Health Populi

AUGUST 2, 2021

Health Populi’s Hot Points: While having health insurance is better than being uninsured, people in the U.S. A recent Gallup/West Health poll, published in June, found that 1 in 2 people with workplace health insurance were worried about that health event leading to bankruptcy, shown in the bar chart from the study.

Doctors 129

Doctors COVID-19 Health Insurance ACA 129

Healthcare IT News - Telehealth

JULY 9, 2020

But they stress the importance of patients being able to make their own reproductive decisions – and fear that the judgment will make it harder for patients, especially those who rely on insurance, to get birth control. "We’re deeply disappointed by the court’s ruling on the ACA contraceptive mandate.

ACA 198

ACA Governance Health Insurance 198

MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. What is Healthcare Compliance?

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Bill of Health

JANUARY 8, 2024

The combined risk of this sport’s violence and its growing popularity necessitated governance. An important aspect of this “ Economic Stabilization ” order was allowing businesses to use health insurance as a way to compete for employees. By 1906, the Intercollegiate Athletic Association of the United States (IAAUS) was born.

ACA 111

ACA Health Insurance Public Health Governance 111

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?

Compliance 52

Compliance Fraud Governance ACA 52

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.

ACA 105

ACA Medicaid Medicaid Compliance 105

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

Compliancy Group

JANUARY 3, 2024

Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices. 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

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. Health Insurance Portability and Accountability Act (HIPAA). Anti-Kickback Statute (AKS).

Fraud 52

Fraud Compliance Governance Compliance Officers 52

MedTrainer

AUGUST 31, 2023

Healthcare compliance refers to the process of adhering to the laws, regulations, and ethical standards that govern the healthcare industry. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law in the United States that protects patients’ health information, and ensures its confidentiality and availability.

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

Medisys Compliance

APRIL 25, 2023

It is crucial to verify that the billing company is adhering to industry standards, such as HIPAA (Health Insurance Portability and Accountability Act) regulations, which protect patients’ medical information.

Regulatory Compliance 52

Regulatory Compliance Compliance Medical Billing Outsourcing ACA 52

Health Populi

OCTOBER 7, 2020

Nearly 8 million workers losing jobs also losing their employer-sponsored health insurance, discussed in this research from The Commonwealth Fund. The threat of a repeal of the Affordable Care Act during the public health crisis. The COVID-19 pandemic in America has combined with: A national economic recession and job losses.

COVID-19 141

COVID-19 Public Health Health Insurance Health Care Access 141

MedTrainer

MARCH 28, 2024

Establishes a governance structure, reviews compliance reports, and ensures the organization operates ethically and within legal boundaries. Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. Cons: Limited focus on other aspects of compliance beyond their specific areas.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Health Populi

OCTOBER 22, 2019

Punctuating the issue of costs, being able to pay for health care tops Americans’ list of the most important characteristic in the health care system — above being seen by a doctor in a timely matter/not long wait, sufficient time to spend with a doctor, access to specialists, prevention, and a choice of health plans.

Prescription Drug Pricing 52

Prescription Drug Pricing Health Insurance Doctors Governance 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. The post Tweets at Lunch with Paul Krugman – Health IT Meets Economics appeared first on HealthPopuli.com. More #nurses than #miners #healthcosts.

ACA 48

ACA Governance Nurses Medicare 48

Healthcare Law Blog

MARCH 20, 2023

1] In addition to the challenges presented by provider shortages, even when patients are able to locate an available mental health provider, many are hesitant to engage in treatment due to cost uncertainties, which often arise due to limited availability for in-network care and the subsequent need to seek out-of-network care. [2]

Medicaid 52

Medicaid Medicaid Licensing ACA 52

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

Kaiser Health News

JULY 6, 2022

. “There are still some gaps that need to be filled,” said Katie Keith, a researcher at the Center on Health Insurance Reforms at Georgetown University. Your insurance matters. The ACA does set parameters. As the ACA went into effect, trouble spots emerged. Here are five other things to know: 1.

ACA 80

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

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

MedTrainer

JANUARY 26, 2024

healthcare providers – health systems, hospitals and post-acute care facilities – must comply with 629 discrete regulatory requirements across nine domains. At the top of the list is the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA 52

HIPAA Compliance ACA Health Insurance 52

Health Populi

MAY 6, 2018

.” At the time, this was one of the world’s biggest public-sector financed health plan. Over time, America’s approach to health care provision fragmented by plan sponsor, whether U.S.

Medicaid 54

Medicaid Medicaid Medicare Medicare 54

MedTrainer

AUGUST 2, 2023

Federal Government Audits These audits are performed by government agencies such as the Centers for Medicare and Medicaid Services (CMS). They review healthcare claims and billing practices to ensure accuracy, detect fraud or abuse, and assess compliance with the payer’s policies and guidelines.

Compliance 52

Compliance ACA Medicaid Medicaid 52

Healthcare Law Blog

APRIL 6, 2022

The new state plan option allows state Medicaid and Children’s Health Insurance Program (“CHIP”) agencies to provide 12 months of continuous postpartum coverage, regardless of any changes in circumstances, through a state plan amendment (“SPA”). This option is available for five years and ends on March 31, 2027.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Health Populi

AUGUST 16, 2019

Co-pay accumulators are being discussed across health plan types, including government-sponsored plans like Medicare along with commercial health insurance programs. Federal government Blueprint for reducing prescription drug costs. Across party identification, U.S. Much now depends on the U.S.

Governance 74

Governance Health Care Reform FDA ACA 74

Hall Render

AUGUST 19, 2022

Connecticut ditches $20M health information exchange software. Two Health Insurers Grilled for Proposing Rate Increases of 20 and 25 Percent. HCA Florida Fort Walton-Destin Hospital, Okaloosa school district to build health academy. Two Georgia health systems to receive $300M in federal funds. From CIO to CEO?

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

MAY 2, 2023

Guidance from the DOL reminds group health plans and health insurance issuers are required to notify in advance their participants, beneficiaries, and/or enrollees of reductions in benefits, which could include changes in coverage of COVID-19 diagnosis and treatment, including testing.

Public Health 40

Public Health COVID-19 COVID-19 Vaccine ACA 40

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 72

Governance ACA 72

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. Louis-based health system to form Michigan joint venture Mercy opens ‘high-tech’ multispecialty center, ASC in St.

US Department of Health and Human Services 40

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

Health Populi

MARCH 13, 2019

The authors note that “consumer-driven” health care is, “associated with neoliberal efforts to emphasize market factors in health reform,” de-emphasizing government regulation and financing. This concept can be potentially harmful, they believe, assuming that health care is a traditional market.

ACA 102

ACA Health Insurance Bioethics Prescription Drug Pricing 102

Healthcare Law Blog

MAY 17, 2022

The 2023 NBPP final rule makes regulatory changes in the individual and small group health insurance markets and establishes requirements for the 2023 benefit year. Clayton County. This provision was strongly supported by various stakeholders.

ACA 52

ACA Health Insurance Medicaid Medicaid 52

Health Populi

FEBRUARY 4, 2018

Health care ranks highest among working Americans as the top critical issue facing the country, well above terrorism, the role of the Federal government, unemployment and jobs, education, immigration and taxes. healthcare is based largely on cost: one-half of workers experienced an increase in health care costs in the past year.

Medicare 56

Medicare Medicare Health Insurance Doctors 56

Health Populi

MAY 14, 2018

Seniors and government programs over-paying for drugs. High and rising out-of-pocket costs for health consumers. Foreign governments’ “free-riding” Americans’ investment in innovation. health consumers/voters want to see, shown in the second graph.

Prescription Drug Pricing 48

Prescription Drug Pricing Governance ACA Medicare 48

Health Law Gurus

DECEMBER 19, 2018

Created as a response to the President’s October 12 th executive order on health care, the report criticizes laws and regulations that govern the health care industry and describes how they stifle competition, and as a result, lead to ever-growing health care spending.

Nurses 52

Nurses Licensing Hospitals Health Insurance 52

Hall Render

JANUARY 27, 2023

to revisit whether to set limits for numbers of patients assigned to a nurse Tufts spent $70M on EHR install Wait times for long-term psychiatric care span months for some patients Health care leaders applaud appointment of Kate Walsh as Massachusetts health secretary As ER waits stretch for days, Mass.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Kaiser Health News

JANUARY 27, 2022

million Americans have signed up for health insurance under the Affordable Care Act for 2022. But many millions of those newly insured could face significantly higher premiums for 2023 unless Congress extends the temporary subsidies it passed last year. The Biden administration announced that 14.5 Patty Murray (D-Wash.)

ACA 71

ACA COVID-19 Public Health Governance 71

Health Populi

MARCH 15, 2021

household budgets have been particularly hard-hit in paying off credit cards and bills (23%), paying for food (17%), falling behind paying rent or mortgage (16%), affording health insurance coverage (16%), and paying for medical bills (16%). While Republicans inside Congress may want to block building on the ACA, most of the U.S.

COVID-19 112

COVID-19 Health Insurance ACA Medicaid 112