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Report shows 'vast improvement' in state telehealth reimbursement policies

Healthcare IT News - Telehealth

"The public health emergency did not create the telemedicine industry. The wide-ranging report – which focuses only on commercial health insurance laws, and not Medicaid rules – notes that, although telehealth coverage has widely expanded, not all of these laws are equally effective at ensuring access to virtual care.

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What If Costco Designed the Prescription Drugs Sales Model?

Health Populi

Fast-forward through the 1990s and the advent of PBMs — pharmacy benefit management companies — the intermediaries managing drug benefits for health insurance plans. Today, the three largest PBMs, processing about 4 in 5 retail prescription claims, are embedded in large health insurance companies.

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Juggling Chainsaws

YouCompli

These include the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), the False Claims Act, and other legislation that governs patient care, billing practices, and safety standards.

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Why Value-Based Care Requires Value-Based Administration

HIT Consultant

Additionally, a white paper published in 2021 shows that FFS “with no link to quality or value, still accounted for nearly 40% of all insurer payments, and the majority of payments in Medicaid and commercial insurance.”.

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Physician Coding and Billing Enforcement: What to Watch For

YouCompli

For more insights from the Compliance Institute, download our white paper on how compliance professionals can help healthcare institutions mitigate risk.). In March of 2022, a New Jersey rheumatologist was convicted by a federal jury for defrauding Medicare and other health insurance programs.

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Saving Money as a Financial Vaccine: BlackRock Finds Consumer Savings Drain and Etsy Sellers Not Saving Much

Health Populi

BlackRock partners in the ESI with the Financial Health Network, CommonWealth, the Center for Advanced Hindsight Common Cents Lab, along with UPS, Mastercard, Etsy (whose sellers were the subject of an ESI white paper on the pandemic and gig workers’ financial health), Brightside, Acorns, and Arizona State University.

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Artificial Intelligence Plus Data Democratization Requires New Health Care Framework

Bill of Health

Those good intentions notwithstanding, the current health data landscape is dramatically different from when the organizational author of the plan, the Office of the National Coordinator for Health IT, formed two decades ago.

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