Health Populi

NOVEMBER 1, 2018

Among people who have health insurance, managing the costs of their medical care doesn’t rank as a top frustration. Instead, attending to health and wellbeing, staying true to an exercise regime, maintaining good nutrition, and managing stress top U.S. health-insured adults in July 2018.

Health Insurance 69

Health Insurance Doctors Medicaid Medicaid 69

Health Populi

MARCH 1, 2018

“Health agencies will have to become at least as sophisticated as other consumer/retail industries in analyzing a variety of data that helps uncover root causes of human behavior,” Gartner recommended in 2017. That’s because “health” is not all pre-determined by our parent-given genetics.

Health Insurance 79

Health Insurance Medicaid Medicaid Public Health 79

Healthcare Law Blog

MARCH 7, 2023

The Centers for Medicare & Medicaid Services (“CMS”), on behalf of the U.S. Department of Health and Human Services (“HHS”), recently issued a proposed rule to adopt standards under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) for “health care attachment” transactions (the “Proposed Rule”).

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Medicaid Medicaid 52

HIPAA Journal

MAY 29, 2023

It has been 27 years since President Clinton signed the Health Insurance Portability and Accountability Act (HIPAA) into law, but compliance is still proving a challenge for many HIPAA-regulated entities. The 2016-2017 HIPAA audit program identified many areas of noncompliance. million in 2018 to just $1.6 million in 2022.

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HIPAA Compliance Due Diligence COVID-19 100

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. In 2019, 28 states have payment parity policies for Medicaid. When you think “J.D.

Telemedicine 81

Telemedicine Doctors Medicaid Medicaid 81

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

Healthcare IT Today

AUGUST 25, 2022

Fetter also launched adjacent businesses—Conifer Health Solutions and United Surgical Partners International—which are now multi-billion-dollar enterprises and leaders in their respective fields. Fetter retired as chairman and CEO of Tenet in late 2017. He also serves on the boards of Cardiovascular Systems Inc.

Licensing 52

Licensing Health Insurance Medicaid Medicaid 52

CMS.gov

NOVEMBER 16, 2018

Administrator, Centers for Medicare & Medicaid Services. One of my commitments as the Administrator of the Centers for Medicare & Medicaid Services (CMS) is to ensure we remain steadfast in our commitment to strengthen Medicare by making sure that tax dollars are spent appropriately. percent in 2017 to 8.12 Leadership.

Medicare 20

Medicare Medicare Overpayments Overpayment 20

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. 3A:58 by the Department of Children and Families in 2017. 10:69, AFDC-Related Medicaid, or 10:71, Medicaid Only.

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Licensing Medicaid Medicaid Nurses 40

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”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

CMS.gov

JUNE 11, 2018

Medicaid & CHIP. However, it is important for our beneficiaries across the country to know that the Centers for Medicare & Medicaid Services (CMS) is exploring all of our options to address this national crisis. out of 1,000 Medicaid beneficiaries are impacted by OUD. CMS Opioids Roadmap. keya.joy-bush@…. Initiatives.

Medicaid 20

Medicaid Medicaid Medicare Medicare 20

Healthcare IT News - Telehealth

DECEMBER 16, 2020

The virtual trial, to be sure, is not a new concept: One team of researchers counted more than 1,100 trials listed on ClinicalTrials.gov employing connected digital products for remote data collection in both 2017 and 2018, the organization observed. Implications of altered health portfolios.

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COVID-19 Hospitals Doctors Health Insurance 214

Health Populi

DECEMBER 7, 2018

National health care spending growth slowed in 2017 to the post-recession rate of 3.9%, down from 4.8% Per person, spending on health care grew 3.2% to $10,739 in 2017, and the share of GDP spent on medical care held steady at 17.9%. Underneath these macro-health economic numbers is the fact that inflation averaged 1.6%

Health Insurance 52

Health Insurance Medicaid Medicaid Medicare 52

C&M Health Law

JANUARY 20, 2023

Volume 1 — Introductory Material, June 2019 with Errata HL7 Implementation Guide for CDA Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1,

HIPAA 52

HIPAA US Department of Health and Human Services Compliance Health Insurance 52

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”). Additional Opportunities for Integration through State Medicaid Agency Contracts.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

Healthcare Law Blog

MARCH 25, 2022

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. Once the new rules were published, Vista Health Plan, Inc., 2018 Final Rule, 83 Fed.

ACA 52

ACA US Department of Health and Human Services Health Insurance Medicaid 52

CMS.gov

JANUARY 31, 2019

Through innovation, partnership and a strong focus on making health care more affordable, we have the tools to further reduce senior poverty across the country. April 2017. Medicare Beneficiaries’ High Out-of-Pocket Costs: Cost Burdens by Income and Health Status. Income and Assets of Medicare Beneficiaries, 2016-2035.

Medicare 49

Medicare Medicare Health Insurance Medicaid 49

CMS.gov

OCTOBER 22, 2018

New State Relief and Empowerment Waiver Guidance Gives States Tools to Help Fix Broken Health Insurance Markets. Administrator, Centers for Medicare & Medicaid Services. million Americans remain without health insurance. percent in 2019 and more insurers will enter the market—premiums are still far too high.

Health Insurance 55

Health Insurance ACA Medicaid Medicaid 55

Jane Sarashon

DECEMBER 13, 2021

Between 2017 to 2021, there was also significant movement in a few other areas: identity and self-esteem (up 11 points from 2017), as well as control and reality (up 7 points between 2017 to 2021). FarmboxRx works with providers and insurers in the U.S.

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COVID-19 Public Health Governance Medicaid 60

Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M NATIONAL Addressing Staff Burnout In Healthcare Design Amazon completes $3.9B Can Hospitals Change in Time to Keep Them?

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Health Populi

MAY 8, 2019

Two-thirds of Rx’s were dispensed to treat chronic conditions, notably hypertension, mental health, lipid management, diabetes, and anti-coagulants. In 2017, nearly 60% of new therapy starts were for the Flucelvax Quadrivalent flu vaccine. increase over 2017 net of rebates, discounts, and price concessions.

Prescription Drug Pricing 59

Prescription Drug Pricing Medicare Medicare Health Insurance 59

Health Populi

APRIL 2, 2018

Interestingly, shipping services ranked highly on the Temkin Experience Ratings for 2017, which I also intuit are part of the Amazon shipping halo]. By the fourth quarter of 2017, over one-half of U.S. Last month, Amazon extended discounted Prime membership to people enrolled in Medicaid plans and SNAP food benefit programs.

Health Insurance 48

Health Insurance Medicaid Medicaid 48

HIPAA Journal

JANUARY 2, 2023

In March 2017, an employee of New Jersey-based BioReference Laboratories was terminated from their position for failing to securely dispose of documents containing the PHI of 1,772 patients. Also in 2017, an employee of Lowell General Hospital in Massachusetts was fired for snooping on the healthcare records of 769 patients.

HIPAA 109

HIPAA Compliance Hospitals Medicare 109

CMS.gov

NOVEMBER 26, 2018

Today the Centers for Medicare & Medicaid Services (CMS) announced proposed changes to Medicare Part D to lower prescription drug costs for beneficiaries. Part D uses private insurance plans to cover drugs that are picked up at a pharmacy. But the policy was never intended to be permanent.

Medicare 52

Medicare Medicare Pharmaceutical Industry Health Insurance 52

Health Populi

MAY 14, 2018

The 50 ways to reform prescription drug pricing include: Increasing competition via promoting innovation and competition and developing proposals to drop Medicaid and ACA programs from raising drug prices in the private market.

Prescription Drug Pricing 48

Prescription Drug Pricing Governance ACA Medicare 48

Hall Render

APRIL 21, 2023

health-tech startup MemoryWell pivots, eyes new funding to roll out software for insurers Department of Veterans Affairs health system kicks off multiyear Greater Washington expansion Georgetown to open Southeast D.C.

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

Hall Render

JANUARY 28, 2022

Banner Health expects hospitalizations to peak in mid-February from recent omicron surge. Arkansas health officials ask state for $400M to cover increased Medicaid costs. Arkansas health officials weigh in on mask debate, warn of fake masks. California launches Medicaid innovation with new MCO and technology requirements.

Nursing Homes 40

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

Health Populi

MAY 10, 2018

Financial stress is a social determinant of health, and as U.S. patients continue to evolve as health consumers, bearing more financial risks whether in employer-sponsored or individual health insurance plans, more Americans feel more health financed-stress. The post Guns, Jobs, or Health Care?

Health Insurance 54

Health Insurance Public Health Medical Billing Medicaid 54

Health Populi

DECEMBER 6, 2018

This asked people whether they would prefer a government-run health system. Most say, “no,” a proportion falling from the high of 47% “yes” in 2017 to 40% this year. Gallup points out in its analysis that the government is already a major health care channeler and funder through Medicare and Medicaid.

Governance 71

Governance Medical Billing Medicaid Medicaid 71

Kaiser Health News

JUNE 29, 2022

The watchdogs also recommended imposing limits on home-based “health assessments,” arguing these visits can artificially inflate payments to plans without offering patients appropriate care. billion in 2017 for diagnoses backed up only by the health assessments; she said 3.5 Cathy Rodgers (R-Wash.)

Medicare 105

Medicare Medicare Governance Overpayments 105

Health Populi

MARCH 1, 2018

If we’re playing a game of “majority rules,” then everyone in America would have the right to affordable health care, according to a new poll from The Commonwealth Fund. The report is aptly titled, Americans’ Views on Health Insurance at the End of a Turbulent Year. The Fund surveyed 2,410 U.S.

ACA 83

ACA Health Insurance Medicaid Medicaid 83

Health Populi

NOVEMBER 5, 2018

“Let’s get this thing f-ing done,” Martha McSally passionately asserted on May 4, 2017. In this case, I feel it’s important to capture the Zeitgeist of the Republican Party’s commitment to cutting down the ACA since President Trump took office in January 2017. Paul Ryan said, on the floor of the U.S.

Medicaid 76

Medicaid Medicaid Health Insurance ACA 76

Kaiser Health News

JANUARY 12, 2023

And as of right now, CMS [the Centers for Medicare & Medicaid Services] or Medicare is not going to be covering it at all because right now the drug only has what’s known as an accelerated approval. Finally this week, but not least, there’s also news on the health insurance coverage front. Rovner: Yeah.

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US Department of Health and Human Services FDA Medicare Medicare 52

Kaiser Health News

FEBRUARY 9, 2023

Also this week, Rovner interviews Kate Baicker of the University of Chicago about a new paper providing a possible middle ground in the effort to establish universal health insurance coverage in the U.S. But first, this week’s health news. She’s one of the authors of a new paper outlining a new proposal for the U.S.

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US Department of Health and Human Services Medicare Medicare FDA 52