HIPAA Journal

APRIL 8, 2024

The attack occurred on March 2, 2024, and affected hundreds of computers. De Felice , around 5TB of data was stolen by the Medusa group including the protected health information of an estimated 37,700 patients. Further notification letters were mailed in the following months, with Moffitt Cancer Center patients notified in April 2024.

Ransomware 68

Ransomware Health Insurance Licensing HIPAA 68

HIPAA Journal

MARCH 28, 2024

The forensic investigation and document review took almost a year, with the hospital stating in its breach notice that those processes were not completed until March 4, 2024. Rancho Family Medical Group was notified on January 11, 2024, that there had been unauthorized access to the KMJ Health Solutions network on November 19, 2023.

Hospitals 74

Hospitals Ransomware HIPAA Licensing 74

HIPAA Journal

MAY 6, 2022

The new law includes a sunset on the right to cure, which is December 31, 2024. There are also exceptions for certain data types, such as data regulated by HIPAA, FERPA, the Airline Deregulation Act, Fair Credit Reporting Act, Farm Credit Act, and the Driver’s Privacy Protection Act.

HIPAA 90

HIPAA Compliance Health Insurance Governance 90

MedTrainer

JANUARY 31, 2024

federal government enacted the Federal False Claims Act (FCA) in 1863 during the American Civil War. It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations. In 2023, the OIG provided updated guidance with a promise of updates to industry-specific guidance in 2024.

Compliance 52

Compliance Fraud Governance ACA 52

Health Populi

MAY 31, 2023

Health Populi’s Hot Points: The Milliman 2023 MMI publication coincides with that of a new survey from AHIP, the health insurance advocacy organization, exploring the value of employer-provided coverage in 2023. consumers with employer-sponsored health insurance, conducted in April 2023.

Health Insurance 62

Health Insurance COVID-19 Hospitals Governance 62

HIPAA Journal

FEBRUARY 8, 2024

The list of affected individuals has yet to be finalized, but Covenant Care California has confirmed that the incident involved the following information: name, date of birth, medical information, and/or health insurance information, including diagnosis or treatment information and/or claims and billing information.

Ransomware 81

Ransomware Electronic Medical Records Licensing Health Insurance 81

Healthcare IT Today

JANUARY 5, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. As value-based care increasingly becomes a priority for people, community health workers will play a pivotal role in bridging the gap between healthcare delivery and building trust within communities.

Nurses 131

Nurses Medicare Medicare Health Outcomes 131

HIPAA Journal

MARCH 29, 2024

Department of State has confirmed that there is a reward of up to $10 million for information leading to the identification or location of any individual linked to the ALPHV/Blackcat ransomware group, their affiliates, or links to a foreign government under the Rewards for Justice (RFJ) program.

Ransomware 99

Ransomware US Department of Health and Human Services HIPAA Hospitals 99

Health Populi

APRIL 16, 2024

This post follows up Part 1 of a two-part series I’ve prepared in advance of the AHIP 2024 conference where I’ll be brainstorming these scenarios with a panel of folks who know their stuff in technology, health care and hospital systems, retail health, and pharmacy, among other key issues.

Public Health 77

Public Health Governance Medicare Medicare 77

Healthcare IT Today

APRIL 15, 2023

Lessons for Healthcare From a Former Government CIO. Cloudera’s Rob Carey stopped by the CIO Podcast to talk about two interesting topics: What commercial healthcare organizations can learn from government agencies and how CIOs can shift the IT department’s mindset from managing infrastructure to managing data.

Governance 106

Governance Health Insurance Hospitals 106

Innovaare Compliance

MARCH 24, 2024

Balancing AI-Driven Payment Integrity with Provider Relations A large health insurance company implemented an AI-powered payment integrity system to identify and prevent potential fraud, waste, and abuse in healthcare claims. CY (Contract Year) 2024 Physician Fee Schedule Final Rule. 2021, April).

Fraud 52

Fraud Health Insurance Compliance Medicaid 52

MedTrainer

NOVEMBER 29, 2023

The Massachusetts Health & Hospital Association (MHA) is a prominent organization representing hospitals and health systems across Massachusetts, advocating for policies and practices that support healthcare delivery and patient care. This article reveals the must-knows for confidently achieving compliance in Massachusetts.

Compliance 52

Compliance Public Health Health Insurance Hospitals 52

Health Populi

SEPTEMBER 23, 2021

receive health insurance through employers. With that objective, it’s always instructive to explore the annual study from the Business Group on Health, the 2022 Large Employers’ Health Care Strategy and Plan Design Survey. One in two people in the U.S.

COVID-19 62

COVID-19 Health Insurance Public Health Health Care Access 62

Healthcare IT Today

JANUARY 18, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Now more than ever before, patients are interested in being active participants in their care, selecting the right health partner, and connecting with their providers.

Hospitals 75

Hospitals Compliance Health Outcomes Medicare 75

Healthcare Law Blog

MARCH 10, 2023

As a result of the law, beginning in April 2024, OHCA will have advance review authority over mergers, acquisitions, corporate affiliations and other transactions that result in material changes of assets control or governance of “health care entities.”

Governance 52

Governance Licensing Health Insurance Medicare 52

Health Populi

OCTOBER 24, 2022

Add into this picture a CCS Insight analyst’s forecast last week that Apple could enter the health insurance market in 2024. Consumers will be facing greater medical price inflation in 2023 for health insurance plans, based on the latest forecast from WTW. Walmart) to do so, as well.

COVID-19 54

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

Healthcare Law Blog

AUGUST 3, 2023

As we previewed in our blog article in March on the establishment of California’s new Office of Health Care Affordability (OHCA), OHCA has issued proposed regulations available on the OHCA website, that provide anticipated details on OHCA’s advance review authority regarding certain transactions in the healthcare space.

Governance 52

Governance Licensing Health Insurance Hospitals 52

Health Populi

JUNE 13, 2023

One in five households intends to purchase a smartwatch in the next 12 months (to April 2024), with 36% of U.S. Working consumers have looked to employers who sponsor health insurance to cover some or all of the cost of such monitoring devices. households owning at least one smartwatch. units per U.S. million versus 107.9

Health Insurance 62

Health Insurance Hospitals Governance 62

Healthcare Law Blog

JANUARY 2, 2024

Health Care Entities Under SB 184, “health care entities”, which include (i) payers , (ii) providers and (iii) fully integrated delivery systems [2] , are potentially subject to OHCA’s CMIR authority. What does the notice and review process entail?

Governance 59

Governance Licensing Hospitals Health Care Access 59

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] Healthcare Laws.

FDA 90

FDA HIPAA Medicare Medicare 90

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

Center for Health Insurance Reform

JANUARY 5, 2023

The Biden administration released a draft of the annual rule governing the Affordable Care Act marketplaces and insurance reforms. In this Expert Perspective for the State Health & Value Strategies program, Sabrina Corlette and Tara Straw review provisions of particular importance to states.

Health Insurance 97

Health Insurance Governance 97

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Hall Render

FEBRUARY 23, 2024

hospital sees less severe cases Georgia Supreme Court vacates judgement in case with Northside Hospital, NGMC Poor Health: How Is Georgia Addressing The State’s Mental Health Woes?

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

HIT Consultant

FEBRUARY 23, 2024

As this trend continues in 2024, it’s more important than ever for digital healthcare professionals to scrutinize their roadmaps and strategies. Saturating channels with too many messages Overextending the use of various platforms to serve the same communication channels can create issues related to misaligned experiences and governance.

HIPAA 133

HIPAA Governance Health Insurance 133

Center for Health Insurance Reform

APRIL 6, 2023

The Biden administration is poised to finalize new rules governing the Affordable Care Act Marketplaces and insurance reforms for plan year 2024.

Governance 97

Governance ACA 97

Health Law Advisor

JULY 11, 2023

On June 16, 2023, Nevada enacted Senate Bill 370 (“ SB 370 ”), which imposes broad restrictions on the collection, use, and sale of consumer health data. This law is set to go into effect on March 31, 2024. Regulated entities are subject to the following provisions: SB 370 does not create a private right of action.

HIPAA 98

HIPAA Governance Health Insurance 98

Hall Render

FEBRUARY 2, 2024

in federal funds for hospitals State of the State 2024: Arkansas health care faces challenges Study ranks Arkansas at the absolute bottom for dental health A mosaic of medical staffing solutions: Groups work to increase health care workforce in Northwest Arkansas CHI St. ‘We

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

HIPAA Journal

APRIL 23, 2024

The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has released its long-awaited Final Rule on reproductive healthcare privacy. Key Compliance Dates At the time of writing (April 23, 2024), the Final Rule has not been published in the Federal Register so the dates are estimated.

HIPAA 89

HIPAA Compliance Doctors Health Insurance 89

Provider Trust

FEBRUARY 3, 2023

The government and private whistleblowers have increasingly targeted PE firms’ portfolio companies and the firms themselves. Government Oversight On December 29, 2022, President Biden signed the Consolidated Appropriations Act into law. Are you buying a distressed asset with a lack of focus on compliance and regulations?

Compliance 52

Compliance Fraud Nurses Telemedicine 52

Hall Render

JULY 28, 2023

Jefferson executive resigns after Twitter trouble Jefferson Health to cut 400 jobs Leigh Valley Health Network Plans $38M Hospital In Pennsylvania Main Line Health receives national Quest for Quality Prize New Neighborhood Hospital In Montgomery Co.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Healthcare Law Blog

MAY 9, 2023

The growth of private equity and other financial sponsor investments in the health care industry has led many states across the country to adopt expansive oversight authority over health care transactions.

Licensing 52

Licensing Public Health Health Insurance Governance 52

Hall Render

DECEMBER 22, 2023

Yale New Haven sale key to Prospect hospitals’ survival, CEO says YNHH sale ‘paramount’ to CT Prospect hospitals’ survival, CEO says Connecticut hospital cut ED visits by nearly 50% Hartford HealthCare unveils new ‘health desk’ model Connecticut physician sentenced for $2.6M fraud scheme UConn Health is in financial trouble.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

MARCH 3, 2023

million for youth mental health care KENTUCKY Pike County nursing home officials release statement following loss of Medicare agreement Three Humana executives drop $11.2M

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

OCTOBER 27, 2023

Here’s why Grady Health System recognized as health care I.T. Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. Minnesota system latest to drop weight loss drug coverage for employees Twin Cities Orthopedics opens 70K-square-foot campus Minn. But it faces a fiscal cliff.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Healthcare Law Blog

JANUARY 10, 2022

Enrollee Participation in Plan Governance (§ 422.107). Standardizing Housing, Food Insecurity, and Transportation Questions on Health Risk Assessments (§ 422.101). CMS failed to mention that the Proposed Rule will also result in additional administrative burdens and increased costs for MA organizations (“MAOs”) and Part D sponsors.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

Hall Render

OCTOBER 13, 2023

David’s forges ahead with new behavioral health hospital after rezoning vote Texas rehab hospital settles ADA case UTAH Fire spurs evacuation at Intermountain hospital Intermountain, Ortho Montana break ground on new ASC U of Utah Health adds new C-suite role $17.5 Luke’s receives $1.5 Luke’s receives $1.5

Nurses 40

Nurses Hospitals Nursing Homes Doctors 40