Health Populi

JUNE 1, 2018

I’ve mined Meeker’s report for several years here on Health Populi: 2017 – Digital healthcare at the inflection point, via Mary Meeker. 2015 – Musings with Mary Meeker on the digital/health nexus. 2011 – Meeker & Murphy on mobile – through the lens of health.

Health Insurance 52

Health Insurance 52

Health Populi

OCTOBER 24, 2022

Add into this picture a CCS Insight analyst’s forecast last week that Apple could enter the health insurance market in 2024. ” Over 11 years ago, I listened to Dr. Toby Cosgrove, then CEO of The Cleveland Clinic, warn in his 2011 State of the Clinic annual address that, “we have to do better with less.”

COVID-19 52

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 52

The Health Law Firm

JUNE 28, 2012

New information is available regarding the Office for Civil Rights’ (OCR) initial round of mandated audits of Health Insurance Portability and Accountability Act (HIPAA) covered entities. Initial HIPAA Audits Began November 2011.

HIPAA 40

HIPAA Health Insurance 40

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 97

HIPAA Compliance Medicare Medicare 97

Health Populi

AUGUST 23, 2021

When we think about health care pricing variations, then, it’s not just between hospitals in a particular geography or ZIP code, but it happens within institutions based on contract negotiations with health plans. in July 2021, the lowest read since December 2011. health citizens.

COVID-19 85

COVID-19 Medical Billing Health Insurance Hospitals 85

Health Populi

OCTOBER 15, 2020

More than four times as many Black women believe that it’s a bad time to be Black in America in 2020 versus 2011, we learn from The Undefeated Survey on Race and Health from Kaiser Family Foundation (KFF). elections, up and down the ballot, is one way to engage with your health citizenship.

COVID-19 83

COVID-19 Public Health Governance Health Insurance 83

Health Populi

NOVEMBER 7, 2019

Opioid-related deaths grew some 20% since 2011 in the U.S. health care versus the OECD peer nations. fall below the OECD average, and the proportion of people who self-report that they are in “good health” is the third highest in the OECD. and are impacting mortality rates in Canada, Estonia and Sweden, too. For the U.S.

Doctors 90

Doctors Medical Billing Health Insurance Public Health 90

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

Health Populi

AUGUST 13, 2019

Looking forward, “nudging” employees to physician-based ACOs through strategic plan design (think: behavioral economics) and promoting virtual primary care services will gain traction in 2011-2022.

Health Care Access 58

Health Care Access Governance Health Insurance 58

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). in 2011 that was settled for $100,000.

HIPAA 95

HIPAA Compliance Ransomware Hospitals 95

HIT Consultant

FEBRUARY 6, 2023

Education and conversation around women’s healthcare are evolving, however, women’s health technology is still, by far, an emerging industry. For example, only 3% of the 2,728 US digital health deals since 2011 have focused on women’s health.

FDA 98

FDA Health Insurance Hospitals Doctors 98

Healthcare Law Blog

APRIL 6, 2022

The new state plan option allows state Medicaid and Children’s Health Insurance Program (“CHIP”) agencies to provide 12 months of continuous postpartum coverage, regardless of any changes in circumstances, through a state plan amendment (“SPA”). This option is available for five years and ends on March 31, 2027. 31, 2022). [2]

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Health Populi

DECEMBER 7, 2018

After five years of modest premium cost increases between 2011-16, premiums for employer-sponsored health insurance dramatically increased in 2017: for single-person coverage. premiums were over $7,000 in eight states. For family premiums, they were at least $20,000 or higher in seven states and Washington, D.C.

Health Insurance 52

Health Insurance Medicaid Medicaid Medicare 52

HIT Consultant

DECEMBER 26, 2021

Government mandates were an impetus for change, starting with the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 to “promote the adoption and meaningful use of health information technology” (Office of Civil Rights (OCR), 2017).

Due Diligence 98

Due Diligence Compliance HIPAA Nurses 98

Healthcare Law Blog

JANUARY 10, 2022

To ensure MA plan benefits do not discriminate against higher cost enrollees, MA plans are required to establish a limit on beneficiary cost-sharing for Medicare Part A and B services after which the plan pays 100 percent of the service costs.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

C&M Health Law

JANUARY 25, 2023

The Act’s health care offset title includes Section 4163, which extends the 2% Budget Control Act of 2011 Medicare sequester for six months into FY 2032 and lowers the payment reduction percentages in FYs 2030 and 2031. The Act also provides investments in Medicaid and the Children’s Health Insurance Program (CHIP).

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

Kaiser Health News

JUNE 29, 2022

AHIP, which represents the health insurance industry, released a statement that said Medicare Advantage plans “deliver better service, access to care, and value for nearly 30 million seniors and people with disabilities and for American taxpayers.” Cathy Rodgers (R-Wash.)

Medicare 105

Medicare Medicare Governance Overpayments 105

Health Populi

NOVEMBER 5, 2018

Governor Kasich has led the Buckeye State since 2011, and his second and final term ends in January 2019. “Citizens scare politicians,” I heard Governor John Kasich say to Nicole Wallace on her show Deadline: White House yesterday, just hours from today’s U.S. 2018 midterm elections.

Medicaid 88

Medicaid Medicaid Nursing Homes Nurses 88

Drug & Device Law

NOVEMBER 9, 2023

IMS Health Inc. , 552 (2011); Thompson v. First, such communications may now be directed to any health care provider – not just health insurers seeking to determine whether an off-label use should be covered, as was previously the case. E.g. , Sorrell v. Western States Medical Center , 535 U.S. Caronia , 703 F.3d

FDA 64

FDA Health Insurance Nurses Medicare 64