Healthcare IT News - Telehealth

DECEMBER 16, 2020

This is according to a new annual report from research and consulting giant PwC entitled “Top health industry issues of 2021: Will a shocked system emerge stronger?” ” Sixty-eight percent of provider executives surveyed by HRI said they plan to use more care navigators and coordinators in 2021.

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COVID-19 Hospitals Doctors Health Insurance 209

Healthcare Law Blog

JANUARY 20, 2023

To add uniformity to this practice, CMS codified this flexibility in the 2016 Medicaid and Children’s Health Insurance Plan (CHIP) managed care final rule by authorizing coverage for “In Lieu of Service or Settings” (ILOS). [i] ILOSs must advance the objectives of the Medicaid program.

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Medicaid Medicaid Medicare Medicare 52

Health Populi

JUNE 18, 2021

with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. Gallup-West Health surveyed 3,870 U.S. One in two people in the U.S.

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ACA Health Insurance Medicaid Medicaid 133

Center for Health Insurance Reform

MARCH 7, 2022

Health insurers reported healthy earnings during the fourth quarter of 2021, thanks in large part to publicly funded programs Medicare and Medicaid. CHIR's Megan Houston reviewed earnings reports for nine major insurers and reports on the key market trends in the health insurance industry.

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Governance Health Insurance Medicaid Medicaid 72

New Jersey Healthcare Blog

JANUARY 12, 2022

Below are the most recent health care related regulatory developments as published in the New Jersey Register from October-December 2021: On October 4, 2021, at 53 N.J.R. 103, which declared a Public Health Emergency for the state in response to COVID-19. On October 4, 2021, at 53 N.J.R. See adopted N.J.A.C.

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Center for Health Insurance Reform

JANUARY 18, 2022

This month, we’re ringing in the new year with new health policy research. Continue reading → The post December Research Roundup: What We’re Reading appeared first on Center on Health Insurance Reforms.

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Health Insurance Medicaid Medicaid 58

HIPAA Journal

FEBRUARY 15, 2022

Chicago’s South Shore Hospital has started notifying 115,670 current and former patients about a December 2021 cyberattack on its network. Suspicious activity was identified on its network on December 10, 2021, and prompt action was taken to contain the incident.

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Hospitals Health Insurance HIPAA Medicaid 116

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. .

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Public Health Medicaid Medicaid Health Insurance 97

HIPAA Journal

MARCH 25, 2022

The forensic investigation revealed the email accounts were accessed by unauthorized individuals between April 7, 2021, and June 2, 2021. AHA provided notice about the attack on January 6, 2021. UMC was a victim of a REvil ransomware attack in June 2021 that resulted in the theft of the protected health information of 1.3

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Health Insurance Licensing Ransomware Fraud 107

HIPAA Journal

MARCH 14, 2022

Capital Region Medical Center (CRMC) in Jefferson City, MO has recently confirmed patient information was accessed by unauthorized individuals in a December 2021 cyberattack that took its network and phone systems offline for several days. The attack was detected on December 17, 2021, when network systems were disrupted.

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Electronic Medical Records Health Insurance HIPAA Licensing 129

Bill of Health

MARCH 15, 2022

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. However, expanding safety net programs , such as SSI and Medicaid, would be important as an interim measure.

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COVID-19 ADA Medicaid Medicaid 246

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.

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Fraud Governance Medicare Medicare 40

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.

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Public Health Medicaid Medicaid Electronic Medical Records 95

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.

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Health Insurance Compliance Medical Billing Medicaid 52

HIPAA Journal

MARCH 10, 2022

Bako Diagnostics (BakoDx), a Georgia-based provider of laboratory services to healthcare providers, has announced it was the victim of a cyberattack that was discovered on December 28, 2021. The files exfiltrated from its systems included the protected health information of patients.

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Ransomware Licensing Health Insurance Hospitals 124

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. And, a major input into access and affordability is having health insurance coverage.

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COVID-19 Health Outcomes Medicaid Medicaid 129

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. But flat growth is expected for 2022, Castlight forecasts.

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COVID-19 Health Insurance Medicaid Medicaid 121

Bill of Health

DECEMBER 6, 2023

Considering these substantial consequences for patients’ access to mental health care, developing solutions to prevent ghost networks is critical. Federal legislative solutions The federal No Surprises Act , approved in 2021, mandates that health insurers update the information in their provider directory at least every 90 days.

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Governance Medicaid Medicaid Medicare 144

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 billion in healthcare fraud judgments and settlements.

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Fraud Health Insurance Compliance Medicaid 52

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. "Patients are not dependent on their clinics or health systems if they offer virtual care.

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Electronic Medical Records Telemedicine Health Insurance Health Outcomes 219

Health Populi

DECEMBER 9, 2021

being covered by health insurance is one of the social determinants of health. Without a health plan, an uninsured person in America is far more likely to file for bankruptcy due to medical costs, and lack access to needed health care (and especially primary care). In the U.S., The survey drew on online 1,689 U.S.

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Medical Billing Health Insurance Medicaid Medicaid 73

The Health Law Firm Blog

FEBRUARY 10, 2023

Board Certified by The Florida Bar in Health Law On October 7, 2021, 18 former NBA players were charged in New York federal court for an alleged health insurance fraud scheme to rip off the league's benefit plan, according to an indictment filed in the Southern District [.] By George F. Indest III, J.D.,

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Fraud Health Insurance Overpayments Overpayment 52

HIPAA Journal

JUNE 8, 2023

According to the May 22, 2023, breach notice, the incidents occurred in 2021. PVOC discovered on March 3, 2022, that malware had been installed on the servers of the vendors between November 13, 2021, and November 15, 2021.

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Ransomware HIPAA Licensing Health Insurance 95

HIPAA Journal

OCTOBER 17, 2022

RAA said suspicious activity was detected within its environment in August 2021. The forensic investigation confirmed that unauthorized individuals had access to certain systems between July 22, 2021, and August 3, 2021, and copied files from its network that contained patient data.

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Licensing HIPAA Health Insurance Medicaid 56

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

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.

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Electronic Medical Records HIPAA Licensing Nurses 75

Jane Sarashon

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. According to the online Merriam-Webster dictionary , the first use of the phrase “health insurance” occurred in 1901. Consulting Noah Webster….and

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US Department of Health and Human Services Health Insurance Medicare Medicare 70

Health Populi

MAY 21, 2020

Nearly every respondent in the study reported having health insurance coverage. Among those covered with insurance, one-half had employer-sponsored insurance, 1 in 4 Medicare, and 13%, individual cover. Another 8% had Medicaid or a state health insurance program.

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COVID-19 Doctors Health Insurance Medicare 159

Healthcare IT Today

APRIL 24, 2023

New funding led by Cobalt Ventures will support continued business growth and expansion of health plan relationships Mobile-integrated care management platform company, MedArrive, today announced $8 million in new funding led by Cobalt Ventures , a wholly owned subsidiary of Blue Cross and Blue Shield of Kansas City (Blue KC).

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Medicaid Medicaid Health Insurance Telemedicine 65

HIPAA Journal

APRIL 8, 2022

Advanced Medical Practice Management Sends Notification Letters About July 2021 Cyberattack and Data Theft Incident. AMPM identified suspicious activity related to files within its IT environment on August 5, 2021, and immediately secured its network.

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Medical Billing Licensing Health Insurance Medicaid 113

Medisys Compliance

JULY 11, 2022

The Centers for Medicare & Medicaid Services (CMS) has released Frequently Asked Questions (FAQs) on the No Surprises Act implementation, providing details about balance billing and notice and consent prohibitions. We shared new surprise billing requirements for reference only. Patient Protection against Balance Billing.

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Medical Billing Medical Billing Outsourcing Health Insurance Medicaid 52

Health Populi

OCTOBER 22, 2021

Kocher, a physician who is a venture capitalist, and Chigurupati, head of member experience at Devoted Health, explain the misaligned incentives that impede progress in reducing administrative spending. Claims — that’s the paper-based workflow that eats up some of the $billion U.S.

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Electronic Medical Records Health Insurance Medicaid Medicaid 174

HIPAA Journal

MAY 23, 2023

Apria was alerted about unauthorized access to some of its systems on September 1, 2021. The investigation confirmed its systems were accessed by an unauthorized individual between April 5, 2019, and May 7, 2019, and again from August 27, 2021, to October 10, 2021.

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Licensing Health Insurance Medicaid Medicaid 104

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. Power 2021 U.S. Commercial Member Health Plan Study. Together, the two reports from J.D.

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Patient Satisfaction COVID-19 Telemedicine Medicaid 81

HIPAA Journal

APRIL 13, 2022

Wellstar Health learned about the security breach on February 7, 2022, with the forensic investigation confirming that the breach was limited to two email accounts. The email accounts were discovered to have been compromised between December 6, 2021, and January 3, 2022. No other systems were compromised.

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Ransomware Licensing HIPAA Health Insurance 114

HIPAA Journal

NOVEMBER 3, 2022

The breach involved names, Social Security numbers, dates of birth, driver’s license numbers, financial account information, health insurance policy numbers, medical record numbers, Medicaid/Medicare IDs, and health information, including diagnosis and treatment information.

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HIPAA Health Insurance Licensing Medicaid 64

Healthcare Law Blog

SEPTEMBER 22, 2022

The July 2021 interim final rule requires group health plans and health insurance issuers to make certain disclosures with each initial payment or notice of denial of payment. i] The July 2021 interim final rule and the October 2021 interim final rule. District Court for the Eastern District of Texas. [ii]

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