Healthcare IT Today

DECEMBER 8, 2023

Also, regularly monitor any notifications from security agencies such as US-CERT, Defense Information Systems Agency (DISA), and Information Assurance Vulnerability Management (ACAS). Should this happen, however, you might want to read the best practices for recovering from an attack in this blog by St. James’s Hospital.

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Health Populi

OCTOBER 8, 2020

Back-posts can be found by typing “KFF employer health” in the search box at the top of the blog. Here are the past four years’ links for historical context and your reading pleasure… 2019 – “It’s the Deductible, Stupid” – Health Premiums Reach $20,576 for a Family.

Health Insurance 173

Health Insurance COVID-19 Telemedicine Public Health 173

American Medical Compliance

FEBRUARY 9, 2024

In this blog, we will explore the crucial role of compliance officers in healthcare organizations, shedding light on the challenges they face and the formidable responsibilities they shoulder. It is not just about following rules but about maintaining the highest standards of patient care and ethical behavior.

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The Health Law Firm

MARCH 5, 2021

Board Certified in Health Law This is part 2 of 3 in a blog series regarding Emotional Support Animals (ESA) support letters being prepared by counselors and therapists. The ACA has identified specific potential risks to animals, clients, the public, and counselors which everyone involved in this area of practice should be familiar with.

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Licensing ACA 40

Bill of Health

SEPTEMBER 21, 2024

One such effort is a recent suit challenging HHS rules under ACA section 1557 and its prohibition against discrimination in health care. The Affordable Care Act is always a target for litigation (roughly 2,000 lawsuits since 2010). HHS policies will no doubt be challenged under Loper Bright.

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FDA ACA Governance 124

The HIPAA Blog

SEPTEMBER 16, 2024

Offshore Outsourcing of Tech Services Can Be Problematic: A few weeks ago, HHS removed two Obamacare enrollment companies from accessing the ACA Marketplace based on concerns that the companies potentially allowed consumers' personal information to be accessed in India. privacy law does not

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ACA 45

Health Populi

FEBRUARY 5, 2020

That link will take you to my blog written on primary care ROI in November 2009 – and the math holds ten+ years later. And, that primary care is a social determinant of health, bolstering public and individual health.

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Patient Advocacy Health Insurance Doctors HIPAA 144

Hall Render

JANUARY 10, 2025

Background CMSs 60-Day Rule is a regulation under the Affordable Care Act (“ACA”) that requires health care providers and suppliers to report and return identified Medicare and Medicaid overpayments within 60 days of identifying them. Hall Render blog posts and articles are intended for informational purposes only.

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Overpayment Overpayments ACA Medicare 40

Healthcare Blog

NOVEMBER 9, 2023

The healthcare industry has extensive regulations, with laws such as the Health Insurance Portability and Accountability Act (HIPAA) and the Affordable Care Act (ACA) imposing stringent obligations on providers.

Compliance 98

Compliance Compliance Officers ACA Patient Satisfaction 98

Medisys Compliance

NOVEMBER 6, 2023

This blog will provide a comprehensive orthopedic billing compliance checklist that healthcare providers can use to verify that their billing practices are compliant with all applicable laws and regulations. Stay up-to-date on all changes to regulatory requirements. Staying compliant with evolving regulations is critical.

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Compliance Medical Billing Outsourcing Medical Billing ACA 59

Compliancy Group

MARCH 19, 2024

In this blog, we’ll outline the fundamentals and importance of regulatory compliance in healthcare in the U.S. Regulatory compliance in healthcare ensures quality care for patients. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. What Does Regulatory Compliance in Healthcare Involve?

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Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

Center for Health Insurance Reform

JUNE 10, 2024

In a new post for the Commonwealth Fund's To The Point blog, CHIR's Jalisa Clark and Christine H. Monahan describe how Washington and California's quality programs are focusing on equity and highlight opportunities for other state-based marketplaces to similarly strengthen their own quality programs.

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ACA Health Insurance 52

Hall Render

APRIL 9, 2024

New York-based principal investment firm Garnett Station Partners has launched Accident Care Alliance (“ACA”), a specialized platform that provides holistic care for individuals injured in automobile accidents. Hall Render blog posts and articles are intended for informational purposes only.

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ACA Hospitals 40

Bill of Health

AUGUST 29, 2023

Currently, with no statutory right for time off work for fertility treatment, ACAS guidance advises UK employers to treat time off for IVF treatment as any other medical appointment.

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ACA Licensing 130

Health Populi

MARCH 15, 2018

Consumers who use more primary care can lower healthcare costs, as this blog in Health Affairs pointed out this week. Move care to the home via telehealth, enabled through net-neutral broadband, can help if we treat connectivity as a social determinant/public utility the way public health looks at clean air and clean water.

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Doctors Hospitals Public Health ACA 85

YouCompli

AUGUST 9, 2023

For example, there should be a policy and process to enroll patients in insurance plans, such as Medicaid or Affordable Care Act (ACA) health plans.

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Compliance COVID-19 ACA Fraud 52

MedTrainer

MAY 10, 2024

This process is vital for enhancing the accessibility and affordability of mental health services, aligning with the comprehensive healthcare coverage expansions under the Affordable Care Act ( ACA ).

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Licensing ACA Medicare Medicare 52

MedTrainer

MARCH 28, 2024

In this blog, we’ll outline the many roles that impact healthcare compliance , the pros and cons of each role’s management responsibilities, and what each is accountable for in concert with the others. But that’s only one aspect of this complex – and sometimes confusing – process.

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Compliance Compliance Officers Licensing Regulatory Compliance 52

Healthcare Law Blog

MARCH 20, 2023

Please refer to our blog for more information on the proposed rule. For example, an overwhelming sixty percent (60%) of recently-surveyed licensed psychologists reported having no openings for new patients, with many having a volume of patient requests that outweighs their ability to even maintain a waitlist. [1]

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Medicaid Medicaid Licensing ACA 52

MedTrainer

JANUARY 12, 2024

Affordable Care Act (2010): The ACA introduced the concept of value-based care, emphasizing quality and patient outcomes over quantity of services. Compliance efforts expanded to encompass EHR security. Compliance evolved to include performance reporting and quality metrics.

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Compliance HIPAA Telemedicine ACA 52

C&M Health Law

FEBRUARY 11, 2022

And for more information, contact the blog authors or your regular Crowell & Moring contact. For a more detailed breakdown of the Tri-agencies’ report findings, read Crowell’s 2022 MHPAEA Annual Report Client Alert.

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Compliance Health Insurance Health Care Reform ACA 52

Physician Credentialing Company

MAY 16, 2024

These laws include HIPAA (Health Insurance Portability and Accountability Act), which mandates the protection of patient health information, and the Affordable Care Act (ACA), which introduces numerous healthcare reforms affecting MSOs.

Compliance 52

Compliance ACA Health Insurance Hospitals 52

MedTrainer

JANUARY 26, 2024

In addition to HIPAA, healthcare providers may also be subject to other federal and state regulations, such as the Affordable Care Act (ACA), which includes provisions related to healthcare reimbursement and quality reporting, and state-specific regulations governing healthcare practices.

HIPAA 52

HIPAA Compliance ACA Health Insurance 52

Healthcare Blog

NOVEMBER 9, 2023

The healthcare industry has extensive regulations, with laws such as the Health Insurance Portability and Accountability Act (HIPAA) and the Affordable Care Act (ACA) imposing stringent obligations on providers.

Compliance 52

Compliance Compliance Officers ACA Patient Satisfaction 52

Health Populi

OCTOBER 22, 2019

That was the theme that started the first Health Populi blog post in 2007. Money, the economy, health care costs — these three stressors are bound up together in the American’s personal and household health economy.

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Prescription Drug Pricing Health Insurance Doctors Governance 54

MedTrainer

JANUARY 31, 2024

The introduction of laws like the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Modernization Act have added layers of complexity to healthcare compliance.

Compliance 52

Compliance Fraud Governance ACA 52

MedTrainer

APRIL 8, 2024

Affordable Care Act (ACA): Ensures access to affordable healthcare and prevents fraud and abuse. These requirements include but are not limited to: Health Insurance Portability and Accountability Act (HIPAA): Protects the privacy and security of patients’ health information.

Compliance 52

Compliance Governance ACA HIPAA 52

MedTrainer

AUGUST 31, 2023

Some common healthcare compliance regulations include the Health Insurance Portability and Accountability Act (HIPAA) for patient privacy, Stark Law for physician referrals, Anti-Kickback Statute for healthcare fraud and abuse, and the Affordable Care Act (ACA) for various provisions related to healthcare organizations and insurance providers.

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Compliance Compliance Officers HIPAA Fraud 52

MedTrainer

AUGUST 2, 2023

They evaluate whether healthcare organizations comply with laws such as the Health Insurance Portability and Accountability Act (HIPAA) , the Affordable Care Act (ACA), and other industry-specific regulations. Examples of Internal Audits Compliance Audits Compliance audits aim to ensure adherence to legal and regulatory standards.

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Compliance ACA Medicaid Medicaid 52

YouCompli

JANUARY 19, 2022

Disclaimer: The opinions expressed in this article or blog are the author’s and do not represent the opinions of DMG. Read more about our regulatory monitoring process or schedule a demo. Denise Atwood, RN, JD, CPHRM District Medical Group (DMG), Inc., Chief Risk Officer and Denise Atwood, PLLC. Request a demo of the YouCompli solution.

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Healthcare Law Blog

JANUARY 11, 2024

Recall the 2014 blockbuster article by Atul Gawande during the ACA adoption that pointed out the broad range of variability in practices and pricing among McAllen, Texas physicians. The combination of the app technology and the personal support from the coaches can address physician concerns and reduce inappropriate variability.

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Nurses Hospitals ACA Patient Satisfaction 52

Healthcare Law Blog

DECEMBER 15, 2022

The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule , “Advancing Interoperability and Improving Prior Authorization Processes” (the “Proposed Rule”), that is intended to improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services.

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Medicaid Medicaid Medicare Medicare 52

VW Health Care Law Blog

JULY 8, 2019

A new option exists for employers when it comes to paying for employee health care coverage. On June 13th, the U.S. Departments of the Treasury, Labor, and Health and Human Services (the Departments) issued a final rule allowing employers to use pretax dollars to subsidize employee premiums in the individual health insurance market.

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Health Insurance ACA 40

Center for Health Insurance Reform

JANUARY 20, 2022

The federal government has taken a series of actions to strengthen the Affordable Care Act (ACA) and Medicaid, and the Biden administration has announced its intent to do more in this arena.

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ACA Federal Policy Health Insurance Medicaid 98

Center for Health Insurance Reform

MARCH 1, 2024

In November, the Biden administration released the proposed Notice of Benefits and Payment Parameters for plan year 2025, an annual rule setting standards for the Affordable Care Act (ACA) Marketplaces and health insurers.

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ACA Health Insurance 98

The Digital Health Corner

JANUARY 19, 2017

The classification of substance abuse as a chronic condition by the ACA has implications with regards to digital health. This is, as readers of this blog know well, a topic for other discussions. Studies of TES and CBT4CBT on outcomes and other endpoints are favorable. It has spawned interest in telehealth as a treatment tool.

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ACA Public Health Governance 60

VW Health Care Law Blog

OCTOBER 26, 2016

The Patient Protection and Affordable Care Act (ACA) prohibits health care entities from discriminating on the basis of race, color, national origin, sex, age, or disability.

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