HIPAA Journal

MAY 29, 2023

It has been 27 years since President Clinton signed the Health Insurance Portability and Accountability Act (HIPAA) into law, but compliance is still proving a challenge for many HIPAA-regulated entities. Now that the COVID-19 Public Health Emergency has been declared over, that period of enforcement discretion is due to terminate.

HIPAA 94

HIPAA Compliance Due Diligence COVID-19 94

HIPAA Journal

APRIL 25, 2023

Data breaches have recently been announced by Santa Clara Family Health Plan, United Steelworkers Local 286, Robeson Health Care Corporation, Two Rivers Public Health Department, and NewBridge Services. Additional security measures have been implemented to better secure its systems against unauthorized access.

Health Insurance 83

Health Insurance Public Health Ransomware Fraud 83

Healthcare IT News - Telehealth

FEBRUARY 3, 2023

The Telehealth Benefit Expansion for Workers Act would amend the Public Health Service Act, the Employee Retirement Income and Security Act of 1974 and the Internal Revenue Code of 1986 to allow employers to treat benefits for telehealth services like excepted benefits. In an announcement about the bipartisan bill, Rep.

Public Health 171

Public Health COVID-19 Medicare Medicare 171

HIPAA Journal

JULY 18, 2023

The incident was detected on March 31, 2023, although it is unclear from the breach notifications when hackers first gained access to its network. The forensic investigation confirmed that there had been unauthorized access to files containing the protected health information of patients, some of which may have been obtained by the hackers.

Health Insurance 52

Health Insurance Public Health HIPAA 52

Jane Sarashon

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting.

ACA 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

HIPAA Journal

AUGUST 16, 2023

On March 9, 2023, a ransom note was detected within its computer environment that had been placed there by an unauthorized individual. The forensic investigation confirmed that an unauthorized individual had access to its network between February 2, 2023, and March 9, 2023.

Licensing 69

Licensing Health Insurance HIPAA Public Health 69

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

Medicaid 100

Medicaid Medicaid Compliance Health Insurance 100

Jane Sarashon

APRIL 19, 2023

People have expanded their definitions of health in 2023, with mental health supplanting physical health for the top-ranked factor in feeling healthy. In 2023, it’s much harder to take care of my health, consumers say. As such, every company is a health/care company, regardless of industry.

Public Health 52

Public Health Health Insurance 52

Jane Sarashon

JUNE 5, 2023

in 2023, and millions of more people worldwide. Just in time for #ASCO2023, the IQVIA Institute published their annual report on Global Oncology Trends 2023 – Outlook to 2027 , an update featuring pipelines, therapy approvals, research updates, costs of oncology products, and patients. including patients living in the U.S.)

Medicaid 52

Medicaid Medicaid COVID-19 Health Insurance 52

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. Retail health-meets-Medicare.

US Department of Health and Human Services 75

US Department of Health and Human Services Health Insurance Medicare Medicare 75

Health Populi

JUNE 23, 2023

If you live in Massachusetts, Hawaii, and New Hampshire, you win a kind of state lottery for public health and well-being, based on this year’s read of the 2023 Scorecard on State Health System Performance from The Commonwealth Fund. states ranked by a mash-up of health system indicators.

COVID-19 133

COVID-19 Health Outcomes Medicaid Medicaid 133

Bill of Health

OCTOBER 2, 2023

They also give high scores to airlines like American Airlines known to destroy wheelchairs , drug companies like Eli Lilly who gauge their prices, and health insurance companies like Kaiser who have destroyed disabled lives through delay and denial. There are bright spots, however.

Health Insurance 293

Health Insurance COVID-19 Governance Public Health 293

Bill of Health

JANUARY 8, 2024

Simply put, the NCAA was, at least in part, designed to be a public health institution, with protecting student-athletes as a founding principle. An important aspect of this “ Economic Stabilization ” order was allowing businesses to use health insurance as a way to compete for employees.

ACA 111

ACA Health Insurance Public Health Governance 111

Center for Health Insurance Reform

DECEMBER 8, 2022

States are expected to resume redeterminations of Medicaid eligibility in early 2023, resulting in a projected 15 million people losing access to Medicaid. Ensuring these individuals transfer to another source of coverage smoothly and seamlessly is a particular challenge for states.

Medicaid 70

Medicaid Medicaid Health Insurance Public Health 70

American Medical Compliance

JUNE 26, 2023

Department of Health and Human Services (HHS) Office for Civil Rights (OCR) granted enforcement discretion for certain aspects of the Health Insurance Portability and Accountability Act (HIPAA) during the public health emergency. Reference US Department of Health and Human Services (11 April 2023).

COVID-19 52

COVID-19 US Department of Health and Human Services HIPAA Compliance 52

Bill of Health

JANUARY 23, 2024

In 2023, the Consolidated Appropriation Act made this option permanent. However, in 2009, the Children’s Health Insurance Program Reauthorization Act restored this potential benefit for lawfully residing pregnant people and children. Fortunately, 47 states and the District of Columbia have done so. In the U.S.,

Medicaid 111

Medicaid Medicaid Patient Satisfaction Health Insurance 111

HIPAA Journal

APRIL 6, 2023

Congress’s support for Ukraine, and on January 28, 2023, the group launched its biggest wave of Distributed Denial of Service (DDoS) attacks to date – a coordinated attack on more than 90 healthcare organizations in 48 U.S.

Ransomware 101

Ransomware Hospitals Health Insurance Public Health 101

Health Populi

JUNE 14, 2023

Now that the worst of the coronavirus acute impact is in our rear-view mirror, it appears medical care providers are reassessing these implementations and may “rip [out] and replace” those systems, according to The Great Shakeup, a survey report from Panda Health. hospital and health system leaders in March 2023.

Telemedicine 93

Telemedicine COVID-19 Hospitals Health Insurance 93

Healthcare IT Today

MARCH 19, 2023

News and Research A paper from the University of Colorado School of Medicine and HiLabs found inconsistencies for 81% of physicians examined across 5 large national health insurers. Awards Zane Networks was chosen for the Public Health Informatics and Technology initiative , which is funded by a grant from the ONC.

Telemedicine 97

Telemedicine Health Insurance Public Health Nurses 97

Health Populi

APRIL 16, 2024

Due to the collective ethos in the community, gun safety has been addressed as a public health issue, and the health care system and employers are committed to assuring cybersecurity and the protection of individuals’ health data. Health citizens value this national approach, with health baked in all public policies.

Public Health 77

Public Health Governance Medicare Medicare 77

Health Populi

MARCH 8, 2023

It’s a lot — and has made a huge difference in public health access for those enrolled in ACA plans. Check out the health care services Americans say are the most important for commercial health insurance plans to cover. Morning Consult polled 2,199 U.S.

ACA 62

ACA COVID-19 FDA Health Care Access 62

HIT Consultant

NOVEMBER 9, 2023

A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid. The increase was driven by multiple factors, including the pause of all periodic eligibility reviews during the public health emergency.

Medicaid 64

Medicaid Medicaid Health Insurance Health Outcomes 64

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.

Governance 144

Governance Medicaid Medicaid Medicare 144

Health Populi

OCTOBER 24, 2022

What happens to a health care ecosystem when the volume of patients and revenues they generate decline? Add to that scenario a growing consensus for a likely recession in 2023. How would that further impact the micro-economy of health care? In the U.S., Walmart) to do so, as well.

COVID-19 54

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 54

Health Populi

JULY 17, 2023

With consumer and prescriber interest in GLP-1 receptor agonist drugs “soaring,” health plan managers have a new source of financial stress and clinical questions on their to-do list. Because of rising costs and the conditions downstream health impacts, Virta noted in the report. Why diabetes and obesity?

Public Health 62

Public Health Health Insurance 62

HIT Consultant

AUGUST 13, 2023

billion in 2023. Department of the Treasury, recently issued a joint advisory warning about alleged North-Korean-backed threat actors using Maui ransomware to attack healthcare and public health (HPH) organizations. MSPs and MSSPs can strengthen a healthcare organization’s cyber posture by locking down all points of compromise.

Ransomware 98

Ransomware Fraud Health Insurance Public Health 98

Health Populi

FEBRUARY 16, 2023

Nearly 30 years later, disrupting health care continues to be a theme which, in 2023, seems open for those slow-moving tectonic driving forces to finally re-form and re-imagine health care delivery. The American Hospital Association is taking disruption seriously right here, right now, as the U.S.

Hospitals 71

Hospitals Health Insurance Doctors Nurses 71

HIT Consultant

NOVEMBER 24, 2022

Beginning later this year and continuing into the first half of 2023, however, these products will likely start to appear. The regulations may provide an opportunity for health insurers to attract new members – and retain existing ones – with hearing loss. Expanding membership. million U.S. doi: 10.2105/AJPH.2016.303299.

FDA 98

FDA Public Health Medicare Medicare 98

Healthcare IT Today

JUNE 15, 2023

And requests for patient data are predicted to intensify as health plans work to reduce per-member/per-month costs, earn higher STAR ratings, and meet the CMS 2030 value-based care goals. With a master’s degree in Health Policy and Management from Harvard T.H.

Health Insurance 98

Health Insurance Public Health Hospitals 98

Healthcare Law Blog

JUNE 22, 2023

Drug Discount Card Program (Effective October 1, 2023) The Act establishes a Drug Discount Card Program to be made available to all residents of Connecticut. Reducing Prescription Drug Costs (Effective October 1, 2023) The Act has updated the process for listing drugs that are expensive to the state.

Hospitals 52

Hospitals Nursing Homes Health Insurance Public Health 52

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. The benefit was originally supposed to kick in Jan.

Medicaid 83

Medicaid Medicaid Health Insurance Public Health 83

AIHC

MARCH 21, 2023

The Patient Safety Act amended Title IX of the Public Health Service Act to provide for the improvement of patient safety and to reduce the incidence of events that adversely affect patient safety by authorizing the creation of patient safety organizations (PSOs). sections 299b-21 to 299b-26 ) into law.

HIPAA 52

HIPAA Compliance Health Insurance Public Health 52

Health Populi

JUNE 6, 2023

In health care, one of the “gifts” inspired by the coronavirus pandemic was the industry’s fast-pivot and adoption of digital health tools — especially telehealth and more generally the so-called “digital front doors” enabling patients to access medical services and personal work-flows for their care.

Medical Billing 62

Medical Billing Health Insurance Medicare Medicare 62

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). mitigation of fines, early termination of an audit, or other remedies).

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

Health Law Advisor

JULY 12, 2023

New York recently enacted new legislation that will amend Article 45-A of the New York Public Health Law, entitled “Disclosure of Material Transactions”. private equity platforms) and which are otherwise unregulated by the state outside of the licensure of the individual practitioners.

Health Insurance 52

Health Insurance Hospitals Public Health Compliance 52

Health Law RX

MAY 25, 2023

Comments on the Proposed Rule are due on or before June 16, 2023. Jackson Women’s Health Organization , OCR released guidance clarifying its position on the disclosure of reproductive health information for law enforcement and administrative and legal proceedings. Background Shortly following the U.S.

HIPAA 52

HIPAA Public Health Health Insurance Governance 52

AIHC

NOVEMBER 6, 2023

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). mitigation of fines, early termination of an audit, or other remedies).

HIPAA 52

HIPAA Compliance Governance Health Insurance 52