HealthIT Answers

MARCH 6, 2024

Reported payers and health insurance industry news from Highmark Health, Humana, Independence Blue Cross, CVS Health, Blue Cross and Blue Shield, UnitedHealth Group, Cigna, Cambia Health Solutions, and more. The post Revenue Cycle and Payer News – March 6, 2024 appeared first on Health IT Answers.

Health Insurance 59

Health Insurance 59

HealthIT Answers

FEBRUARY 7, 2024

Latest news being reported on payers and the health insurance industry including news from Amerihealth, Keystone First, L.A. Care Health Plan, Inland Empire Health Plan, Sutter Health, Pennie, The Cigna Group, Aetna, IBX, Blue Cross Blue Shield, Humana, UnitedHealthcare, and more.

Health Insurance 59

Health Insurance 59

HealthIT Answers

JANUARY 3, 2024

Latest news being reported on payers and the health insurance industry including news from American Gastroenterological Association, UnitedHealthcare, Cigna, Independence Blue Cross, CVS Health, UnitedHealth Group, BCBSA, Humana, AMA and more.

Health Insurance 59

Health Insurance 59

Center for Health Insurance Reform

OCTOBER 19, 2023

A number of new and ongoing policy changes will impact the Marketplace in 2024, including special enrollment opportunities tied to the Medicaid “unwinding,” continuing enhanced financial assistance, and administrative flexibilities designed to reduce barriers to enrollment.

ACA 104

ACA Medicaid Medicaid Health Insurance 104

Fierce Healthcare

APRIL 8, 2024

Health insurers are gearing up to release their first-quarter results over the next several weeks, and a new analysis from Fitch Ratings finds that ongoing concern about utilization in Medicare Adv | A new analysis from Fitch Ratings finds that ongoing concern about utilization in Medicare Advantage has made for a cloudy outlook.

Medicare 113

Medicare Medicare Health Insurance 113

Health Populi

JANUARY 2, 2024

While the North Hall of the LVCC will have a dedicated digital health area featuring at least 540 exhibits as listed in the CES 2024 app directory, I’ll find health beyond this area of the convention center all over town. “Elevance Health, a health insurance company?

Hospitals 81

Hospitals Health Insurance Telemedicine 81

American Medical Compliance

DECEMBER 27, 2023

The Health Insurance Portability and Accountability Act (HIPAA) has been a cornerstone in safeguarding patient information for nearly three decades. As we step into 2024, healthcare providers must stay abreast of the latest updates to remain compliant.

HIPAA 66

HIPAA Compliance Telemedicine Health Insurance 66

Fierce Healthcare

MARCH 8, 2024

LOS ANGELES—Health insurers have access to a bevy of valuable data, and the push toward interoperability made it easier for those data to be shared with providers. |

Health Insurance 125

Health Insurance 125

Wyatt Law Blog

APRIL 25, 2024

By: Margaret Young Levi On April 22, 2024, the U.S. Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) announced a Final Rule entitled HIPAA Privacy Rule to Support Reproductive Health Care Privacy.

HIPAA 98

HIPAA Health Insurance 98

Center for Health Insurance Reform

DECEMBER 15, 2023

As 2023 comes to a close, it’s time to think about health insurance for 2024. Consumers searching for a 2024 plan online may come across products that do not have to comply with the Affordable Care Act's (ACA) consumer protections.

ACA 95

ACA Health Insurance 95

Fierce Healthcare

JANUARY 21, 2024

The health insurance giant, which serves 117 million people, sees opportunities to leverage generative AI and other technologies to make healthcare easier to navigate, chief AI officer Shawn Wang said during an interview at CES 2024.

Health Insurance 125

Health Insurance 125

HIPAA Journal

APRIL 29, 2024

Berry, Dunn, McNeil & Parker, LLC (BerryDunn) provides health data analytics services to healthcare providers, health insurers, and government regulatory and healthcare policy agencies and its clients provide BerryDunn with personal and health data to allow the firm to perform its contracted services.

Health Insurance 91

Health Insurance Health Analytics HIPAA Medicaid 91

Center for Health Insurance Reform

DECEMBER 6, 2023

It’s time to sign up for 2024 coverage on the Affordable Care Act’s Marketplaces. This week, the Centers for Medicare & Medicaid Services (CMS) is spotlighting how the Marketplaces can serve LGBTQI+ individuals, a community that has historically faced discriminatory barriers to health insurance and health care.

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Health Insurance Medicaid Medicaid Medicare 98

Jane Sarashon

DECEMBER 12, 2023

consumers feel in worse financial shape now than in 2022, with inflation a top concern, discovered in the 2024 New Year’s Financial Resolutions Study from Fidelity Investments. adults 18 and over in October 2023 to gauge peoples’ perspectives on personal finances, and well-being currently and into 2024. One-third of U.S.

COVID-19 64

COVID-19 Medical Billing Health Insurance 64

HIPAA Journal

APRIL 23, 2024

According to the notification letters mailed to the affected individuals in April 2024, a cyberattack was detected on June 6, 2023, when its network was disrupted. It took more than 10 months (April 10, 2024) to determine the types of information involved and the number of individuals affected.

Ransomware 97

Ransomware Fraud Licensing HIPAA 97

HIPAA Journal

APRIL 30, 2024

On April 10, 2024, Livanova confirmed that the personal and protected health information of U.S. In a February 2024 earnings call, the company confirmed that the company had incurred costs of around $2.6 patients had been exfiltrated from its systems in the attack. It is currently unclear how many individuals have been affected.

Ransomware 82

Ransomware Licensing Health Insurance HIPAA 82

Provider Trust

JANUARY 25, 2024

Though HHS has made efforts to address the challenges outlined in this year’s report, there are still many opportunities for improvement in 2024. We’ve broken down the report’s primary themes and how they affect healthcare organizations moving forward in 2024. billion.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Mobi Health News

OCTOBER 12, 2023

The health insurer's virtual care portfolio company MDLIVE will implement Bright.md's asynchronous offerings into its platform in 2024.

Health Insurance 90

Health Insurance 90

Modern Healthcare

MARCH 31, 2023

The Centers for Medicare and Medicaid Services estimates health insurance companies will see a 3.32% increase in Medicare Advantage revenue next year.

Medicare 80

Medicare Medicare Health Insurance Medicaid 80

Healthcare Law Blog

APRIL 24, 2023

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. On April 17, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the U.S.

Medicaid 52

Medicaid Medicaid Compliance Health Insurance 52

HIPAA Journal

MAY 2, 2024

Hackers gained access to the BioPlus network for more than 2 weeks between October and November 2021, and potentially stole names, dates of birth, contact information, health insurance information, prescription information, and Social Security numbers.

Fraud 94

Fraud HIPAA Health Insurance Compliance 94

HIPAA Journal

APRIL 30, 2024

On January 22, 2024, DRS identified suspicious activity within its network. On March 8, 2024, after a time-consuming and detailed review of the files, DRS confirmed that they contained the personal and protected health information of current and former patients of its healthcare clients.

HIPAA 81

HIPAA Hospitals Health Insurance 81

Health Populi

DECEMBER 1, 2023

Even commercially insured patients feel health care cost pressures crowding out other household spending — for food, credit card bills, housing and auto payments. Keep this in mind for your 2024 business planning across all aspects of health care that grow increasingly consumer-facing.

Medical Billing 68

Medical Billing Governance Hospitals Health Insurance 68

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”). in FY 2024 but applies a 0.2% from FY 2023 to FY 2024.

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

Hall Render

JANUARY 26, 2024

18% of health care CEOs plan on reducing their headcount in 2024 based on the use of generative AI. The effects of the pandemic are fading away with only 11% of CEOs feeling concerned about global health risks over the next 12 months. JLL released its 2024 Healthcare Real Estate Outlook. per Beckers.

Health Insurance 40

Health Insurance Governance 40

HIPAA Journal

APRIL 26, 2024

Los Angeles County Department of Health Services Phishing Attack The Los Angeles County Department of Health Services was recently targeted in a phishing campaign that saw 23 employees tricked into disclosing their email account credentials after clicking a hyperlink in an email that appeared to have been sent by a trusted sender.

HIPAA 99

HIPAA Health Insurance 99

HIPAA Journal

APRIL 22, 2024

A third-party cybersecurity firm was engaged to investigate the breach and it was determined on January 5, 2024, that the email account had been accessed by an unauthorized individual at various times between Sep. The emails did not contain any Social Security numbers, health insurance ID numbers, or financial information.

HIPAA 95

HIPAA Hospitals Health Insurance 95

Health Populi

JUNE 30, 2023

Health care cost trend will spike up another percentage point to 7.0% in 2024, according to the annual report from the PwC Health Research Institute, Medical cost trend: Behind the numbers 2024. for 2024 medical trend. saw double-digit cost growth of nearly 12%.

Prescription Drug Pricing 81

Prescription Drug Pricing COVID-19 ACA Hospitals 81

HIPAA Journal

APRIL 25, 2024

The exposed and stolen data included contact information, Social Security numbers, driver’s license numbers, financial information, health insurance information, medical records, medical histories, diagnoses/conditions, and health insurance information.

Fraud 103

Fraud Health Insurance Licensing HIPAA 103

HIPAA Journal

APRIL 8, 2024

The stolen data included names, addresses, dates of birth, diagnoses, health insurance information, and medical information, including procedures and prescriptions. Planned Parenthood discovered the ransomware attack on October 17, 2021, and confirmed on November 4, 2021, that the stolen files contained patient data.

Ransomware 74

Ransomware HIPAA Health Insurance Fraud 74

HIPAA Journal

APRIL 26, 2024

Kaiser Permanente Health Plan Inc. This is the largest healthcare data breach to be reported so far in 2024 and the largest confirmed healthcare data breach to date involving website tracking technologies. Notifications are expected to be issued in May 2024. is notifying 13.4

HIPAA 109

HIPAA Health Insurance Hospitals 109

Center for Health Insurance Reform

JUNE 3, 2022

Beginning in 2023, CMS will require QHP provider networks for plans sold on the federal marketplace to meet minimum time-and-distance standards and, beginning in 2024, minimum standards for appointment wait times.

Medicaid 98

Medicaid Medicaid Health Insurance 98

Health Populi

MARCH 25, 2024

Three major milestones marked March 2024 which compel us to note the growing role of patients-as-consumers — especially for self-prescribing medicines and medical devices. For more about the Opill’s launch and history to get to market, see my post from July 2023 here on Health Populi. Stay tuned!

FDA 77

FDA Health Insurance Doctors 77

Fierce Healthcare

OCTOBER 2, 2023

SCAN Health Plan, a nonprofit health insurer specializing in Medicare Advantage (MA) offerings, is choosing to move faster than the government’s drug price negotiation timetable and is also offerin | SCAN Health Plan is launching a Medicare Advantage plan geared toward women and cutting 13 name-brand drug prices starting in 2024.

Medicare 70

Medicare Medicare Health Insurance 70

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 67

Ransomware Health Insurance Licensing HIPAA 67

Healthcare Law Blog

JANUARY 19, 2024

The original comment period closed on January 2, 2024. It will be reopened from the date the reopening of the comment period is published in the Federal Register (which is expected to be on January 22, 2024) to 14 days after that date. Require plans and issuers to register in the Federal IDR portal.

Health Insurance 52

Health Insurance 52

Healthcare Law Blog

DECEMBER 6, 2023

Revenue is now defined to mean the total average annual California-derived revenue received for all health care services by the submitter and all affiliates over the three most recent fiscal years, as reported to the applicable regulating agencies for plans, health insurers, hospitals, long-term care facilities, and risk-bearing organizations.

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Health Insurance Hospitals 59