck to paycheck, lacking sufficient savings or liquidity to cover emergency expenses (beyond the emergency room in a hospital), fewer people can now pay a $500 medical bill, KFF found. Some 1 in 2 people in the U.S.

COVID-19 98

COVID-19 Health Insurance Medical Billing Hospitals 98

Health Populi

APRIL 1, 2019

For mainstream Americans, “the math doesn’t add up” for paying medical bills out of median household budgets, based on the calculations in the 2019 VisitPay Report. adults 18 and over assessing peoples’ financial behaviors in the context of health care. Given a $60K median U.S. The post In the U.S.,

Medical Billing 113

Medical Billing Doctors Governance Hospitals 113

Health Populi

AUGUST 23, 2021

One of the challenges has been price transparency, which is the central premise of this weekend’s New York Times research-rich article by reporters Sarah Kliff and Josh Katz: Hospitals and Insurers Didn’t Want You to See These Prices. Patients have been much more forthcoming than hospitals, the journalists have found.

COVID-19 90

COVID-19 Medical Billing Health Insurance Hospitals 90

Medisys Compliance

DECEMBER 12, 2022

Tracking, overseeing, and managing the entire revenue cycle of a hospital is known as revenue cycle management. A hospital’s income cycle is universal. Mismanagement of your revenue cycle will have devastating effects for a hospital if it is ignored for an extended period of time. Here’s a mind tickler for you!

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Hospitals Medical Billing Services 98

HIPAA Journal

JUNE 8, 2023

The group claims to have exfiltrated 194 gigabytes of data, including personal information and medical records and has threatened to publish the data if the ransom is not paid. Those files contained names, addresses, Social Security numbers, medical billing information, and financial account information.

Ransomware 98

Ransomware Hospitals Medical Billing HIPAA 98

Kaiser Health News

JANUARY 25, 2024

Under the law, though, it is the insurer’s responsibility to make preventive care available at zero-cost to patients. Providers may exploit this loophole, said Sabrina Corlette, a research professor and co-director of the Center on Health Insurance Reforms at Georgetown University. Tell us about it !

Medical Billing 143

Medical Billing Doctors Health Insurance Hospitals 143

Health Populi

DECEMBER 6, 2021

In fact, medical bill angst in America isn’t just a December holidays thing: they’re a year-round source of anxiety, Aflac found. And those families impacted by COVID-19 were twice as likely to have someone borrow money from a friend or family member or postpone taking a family member to see a medical professional.

COVID-19 71

COVID-19 Health Insurance Medical Billing Hospitals 71

Health Populi

JUNE 24, 2024

He called out that, “In recent years, however, medical bills became the most common collection item on credit reports. Health Populi’s Hot Points: In these Hot Points , I want to point out a new study published by the National Bureau of Economic Research titled, Who Pays for Rising Health Care Prices?

Medical Billing 62

Medical Billing COVID-19 Health Insurance Medicaid 62

HIT Consultant

MARCH 22, 2023

Paul Ketchel, CEO of MDsave Over two years have passed since the hospital price transparency rule was enacted. A recent study found only 16 percent of hospitals nationwide comply with price transparency guidelines. To date, only two hospitals in the United States, out of thousands, have been fined for non-compliance.

Patient Satisfaction 97

Patient Satisfaction Compliance Hospitals COVID-19 97

AIHC

MAY 10, 2022

Be it restaurants, hospitals, retail, hospitality, and manufacturing – take any sector and you will find that this is perhaps the #1 problem operations managers are facing. The staffing shortage is aggravating problems for the hospitals, which were impacted already by the pandemic. Choose well, plan well, and execute in style.

COVID-19 98

COVID-19 Hospitals Healthcare information Technology Medical Billing 98

Health Populi

MARCH 17, 2020

Some key estimates are that: The range of health insurance costs due to COVID-19 would run from $30 billion in the moderate scenario to $50 billion in the “serious coronavirus” pandemic. The moderate scenario would pressure profits but not lead to a loss for major health plans.

COVID-19 123

COVID-19 Health Insurance Medical Billing World Health 123

HIT Consultant

OCTOBER 25, 2022

While hospitals and healthcare centers have always been known for creating sterile and safe environments for patients, many consumers are still concerned about potential illnesses coming from touching payment devices. Digital Payments Are Safer for All Parties.

Health Insurance 98

Health Insurance Medical Billing Hospitals Doctors 98

HIPAA Journal

APRIL 10, 2023

The latest update on the ransomware attack was issued on April 6, 2023, and confirmed that the breach affected patients who had received care at certain facilities operated by Catholic Health Initiatives, Dignity Health, Centura Health, and MercyOne and shared a list of 164 hospitals and care sites that are known to have been affected.

Ransomware 103

Ransomware Hospitals Nurses HIPAA 103

AIHC

JANUARY 5, 2022

Starting January 1, 2022, the No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers.

Medical Billing 52

Medical Billing Health Insurance Medicare Hospitals 52

Health Populi

JULY 28, 2019

Data illustrating that “paradox” is shown in the second chart: while 78% percent of patients told Maestro Health their health care experience is positive, 69% feel they lack control over their patient journey. Quality health care in America is too expensive, 79% of consumers said. health policy circles.

Health Insurance 93

Health Insurance Doctors Medical Billing Hospitals 93

HIT Consultant

JUNE 16, 2022

The importance of the No Surprises Act (NSA) cannot be overstated, as surprise medical bills have long been burdensome for patients in the U.S. consumers have received an unexpectedly large medical bills. The purpose of the No Surprises Act is to prevent surprise out-of-network bills, often for emergency services.

Medical Billing 52

Medical Billing Compliance Health Insurance Hospitals 52

Medisys Compliance

NOVEMBER 18, 2022

Before a certain treatment, service, gadget, or drug is given to the patient in order to qualify for coverage, doctors and other healthcare professionals must acquire in advance approval from a health insurance plan (known as a “prior authorization” or “PA”) process.

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Doctors Patient Satisfaction 98

Healthcare IT Today

SEPTEMBER 19, 2023

For example, depending on whether physicians are sitting in their hospital office or their clinic office (and many doctors work in both), the insights they have into the medications their patients take can vary greatly. For first responders, access to medication history is often denied altogether.

Hospitals 139

Hospitals HIPAA Nurses Governance 139

Jane Sarashon

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. According to the online Merriam-Webster dictionary , the first use of the phrase “health insurance” occurred in 1901. and ChatGPT.

US Department of Health and Human Services 75

US Department of Health and Human Services Health Insurance Medicare Medicare 75