HIT Consultant

APRIL 22, 2024

Since 1996, when the Health Insurance Portability and Accountability Act (HIPAA) became law, there have been good advances in patient data interoperability, but as a whole, the industry has not embraced them. This drove the use of Electronic Health Record systems (EHRs) in acute care hospitals to 84 percent by 2015.

Hospitals 105

Hospitals Electronic Medical Records Governance Health Insurance 105

HIPAA Journal

MARCH 9, 2022

The investigation confirmed that an unauthorized individual gained access to a server that housed patient information such as names, contact information, birth dates, Social Security numbers, driver’s license numbers, limited health information, and/or health insurance policy numbers. PracticeMax.

Electronic Medical Records 113

Electronic Medical Records Health Insurance Ransomware HIPAA 113

Healthcare IT Today

MAY 15, 2023

With a patented data science infrastructure, Apixio analyzes structured and unstructured data to develop high-fidelity patient health profiles and support value-based care programs. “Apixio has been a trusted business partner since our relationship began in 2015,” said Sarah M. London , Chief Executive Officer at Centene.

Medicare 76

Medicare Medicare Governance Health Insurance 76

HIT Consultant

DECEMBER 19, 2023

Our industry has undergone several iterations of consumer data protection rules — starting in 1996 with the Health Insurance Portability and Accountability Act (HIPAA ). In 2009, the Health Information Technology for Economic and Clinical Health Act , HITECH for short, became law, setting standards for electronic health records.

Health Outcomes 98

Health Outcomes Governance Healthcare information Technology Health Insurance 98

HIPAA Journal

OCTOBER 26, 2022

According to RIPTA, those individuals were insured by UnitedHealthcare, RIPTA’s previous health insurance provider. These failures are alleged to have violated two state laws in Rhode Island – The Identify Theft Protection Act of 2015 and the Confidentiality of Healthcare Communications and Information Act.

HIPAA 103

HIPAA Fraud Health Insurance 103

Health Populi

FEBRUARY 5, 2020

Americans who have commercial health insurance (say, through an employer or union) are rarely thought to face barriers to receiving health care — in particular, primary care, that front line provider and on-ramp to the health care system.

Patient Advocacy 143

Patient Advocacy Health Insurance HIPAA Doctors 143

Health Populi

OCTOBER 29, 2019

Rock Health’s Digital Health Consumer Adoption Report for 2019 was developed in collaboration with the Stanford Medicine Center for Digital Health. Rock Health’s top-line findings were that: Patient-generated health data creates opportunity, and potential challenges. of total consumers, followed by: 9.6%

Telemedicine 76

Telemedicine Health Insurance 76

Kaiser Health News

JANUARY 19, 2022

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. The new broker provision aims to deter fraudulent sign-ups by clarifying that applicants must attest that the income projections listed are correct.

ACA 72

ACA Health Insurance Licensing Governance 72

MedTrainer

MARCH 28, 2024

Healthcare Compliance Complexities The first healthcare compliance programs began in the early 20th century as a response to concerns about the quality of care provided by medical practitioners. Cons: May not be familiar with mandated reporting or may be apprehensive about reporting due to fear of retaliation. See MedTrainer in action.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Med-Net Compliance

NOVEMBER 3, 2022

The Office for Civil Rights (OCR) at the US Department of Health and Human Services (HHS) produced a new video on recognized security practices for organizations covered under the Health Insurance Portability and Accountability Act (HIPAA) Rules. Where to find more information about recognized security practices.

US Department of Health and Human Services 59

US Department of Health and Human Services HIPAA Health Insurance 59

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). What about Artificial Intelligence? In 2020, the U.S.

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

Health Law Advisor

APRIL 13, 2022

What approaches promulgated under section 405(d) of the Cybersecurity Act of 2015 do regulated entities rely on when establishing and implementing recognized security practices? For this reason, OCR seeks input in the RFI about how to define harm and what bases should be used for deciding which injuries are compensable.

HIPAA 52

HIPAA Health Insurance Compliance 52

Healthcare IT Today

DECEMBER 17, 2023

Though this is a significant increase from 2012, numbers haven’t budged much since 2015. eClinicalWorks completed Phase 1 of the QHIN application process , while the CommonWell Health Alliance intends to complete its application in early 2024 amid launching a new platform.

Hospitals 91

Hospitals Nurses Compliance Regulatory Compliance 91

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). What about Artificial Intelligence? In 2020, the U.S.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

HIPAA Journal

DECEMBER 23, 2022

That’s more than any other year to date apart from 2015 when Anthem Inc reported its 78.8 The databases contained extensive patient information, such as contact information, health insurance information, medical record numbers, Social Security numbers, driver’s license numbers, and medical information. million records.

HIPAA 79

HIPAA Ransomware Health Insurance Compliance 79

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

HIT Consultant

APRIL 12, 2022

Second, the number of unpaid family caregivers in the United States increased by nearly 10 million people between 2015 and 2020 to 54 million. These problems will only continue to accelerate as the older adult demographic grows. Strategic Partnerships.

Medicare 52

Medicare Medicare COVID-19 Health Insurance 52

Health Populi

JULY 12, 2021

It’s important to note that one in three people would like to do more to maintain health, but find it difficult to stay motivated — these are the “I Want To, But… ” group of consumers. In the context of growing consumer-directed health in the U.S.,

COVID-19 73

COVID-19 Nurses Health Insurance Hospitals 73

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

FEBRUARY 9, 2018

Stories about three fashion brands have me thinking about women and their health economics. I first read about Universal Thread on The Mighty website , which is a community of over 1 million people interested in connecting on health and disabilities. .” Stay with me. ” Then there’s Dia & Co.,

Health Insurance 88

Health Insurance 88

Kaiser Health News

MAY 4, 2022

” About 1 in 5 women have trouble getting pregnant, and IVF has become a common path to parenthood for many. But even as demand grows, insurance coverage remains limited. About 27% of companies with 500 or more employees covered IVF in 2020, up from about 24% in 2015, according to Mercer , a consulting firm.

Doctors 68

Doctors Medical Billing Patient Advocacy Health Insurance 68

CMS.gov

AUGUST 23, 2018

But did you know that you can also enroll in an HSA-eligible High Deductible Health Plan (HDHP) in the individual health insurance market through HealthCare.gov? Coupling an HSA-eligible HDHP with a Health Savings Account is often something that employers offer to provide for their employees. Percentage [3].

Health Insurance 42

Health Insurance Medicare Medicare 42

Health Populi

OCTOBER 3, 2018

Family premiums for health insurance received at the workplace grew 5% in 2018: to $19,616, according to the 2018 KFF Employer Health Benefits Survey released today by the Kaiser Family Foundation (KFF). This is about eight times the growth of workers’ wages in the U.S. in the same period.

Telemedicine 62

Telemedicine Health Insurance Medical Billing 62

HIT Consultant

FEBRUARY 7, 2022

If a health insurance company’s risk pool is warped toward people who are very sick and don’t have decent access to healthcare, it’s going to make that health plan a lot less profitable, increasing premiums for everyone. Health inequity is a comprehensive problem that covers all of society. About Dr. John Sargent.

Doctors 98

Doctors Health Outcomes COVID-19 Health Insurance 98

Healthcare IT Today

APRIL 10, 2023

Uncle Roy spent years on dialysis and passed away after having a stroke in 2015. Uncle Roy’s story is not unique; the individual behaviors that people with chronic conditions perform on a daily basis are the most important determinant of future health outcomes. In the U.S.,

Health Outcomes 90

Health Outcomes Hospitals ACA Doctors 90

HIPAA Journal

DECEMBER 31, 2022

The evidence that there may be a misunderstanding about what a HIPAA violation is comes from the Department of Health and Human Services (HHS) Enforcement Highlights web page. The web page is regularly updated with statistics relating to complaints about HIPAA violations, compliance reviews, and enforcement action.

HIPAA 132

HIPAA Due Diligence Compliance Fraud 132

Total HIPAA

OCTOBER 28, 2019

He altered patient records as part of a scheme to steal narcotics from a local hospital from January 2013 to May 2015. These logs should also include information about when the files leave the file room. A federal grand jury indicted a former MedStar Ambulance paramedic on counts of identity theft and fraud.

HIPAA 52

HIPAA Compliance Fraud Hospitals 52

HIPAA Journal

APRIL 5, 2024

Premera, Excellus, and Community Health Systems, CareFirst conducted a review of its systems which reviewed there had been unauthorized access to one of its databases. In response to major data breaches at Anthem Inc.,

Fraud 65

Fraud HIPAA Health Insurance Compliance 65

Healthcare IT News - Telehealth

DECEMBER 16, 2020

” Insurers in 2021 may invest in better integration internally and with healthcare providers to create a better member experience, HRI said. ” "Traditional health insurers are facing competition from newer companies with business models built around the member experience and digital tools to enhance that experience."

COVID-19 210

COVID-19 Hospitals Doctors Health Insurance 210

CMS.gov

NOVEMBER 16, 2018

Even more significant for CMS, is that for the first time in improper payment reporting history, we have achieved improper payment rate reductions across the board in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Home health corrective actions resulted in a significant $6.92 percent in 2015 to 17.61

Medicare 20

Medicare Medicare Overpayments Overpayment 20

HIPAA Journal

JUNE 28, 2022

GAO explained in its report that between 2015 and 2021, the number of individuals affected by healthcare data breaches at healthcare providers, health plans, healthcare clearinghouses, and business associates of those entities has ranged from 5 million to 113 million each year.

HIPAA 90

HIPAA Compliance Health Insurance Governance 90

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).

HIPAA 94

HIPAA Compliance Ransomware Hospitals 94

Health Populi

SEPTEMBER 24, 2018

John Hancock, which covers about 10 million consumers across a range of products, is changing their business model for life insurance. Here’s the press release, titled, “John Hancock Leaves Traditional Life Insurance Model Behind to Incentivize Longer, Healthier Lives.”

Health Insurance 14

Health Insurance Hospitals 14

HIT Consultant

JULY 28, 2022

Smaller companies that were raising large amounts of capital and feeling bullish about going up against the large incumbents may struggle to access capital and become prime acquisition targets for the incumbents. The move comes after 3M (MMM) originally evaluated a sale of the unit in 2015, though it shelved the plan in 2016.

US Department of Health and Human Services 98

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

Hall Render

APRIL 22, 2022

HHS Secretary Outlines FY 2023 Mental Health Investments at Senate Hearing. HHS Issues Warning to HPH Sector about Hive Ransomware. million in ARP funds to train health workers in local communities. Patient generated data can be a key factor in reducing health inequity. HHS is giving $226.5 payment increase in 2023.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Kaiser Health News

MAY 13, 2022

They were expressing concerns about the privacy of this information — especially for people who live in states with strict limits on abortion — and how it might be used against them. Concerned customers have been reaching out to another health app, Clue, developed by a company based in Berlin. “Now.” Ron Wyden (D-Ore.)

US Department of Health and Human Services 101

US Department of Health and Human Services HIPAA Governance Health Insurance 101

Health Populi

AUGUST 27, 2018

employers offered health insurance to workers in 2017, EBRI reports in its latest Issue Brief. companies offered health insurance to their employees, up by 1.6 of employers offered health insurance, shown in the first bar chart (Figure 1 from the EBRI report). of employers offering insurance to workers.

Health Insurance 63

Health Insurance ACA 63