Electronic Health Reporter

AUGUST 23, 2019

Considering only since the beginning of 2019, the Centers for Medicare and Medicaid Services (CMS) and other federal agencies, such as the Office of National Coordinator of Health IT (ONC) and the Department of Health and […]. One of the greatest challenges in healthcare is keeping up with the changing landscape.

Medicaid 89

Medicaid Medicaid Medicare Medicare 89

Health Law RX

FEBRUARY 15, 2023

Medicaid providers and suppliers have likely discovered this the hard way. A provider’s or supplier’s enrollment in the Medicaid program may be insufficient to assure that their provision of a covered and medically necessary good or service to a Medicaid patient will be deemed reimbursable. First, get the word out.

Medicaid 52

Medicaid Medicaid Health Care Lawyers Compliance 52

Healthcare IT Today

OCTOBER 21, 2022

Brave Health , the largest virtual mental health provider and engagement platform focused on serving Medicaid populations, today announced a $40M Series C funding round led by Town Hall Ventures, with existing investors Union Square Ventures, City Light Capital and others joining as well.

Medicaid 81

Medicaid Medicaid Health Outcomes Public Health 81

Kaiser Health News

APRIL 8, 2022

Prescription drug costs for California’s massive Medicaid program were draining the state budget, so in 2019 Gov. The new Medicaid drug program debuted this January, with a private company in charge. Centene was already a big player in state Medicaid drug programs — but one with a questionable record. But on Jan.

Medicaid 93

Medicaid Medicaid Health Insurance COVID-19 93

Bill of Health

MARCH 17, 2023

Estimates of Medicaid and Non-Medicaid Net Prices of Top-Selling Brand-name Drugs Incorporating Best Price Rebates, 2015 to 2019. Variation in Use of Lung Cancer Targeted Therapies Across State Medicaid Programs, 2020-2021. Estimated Medicaid Spending on Original and Citrate-Free Adalimumab From 2014 Through 2021.

Medicaid 228

Medicaid Medicaid Medicare Medicare 228

Healthcare Compliance Blog

JANUARY 25, 2022

A Missouri woman who had previously pled guilty to Medicare and Medicaid fraud was sentenced in Federal Court to three years imprisonment and ordered to pay $7,620,779 in restitution. Between 2017 and 2019, the Missouri woman owned and managed several durable medical equipment (DME) companies. General Legal Duties and Antitrust Laws.

Fraud 59

Fraud Medicaid Medicaid Medicare 59

Health Care Law Brief

FEBRUARY 2, 2024

While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5 billion in Medicaid investments over the next three years. Services will be delivered via a two-tiered system.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

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

Bill of Health

JULY 28, 2023

The selections feature topics ranging from a review of modifications to blood glucose monitoring systems and related patent protections, an examination of insulin price changes from 2012-2019, and a discussion of why a proposed federal bill that would ban government health care programs from using the quality-adjusted life-year is misguided.

Medicaid 130

Medicaid Medicaid Governance 130

Healthcare Compliance Blog

FEBRUARY 2, 2022

The optician fraudulently received approximately $74,000 in Medicaid payments between 2016 and 2019 by billing for the optician services that were not provided. The post New York Optician Convicted of Medicaid Fraud for Nursing Home Residents appeared first on.

Nursing Homes 59

Nursing Homes Fraud Medicaid Medicaid 59

Hall Render

JULY 18, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has given itself an extra year to review and assess skilled nursing facility proposed regulations issued in 2019. Areas Addressed in 2019 Proposed Rule. Background. Extra Time. The notice extends the timeline to finalize the provisions until July 18, 2023.

Nurses 40

Nurses COVID-19 Compliance Medicare 40

Mobi Health News

JULY 12, 2018

The Centers for Medicare and Medicaid Services released its new proposed Physician Fee Schedule and Qualified Payment Program updates for 2019, and the announcement includes some big strides forward in promoting digital health technology, including widened telemedicine coverage, an overhaul of documentation requirements, and a new focus on interoperability. (..)

Telemedicine 63

Telemedicine Medicaid Medicaid Medicare 63

Bill of Health

SEPTEMBER 29, 2022

In March 2020 , Congress expanded unemployment benefits at unprecedented levels, subsidized businesses, guaranteed paid sick leave for many workers, and broadened Medicaid eligibility. years below 2019 levels, largely due to COVID-19 deaths. A collective policy response complemented this rhetorical and ideological framing.

COVID-19 354

COVID-19 Public Health Federal Policy Medicaid 354

The Health Law Firm

NOVEMBER 3, 2021

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. She was indicted in January 2019, along with the dentist who ran the practice. Indest III, J.D.,

Medicaid 40

Medicaid Medicaid Fraud 40

Bill of Health

MAY 22, 2023

Comparison of Research Spending on New Drug Approvals by the National Institutes of Health vs the Pharmaceutical Industry, 2010-2019. Trends in Spending and Claims for P2Y12 Inhibitors by Medicare and Medicaid From 2015 to 2020. Galkina Cleary E, Jackson MJ, Zhou EW, Ledley FD. JAMA Health Forum. 2023 Apr 7;4(4):e230511. 2023 Apr 26.

Pharmaceutical Industry 157

Pharmaceutical Industry Medicare Medicare Medicaid 157

The Health Law Firm

DECEMBER 30, 2019

Board Certified by The Florida Bar in Health Law For years, Florida has topped the lists with the highest rates of Medicare and Medicaid fraud and abuse. But even by the standards of Florida’s rampant healthcare fraud, this 2019 case stands out for its sheer size, making Florida, once again, the leader in fakes and frauds.

Fraud 40

Fraud Medicaid Medicaid Medicare 40

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

Bill of Health

JANUARY 19, 2022

Racial and Ethnic Representation in US Clinical Trials of New Drugs and Biologics, 2015-2019. Raising Medicaid Rebates For Drugs With Accelerated Approval. A full posting of abstracts/summaries of these articles may be found on our? J Gen Intern Med. 2021 Dec 13:1–8. Epub ahead of print. Lolic M, Araojo R, Okeke M, Woodcock J.

COVID-19 176

COVID-19 Medicaid Medicaid FDA 176

Hall Render

FEBRUARY 1, 2024

The 2019 Conscience Rule also prohibited retaliation against those asserting a right of conscience. Shortly before the 2019 Conscience Rule was set to take effect, several states and municipalities collectively filed suits against HHS in the U.S. District Court of the Southern District of New York and the U.S.

Compliance 74

Compliance Medicaid Medicaid 74

Electronic Health Reporter

MARCH 6, 2020

The Centers for Medicare & Medicaid Services (CMS) took additional actions to ensure America’s patients, healthcare facilities and clinical laboratories are prepared to respond to the 2019-Novel Coronavirus (COVID-19). This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

COVID-19 89

COVID-19 Medicaid Medicaid Medicare 89

Healthcare IT News - Telehealth

OCTOBER 21, 2020

Data released this past week from the Centers for Medicare and Medicaid Services show that more than 34.5 The agency noted that because adults over 65 are dually eligible for Medicare and Medicaid, these numbers may underestimate telehealth utilization in that group. WHY IT MATTERS. As of June 2020, said CMS, more than 91.8

Medicaid 203

Medicaid Medicaid Medicare Medicare 203

The Health Law Firm

AUGUST 10, 2018

Board Certified by The Florida Bar in Health Law On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update payment policies, payment rates, and quality provisions for services rendered under the Medicare Physician Fee Schedule (PFS). Indest III, J.D., Background Info.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

HIPAA Journal

MAY 19, 2022

million settlement proposed by Solara Medical Supplies to resolve a class action lawsuit related to a 2019 data breach has received preliminary approval from the court. The breach was reported to the HHS’ Office for Civil Rights as affecting 114,007 individuals.

Licensing 106

Licensing HIPAA Health Insurance Medicaid 106

Bill of Health

FEBRUARY 28, 2024

in 2019, the NIH invested $1.9 Some states have implemented initiatives to integrate Food is Medicine into Medicaid , which can be valuable to expand access to broader groups of the population. Another concern is that, given the limited funding allocated towards food and nutrition (e.g.,

Health Insurance 230

Health Insurance Medicaid Medicaid Health Care Reform 230

Healthcare It News

SEPTEMBER 24, 2021

More than half viewed clinical notes written by their provider – and in 2019, about 10% requested a correction of inaccurate portal information. Some research shows that patients with lower incomes, Black patients, older patients and patients whose primary insurance is Medicaid are less likely to use portals. ON THE RECORD.

COVID-19 355

COVID-19 Medicaid Medicaid 355

Bill of Health

FEBRUARY 23, 2022

Medicaid Spending on Drugs Marketed Without US Food and Drug Administration Approval in 2020. Differences in Diabetic Prescription Drug Utilization and Costs Among Patients With Diabetes Enrolled in Colorado Marketplace and Medicaid Plans, 2014-2015. Epub ahead of print. Frank RG, Shahzad M, Kesselheim AS, Feldman W. Health Econ.

Medicaid 144

Medicaid Medicaid Medicare Medicare 144

Redox

FEBRUARY 7, 2019

Is 2019 the year we see telemedicine take the leap? Now that we are all on the same page, let’s explore what new developments make 2019 feel like the year telemedicine utilization takes a leap. For 2019, CMS has implemented a few changes that promise to have a significant impact on the telemedicine industry. Learn more.

Telemedicine 40

Telemedicine Public Health Medicaid Medicaid 40

Electronic Health Reporter

JANUARY 3, 2019

The CURES Act mandates the use of electronic visit verification, or EVV, for all Medicaid-funded personal care services. On Jan, 1, 2019, these new federal requirements for EVV went into effect for personal care […].

Medicaid 128

Medicaid Medicaid 128

Electronic Health Reporter

APRIL 7, 2020

The Centers for Medicare & Medicaid Services (CMS) has delivered near $34 billion in the past week to the healthcare providers on the frontlines battling the 2019 Novel Coronavirus (COVID-19). This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. The funds have been provided […].

Medicare 79

Medicare Medicare COVID-19 Medicaid 79

HIPAA Journal

JUNE 9, 2023

Prior to the Supreme Court ruling, there was no distinction between an identity thief stealing an individual’s identity and running up huge debts, a lawyer rounding up bills and only charging full hours, a waitress overcharging customers, and a doctor overbilling Medicaid. The Supreme Court decision related to the latter.

Fraud 97

Fraud Medicaid Medicaid Doctors 97

HIT Consultant

FEBRUARY 16, 2022

In 2019, Kristina Saffran and Dr. Erin Parks founded Equip, with a dream of making sure that everyone had access to evidence-based treatment for eating disorders. But 2019 was hardly the beginning of their dream. In 2021, demand from patients and families for Equip’s care grew 10x.

Health Insurance 98

Health Insurance Medicaid Medicaid COVID-19 98

McBrayer Law Blog

SEPTEMBER 28, 2021

In April of 2019, the Centers of Medicare and Medicaid Service (CMS) finalized rules to increase telehealth benefits for Medicare Advantage enrollees, effectively incentivizing health systems with high numbers of private Medicare plan recipients to invest in telehealth services.

Telemedicine 64

Telemedicine Compliance COVID-19 Fraud 64

Bill of Health

APRIL 25, 2022

Anticipated efficiencies, real costs: Medicaid managed care organizations and the pharmacy benefit. US Food and Drug Administration-mandated postmarketing studies for high-risk cardiovascular devices approved 2015-2019. A full posting of abstracts/summaries of these articles may be found on our website. Bendicksen L, Kesselheim AS.

COVID-19 144

COVID-19 Medicaid Medicaid FDA 144

Healthcare IT Today

JULY 14, 2021

” Finalized in 2019, the CMS (Centers for Medicare & Medicaid Services) Price Transparency Final […]. This week’s chat will be hosted by Hailey Froisland (@haileyfroisland) on the topic “CMS Price Transparency Rule: Is it Working?”

Medicaid 66

Medicaid Medicaid Medicare Medicare 66

Healthcare IT News - Telehealth

MARCH 25, 2021

Using data from Blue Health Intelligence data repository – an independent data and analytics company that is a licensee of the Blue Cross and Blue Shield Association – researchers from the Johns Hopkins Bloomberg School of Public Health compared claims data from March through June 2019 with March through June 2020.

COVID-19 202

COVID-19 Public Health Medicare Medicare 202

Healthcare IT News - Telehealth

NOVEMBER 2, 2020

Centers for Disease Control and Prevention released Friday found a 154% increase in telehealth visits during the last week of March 2020, compared with the same time period in 2019. " This was 50% higher than the approximately 1 million encounters during the same period in 2019. ON THE RECORD.

COVID-19 183

COVID-19 Medicaid Medicaid Public Health 183

HIPAA Journal

JULY 21, 2022

has agreed to settle a class action lawsuit and has created a fund of $425,000 to cover claims from victims of a 2019 data breach that affected almost 70,000 current and former patients. The Methodist Hospitals Inc.

Hospitals 63

Hospitals Licensing HIPAA Medicaid 63