Healthcare IT News - Telehealth

JUNE 3, 2021

HIMSS this week has unveiled the list of the first recipients of its 2021 HIMSS Changemaker Awards. Before that she served as director of the State Innovation Models Initiative at the Centers for Medicare and Medicaid Services. They are: Aysha Al Mahri. President, Emirates Nursing Association. Abu Dhabi, UAE. Isaiah Nathaniel.

Department of Veterans Affairs 93

Department of Veterans Affairs COVID-19 COVID-19 Vaccine Nurses 93

Bill of Health

DECEMBER 6, 2023

To tackle this issue, federal and state governments should strengthen the regulation of insurance networks and insurers should address underlying causes of inadequate networks. The Consolidated Appropriations Act of 2023 requires Medicaid plans to publish and update accurate and searchable provider directories.

Governance 144

Governance Medicaid Medicaid Medicare 144

Hall Render

FEBRUARY 4, 2022

billion from False Claims Act (“FCA”) cases in the federal fiscal year 2021, “the second largest annual total in False Claims Act history” and more than doubling the FCA recoveries for the DOJ from fiscal year 2020. That figure does not include even more funds recovered for state Medicaid programs.

Fraud 40

Fraud Governance Medicare Medicare 40

Healthcare Blog

APRIL 13, 2023

As hospitals have become increasingly complex organizations, effective governance, risk, and compliance (GRC) strategies have become essential for ensuring patient safety and regulatory compliance. What are the Key Components of a Successful Governance, Risk, and Compliance (GRC) Strategy? Nurs Forum , 56(1):89-94. doi: 10.1111/nuf.12514.

Governance 40

Governance Compliance Hospitals Regulatory Compliance 40

Bill of Health

FEBRUARY 23, 2023

Over the course of the COVID-19 pandemic, now entering its fourth year in 2023, legislators, executives, and judges at every level of government have sought measures to derail efficacious public health interventions. After Florida Governor Ron DeSantis banned school-based mask mandates via executive order in July 2021, affected parents sued.

COVID-19 176

COVID-19 Public Health COVID-19 Vaccine Governance 176

Health Law Advisor

AUGUST 30, 2023

TMA III challenged certain portions of the July 2021 No Surprises Act (“NSA”) interim final rules proposed by the U.S. In a decision that significantly levels the field for providers, the District Court ruled in part for the provider plaintiffs and in part for the Government in the TMA III ruling. Earlier this month, the U.S.

Governance 105

Governance Medicaid Medicaid Medicare 105

Health Law Advisor

AUGUST 25, 2023

It is axiomatic that New York State requires every Medicaid provider to have an “effective” compliance program. These regulations were proposed to implement portions of the New York State 2020-2021 Budget Bill amending the mandatory compliance program requirements. New York Social Services Law § 363-d.

Compliance 52

Compliance Overpayments Overpayment Compliance Officers 52

HIT Consultant

SEPTEMBER 12, 2022

– Using Gainwell’s advanced research platform and de-identified Medicaid claims data from select clients, Stanford concluded that 30 percent of patients prescribed opioids for the first time developed a dependency. Stanford used 180,000 de-identified Medicaid claims from six states. According to the U.S.

Medicaid 97

Medicaid Medicaid Health Outcomes Governance 97

Healthcare IT News - Telehealth

FEBRUARY 21, 2023

The division's previous school-based telehealth project pilots with the Switzerland of Ohio School District in Monroe County in 2020 and multiple districts in the Muskingum Valley Educational Service Center in 2021 provided nearly 22,000 students with telehealth services. THE LARGER TREND Broadband and telehealth access go hand in hand.

Governance 133

Governance Medicaid Medicaid Public Health 133

HIT Consultant

JULY 17, 2023

The CDC reported 100,306 drug overdose deaths in the US in the 12 months ending in April 2021, the highest number ever recorded in 12 months and a staggering 28.5% Cessation of PHE telehealth, prescribing, and mental health access exceptions could impact the Medicaid population the most. increase from the previous year.

Public Health 98

Public Health Medicaid Medicaid Electronic Medical Records 98

C&M Health Law

FEBRUARY 6, 2023

Both cases were filed by manufacturers after the government sent letters stating that manufacturers had violated the 340B program by restricting the delivery of drugs to a covered entity’s contract pharmacies. 16, 2022), and the government prevailed in Sanofi-Aventis U.S., 16, 2022), and the government prevailed in Sanofi-Aventis U.S.,

Medicaid 52

Medicaid Medicaid Governance 52

Health Populi

JUNE 18, 2021

Even in 2021, we still see so-called “job-lock” with workers staying in jobs that offer health insurance benefits. adults aged 18 and over in March 2021 for this study. Compared with people enrolled in Medicaid, members of private insurance plans were more likely to have medical debt. California v. One-half of U.S.

ACA 133

ACA Health Insurance Medicaid Medicaid 133

HIT Consultant

JANUARY 23, 2023

What You Should Know: – Healthcare profit pools are expected to grow 4 percent annually resulting from $654 billion in 2021 to $790 billion in 2026 , according to a new McKinsey report. Previously, in July 2022, it was estimated that provider profit pools would grow at a 7 percent CAGR from 2021 to 2025.

COVID-19 52

COVID-19 Medicaid Medicaid Public Health 52

Bill of Health

MARCH 15, 2022

Further, safety net programs, such as Medicaid and Supplemental Security Income (SSI), have stringent rules that prevent people with disabilities from working while simultaneously forcing them to live in poverty. However, expanding safety net programs , such as SSI and Medicaid, would be important as an interim measure.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

HIT Consultant

AUGUST 5, 2022

– Healthcare & Life Science M&A activity plummeted to 338 deals in Q2 2022 versus 535 in Q2 2021 and a record 565 deals in Q4 2021. In California, Medicaid has become an attractive and lucrative business for providers who know how to effectively operate in the segment. .

Telemedicine 98

Telemedicine Medicaid Medicaid Malpractice 98

HIT Consultant

MARCH 8, 2022

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . By December 2021, enrollment in Medicaid and CHIP (Children’s Health Insurance Program) grew to a record high of more than 83 million individuals, primarily due to the continuous coverage requirements of the PHE.

Public Health 98

Public Health Medicaid Medicaid Health Insurance 98

Verisys

MARCH 23, 2023

3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported recovering over $5.5 Over $5 billion of the total amount recovered in 2021 was related to the healthcare industry. Abuse of government healthcare programs is a federal offense with severe penalties.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

HIT Consultant

APRIL 21, 2022

What You Should Know: – Centers for Medicare & Medicaid Services’ (CMS) payment adjustments did not adequately address hospitals increased costs for FY 2021, according to new data from Premier. For the FY 2021 and FY 2022 rules, CMS applied upward payment adjustments of 2.4 percent rate increase, compared to a 6.5

Hospitals 52

Hospitals COVID-19 Payment Systems Medicaid 52

HIPAA Journal

OCTOBER 10, 2022

According to the breach notice, a presentation was emailed to the DHS Children’s Long-Term Support Council in April 2021 that contained protected health information. DHS said the breach affected 12,358 Wisconsin Medicaid members, who have now been notified and offered complimentary 12-month memberships to a credit monitoring service.

Medicaid 57

Medicaid Medicaid Governance Fraud 57

Healthcare IT News - Telehealth

APRIL 30, 2021

senators has reintroduced the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021. Questions about the future of telehealth regulations have endured ever since the federal government opted to relax some of them during the COVID-19 pandemic. A bipartisan group comprising half of U.S.

COVID-19 217

COVID-19 Medicare Medicare Public Health 217

Healthcare It News

FEBRUARY 28, 2023

UPMC Central Pennsylvania, a hospital that in 2021 achieved Stage 7, the top of the HIMSS Electronic Medical Record Adoption Model, has been a leader in telemedicine, with more than two dozen robust virtual care programs. The virtual-first primary care was launched in January of 2021 to a ten-county geography in central Pennsylvania.

Electronic Medical Records 247

Electronic Medical Records Telemedicine Health Insurance Health Outcomes 247

HIPAA Journal

MARCH 6, 2023

Cedar Park, TX-based Dental Health Management Solutions (DHMS), a provider of dental services to the government/military and private patients has recently announced – via its legal counsel – that the protected health information of certain patients was exposed in a 2021 hacking incident.

Electronic Medical Records 79

Electronic Medical Records HIPAA Licensing Nurses 79

Health Law Advisor

FEBRUARY 10, 2023

billion recovered in FY 2021, marking the lowest annual reported recovery in 14 years. billion resolution with one opioid manufacturer in FY 2021), health care and life sciences entities continue to be the primary focus of the enforcement effort by DOJ and relators. 1] While total recoveries exceeded $2.2 Indeed, of the more than $2.2

Fraud 52

Fraud COVID-19 Governance Medicaid 52

Healthcare IT News - Telehealth

JULY 23, 2020

Wolf also pointed out that the recent bloom in telehealth is rooted, in part, in the government's electronic health record incentive program and meaningful use. She also pointed out that many state governments have also been in limbo waiting for the federal government to take action. " she said.

COVID-19 185

COVID-19 Electronic Medical Records Medicare Medicare 185

Innovaare Compliance

MARCH 24, 2024

The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 Retrieved from [link] Centers for Medicare & Medicaid Services. 2021, January 15). 2021, April). Retrieved from [link] Centers for Medicare & Medicaid Services.

Fraud 52

Fraud Health Insurance Compliance Medicaid 52

HIPAA Journal

MARCH 15, 2023

FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida. The contract was renewed by FHKC through 2020, with the federal government covering 86% of the payments to Jelly Bean Communications Design.

Health Insurance 77

Health Insurance HIPAA Due Diligence Fraud 77

HIT Consultant

AUGUST 3, 2022

million—between February 2020 and November 2021, with decreasing employment nearly every month. Medicaid reimbursement, which comprises the largest share of nursing home reimbursement, has not kept pace, resulting in SNFs and medical providers assuming the burden of those costs. . million to 1.35 As of late February 2022, 35.9%

Nursing Homes 98

Nursing Homes Nurses COVID-19 Medicaid 98

Hall Render

JANUARY 27, 2023

billion on revenue of $324 billion, a large increase from the previous $288 billion in revenue in 2021. From 2021 to 2022, a new report indicates that there was an 84% increase in health care bankruptcies. Arizona, Arkansas and California are all working on programs to use Medicaid resources to provide housing-related assistance.

Medicaid 40

Medicaid Medicaid Hospitals Governance 40

Healthcare Compliance Blog

FEBRUARY 7, 2022

A Michigan woman has pled guilty to stealing government funds that were designated to aid medical providers in the treatment of patients suffering from COVID-19 and acknowledged using the money for her own personal use. Issue: Misuse of allocated public funds can be seen as fraud, waste, and abuse of government funds.

COVID-19 59

COVID-19 Fraud Governance Compliance 59

Med-Net Compliance

AUGUST 16, 2022

The co-defendants allegedly engaged in these acts in whole or in part, to avoid government sanctions, including a denial of payments for new admissions, additional monitoring, the imposition of civil monetary penalties, and other potential penalties.

Fraud 59

Fraud Nurses Medicaid Medicaid 59

Healthcare IT Today

OCTOBER 12, 2023

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. The federal government has been haranguing vendors and clinicians to make interoperable systems since the HITECH act was passed in 2009. A CMS fact sheet offers more details on CMS’s thinking and plans.

Electronic Medical Records 98

Electronic Medical Records Doctors Governance Medicaid 98

Healthcare Law Blog

JANUARY 31, 2023

Venture capital funding for digital mental health services for children and teens was close to $1 billion in 2021, more than double from 2020. Part 2, which governs the medical records of federally assisted substance use treatment programs. In December 2022, the U.S. vi] “Psychedelic Therapeutics Market Worth $8.31

COVID-19 105

COVID-19 Medicare Medicare Medicaid 105

Healthcare IT News - Telehealth

MARCH 18, 2022

Norden is particularly passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. billion in 2021, according to Rock Health. Fortunately, government, investors and startups are working together to close some of these care gaps. billion that year to $5.1

Medicaid 207

Medicaid Medicaid COVID-19 Telemedicine 207

HIT Consultant

SEPTEMBER 14, 2023

Health equity allows people to lead active and productive lives, reduces the healthcare burden on the government, and contributes to economic growth. By one estimate, healthcare improvements accounted for one-third of the economic growth of developed nations over the last century. And only 25% of U.S.

Doctors 115

Doctors Telemedicine Medicaid Medicaid 115

Healthcare IT News - Telehealth

JUNE 19, 2023

Based on his success in building chronic care business for seniors, Sinclair’s role was broadened to focus on all government lines of business (Medicare Advantage, Managed Medicaid and Marketplace) and all virtual care offerings (urgent care, mental health, chronic care, specialty care and primary care).

Medicare 147

Medicare Medicare Telemedicine Medicaid 147

HIT Consultant

DECEMBER 26, 2022

4.7bn diagnostic imaging procedures were performed globally in 2021, representing a strong recovery over 2020. Although volumes dipped in 2020, the strong recovery witnessed in 2021 is set to continue with volumes reaching >6bn by 2026. Rising demand for specialist imaging procedures. Outlook for 2022 and Beyond.

Medicare 52

Medicare Medicare COVID-19 Medicaid 52

McGuire Wood

OCTOBER 2, 2023

times the amount the government believed was due to improper billing, after a voluntary disclosure to the Department of Justice (DOJ). Such self-disclosures provide institutions an opportunity to avoid disruptions and costs associated with government-run investigations and civil or administrative litigation.

Fraud 52

Fraud Governance Compliance Medicare 52