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Countercyclical Aid Is Not Enough to Fix the Broken US Approach to Public Health Financing

Bill of Health

If the point of “building back better” — to use the Biden administration’s preferred phrase — is enhancing the public health system’s resilience to future crises, using January 2020 as a benchmark is wholly inappropriate. Consider that between 2008 and 2020, U.S. public health expenditures fell by 30 percent.

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What did the HIPAA Omnibus Rule Mandate?

HIPAA Journal

The addition of standards to account for the passage of the GINA Act 2008. The addition of standards to account for the passage of the GINA Act 2008. The adoption of a four-tired civil monetary penalty structure for violations of HIPAA. The finalization of the Breach Notification Rule and the revised “harm” threshold.

HIPAA 83
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Editorial: 5 Gaps in HIPAA and How They Are Being Filled

HIPAA Journal

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 98
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COVID-19 as Disability Interest Convergence?

Bill of Health

Similarly, private employers have expressed concerns about potential costs associated with everything from group health insurance, to disability accommodations related to COVID and long COVID. Why Haven’t Interests Converged During the COVID-19 Pandemic?

COVID-19 144
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Value-Based Health Care Needs All Stakeholders at the Table – Especially the Patient

Health Populi

Fendrick was part of a team that wrote one of the first research articles on the effects of increasing patient cost sharing on health disparities — published in 2008 in the Journal of General Internal Medicine.

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Ensuring Provider Directory Compliance With H.R. 133

Verisys

Passed last December, the Act requires group health plans and health insurance issuers to improve the verification and refresh process of their provider directory systems. Donald Potts has helped healthcare customers define business problems and design innovative solutions since he started at Optum in 2008.

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models. As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar.