Hanys

JANUARY 20, 2023

26 Government relations update Feb. 9 ACA IRS reporting: What's new for 2022, 2023 reporting years Feb. HANYS standing membership call Jan. 24 HANYS fiscal policy update call Jan. 3 HANYS standing membership call on state and federal issues Feb. 7 Regional state budget briefing | Greater New York Hospital Association Feb.

ACA 40

ACA Governance Hospitals 40

Health Populi

JUNE 18, 2021

“The ACA expanded coverage to millions of poor and near-poor families between 2014 and 2016, and the obtaining of health insurance may have staved off financial ruin, perhaps. Nonetheless, the ACA has not been a panacea ridding Americans of the threat of medical bankruptcy and financial toxicity of health care costs borne by U.S.

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ACA Health Insurance Medicaid Medicaid 133

Hanys

JANUARY 27, 2023

Government relations update Feb. 9 ACA IRS reporting: What's new for 2022, 2023 reporting years Feb. 3 HANYS standing membership call on state and federal issues Feb. 7 Regional state budget briefing | Greater New York Hospital Association Feb. 15 Regional state budget briefing | Iroquois Healthcare Alliance Feb.

ACA 40

ACA Governance Hospitals 40

Healthcare IT News - Telehealth

JULY 9, 2020

"We’re deeply disappointed by the court’s ruling on the ACA contraceptive mandate. billion in co-payment savings during the first year the ACA was in effect. " "How the government rules, how coverage changes, that's between the government, insurers, and companies," he said.

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ACA Governance Health Insurance 191

Healthcare Law Blog

JANUARY 26, 2023

BACKGROUND The Proposed Rule is the latest in a long line of federal legislation and rulemakings governing the conscience rights of healthcare providers and entities. The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C.

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ACA Medicaid Medicaid Compliance 105

Bill of Health

FEBRUARY 10, 2023

Failing to anticipate litigation that challenges our efforts, such as with the ACA or the upcoming attempt to “codify Roe v. This replacement, “neoliberalism,” has as its central tenet that markets are, in all ways and at all times, superior to government in allocating societal resources.

Public Health 261

Public Health Health Care Reform ACA COVID-19 261

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. Healthcare compliance isn’t a new concept. Who started the first healthcare compliance program?

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Compliance Fraud Governance ACA 52

MedTrainer

APRIL 8, 2024

As a healthcare professional, it is vital to maintain compliance with the 629 legal and regulatory requirements that govern the delivery of quality care. Legal And Regulatory Requirements In Healthcare More than 620 legal and regulatory requirements govern how the healthcare industry ensures patient safety, privacy, and quality of care.

Compliance 52

Compliance Governance ACA HIPAA 52

Kaiser Health News

JANUARY 19, 2022

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. Under the ACA, sliding-scale subsidies are available to help low- and moderate-income people buy coverage.

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ACA Health Insurance Licensing Governance 72

MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. What is Healthcare Compliance?

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Kaiser Health News

MAY 31, 2022

The former generally incurs no cost to patients under the ACA; the latter can generate bills. Remind your provider that the government’s interpretation of the ACA requires that colonoscopies be regarded as a screening even if a polyp is removed.

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ACA Doctors Medical Billing Hospitals 106

Compliance Now

JUNE 27, 2022

In a 2020 decision, the Supreme Court ruled that an Arkansas state law regulating pharmacy benefit managers was not preempted by ERISA because it did not govern “a central matter of plan administration or interfere with nationally uniform plan administration.” failure to comply with the ACA, COBRA, HIPAA, etc.). Other Considerations.

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ACA HIPAA Governance Compliance 100

MedTrainer

JUNE 28, 2023

The primary goal of a Certified Fraud Examiner in healthcare is to safeguard the integrity of healthcare systems and protect patients, insurance providers, and government programs from financial losses due to fraudulent activities. Typically, that means looking at the five main Federal laws governing healthcare fraud : False Claims Act (FCA).

Fraud 52

Fraud Compliance Governance Compliance Officers 52

Health Populi

AUGUST 2, 2021

This gets to the affordability adjective, that first “A” in the acronym, “ACA.” ” Unaffordability to many patients-as-payors comes in the form of deductibles, and co-payments for care and medicines.

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Doctors COVID-19 Health Insurance ACA 129

Healthcare Law Today

JANUARY 2, 2023

of a case where the hospital is diligently working on the claims and it's on the sixty-first day and they're still scrambling to go through their spreadsheets, you know, the government wouldn't be bringing that kind of a claim.” For example, in a 2015 case, DOJ attorneys stated in a court conference, “[T]his is not a question.

Overpayments 52

Overpayments Overpayment ACA Medicare 52

Bill of Health

JANUARY 8, 2024

The combined risk of this sport’s violence and its growing popularity necessitated governance. Even without unions, if student athletes are employees, NCAA schools may face ACA employer insurance requirements. Protecting People Who Work In 1905, college football caused 149 serious injuries and 18 deaths.

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ACA Health Insurance Public Health Governance 111

MedTrainer

AUGUST 31, 2023

Healthcare compliance refers to the process of adhering to the laws, regulations, and ethical standards that govern the healthcare industry. Let’s delve into the world of compliance with answers to the most common compliance FAQs. What Is Healthcare Compliance? What Is HIPAA and How Does It Impact Healthcare Compliance?

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

Compliancy Group

JANUARY 3, 2024

When auditing claims, medical records, and financial documentation, it is essential to incorporate guidance based on the following questions: Are all codes for services and supplies correct?

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

Medisys Compliance

APRIL 25, 2023

In addition, you should ensure that the billing company is knowledgeable about and compliant with other relevant regulations, such as the Affordable Care Act (ACA) and the Medicare Access and CHIP Reauthorization Act (MACRA).

Regulatory Compliance 52

Regulatory Compliance Compliance Medical Billing Outsourcing ACA 52

Health Populi

MARCH 7, 2018

There’s an old saw that the US government is an insurance company with an army” quips @PaulKrugman @HIMSS #HIMSS18 #HX360 #Healthinsurance #Medicare #Healthcare #Healthcosts. Fastest growing jobs in US are in #healthcare says @paulkrugman at #hx360 @himss #himss18 #Healtheconomics is US are tightly integrated into overall American economy.

ACA 48

ACA Governance Nurses Medicare 48

Kaiser Health News

FEBRUARY 8, 2022

The federal government has penalized 764 hospitals — including more than three dozen it simultaneously rates as among the best in the country — for having the highest numbers of patient infections and potentially avoidable complications. Other hospitals declined to comment or did not respond to emails.

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Medicare Medicare Hospitals COVID-19 123

MedTrainer

MARCH 28, 2024

Establishes a governance structure, reviews compliance reports, and ensures the organization operates ethically and within legal boundaries. Cons: Limited focus on other aspects of compliance beyond their specific areas. Board of Directors Ultimately responsible for the organization’s compliance efforts.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Verisys

MARCH 24, 2022

Healthcare facilities receive billions of dollars in federal and state funding through the Affordable Care Act (ACA), Medicare, Medicaid, CHIP, and other programs. government can still impose fines for doing business with these companies, even if an organization’s non-compliance was not intentional. However, the U.S.

ACA 52

ACA Compliance Governance Medicaid 52

Healthcare IT Today

NOVEMBER 19, 2022

The digitization wave triggered by the HITECH Act and the ACA has yet to hit long-term care , John learned in his conversation with Bill Charnetski at PointClickCare. Read more… Regulators Need to Pay More Attention to Long-Term Care.

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ACA Medical Billing Hospitals HIPAA 86

MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Health Populi

FEBRUARY 18, 2020

Chartis found nine of these to be most important in predicting closure: average age of the plant, case mix index, government control status, percentage capital efficiency, percentage change total revenue, percentage occupancy, percentage outpatient revenue, system affiliation, and state-level Medicaid expansion status.

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Hospitals Medicaid Medicaid Health Care Reform 103

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. I look forward to all the brilliant minds in digital health and those whose lives have been affected by addiction to step forward and not wait for a government ‘fix’ to this problem.

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ACA Public Health Governance 60

Health Populi

APRIL 1, 2020

In Brand Trust and the Coronavirus Pandemic , Edelman focuses its trust lens on the pandemic and consumers’ shaken confidence in business and government institutions. will remember — and be scarred — by the Federal government’s poor response to and advance planning for the coronavirus pandemic.

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COVID-19 Doctors Nurses Governance 73

Healthcare Law Blog

MARCH 20, 2023

In light of the behavioral health shortage, and now that these crucial digital health resources have been established, the most looming priority for private and government payors is to address workforce limitations, which directly lead to accessibility limitations for mental health patients.

Medicaid 52

Medicaid Medicaid Licensing ACA 52

Health Populi

OCTOBER 7, 2020

“While many Americans have benefitted from government assistance during the pandemic, the money is quickly running out,” doxo observed in data about peoples’ receipt and use of CARES Act funding. Another 25% of Americans expect to be financially well sometime over the next 7 and 12 months.

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COVID-19 Public Health Health Insurance Health Care Access 141

Health Populi

FEBRUARY 7, 2020

Two of the biggest ones are the size of government and taxes. In yesterday’s Health Populi , I discussed the Bipartisan Policy Center’s modest proposal for health reform in America, which also seeks to bring us together via health policy. The gridlock comes at certain flashpoints, USA Today explains.

Nurses 88

Nurses Doctors Governance Hospitals 88

Kaiser Health News

JULY 6, 2022

Since late 2010, when this provision of the ACA took effect, many patients have paid nothing when they undergo routine mammograms, get one of more than a dozen vaccines, receive birth control, or are screened for other conditions, including diabetes, colon cancer, depression, and sexually transmitted diseases. The ACA does set parameters.

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ACA Medicare Medicare Medicaid 80

The Digital Health Corner

APRIL 28, 2017

I would add that the enactment (and some would say the design) of the ACA itself spurred payer consolidation. Payers are consolidating as well because of pressures to scale for clients across large geographical regions and to support costs of technology.

Hospitals 60

Hospitals ACA Patient Satisfaction Payment Systems 60

Health Populi

OCTOBER 22, 2019

This latter point was emphasized in the survey noting that 71% of Americans said that drug prices were too high; 78% of people agreed that the government should be permitted to negotiate/regulate prescription drug prices.

Prescription Drug Pricing 52

Prescription Drug Pricing Health Insurance Doctors Governance 52

Bill of Health

OCTOBER 6, 2022

Diagnostic discrimination resulting from a company policy would likely violate Section 1557 of the Affordable Care Act (ACA). The legal relationship between employees and employers is governed by agency law. Labcorp and Quest both receive federal funding for research.

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Medical Discrimination ACA Public Health Doctors 130

Health Populi

SEPTEMBER 17, 2020

Furthermore, some people in racial minority groups distrust the government and health care systems responsible for inequities in treatment, a sad legacy of the systemic racism in U.S. health care represented by, for example, the “ Tuskegee Study of Untreated Syphilis in the African American Male ” and the treatment of Henrietta Lacks.

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COVID-19 Health Insurance Public Health Health Care Access 62

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.

ACA 74

ACA Federal Policy Health Insurance Medicaid 74