Kaiser Health News

NOVEMBER 22, 2022

Thousands of nurses at Stanford Health Care were told in April they would lose their health insurance if they did not return to work during their weeklong strike. of their income, or about $385 a month, on premiums under a middle-tier health plan. “Never try it again.” “Never try it again.”

Health Insurance 61

Health Insurance Medicaid Medicaid Nurses 61

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

Research firm Frost & Sullivan forecasts a sevenfold growth in telehealth by 2025 – a five-year compound annual growth rate of 38%. The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient.

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Telemedicine COVID-19 Medicare Medicare 195

Health Care Law Brief

FEBRUARY 2, 2024

On Tuesday, January 16, 2024, Governor Kathy Hochul released the SFY 2025 New York State Executive Budget (“Executive Budget”). While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIPAA Journal

APRIL 4, 2025

Notification letters were mailed to the affected individuals on February 21, 2025. After an extensive forensic investigation and comprehensive document review, on March 21, 2025, we determined your personal data may have been subject to unauthorized access or acquisition, which occurred between November 4, 2023, and November 5, 2023.

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Hospitals Health Insurance HIPAA Licensing 68

Center for Health Insurance Reform

MAY 15, 2024

The Centers for Medicare & Medicaid Services have recently finalized rules and standards governing health plans and Marketplaces under the Affordable Care Act.

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Medicaid Medicaid Medicare Medicare 52

Healthcare Law Blog

APRIL 24, 2023

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

Medicaid 52

Medicaid Medicaid Compliance Health Insurance 52

Jane Sarashon

DECEMBER 13, 2021

We can turn now to the Global Wellness Institute’s latest forecast on the world market for wellness, which GWI expects will hit a $7 trillion market in 2025. Galen Growth identified in its latest report on digital health ecosystem trends at least 500 active private digital health ventures globally, nearly all mobile applications.

COVID-19 64

COVID-19 Public Health Governance Medicaid 64

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”). The Final Rule increases the rate for IPPS payments by 3.3% in FY 2024 but applies a 0.2%

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

HIPAA Journal

APRIL 27, 2025

The inflation multiplier for 2025 was set by the Office of Management and Budget (OMB) as 1.02598. Another increase is due to be applied on January 15, 2025, but will likely be applied much later. HIPAA Violation Cases 2025 Comprehensive Neurology Comprehensive Neurology is a small New York neurology practice.

HIPAA 85

HIPAA Ransomware Hospitals Compliance 85

American Medical Compliance

MARCH 13, 2025

With July 5, 2025, fast approaching, healthcare organizations must act now to ensure compliance. Get the Comprehensive Affordable Care Act and Americans with Disabilities Act Compliance Training Here Section 1557 Compliance: What Healthcare Providers Must Do by July 5, 2025 Who Needs to Comply? Click here.

Compliance 59

Compliance ACA Patient Satisfaction Medicare 59

Kaiser Health News

JULY 24, 2024

Health insurance agents who fraudulently enroll consumers in Affordable Care Act health plans could be subject to criminal charges — and civil penalties of $10,000 to $200,000 — under legislation introduced Wednesday by Sen. Ron Wyden (D-Ore.), chairman of the powerful Senate Finance Committee.

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ACA Health Insurance Patient Advocacy Fraud 134

Jane Sarashon

JULY 18, 2024

Following the BLS report on the CPI for June 2024, PwC published their new annual report from PwC titled Behind the Numbers 2025 tells us that commercial health care spending is expected to grow some 8.0% for Individual health plans — increasing from 7.5% for Group plans and 7.5% and 7.0%, respectively.

Doctors 59

Doctors Prescription Drug Pricing Hospitals Health Insurance 59

Healthcare IT Today

APRIL 24, 2023

“The work we are doing with dedicated healthcare organizations, who are committed to health equity, is what drives our team every day, and we are honored to receive this strategic investment from Cobalt Ventures.” McKinsey predicted that approximately $265 billion worth of healthcare services could shift into the home by 2025.

Medicaid 100

Medicaid Medicaid Health Insurance Telemedicine 100

Healthcare IT Today

JANUARY 5, 2024

Rick Dean, CEO at OncoHealth In 2023, Medicare Advantage (MA) health insurance companies began acting on and planning for massive changes to Part D coverage in response to the Inflation Reduction Act (IRA). They drastically improve providers’ and plans’ access to patients, resulting in better health outcomes.

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Nurses Medicare Medicare Medicaid 104

Health Populi

JULY 13, 2020

For health care, the data portrayed in the next chart will be concerning: the Medicare and Social Security Trust Funds are expected to hit “zero” (the X-access) by 2025 and just after 2030, respectively. National Health Expenditures are expected to consume 19.7% of the U.S.

COVID-19 110

COVID-19 Medicare Medicare Hospitals 110

Hall Render

JULY 8, 2024

On May 6, 2024, the Centers for Medicare and Medicaid Services (“CMS”) and the Office for Civil Rights of Health and Human Services (“HHS”) issued a final rule implementing Section 1557 of the Affordable Care Act (“Section 1557”) (the “Final Rule”). The Final Rule went into effect on July 5, 2024.

Health Insurance 40

Health Insurance Compliance Medicare Medicare 40

Healthcare IT Today

JANUARY 22, 2025

So as 2025 begins, let’s all strive to reduce disparities and promote health equity in underserved communities this year! Health Healthcare equity starts with financial equity. Today, when people spend their premium dollars on health insurance, they often lose control and transparency in their healthcare choices.

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Hospitals Health Insurance Medicaid Medicaid 78

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Additional Opportunities for Integration through State Medicaid Agency Contracts.

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Medicare Medicare COVID-19 Medicaid 98

Healthcare Law Blog

JANUARY 6, 2023

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. 20] The Act extends this 5% incentive through 2025. [21]. The Act provides for nearly $1.7

COVID-19 52

COVID-19 Medicaid Medicaid COVID-19 Vaccine 52

Kaiser Health News

AUGUST 12, 2022

The giant health care, climate, and tax bill expected to pass the House on Friday and be sent to the president for his signature won’t be as sweeping as the Democrats who wrote it had hoped, but it would help millions of Americans better afford their prescription drugs and health insurance. But this is a great deal.”

Medicare 95

Medicare Medicare Prescription Drug Pricing Governance 95

AIHC

AUGUST 13, 2024

It applies to health programs and activities that receive federal financial assistance, known as covered entities. Those covered by the rule may include hospitals, health clinics, health insurance issuers, state Medicaid agencies, community health centers, physicians’ practices, and home health care agencies.

Compliance 52

Compliance ACA Health Insurance Medicaid 52

Healthcare IT Today

JANUARY 9, 2025

As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! Check out the community’s predictions down below and be sure to follow along as we share more 2025 Health IT Predictions ! Deb Jones, Sr.

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Nurses Medicare Medicare Medicaid 94

Health Populi

DECEMBER 18, 2024

Nvidia could be a $5 trillion company in 2025, as could Amazon. But today we report out the latest data from the Centers for Medicare and Medicaid Services (CMS) that national health spending in America reached $4.9 The full report on national health expenditures (NHE) in the U.S. trillion in 2023. the previous year.

Medicare 62

Medicare Medicare Health Insurance COVID-19 62

Healthcare Law Blog

AUGUST 25, 2022

The IRA includes a three-year extension of enhanced financial assistance for people enrolled in health insurance through the marketplaces under the Affordable Care Act. Beginning in 2025, Part D beneficiaries’ out-of-pocket costs are capped at $2,000 (subject to annual adjustments). Catastrophic Phase Cost-Sharing.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Jane Sarashon

APRIL 11, 2025

With potential down-sizing of Medicaid on the short-term U.S. political horizon, a fascinating poll found that most people identifying as Republican would not favor cuts to Medicaid. The firm’s Bob Ward told POLITICO that, “Theres really not a political appetite out there to go after Medicaid to pay for tax cuts.

Medicaid 52

Medicaid Medicaid Health Insurance Nursing Homes 52

Hall Render

DECEMBER 20, 2024

operating margin in Q3 Ahead of anticipated AZ nursing shortage, NAU’s College of Nursing graduates first cohort IV fluid shortage still impacting southern Arizona hospitals Whos Who in Arizona Healthcare for 2025 ARKANSAS Arkansas hospital hit with immediate jeopardy warning amid leadership turmoil CHI St.

Nursing Homes 40

Nursing Homes Nurses Hospitals Fraud 40

Hall Render

MAY 13, 2022

US faces deficit of 450,000 nurses by 2025. Pennsylvania health department investigating mysterious hepatitis infections in children. Hospital association sues DHS over pro-union language in Medicaid contracts. Health care worker shortage, behavioral health resources top concerns for hospital execs in Pa.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

C&M Health Law

JANUARY 25, 2023

Acute Care Hospital at Home Program and Rural Health Section 4140 of the Act extends the Acute Hospital Care at Home program for two years, through December 31, 2024. Section 4111 of the Act extends incentive payments for alternative payment models for an additional year to calendar year 2025, at 3.5% as opposed to the current 5%.

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Medicaid Medicaid Medicare Medicare 104

Hall Render

DECEMBER 13, 2024

million loss, scraps 145 positions Health systems lock in acquisitions as year draws to a close Kaiser mental health workers’ strike leaves some patients struggling for care Kaiser Permanente Northern California rated highest for quality care MMCC Arranges $4.7M operating margin in Q3 JLL Arranges $13.4M 3 in the U.S.

US Department of Health and Human Services 40

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

Hall Render

MARCH 14, 2025

to UConn cardiology center UConn gene discovery moves closer to treating neuromuscular disease, holds promise for weight loss DC D.C. to UConn cardiology center UConn gene discovery moves closer to treating neuromuscular disease, holds promise for weight loss DC D.C.

Nurses 40

Nurses Nursing Homes Medicaid Medicaid 40

Hall Render

MAY 17, 2024

NATIONAL A deep dive into health system and health plan Q1 earnings Amazon building ‘modern pharmacy’ of the future: Medical Officer Breaking down the FTC noncompete ban, its impact on healthcare CISA, HHS warn healthcare of Black Basta ransomware attacks CMS extends Medicaid waivers to 2025 Could providers be liable in Change outage?

Nurses 40

Nurses Nursing Homes Hospitals Ransomware 40

Health Populi

DECEMBER 20, 2024

I generated four scenarios on health care consumers in 2030; the four alternative futures looked like this: As we enter 2025, my view for the next 1-3 years is that people in America feel like they live in the lower left matrix: where fragmentation meets bureaucracy, as health care castaways. Why The Rough Guide reference?

COVID-19 118

COVID-19 Health Insurance Medicare Medicare 118

Hall Render

JUNE 7, 2024

million bird flu shots to U.S. million bird flu shots to U.S.

US Department of Health and Human Services 40

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

Hall Render

AUGUST 9, 2024

million Mercy Iowa City Creditors Finally Getting Paid Northwest Iowa hospital, MercyOne in Primghar, to close next month Steindler Orthopedic opens clinic in Cedar Rapids Radiologist breaks ground on $250M health campus CSA opens new location as it seeks to retain workers, deliver services Iowa nursing homes owe taxpayers $10.7

US Department of Health and Human Services 40

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

Jane Sarashon

MARCH 6, 2025

I’ll review these studies in this post, and discuss several potential impacts we should keep in mind for peoples’ health and care in 2025 and beyond. You’ll read updates from Ipsos, West Health-Gallup, the University of Michigan, and finally the wonky (but very informative) Fed Beige Book from the Federal Reserve.

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Medical Billing Medicaid Medicaid Medicare 105

Hall Render

FEBRUARY 23, 2024

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history. What they say sets them apart.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

APRIL 12, 2024

California sell-off spree COLORADO CommonSpirit Health Names Market President for the Greater Denver Market Cyberattack on health care payments impacts local agency Denver ambulances aren’t meeting response-time goals. s health, hospital chief says Raising Ky.’s

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40