Healthcare IT Today

OCTOBER 18, 2023

Andrew Eye, CEO of the healthcare data science company ClosedLoop , estimates that about 15% of physicians collect SDoH-related data from patients and use it to assess their needs. Data can be spotty, according to Eye, who says for instance that data from Centers for Medicare & Medicaid Services (CMS) often lacks racial identifications.

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Doctors Public Health Medicare Medicare 114

Health Populi

JUNE 23, 2022

“Working Americans are worried about money — and their concern is growing. By April, one-half of people living in America said their financial situation was getting worse, a reversal of fortune from several steady years of personal financial improvement which kicked off in 2011 as the U.S. Gallup concurs.

Medical Billing 115

Medical Billing Medicare Medicare Hospitals 115

Medisys Compliance

JULY 27, 2022

For dates of service on or after calendar year 2030, Medicare waives the coinsurance. These provisions are effective for services furnished on or after January 1, 2011. To know more about our billing and coding services, contact us at info@medisysdata.com/ 302-261- 9187. Background for Reduced Co-Insurance. Reference: [link].

Medical Billing 52

Medical Billing Medical Billing Outsourcing ACA Medicare 52

HIPAA Journal

OCTOBER 21, 2022

A common misconception about HIPAA is that all healthcare data is subject to its protection. Advocates of NPIs are hoping that the introduction of Medicare Beneficiary Numbers (which went into effect in January 2020) will demonstrate to Congress that the benefits of NPIs far outweigh the costs. #4.

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HIPAA Compliance Medicare Medicare 95

CMS.gov

SEPTEMBER 22, 2020

The SHIP conference is your opportunity to network, and hear directly from CMS about new initiatives and goals. We know you love to hear about enhancements to the Plan Finder, and we’ll also talk about the dos and don’ts of 1-800-MEDICARE.

Medicare 20

Medicare Medicare 20

Health Care Law Brief

AUGUST 26, 2022

The Centers for Medicare & Medicaid Services (“ CMS ”) recently published the proposed 2023 Physician Fee Schedule (“ PFS ”), which contains several important changes affecting Accountable Care Organizations (“ ACOs ”) that participate in the Medicare Shared Savings Program (“ MSSP ”), including a new Advanced Incentive Program.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIT Consultant

OCTOBER 20, 2023

One-quarter of seniors – about 36 million – will fall each year in the U.S. can be attributed to falls, including approximately six percent of Medicare and eight percent of Medicaid expenditures. Frank Fornari, Founder and Chairman, BioMech Functional balance is a critical health metric.

Pharmaceutical Industry 105

Pharmaceutical Industry Public Health Medicaid Medicaid 105

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

Hall Render

FEBRUARY 14, 2023

1, 1996); and Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program (Oct. The three policy statements include, Department of Justice and FTC Antitrust Enforcement Policy Statements in the Health Care Area (Sept.

Hospitals 45

Hospitals Health Care Access Licensing Medicare 45

CMS.gov

APRIL 15, 2019

Administrator, Centers for Medicare & Medicaid Services. The SSAs visit and survey every Medicare and Medicaid participating nursing home in the nation at least annually to ensure they are meeting CMS’ health and safety requirements as well as state licensure requirements. Ensuring Safety and Quality in America’s Nursing Homes.

Nursing Homes 51

Nursing Homes Nurses Compliance Medicare 51

Healthcare IT News - Telehealth

MARCH 18, 2022

Healthcare IT News sat down with this digital health investor to talk about digital health investment trends during the pandemic and where he sees funding trending in 2022 and beyond. Norden is particularly passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area.

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Medicaid Medicaid COVID-19 Telemedicine 198

Health Law Advisor

FEBRUARY 8, 2023

Similarly, the withdrawal seems contrary to the Center for Medicare & Medicaid’s (“CMS’s”) push for ACOs, including the most recent ACO initiative, the ACO Realizing Equity, Access, and Community Health (“ACO REACH”).

Medicare 52

Medicare Medicare Hospitals Licensing 52

HIT Consultant

FEBRUARY 8, 2023

An open standard called FHIR, which was initially drafted in 2011, makes it easier than ever for legacy systems and new apps to exchange data. Centers for Medicare & Medicaid Services (CMS) finalized a requirement for the use of FHIR by a range of payers and providers subject to CMS regulation starting in mid-2021 in 2020.

HIPAA 52

HIPAA Medicaid Medicaid Compliance 52

Health Populi

DECEMBER 7, 2018

trillion micro-economy…roughly the size of the entire GDP of Germany, and about $1 trillion greater than the entire economy of France. These annual numbers come out of the annual report from the Centers for Medicare and Medicaid Services, published yesterday in Health Affairs. Healthcare spending in America is a $3.5

Health Insurance 52

Health Insurance Medicaid Medicaid Medicare 52

Health Law Advisor

AUGUST 10, 2023

But the question is, to what extent do health care providers need to worry about FDA requirements as they use AI? But what is significant about that passage is the detail provided regarding a health care facility that modifies software for regulated intended purpose, making it a manufacturer. The allure is obvious.

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FDA Licensing Hospitals Medicaid 98

C&M Health Law

JANUARY 25, 2023

Telehealth Section 4113 of the Act extends certain Medicare telehealth flexibilities that were allowed during the COVID-19 PHE for two years, through 2024. The section ensures that telehealth flexibilities under Medicare are extended for two years, regardless of the status of the PHE.

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

CMS.gov

NOVEMBER 2, 2018

CMS BLOG: Medicare for All? Seema Verma, Administrator, Centers for Medicare & Medicaid Services . Medicare Part C. Medicare Part D. Medicare for All? When listening to those advocating ‘Medicare for All’ it’s good to be skeptical about their promises. percent from 2011-2016, from $17.6

Governance 55

Governance Medicare Medicare ACA 55

Kaiser Health News

JUNE 29, 2022

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. Medicare Advantage plans accept a set fee from the government for covering a person’s health care.

Medicare 105

Medicare Medicare Governance Overpayments 105

Drug & Device Law

DECEMBER 29, 2023

2023) (rejecting any express anti-preemption presumption in Medicare case) ( here ); Baker v. Since the FDA requires pre-approval of any warnings about off-label uses, preemption at some point should have been pre-ordained under the Mensing ( 2011+1 ) independence principle, but off-label use did not really figure in Zofran ’s analysis.

FDA 105

FDA US Department of Health and Human Services COVID-19 Informed Consent 105

Drug & Device Law

JANUARY 30, 2023

Bartlett , 570 U.S. 472 (2013), implied preemption decisions, cited only by the dissent in Wyeth v. Levine , 555 U.S. 555 (2009), and rated only a “ cf. citation in PLIVA, Inc. Mensing , 564 U.S. Mensing , 564 U.S. Davidowitz , 312 U.S. Davidowitz , 312 U.S. Myrick , 514 U.S. Myrick , 514 U.S. American Honda Motor Co. , Walsh , 538 U.S.

FDA 72

FDA Fraud Governance Medicare 72

Drug & Device Law

NOVEMBER 9, 2023

552 (2011); Thompson v. The FDA’s chief concern about off-label communications from manufacturers has less to do with the safety of such uses − many of which are medical standard of care and Medicare reimbursable − than with the agency’s own bureaucratic imperative. E.g. , Sorrell v. IMS Health Inc. , Caronia , 703 F.3d

FDA 64

FDA Health Insurance Nurses Medicare 64