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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. A second license could cost a provider hundreds if not thousands of dollars.

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Health Care, AI, and the Law: An Emerging Regulatory Landscape in California

Bill of Health

Finally, SB 1120 limits the degree to which health insurers can use AI to determine medical necessity for member health care services. 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.

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Health Insurance in Aisle 3: Why a Grocery Chain is Working on Medicare

Health Populi

Under the hood of this effort is Hy-Vee Financial Services, a multi-service financial services company with licenses to serve consumers in Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, South Dakota and Wisconsin. The post Health Insurance in Aisle 3: Why a Grocery Chain is Working on Medicare appeared first on HealthPopuli.com.

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Atrium Health responds to new social engineering attack

Healthcare It News

Driver’s license or state-issued identification number. Health insurance and/or treatment cost information, such as patient identification numbers and health insurance account or policy numbers. Social Security number. Date of birth. Medical record number. Bank or financial account numbers or information.

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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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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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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.