Remove 2008 Remove Health Insurance Remove Medicaid Remove Medicare
article thumbnail

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 95
article thumbnail

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

AIHC

Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. As the cost of providing care grew, payers started instituting methods to curb expenses and how claims were paid. healthcare system were exorbitant.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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 78
article thumbnail

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

AIHC

Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. As the cost of providing care grew, payers started instituting methods to curb expenses and how claims were paid. healthcare system were exorbitant.

article thumbnail

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

Health Populi

[Note: I may be biased as a University of Michigan graduate of both the School of Public Health and Rackham School of Graduate Studies in Economics]. health care, patient assistance programs, Medicare Advantage plans, and the bundling of proven high-value preventive services into the Affordable Care Act.

article thumbnail

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.

article thumbnail

As Medical Cost Trend Remains Flat, Patients Face Growing Health Consumer Financial Stress

Health Populi

. “Employer health spending has grown from 6 percent of total wages in 1988 to more than 12 percent in 2018,” driven by healthcare prices growing faster than the general economy, and the adoption of new technologies, procedures, and increasingly expensive new prescription drugs, PwC observes. economy by 2026.