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.

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Medicaid Medicaid Health Outcomes Public Health 87

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.

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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.

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Medicaid Medicaid Medicare Medicare 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.

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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.

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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.

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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. (..)

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Telemedicine Medicaid Medicaid Medicare 63

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.,

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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.

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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.

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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.

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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.

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COVID-19 Medicaid Medicaid FDA 176

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.

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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

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Medicaid Medicaid Medicare Medicare 206

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.

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Compliance Medicaid Medicaid 74

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.

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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.

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Licensing HIPAA Health Insurance Medicaid 113

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.

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COVID-19 Medicaid Medicaid 359

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.

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Medicaid Medicaid Medicare Medicare 144

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

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 […].

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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 […].

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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.

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Fraud Medicaid Medicaid Doctors 101

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 70

Hospitals Licensing HIPAA Medicaid 70

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.

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COVID-19 Public Health Medicare Medicare 209

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.

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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?”

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Medicaid Medicaid Medicare Medicare 66

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-19 180

COVID-19 Medicaid Medicaid Public Health 180

Bill of Health

NOVEMBER 17, 2022

Medicaid Spending on Antiretrovirals from 2007-2019. Using Multiple Authorized Generics to Maintain High Prices: The Example of Entacapone. Value Health. 2022 Oct 17:S1098-3015(22)02181-7. Epub ahead of print. Walsh BS, Kesselheim AS, Rome BN. Clin Infect Dis. 2022 Oct 21:ciac833. Epub ahead of print.

FDA 184

FDA World Health Medicaid Medicaid 184

Health Populi

JUNE 23, 2023

A critical insight that’s quite clear from this chart from the report is that deaths from preventable and treatable causes substantially rose especially in certain states between 2019 and 2021 in the thick of the COVID-19 pandemic. This bar chart illustrates that U.S. Among other factors contributing to some U.S.

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COVID-19 Health Outcomes Medicaid Medicaid 129

Healthcare IT News - Telehealth

JULY 22, 2022

Meanwhile, the Centers for Medicare and Medicaid Services' Center for Program Integrity also announced that it has taken administrative actions against more than 50 healthcare providers alleged to be involved in similar schemes. billion, according to the department. healthcare system at the expense of patients."

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Fraud Telemedicine Medicare Medicare 137

Kaiser Health News

MARCH 15, 2022

But the new benefit for people enrolled in Medi-Cal, the state’s Medicaid health insurance program, has been delayed twice as the state and doulas — nonmedical workers who help parents before, during, and after birth — haggle over how much they should get paid.

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Medicaid Medicaid Health Insurance Public Health 80

Electronic Health Reporter

APRIL 8, 2019

On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Advantage (MA or Part C) and Medicare Prescription Drug Benefit (Part D) programs by promoting innovative plan designs, improved quality, and choices for patients. Illegal copying is prohibited.

Medicare 89

Medicare Medicare Medicaid Medicaid 89

Med-Net Compliance

SEPTEMBER 23, 2022

A physician pleaded guilty in federal court to falsely certifying that products and tests were medically necessary for more than 2,000 Medicare and Medicaid patients in Missouri whom he never met or examined. The physician ordered durable medical equipment and genetic tests for 2,184 Medicare beneficiaries between March 2019 and April 2021.

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Fraud Medicaid Medicaid Telemedicine 59

Healthcare IT Today

JANUARY 5, 2024

The proceeds from the financing will support PursueCare’s ongoing collaborative care initiatives with health systems across 11 states, as well as expansion into value-based care with Medicaid managed care and other health plans. Patients can also seek treatment without a referral by downloading the app from Google Play or the Apple Store.

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FDA Medicaid Medicaid Hospitals 97

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

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Fraud Medicaid Medicaid Medicare 52