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CMS’s Administrative Simplification Rule Aims to Increase Efficiency and Standardization for Health Care Attachments

Healthcare Law Blog

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”).

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CMS Issues Proposed Rule to Standardize Electronic Health Care Attachments Transactions and Electronic Signature under HIPAA

C&M Health Law

This builds on the HIPAA Transactions Rule standards for financial and administrative transactions among health care providers and health plans and aligns with Department of Health and Human Services (HHS) interoperability regulations.

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Fifth Circuit Upholds ACA Risk Adjustment Program

Healthcare Law Blog

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. See Vista Health Plan, Inc. United States Dep’t of Health & Hum.

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The 2020 Social Determinants of Health: Connectivity, Art, Air and Love

Health Populi

the health/care ecosystem warmly embraced social determinants of health as a concept in 2019. A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor. Humana’s Bold Goal initiative targeting Medicare Advantage enrollees. Across the U.S.,

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Health Provider News

Hall Render

NATIONAL 6 health systems using GPT and AI tools 100,000 nurses left industry during the pandemic, report finds AHA backs bill to delay Medicaid DSH cuts by 2 years AHA launches info hub for healthcare quality leaders AHA opposes MedPAC recommendations to Congress on site-neutral, Part B drug, wage index policies AHA ramps up 340B protection efforts (..)

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CVS + Aetna: Inflection Point in US Healthcare, Merger Approved Update

Health Populi

CVS Health’s acquisition of Aetna was approved this week by U.S. I wrote this post on the deal as an inflection point in American healthcare on 3rd December 2017 when CVS and Aetna announced their marriage intentions. Federal regulators after months of scrutinizing the antitrust-size-market control implications of the deal.

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Hall Render’s Health Provider News – January 28, 2022

Hall Render

FDA halts use of antibody drugs that don’t work vs. omicron. Medicare posts key nursing home staffing info for consumers. Safety-net hospitals face the worst of the US’ nursing shortage. State health officer discusses Alabama’s COVID-19 peak. Alaska Mental Health Trust Authority names new CEO.