Med-Net Compliance

JUNE 15, 2022

California Attorney General Rob Bonta announced a settlement against a Southern California doctor for submitting false claims to Medicare and Medi-Cal between the years of 2011 and 2018 for drugs, procedures, services, and tests that were never administered to patients. two whistleblowers were the doctor’s former?medical

Fraud 59

Fraud Doctors Elder Abuse Medicare 59

Healthcare IT Today

DECEMBER 13, 2022

UpStream supports physicians operating under full-risk, value-based arrangements who are providing care to seniors on Medicare with an integrated platform that emphasizes care quality, health equity and total cost of care. ” “As an early investor, we’ve been thrilled with UpStream’s progress. .”

Medicare 88

Medicare Medicare Nurses 88

Health Populi

JULY 11, 2019

This research organization will develop medicines targeting older adults — which makes sense because Clover Health’s target consumer market is Medicare Advantage beneficiaries.

Department of Veterans Affairs 88

Department of Veterans Affairs Medicare Medicare Health Insurance 88

Health Populi

JULY 20, 2018

Wearable tech is an important category these days in department stores, with discount retailers like Target and Walmart, at electronics outlets like Best Buy and, of course, via Amazon’s wearable tech ma. The smartwatch category, with fitness tracking, is hot in 2018, some “smarter” than others.

Doctors 78

Doctors FDA Medicare Medicare 78

Provider Trust

JANUARY 26, 2022

Let’s start with the role of the OIG, which is tasked with ensuring that dollars for federal healthcare programs such as Medicare, Medicaid, CHIPS, and TriCare, as well as other healthcare federal grant monies, are judiciously spent and awarded as reimbursements for quality care that is not fraudulent. So what are the risk categories?

Fraud 52

Fraud US Department of Health and Human Services Medicaid Medicaid 52

Health Populi

OCTOBER 17, 2019

points in 2018 to 57.9 Alegeus found that people are making progress in saving more for healthcare — up 13% between 2018 and 2019, which is a significant rise relative to other savings categories in U.S. That’s in addition to what Americans had already saved into Medicare. households.

Health Insurance 58

Health Insurance Medicare Medicare Governance 58

AIHC

APRIL 5, 2022

If the payer, such as Medicare, performs an extrapolation, reducing each overpayment dollar through appeal can mean thousands less to pay back. A great free modifier resource to share with you is the CMS Medicare Administrative Contractor (MAC) “WPS” learning center with on-demand training materials.

Fraud 52

Fraud Compliance Medicare Medicare 52

Healthcare Law Blog

JANUARY 26, 2023

Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat. The Medicaid and Medicare statutes also contain conscience provisions related to the performance of advanced directives, religious nonmedical healthcare providers and their patients.

ACA 105

ACA Medicaid Medicaid Compliance 105

Health Populi

FEBRUARY 14, 2018

Three factors will drive healthcare costs to 2026: prices for medical goods and services, changes in income growth, and shifting enrollment from private health insurance to Medicare — driven by the aging of Boomers. Together, these three categories will comprise just over 80% of health spending in 2020. That equates to 18.4%

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79

Hall Render

JULY 14, 2023

On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. Physical Therapy 3.30

Medicare 52

Medicare Medicare Payment Systems Governance 52

Health Populi

MARCH 19, 2019

To meet the future, Scott Melville, CEO of CHPA, described the organization’s 2020 project which is determining the categories the Association should represent. Payors have begun to recognize the value of nudging consumers toward over-the-counter products under Medicare Advantage plans.

Health Insurance 59

Health Insurance Hospitals Medicare Medicare 59

Provider Trust

MAY 18, 2022

If the answer is yes, then the best mechanism for limiting CMP liability is to screen all persons that perform under that contract or that are in that job category. The Massachusetts Attorney General had already fined South Bay $4M in February 2018. at a provider that furnishes items or services payable by Federal health care programs.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

Health Populi

JUNE 7, 2018

High Spending Growth Rates For Key Diseases In 2000-14 Were Driven By Technology And Demographic Factors , a June 2018 Health Affairs article, analyzed this data. The second chart indicates healthcare spending by category in billions of dollars and annual rate of growth. Six conditions made up 51.4%

Health Outcomes 82

Health Outcomes Public Health Medicare Medicare 82

Healthcare Law Blog

MAY 16, 2022

In December 2021, the Centers for Medicare & Medicaid Services (CMS) approved the California Department of Health Care Services’ (DHCS’) request for a five-year extension of its Medicaid section 1115 demonstration and a five-year extension of its Medicaid managed care section 1915(b) waiver. In 2018, DHCS also launched the HHP pilot.

Medicaid 59

Medicaid Medicaid Nurses Health Care Access 59

Jane Sarashon

JULY 29, 2022

Power’s top customer satisfactoin rank in the brick-and-mortar supermarket pharmacy category, noted for the grocer’s high Net Promoter Score for customer loyalty. billion in 2018. For the second year in a row, H-E-B received J.D. government would have saved $2.6 Costco isn’t only beloved for the $1.50

COVID-19 67

COVID-19 Health Insurance Telemedicine Doctors 67

Health Populi

JANUARY 31, 2018

Once cleared (planned for Fall 2018), the clinical quality of the data output promises to be a huge advance for consumer-marketed wearable technology that doctors can trust. After mental health and diabetes, heart apps rank as the third largest categories for medical apps on the market in 2017.

FDA 81

FDA Doctors Public Health Medicare 81

Health Populi

MAY 6, 2018

Universal health care was covered in a section on 28 April 2018, and coverage on financial inclusion was bundled into the 5th May edition. Oakam, for example, offers an in-app game in which customers climb a “ladder” of client categories to earn a higher status and discounts.

Medicaid 54

Medicaid Medicaid Medicare Medicare 54

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. 7,872 2018 5,851 77.1% Hospice Risk-Screening Category.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Healthcare Law Blog

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). The UM committee was established in April 2023 in the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

FEBRUARY 16, 2024

To begin, the authors use Medicare patients who are diagnosed with aspiration pneumonia: “This study, one of the largest undertaken of aspiration pneumonia, confirms that patients with aspiration pneumonia are older, have more comorbidities, and are more likely to die than with other forms of pneumonia. Causes will expose themselves.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

To begin, the authors use Medicare patients who are diagnosed with aspiration pneumonia: “This study, one of the largest undertaken of aspiration pneumonia, confirms that patients with aspiration pneumonia are older, have more comorbidities, and are more likely to die than with other forms of pneumonia.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Health Populi

JANUARY 18, 2021

But for those of us working with and innovating solutions for health and health care, #CES2021 was baked with health goodness , in and beyond “digital health” categories. Fitness tech and wearables for activity tracking have long been a big category at CES. The home gym. Sleep-as-medicine for all ages.

US Department of Health and Human Services 73

US Department of Health and Human Services COVID-19 Electronic Medical Records Hospitals 73

Redox

DECEMBER 4, 2020

Those challenges can be broken down into two general categories: How do we get it to everyone? Perhaps more importantly, Meaningful Use spurred adoption on the provider side, requiring that providers use certified EHRs to receive Medicare and Medicaid funds. In 2018, they launched the IZ Gateway project.

Public Health 52

Public Health Governance Doctors Medicare 52

HIPAA Journal

JANUARY 9, 2023

OCR responded to feedback from healthcare industry stakeholders by issuing a request for information (RFI) in December 2018 on potential changes to the HIPAA Rules. The CMS has also expanded telehealth to include all Medicare and Medicaid beneficiaries. In each category, a maximum penalty of $1.5

HIPAA 107

HIPAA COVID-19 COVID-19 Vaccine Compliance 107

Health Populi

DECEMBER 13, 2018

Health insurance in-security is mainstream as of November 2018, when Gallup polled U.S. Gallup notes their October 2018 poll learned that voters were most concerned about healthcare, immigration and the economy as key midterm voting issues. adults about views on healthcare costs. Gallup conducted this survey among 1,037 U.S.

Health Insurance 89

Health Insurance Medicaid Medicaid Medicare 89

Health Populi

AUGUST 3, 2018

There may be no other issue on voters’ collective minds for the 2018 mid-term election that so unites American voters. This is often the scenario when an Rx has moved to the generic Tier 1 category on a PBM formulary. Check out the table’s third row: overall, 2 in 3 U.S. for several years across political party lines.

Prescription Drug Pricing 67

Prescription Drug Pricing FDA Public Health Medicare 67

Health Populi

DECEMBER 25, 2018

We know that a top issue driving American voters to the 2018 mid-term polls was health care, in at least two dimensions: direct costs to the voters (as patients and taxpayers); and, personal and collective concerns about losing coverage due to pre-existing conditions. Expect health care costs and access to be at least as important to U.S.

Health Insurance 104

Health Insurance Hospitals Doctors Medicaid 104