Compliance Now

APRIL 6, 2022

Notably, the rules only impact whether an individual is eligible for federally subsidized health insurance; they DO NOT change the affordability requirements for applicable large employers under the ACA’s employer mandate. If finalized, the new rules will increase access to federal subsidies beginning January 1, 2023.

Health Insurance 189

Health Insurance ACA Hospitals 189

HIT Consultant

APRIL 10, 2024

Power reveals significant shortcomings in the digital experiences offered by health insurance providers in the United States. Healthcare Digital Experience Study found that a surprising 42% of insured adults have encountered problems using their health insurance company’s website or app in the past year.

Health Insurance 59

Health Insurance Medicare Medicare Hospitals 59

AIHC

SEPTEMBER 25, 2024

Government agencies expect your organization to stay informed. Stay Informed Through Training & Education Engage by receiving news through ListServ offered by organizations such as AIHC, CMS, OIG, etc. These are free ways to stay informed of lessons learned.

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

HIT Consultant

SEPTEMBER 17, 2024

Discover: Simplifying Eligibility Verification Nirvana’s Discover technology offers a groundbreaking solution for retrieving complete eligibility information using only basic patient data. For providers, it significantly reduces claim denials, easing the burden on finance and RCM teams.

Health Insurance 92

Health Insurance 92

HIT Consultant

MARCH 24, 2023

The payers allocate invest as much as a few million dollars in their budget per new integration, and their IT and engineering teams are mired for weeks and months in setting up new integrations for a health plan. It creates simplicity and reduces the cost and time by nearly 80%. Engineers can now easily manage an integration in one afternoon.

Health Insurance 98

Health Insurance 98

HIT Consultant

NOVEMBER 8, 2021

Jessica Altman, Pennsylvania’s insurance commissioner sums it up well : “When we talk about bringing something back to state control, that is a real narrative that can appeal to both sides of the aisle. There is nothing political about making health insurance more affordable.”.

Health Insurance 98

Health Insurance Medicaid Medicaid Governance 98

Total HIPAA

OCTOBER 18, 2023

Organizations are responsible for protecting their employees’ personal information. Depending on the kinds of health benefits provided to employees, there are some different regulatory items HR needs to be aware of. HIPAA applies to employers when the organization has a self-funded or level-funded health plan.

ADA 94

ADA HIPAA Compliance Health Insurance 94

HIT Consultant

APRIL 5, 2023

Alyssa Alsheimer, SVP of Marketing and Engagement at Wellframe The first step toward better health outcomes happens when people become proactive about protecting their own health and well-being. That’s where health insurance plans have a real opportunity to help.

Health Insurance 98

Health Insurance Health Outcomes Nurses 98

HIPAA Journal

MAY 23, 2023

the 2022 update to the Pennsylvania Breach of Personal Information Notification Act (BPINA) is now in effect. The update broadened the definition of personal information to include medical information, health insurance information, and usernames in combination with a password or security question/answer that allows an account to be accessed.

Health Insurance 90

Health Insurance HIPAA 90

Health Populi

AUGUST 21, 2023

.” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.

Health Insurance 62

Health Insurance Medical Billing 62

Center for Health Insurance Reform

OCTOBER 13, 2023

Senator Maggie Hassan and a panel discussion moderated by Sarah Kliff of The New York Times, spotlighted state cost containment policies and employer strategies to inform the federal policy process concerning ESI, which covers almost half of all Americans. The event, featuring remarks from U.S.

Health Insurance 119

Health Insurance Federal Policy 119

Compliancy Group

SEPTEMBER 30, 2024

In late September, Particle Health, a patient data aggregation and delivery platform that provides both data and insights to healthcare companies, filed a lawsuit against Epic Systems, a large provider of health information technology. What is Health Information Technology?

HIPAA 52

HIPAA Compliance Doctors Health Insurance 52

Electronic Health Reporter

APRIL 29, 2021

By Deborah Hsieh, chief policy and strategy officer, Ciox Health. Congress enacted the Health Insurance Portability and Accountability Act (HIPAA) in 1996. The article Expect More From HIPAA Proposed Changes: Easing Information Flow Shouldn’t Mean Reducing Health Data Privacy appeared first on electronichealthreporter.com.

HIPAA 172

HIPAA Health Insurance 172

Healthcare IT Today

OCTOBER 15, 2024

Nirvana’s Discover technology is able to retrieve complete eligibility information on a patient’s insurance plans using only the most basic data – name, date of birth, and zip code. For more information about Nirvana and its innovative healthcare solutions, visit meetnirvana.com Originally announced September 12th, 2024

Health Insurance 66

Health Insurance 66

Healthcare It News

SEPTEMBER 17, 2024

The health system said that the activity of the unauthorized third party was not focused on medical or health information content in the employee email boxes. Information that may have been accessed in the social engineering attack includes: First and/or last name. Bank or financial account numbers or information.

Electronic Medical Records 235

Electronic Medical Records Health Insurance Payment Systems Licensing 235

HIPAA Journal

APRIL 21, 2023

Point32 Health, the second-largest health insurer in the state of Massachusetts, has announced it has experienced a ransomware attack that has resulted in system outages, including systems that are used to service its members, accounts, brokers, and providers.

Health Insurance 57

Health Insurance Ransomware HIPAA Medicare 57

HIPAA Journal

SEPTEMBER 12, 2023

Over the past few years there has been a proliferation of new technologies that collect, store, and transmit health information, including wearable devices, smart devices, and health and wellness apps. The post Senator Seeks Information on How to Improve Health Data Privacy appeared first on HIPAA Journal.

HIPAA 106

HIPAA Health Insurance Governance 106

Healthcare IT Today

AUGUST 23, 2023

Today, we’re featuring the Information Services Support Specialist position that was recently posted on Healthcare IT Central. As a key member of our Information Services department, you’ll be responsible for addressing technical issues, providing hands-on troubleshooting, and maintaining optimal system performance.

Telemedicine 96

Telemedicine Licensing Health Insurance 96

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 79

Health Insurance HIPAA Fraud Due Diligence 79

HIPAA Journal

SEPTEMBER 8, 2022

The Michigan law firm, Warner Norcross and Judd LLP, has issued notification letters to 255,160 individuals advising them about an October 2021 security breach in which files containing their personal and protected health information were potentially accessed and exfiltrated from its systems.

Fraud 105

Fraud Health Insurance Ransomware HIPAA 105

HIPAA Journal

JULY 11, 2022

The employee viewed names, addresses, dates of birth, appointment dates, diagnoses, vital sign information, medications, test results, and physicians’ notes. Some of the accessed records included partial Social Security numbers and health insurance information. Family Practice Center Reports October 2021 Hacking Incident.

Hospitals 103

Hospitals HIPAA Health Insurance Licensing 103

Compliancy Group

JUNE 10, 2024

Physicians, nurses, and other medical providers aren’t the only professionals who must demonstrate conscientious health information management. All individuals who handle sensitive data need regular and comprehensive training to understand the proper use, storage, analysis, and sharing of health information.

Regulatory Compliance 52

Regulatory Compliance Compliance Officers Compliance Electronic Medical Records 52

HIPAA Journal

MARCH 16, 2023

Florida Medical Clinic, NorthStar Emergency Medical Services, Denver Public Schools, Wichita Urology Group, and The Bone & Joint Clinic have recently reported hacking incidents and the exposure and potential theft of protected health information. 95% of the compromised files only included an individual’s name.

Electronic Medical Records 65

Electronic Medical Records Health Insurance Ransomware HIPAA 65

American Medical Compliance

JANUARY 12, 2023

Certain website technologies may be at risk of sharing protected health information. Department of Health and Human Services (HHS) released a bulletin warning that certain website tracking technologies may violate the Health Insurance Portability and Accountability Act (HIPAA). Visit [link] for more information.

HIPAA 52

HIPAA Compliance Health Insurance 52

Total HIPAA

MAY 23, 2022

What is Protected Health Information (PHI)? The Health Insurance Portability and Accountability Act ( HIPAA ) is a 1996 federal law that regulates privacy standards in the healthcare sector. Today, the law serves the same purpose: to safeguard Protected Health Information in order to keep individuals safe.

HIPAA 98

HIPAA Due Diligence Compliance Health Insurance 98

HIPAA Journal

SEPTEMBER 8, 2022

The Michigan law firm, Warner Norcross and Judd LLP, has issued notification letters to 255,160 individuals advising them about an October 2021 security breach in which files containing their personal and protected health information were potentially accessed and exfiltrated from its systems.

Fraud 75

Fraud Health Insurance Ransomware HIPAA 75

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

Center for Health Insurance Reform

JANUARY 8, 2024

House of Representatives could provide new information necessary to craft reforms and slow spending growth. Efforts to curb outpatient spending have been stymied by fundamental problems connecting data on sites of care, providers, and specific charges, but a bill that recently passed the U.S.

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98

C&M Health Law

MARCH 9, 2023

BetterHelp”) for allegedly sharing consumers’ health information, including sensitive information about mental health challenges, for advertising purposes in violation of Section 5 of the FTC Act. Consumers also provide their name, email address, birth date, and other personal information.

Health Insurance 52

Health Insurance HIPAA 52

Compliancy Group

JUNE 12, 2023

Ensuring that patient protection adheres to the Health Insurance Portability and Accountability Act (HIPAA) guidelines is paramount. This information can be used to allocate resources and implement targeted solutions to address the most pressing concerns. × Find Out More! Please Wait.

Compliance 52

Compliance HIPAA Health Insurance 52

Health Populi

SEPTEMBER 11, 2019

(You can read more about Broussard’s consumer-centric approach discussed at HIMSS 2015 here in Health Populi ). as a “health insurance company” evolving to its vision as technology-informed health care. Thus began the reinvention of Humana from V 1.0

Health Insurance 88

Health Insurance 88

C&M Health Law

AUGUST 3, 2023

Under the final rule, enforcement of the information blocking penalties will begin September 1, 2023. Other than the information blocking penalties, the rest of the final rule’s provisions are effective August 2, 2023. This means, OIG will not impose penalties on conduct occurring before September 1, 2023.

Fraud 52

Fraud HIPAA Governance Compliance 52

Bill of Health

OCTOBER 17, 2024

AB 3030 requires that health care providers disclose when they have used generative AI to create communications with patients. SB 1223 amended the California Consumer Privacy Act of 2018 to include neural data as sensitive personal information, whose collection and use companies can be directed to limit.

Medicare 150

Medicare Medicare Health Insurance Licensing 150

Health Care Law Brief

MAY 6, 2022

The Department of Health and Human Services (“HHS”) has issued a formal request for information from the public about how regulated entities are implementing industry recognized security practices. The request for information represents a chance for the private sector to contribute to HHS regulation.

HIPAA 52

HIPAA Health Insurance Compliance 52

Med-Net Compliance

OCTOBER 14, 2022

A former physician with medical practices in New Jersey, New York, and Florida admitted wrongfully disclosing patients’ protected health information (PHI). As part of the scheme, the physician permitted the sales representative to have significant access to his office, medical files, and patient information.

HIPAA 59

HIPAA Doctors Health Insurance 59

Center for Health Insurance Reform

OCTOBER 23, 2023

Enrolling in health insurance can be a challenge, especially for the millions of Americans with limited English proficiency (LEP). The annual Marketplace Open Enrollment Period is just around the corner.

Federal Policy 104

Federal Policy Health Insurance 104

Health Populi

JULY 31, 2023

Nearly all patients are concerned about their medical records getting leaked or breached, which is The State of Patient Privacy , the title of a consumer study from Health Gorilla with a headline finding that “Patients don’t trust Big Tech with their health data.” Who’s most-trusted? Seven in ten U.S.

Informed Consent 62

Informed Consent COVID-19 Health Insurance HIPAA 62