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. ” The U.S.

Patient Advocacy 143

Patient Advocacy Health Insurance HIPAA Doctors 143

HIPAA Journal

JULY 27, 2023

The stolen information included names, addresses, email addresses, dates of birth, Social Security numbers, government identification ID numbers, driver’s license numbers, payment/financial institution information, health insurance providers, medical treatment information, medical diagnoses, medications, medical images, and lab test results.

Ransomware 52

Ransomware Fraud Licensing Health Insurance 52

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

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). In 2020, the U.S. The consequences for noncompliance with the HITECH Act can be severe.

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

Kaiser Health News

JANUARY 19, 2022

Although the practice does not appear widespread, it has prompted the Department of Health and Human Services to seek changes to some oversight rules affecting brokers. But agents, brokers and web-based services are. They would start in 2023. Nonetheless, experts in law, policy and enrollment say it has been a recurrent issue.

ACA 72

ACA Health Insurance Licensing Governance 72

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). In 2020, the U.S. The consequences for noncompliance with the HITECH Act can be severe.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

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

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.

US Department of Health and Human Services 59

US Department of Health and Human Services HIPAA 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? The past several years have proven difficult for healthcare entities due to increasing cybersecurity threats , breaches and regulatory enforcement.

HIPAA 52

HIPAA Health Insurance Compliance 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. Through interpersonal communication and technology, DUOS identifies and addresses the individual needs of older adults by leveraging Medicare benefits, trusted partners, and local service providers.

Medicare 52

Medicare Medicare COVID-19 Health Insurance 52

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

JULY 16, 2019

million in 2015 to 83.4 The current financing and delivery model — cost-increasing due to volume-based payment and unchecked price increases, coupled with fragmented delivery especially in high-capital cost sites — requires a re-think of where care can be optimally delivered, and how to pay for those services.

Health Insurance 124

Health Insurance Hospitals 124

Health Law RX

APRIL 18, 2022

Covered entities and business associates subject to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) have the chance to provide input on two amendments to the Health Information Technology for Economic and Clinical Health Act of 2009 (“HITECH Act”).

HIPAA 52

HIPAA Health Insurance Compliance 52

Health Populi

JULY 12, 2021

Through the pandemic, retailers have become an even more-trusted health resource among consumers, looking to eat more fresh foods in wider varieties, fetch more over-the-counter medicines and products at retail, and get resources that help them educate themselves about health and wellness.

COVID-19 73

COVID-19 Nurses Health Insurance Hospitals 73

CMS.gov

NOVEMBER 16, 2018

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program.

Medicare 20

Medicare Medicare Overpayments Overpayment 20

HIPAA Journal

JANUARY 24, 2023

For the first time since 2015, there was a year-over-year decline in the number of data breaches reported to the Department of Health and Human Services’ Office for Civil Rights (OCR), albeit only by 1.13% with 707 data breaches of 500 or more records reported. There is also a risk of financial penalties from regulators.

Ransomware 113

Ransomware HIPAA Hospitals Fraud 113

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 13, 2018

. “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.

Medicaid 63

Medicaid Medicaid Health Insurance Medicare 63

Health Populi

AUGUST 5, 2019

Power,” your mind probably imagines reviews of automotive performance, retail shopping experiences, or perhaps even health insurance plan customer service. Expanding its report-card role in the health ecosystem. Health Populi’s Hot Points: The reports from J.D. When you think “J.D.

Telemedicine 81

Telemedicine Doctors Medicaid Medicaid 81

Healthcare IT News - Telehealth

DECEMBER 16, 2020

“Tying virtual to in-person seamlessly is important for reducing leakage and maintaining ancillary services, follow-up appointments and prescription levels,” said researchers. ” Insurers in 2021 may invest in better integration internally and with healthcare providers to create a better member experience, HRI said.

COVID-19 210

COVID-19 Hospitals Doctors Health Insurance 210

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. He is a popular speaker and thought leader on technology, innovation and health equity.

Doctors 98

Doctors Health Outcomes COVID-19 Health Insurance 98

Kaiser Health News

MAY 4, 2022

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. In February 2022, KHN reached out to the provider and insurer. Still, she went through with the procedure.

Doctors 68

Doctors Medical Billing Patient Advocacy Health Insurance 68

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. In conclusion, a HIPAA compliance service (like us) provides helpful guidance on establishing the logs that will help you monitor your network. After that, you can store these logs in a compressed format.

HIPAA 52

HIPAA Compliance Fraud Hospitals 52

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. They were significantly increased in the HITECH Act of 2009; and, since 2015, they have been adjusted for inflation annually.

HIPAA 132

HIPAA Due Diligence Compliance Fraud 132

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

HIPAA Journal

OCTOBER 5, 2022

Recently, NIST issued a draft update (SP 800-66r2) to its 2008 publication: An Introductory Resource Guide for Implementing the Health Insurance Portability and Accountability Act (HIPAA) Security Rule, and sought feedback from industry stakeholders ahead of the publication of the final version of the guidance. Background.

HIPAA 110

HIPAA COVID-19 Compliance Health Insurance 110

HIT Consultant

JULY 28, 2022

In the first half of 2022, we have observed that a few sectors saw their median multiples tick up relative to the period between January 2017 – December 2021, namely Analytics (by 1.3x), Infrastructure Technology (by 0.9x), and RCM Services (by 0.7x). These include Aspirion, CloudMed, Ensemble Health Partners, and Revecore.

US Department of Health and Human Services 98

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

SQA

JUNE 10, 2021

A total of 53 normative acts and two Guides were issued regarding the access to essential products and services in the fight against the new coronavirus. There are 11 regulatory projects for the medical devices’ field: Implementation of the National Implant Registry (RNI) in Brazil’s public and private health services.

FDA 52

FDA COVID-19 COVID-19 Vaccine Compliance 52

Compliancy Group

JANUARY 25, 2022

With at least six weeks before final numbers are in, the Department of Health and Human Services HIPAA Breach Reporting Tool website is reporting 713 major healthcare data breaches in 2021, an increase of more than 7.5 Protected health information (PHI) from more than 45.7 Protected health information (PHI) from more than 45.7

HIPAA 98

HIPAA Ransomware Governance Fraud 98

HIPAA Journal

MARCH 29, 2022

The Department of Health and Human Services’ Office for Civil Rights (OCR) has announced its first financial penalties of 2022 to resolve alleged violations of the Health Insurance Portability and Accountability Act (HIPAA). & Associates, P.A., (UPI),

HIPAA 114

HIPAA Compliance Health Insurance 114

HIPAA Journal

JUNE 28, 2022

The Government Accountability Office (GAO) has recommended that the Department of Health and Human Services (HHS) establish a feedback mechanism to improve the effectiveness of its data breach reporting process. OCR is the main enforcer of compliance with the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA 90

HIPAA Compliance Health Insurance Governance 90

Hall Render

APRIL 22, 2022

Nuvance Health promotes Bethel resident to human resources role for seven hospitals in CT, NY. Harvard Pilgrim exiting CT’s commercial health insurance market. MassHealth to provide behavioral-health funds to hospitals. Tenet hospital CEO resigns amid service cuts. 14 health IT innovations, partnerships.

COVID-19 40

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

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). million 78.8 million 78.8

HIPAA 94

HIPAA Compliance Ransomware Hospitals 94

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). Effects of Medicaid Expansion on Postpartum Coverage and Outpatient Utilization , 39 Health Aff.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Health Populi

SEPTEMBER 24, 2018

Most consumers look to every industry sector to help them engage with their health. And those companies include the insurance industry and financial services firms, we found in the 2010 Edelman Health Engagement Barometer. Note that was over 3 years ago, so this approach has been well-honed and -tested over time.

Health Insurance 14

Health Insurance Hospitals 14

Hall Render

DECEMBER 22, 2023

health care spending hits $4.5 Yale New Haven sale key to Prospect hospitals’ survival, CEO says YNHH sale ‘paramount’ to CT Prospect hospitals’ survival, CEO says Connecticut hospital cut ED visits by nearly 50% Hartford HealthCare unveils new ‘health desk’ model Connecticut physician sentenced for $2.6M

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40