CMS.gov

NOVEMBER 16, 2018

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program. Home health corrective actions resulted in a significant $6.92

Medicare 20

Medicare Medicare Overpayments Overpayment 20

American Medical Compliance

APRIL 17, 2024

Understanding the ACA The Patient Protection and Affordable Care Act, referred to as the Affordable Care Act or “ACA” for short, is the comprehensive health care reform law enacted in March 2010. The law has 3 primary goals: Make affordable health insurance available to more people.

ADA 52

ADA ACA Compliance Health Care Reform 52

Health Populi

JUNE 20, 2022

When high-deductible health plans became part of health insurance design in America, they were lauded as giving patients “more skin in the game” of health care payments. health citizens. ” The KFF Survey wondered, “Who has health care debt?

Medical Billing 121

Medical Billing Health Insurance ACA 121

MedTrainer

JANUARY 12, 2024

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. HIPAA (1996): The Health Insurance Portability and Accountability Act (HIPAA) established strict standards for patient data privacy and security.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

HIT Consultant

AUGUST 7, 2023

Bureau of Labor Statistics, the average inflation rate from 2010 to 2020 was approximately 1.5% Payers Lower Rates Over Time Insurance companies and other payers are continually seeking ways to cut costs and improve their bottom line. According to the U.S.

Health Insurance 93

Health Insurance Governance 93

Health Populi

OCTOBER 8, 2020

who benefits from health insurance at the workplace, the annual family premium will average $21,342 this year, according to the 2020 Employer Health Benefits Survey from the Kaiser Family Foundation. Over ten years, the premium dollars grew from $13,770 in 2010 to $21K in 2020. For a worker in the U.S.

Health Insurance 173

Health Insurance COVID-19 Telemedicine Public Health 173

Jane Sarashon

MAY 18, 2023

For some context, it’s useful to know that the CFPB was created as part of the Dodd-Frank Wall Street Reform and Consumer Protection Act passed by Congress and signed by President Obama in July 2010 in the wake of the 2008-9 financial crisis in the U.S. In the Commonwealth Fund’s State of the U.S.

Medical Billing 52

Medical Billing Health Insurance Doctors Hospitals 52

HIPAA Journal

NOVEMBER 17, 2022

The offline data included patient names, guarantor names, parent names, addresses, email addresses, birth dates, Social Security numbers, health insurance information, dates of service, locations, services requested/procedures performed, diagnoses, prescription information, physician names, medical record numbers, and billing and claims information.

Ransomware 79

Ransomware Health Insurance Hospitals Fraud 79

Health Populi

FEBRUARY 23, 2018

Department of Health and Human Services. The report details Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January-September 2017. in 2017, about the same proportion as in 2016 — but nearly 20 million fewer than in 2010, as the line chart illustrates.

Health Insurance 79

Health Insurance Medicaid Medicaid Doctors 79

The Health Law Firm

AUGUST 31, 2016

.; Law Clerk, The Health Law Firm On August 16, 2016, Health Net Inc. The health insurance company paid the penalty without admitting or denying the SEC’s allegations. 1376 (2010). The Dodd-Frank Whistleblower Program. 111-203, 124 Stat.

Fraud 40

Fraud Health Insurance 40

Hall Render

AUGUST 10, 2023

This new Final Rule counts days of patients who receive from the demonstration (1) health insurance that covers inpatient hospital services or (2) premium assistance that covers 100 percent of the premium cost to the patient, which the patient uses to buy health insurance that covers inpatient hospital services.

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

Jane Sarashon

APRIL 1, 2022

This graphic illustrates that about one-half of companies listed on the S&P have a direct impact on people’s health: think pharma, life sciences, medical technology, health insurance, food, and transportation. A key factor underpinning deaths of despair is social isolation and loneliness.

Governance 103

Governance Health Insurance 103

HIPAA Journal

OCTOBER 21, 2022

The passage of HIPAA resulted in multiple benefits for the health insurance industry, the healthcare industry, and the people that they serve. For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing.

HIPAA 95

HIPAA Compliance Medicare Medicare 95

Health Populi

APRIL 24, 2018

Otherwise, the news is negative across the remaining four segments: consumer health is the second most-trusted segment, by 56% of Americans, but dropped by 7 percentage points from 2017. Biotech is roughly tied for second place with consumer health, dropping also by 7 points. health ecosystem stakeholders.

Health Insurance 74

Health Insurance Fraud Hospitals Doctors 74

MedTrainer

MARCH 28, 2024

Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

HIPAA Journal

JANUARY 12, 2024

The changes attributable to the Genetic Information Nondiscrimination Act (GINA) were published as a Proposed Rule in April 2009, while the proposed modifications to the Privacy, Security, and Enforcement Rules were published in July 2010. The addition of standards to account for the passage of the GINA Act 2008.

HIPAA 78

HIPAA Compliance Health Insurance Medicaid 78

Health Populi

JUNE 13, 2018

In 2007, the year I launched Health Populi , the inaugural post focused on just this issue; the post was titled, “Health care is the #1 line item in our national economy…and taking more out of your pocket.”

Medicaid 63

Medicaid Medicaid Health Insurance Medicare 63

New Jersey Healthcare Blog

JANUARY 12, 2022

1791(c), the Department of Human Services, Division of Aging Services, Office of the State Health Insurance for the Aged and Disabled, readopted a rule regarding the Senior Gold Prescription Program Manual. On October 18, 2021, at 53 N.J.R. See readopted N.J.A.C. On October 18, 2021, at 53 N.J.R.

Licensing 40

Licensing Medicaid Medicaid Nurses 40

Healthcare Law Blog

JANUARY 26, 2023

The amendment defines healthcare entity to include any individual physician or other healthcare professional, a hospital, a provider-sponsored organization, a health maintenance organization, a health insurance plan, or any other kind of healthcare facility, organization, or plan.

ACA 105

ACA Medicaid Medicaid Compliance 105

HIPAA Journal

JANUARY 24, 2023

million members and cost the health insurer around $230 million in clean-up costs, $115 million to settle the lawsuits, $39.5 That task has become increasingly difficult due to the increase in data breaches, which have tripled since 2010. There is also a risk of financial penalties from regulators.

Ransomware 113

Ransomware HIPAA Hospitals Fraud 113

HIPAA Journal

MARCH 31, 2023

This is because – for example – in addition to HIPAA records retention, health insurance companies may be subject to the complexities of FINRA, while employers that are Covered Entities may have to comply with the record retention requirements of the Employee Retirement Income Security Act and Fair Labor Standards Act.

HIPAA 125

HIPAA Medicare Medicare Compliance 125

Kaiser Health News

JULY 6, 2022

. “There are still some gaps that need to be filled,” said Katie Keith, a researcher at the Center on Health Insurance Reforms at Georgetown University. Your insurance matters. But, she said, the law “unquestionably” made preventive care more affordable.

ACA 80

ACA Medicare Medicare Medicaid 80

HIPAA Journal

MAY 18, 2023

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA). million individuals and for delayed breach notifications.

HIPAA 94

HIPAA Compliance Ransomware Hospitals 94

Health Populi

SEPTEMBER 24, 2018

Most consumers look to every industry sector to help them engage with their health. And those companies include the insurance industry and financial services firms, we found in the 2010 Edelman Health Engagement Barometer.

Health Insurance 14

Health Insurance Hospitals 14

HIT Consultant

JULY 28, 2022

Between 2010 and 2020, the NASDAQ experienced a 17.1% The Telehealth Benefit Expansion for Workers Act would amend HIPAA and the Affordable Care Act to allow employers to offer standalone telehealth service programs – not unlike dental and vision plans – in addition to existing health insurance plans. Q2 HEADLINES.

US Department of Health and Human Services 98

US Department of Health and Human Services COVID-19 Health Insurance Telemedicine 98

Health Populi

OCTOBER 28, 2019

Cost concerns are playing into peoples’ perspectives on health care reform proposals, with a majority of survey respondents saying they’d be more likely to vote for a candidate that would support expanding private health insurance reforms versus scrapping commercial insurance for a Medicare for All proposal.

Single Payer Health Care 52

Single Payer Health Care Medical Billing Health Care Reform Governance 52

Healthcare Law Blog

JANUARY 6, 2023

18] The Act also waives the 4% reduction in Medicare reimbursement under the Statutory Pay-As-You Go Act of 2010 sequester in 2023 and 2024. [19]. The Act partially alleviates this cut in physician reimbursement and provides for a 2.5% Incentive Payments for Participation in Eligible Alternative Payment Models.

COVID-19 52

COVID-19 Medicaid Medicaid Medicare 52

Kaiser Health News

JUNE 16, 2022

Ariane Buck, a young father in Arizona who sells health insurance, couldn’t make an appointment with his doctor for a dangerous intestinal infection because the office said he had outstanding bills. Patient debt is piling up despite the landmark 2010 Affordable Care Act. The health system is not affiliated with KHN.).

US Department of Health and Human Services 145

US Department of Health and Human Services Medical Billing Hospitals Medicare 145

Healthcare Law Blog

MAY 11, 2023

Becerra (“Braidwood”) , invalidating the Affordable Care Act’s (“ACA’s”) mandate requiring health plans and health insurers offering health insurance coverage to provide coverage for preventative care services recommended by the U.S. Preventive Services Task Force (“USPSTF”).

ACA 52

ACA Health Insurance Patient Advocacy 52

Health Populi

MARCH 13, 2019

The research found that peoples’ exposure to clinician quality information doubled between 2010 and 2015, and more consumers sought quality metrics — albeit, with differences across sub-groups of people (e.g., Taken together, these four papers from Health Affairs lead to the following themes: By 2019, patients in the U.S.

ACA 102

ACA Health Insurance Bioethics Prescription Drug Pricing 102

Bill of Health

FEBRUARY 28, 2023

That approach successfully transformed public and private health care — albeit not without challenges for coordination and political resistance — through the Patient Protection and Affordable Care Act of 2010.

Public Health 176

Public Health COVID-19 Medicaid Medicaid 176

Health Populi

APRIL 2, 2018

The Gallup Poll , fielded in the first week of March 2018, found that peoples’ overall economic and employment concerns are on the decline since 2010, at the height of the Great Recession which began in 2008. While 70% of Americans were worried about economic matters in 2010, only 34% of people in the U.S.

ACA 69

ACA Health Insurance Public Health Health Outcomes 69

Kaiser Health News

AUGUST 24, 2023

” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to Z,” now in its third edition. During the primary, Republican presidential candidates don’t really want to talk about health insurance and health care.

COVID-19 56

COVID-19 Medicaid Medicaid Health Insurance 56

Kaiser Health News

JULY 11, 2023

.” Hospitals have long argued they need to charge private insurance plans higher rates to make up for the Medicaid shortfall. The 2010 Affordable Care Act, she noted, imposed additional community benefit mandates. The American Hospital Association strongly disagrees with the Lown and Johns Hopkins analyses. .

Hospitals 66

Hospitals Medicaid Medicaid Medical Billing 66

C&M Health Law

JANUARY 25, 2023

Section 1001 of the Act delays the 4% Statutory Pay-As-You-Go Act of 2010 (PAYGO) sequester for two years, through the end of calendar year 2024. The Act also provides investments in Medicaid and the Children’s Health Insurance Program (CHIP). The enhanced FMAP will fully sunset by January 2024.

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

Kaiser Health News

JULY 24, 2023

House Republicans have advanced a package of bills that could reduce health insurance costs for certain businesses and consumers, partly by rolling back some consumer protections. Health policy experts aren’t surprised.

ACA 81

ACA Health Insurance Medicaid Medicaid 81

Kaiser Health News

JANUARY 12, 2023

Finally this week, but not least, there’s also news on the health insurance coverage front. 15, officials at the Department of Health and Human Services this week reported that enrollment is already up 13% from last year to almost 16 million people, including about 3.1 million people who are new enrollees.

US Department of Health and Human Services 52

US Department of Health and Human Services FDA Medicare Medicare 52