HIT Consultant

MARCH 8, 2022

The steep incline in unemployment and fears that millions of people would lose their health coverage drove the declaration of the national public health emergency (PHE) on January 31, 2020. Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. .

Public Health 98

Public Health Medicaid Medicaid Health Insurance 98

Bill of Health

NOVEMBER 9, 2023

Despite the important enactment in 2010 of the Patient Protection and Affordable Care Act (ACA), which increases access to care by expanding Medicaid eligibility and protecting insurance coverage of people with pre-existing health conditions and disabilities, more than 25 million people remain uninsured.

COVID-19 157

COVID-19 Public Health ACA Health Insurance 157

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 million services were delivered via telehealth in Medicare and in the Children's Health Insurance Program from March through June. As of June 2020, said CMS, more than 91.8 ON THE RECORD.

Medicaid 201

Medicaid Medicaid Medicare Medicare 201

Bill of Health

MARCH 15, 2022

Department of Labor’s Bureau of Labor Statistics , in 2020, only 18% of disabled people were employed, compared to 62% of nondisabled. Similarly, our health care system is a significant barrier to employment because most private health insurance companies do not cover critical supports for disabled people, such as personal assistant services.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

Health Populi

JUNE 27, 2022

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic. As a result, commercial healthcare spending fell in 2020, rebounding in 2021. compared with 916,7 visits per 1000 members in 2020.

COVID-19 121

COVID-19 Health Insurance Medicaid Medicaid 121

HIT Consultant

JULY 17, 2023

Cessation of PHE telehealth, prescribing, and mental health access exceptions could impact the Medicaid population the most. Twenty-one percent of Medicaid enrollees have mild, moderate, or severe SUD, compared to 16% of commercially insured individuals. And as of the latest data, 7.3% And as of the latest data, 7.3%

Public Health 98

Public Health Medicaid Medicaid Electronic Medical Records 98

American Medical Compliance

DECEMBER 26, 2023

On December 27, 2020, the United States Congress adopted the No Surprises Act (NSA) as part of the Consolidated Appropriations Act of 2021, which has various provisions to assist in protecting customers against unexpected costs beginning January 1, 2022. The following course highlights the NSA and how it impacts healthcare.

Health Insurance 52

Health Insurance Compliance Medical Billing Medicaid 52

Healthcare IT News - Telehealth

MARCH 24, 2021

But lawmakers worry the promise of telehealth may not be fully realized for children, particularly those enrolled in the Children’s Health Insurance Program. Burgess, R-Texas, introduced the Telehealth Improvement for Kids’ Essential Services, or TIKES, Act of 2020. This past October, U.S. ON THE RECORD.

Telemedicine 180

Telemedicine Health Insurance Medicaid Medicaid 180

Innovaare Compliance

MARCH 24, 2024

According to the National Health Care Anti-Fraud Association, the financial losses due to healthcare fraud are estimated to be in the billions of dollars annually. The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1

Fraud 52

Fraud Health Insurance Compliance Medicaid 52

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-19 204

COVID-19 Public Health Medicare Medicare 204

Health Populi

FEBRUARY 16, 2021

By the autumn of 2020, U.S. physicians grew concerned that patients who were avoiding visits to doctor’s offices were missing care for chronic conditions, discussed in in Delayed and Forgone Health Care for N onelderly Adults during the COVID-19 Pandemic from the Urban Institute.

COVID-19 152

COVID-19 Medicaid Medicaid Public Health 152

Health Populi

MAY 21, 2020

adults 18 to 74 years of age in the first week of May 2020. There are other forms of fear taking hold of the COVID-19 era health consumer: namely, financial anxiety in the wake of the pandemic. Nearly every respondent in the study reported having health insurance coverage. ACHP and AMCP polled 1,263 U.S.

COVID-19 159

COVID-19 Doctors Health Insurance Medicare 159

Health Populi

JULY 16, 2020

The median charge for hospitalizing a patient with COVID-19 ranged from $34,662 for people 23 to 30, and $45,683 for people between 51 and 60 years of age, according to FAIR Health’s research brief, Key Characteristics of COVID-19 Patients published July 14th, 2020. privately-insured people.

COVID-19 145

COVID-19 Hospitals Health Insurance Medicare 145

Healthcare IT News - Telehealth

OCTOBER 2, 2020

The Telehealth Improvement for Kids’ Essential Services, or TIKES, Act of 2020 would require the Secretary of the U.S. Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program.

US Department of Health and Human Services 146

US Department of Health and Human Services COVID-19 Medicaid Medicaid 146

Healthcare It News

JUNE 3, 2022

Since California expanded health coverage under the Affordable Care Act, a large number of people have been mistakenly bounced between Covered California, the state’s marketplace for those who buy their own insurance, and Medi-Cal, the state’s Medicaid program for low-income residents.

Public Health 247

Public Health Health Insurance Professionals ACA Medicaid 247

Bill of Health

MAY 19, 2022

Incremental benefits of novel pharmaceuticals in the UK: a cross-sectional analysis of NICE technology appraisals from 2010 to 2020. Value Health. Hospital-Administered Cancer Therapy Prices for Patients With Private Health Insurance. Polak TB, Cucchi DGJ, Darrow JJ, Versteegh MM. 2022 Apr 8;12(4):e058279. 2022 Apr 18.

Health Insurance 205

Health Insurance Hospitals FDA Medicaid 205

Health Care Law Brief

JUNE 5, 2023

In 2013, Jelly Bean contracted with the Florida Health Kids Corporation (“ FHKC ”)—a state-created entity that offers health and dental insurance for Florida children—to create, host, and maintain HealthyKids.org, where, in part, parents and others could apply for state Medicaid insurance coverage for eligible children.

Fraud 52

Fraud Due Diligence Medicaid Medicaid 52

Health Populi

FEBRUARY 17, 2021

A new report from CoverMyMeds details the current state of medication access weaving together key health care industry and consumer data. The reality even before the coronavirus crisis emerged in early 2020 was that U.S. patients were already making painful trade-offs, some of which are illustrated in the first chart from the report.

COVID-19 141

COVID-19 Health Insurance Health Outcomes Medicaid 141

Health Populi

NOVEMBER 19, 2019

This role of patient-as-the-payor crosses consumers’ ages and demographics, and is heating up health care as the top political issue for the 2020 elections at both Federal and State levels. Four in ten consumers said their monthly health insurance premiums were increasing. One in four people in the U.S.

Health Insurance 68

Health Insurance Hospitals Nurses Doctors 68

C&M Health Law

DECEMBER 23, 2022

This Proposed Rule officially withdraws, replaces, and responds to the comments received from the December 2020 CMS Interoperability proposed rule , further builds on the May 2020 CMS Interoperability and Patient Access final rule , and diverges from the December 2020 CMS Interoperability proposed rule in a few key ways.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

Telehealth providers saw a rapid rise in the need for remote services with the initial spread of the COVID-19 pandemic in early 2020. The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient.

Telemedicine 170

Telemedicine COVID-19 Medicare Medicare 170

HIPAA Journal

MAY 25, 2022

The break-in was discovered on March 4, 2022, with the subsequent investigation confirming on April 22, 2022, that six boxes of paper documents had been stolen from the facility, which included files relating to patients served by SAC Health in 1997 and between 2006 and 2020.

Ransomware 125

Ransomware Fraud HIPAA Licensing 125

Health Populi

JUNE 22, 2022

Here for 2022, the second chart tracks the “stark toll” of the COVID-19 pandemic and the excess deaths experienced for each state since the pandemic emerged in February 2020. deaths per 100,000 population between 2019 and 2020. Pre-pandemic, that rate was even for eight years, then this jump spiked in 2020.

COVID-19 112

COVID-19 ACA Public Health Health Outcomes 112

Healthcare IT Today

MAY 15, 2023

Centene acquired Apixio in December 2020. Apixio improves administrative, clinical and financial outcomes for some of the nation’s leading health plans and provider groups using its proprietary clinical data curation and artificial intelligence engine.

Medicare 80

Medicare Medicare Governance Health Insurance 80

Health Populi

DECEMBER 4, 2019

With new rules emanating from the White House this month focusing on health care price transparency, health care costs are in the spotlight at the Centers for Medicare and Medicaid Services. But transparency extends beyond consumer-facing costs, that must be personalized based on an individual’s health plan.

Medicaid 83

Medicaid Medicaid Medicare Medicare 83

Health Populi

AUGUST 24, 2020

The Physicians Foundation surveyed 3,513 physicians in July 2020 on their perspectives on COVID-19 and how the pandemic has impacted practices and patients. consumers, conducted in August 2020. Two-thirds of doctors are also concerned about closure of practices due to COVID-19 causing great harm to patients.

COVID-19 154

COVID-19 Telemedicine Doctors Medicare 154

Health Populi

JULY 30, 2020

Gallup and West Health polled 1,017 U.S. adults 18 years of age and older by telephone in June 2020. Health Populi’s Hot Points: In the thick of the pandemic in April 2020, most U.S. Today’s news that the U.S.

COVID-19 73

COVID-19 Health Insurance Medicaid Medicaid 73

Health Populi

JULY 13, 2020

“The COVID-19 pandemic…has highlighted like never before the pitfalls of paying for healthcare based on the number of patients seen and services rendered,” a Modern Healthcare article asserted in mid-June 2020. billion a day in March 2020 based on declining patient volumes. economic outlook for 2020 to 2030 on July 1, 2020.

COVID-19 106

COVID-19 Medicare Medicare Hospitals 106

Healthcare Law Blog

APRIL 24, 2023

On April 17, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Department of Health and Human Services (“HHS”) Notice of Benefit and Payment Parameters for 2024 Final Rule (the “Notice”) that includes standards for issuers and Marketplaces, and requirements for agents, brokers, web-brokers and others.

Medicaid 52

Medicaid Medicaid Compliance Health Insurance 52

Kaiser Health News

NOVEMBER 11, 2021

In response, the Centers for Medicare & Medicaid Services has threatened to penalize private insurance companies selling Medicare Advantage and drug plans if they or agents working on their behalf mislead consumers. The patrol is a federally funded program that helps seniors untangle insurance problems.

Medicare 144

Medicare Medicare Doctors Fraud 144

Healthcare Law Today

FEBRUARY 6, 2023

As of 2019 almost 95% of such persons had Medicare coverage and about half of those also had some sort of supplemental health insurance coverage. Please reach out to the authors, your Foley relationship partner, or to our Health Care Practice Group with any questions. See 2020 Profile of Older Americans (Published May 2021).

US Department of Health and Human Services 52

US Department of Health and Human Services Electronic Medical Records Medicare Medicare 52

Hall Render

AUGUST 10, 2023

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3% in FY 2024 but applies a 0.2%

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

Healthcare IT Today

DECEMBER 17, 2023

On the other hand, and not surprisingly, the percentage of patients accessing information electronically saw the biggest jump from 2020 (38%) to 2022 (57%) amid the pandemic. Pair Team expanded into seven more California counties ; the company provides virtual primary care for Medicaid beneficiaries.

Hospitals 96

Hospitals Nurses Compliance Regulatory Compliance 96

Health Populi

JUNE 6, 2021

Two studies published in May 2021 illustrate the value and importance of telehealth to patients in 2020, and a disconnect among many C-level executives working in hospitals, academic medical centers, and other care provider organizations. Commercial Member Health Plan Study. Together, the two reports from J.D. This year, J.D.

Patient Satisfaction 81

Patient Satisfaction COVID-19 Telemedicine Medicaid 81

C&M Health Law

FEBRUARY 16, 2021

On November 13, 2020, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule , demonstrating long-awaited efforts to streamline the regulatory framework governing the Medicaid and Children’s Health Insurance Program (“CHIP”) managed care programs. Pass-through Payments. Actuarial Soundness.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

HIT Consultant

APRIL 12, 2022

Second, the number of unpaid family caregivers in the United States increased by nearly 10 million people between 2015 and 2020 to 54 million. These problems will only continue to accelerate as the older adult demographic grows. Strategic Partnerships. The company plans to announce additional partnerships in 2022.

Medicare 52

Medicare Medicare COVID-19 Health Insurance 52

Healthcare Law Blog

MAY 31, 2022

As the metaverse market continues to grow, with some estimates potentially approaching $800 billion in 2024 (or a $300 billion increase from 2020 estimates), technology leaders in various industries, including healthcare, have begun to expand their presence in this new platform. [1] Code § 321(h). [4]

FDA 90

FDA HIPAA Medicare Medicare 90