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 ). Credentialing confirms the providers’ eligibility to bill for services under government and accreditation regulations. Effective Jan.

Licensing 52

Licensing ACA Medicare Medicare 52

Health Populi

AUGUST 2, 2021

This has raised the importance of price transparency, which is based on the hypothesis that if patients had access to personally-relevant price/cost information from doctors and hospitals for medical services, and pharmacies and PBMs for prescription drugs, the patient would behave as a consumer and shop around.

Doctors 129

Doctors COVID-19 Health Insurance ACA 129

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

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.” ” United States ex rel. Healthfirst, Inc. ,

Overpayments 52

Overpayments Overpayment ACA Medicare 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. 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

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. Hospitals that struggle to manage capacity and staffing risk bottlenecks , which hinder access to care and negatively impact patient outcomes.

ACA 84

ACA Medical Billing Hospitals HIPAA 84

Compliancy Group

JANUARY 3, 2024

This mistake resulted in millions of dollars in lost revenue for hospitals. 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

The Digital Health Corner

APRIL 28, 2017

ACOs require scaling which small hospitals cannot provide. The costs for EHR and other technology acquisition and maintenance are too costly for smaller hospitals, and pressures of decreased payment rates are increasing on the provider side. Younger physicians prefer associations with larger enterprises.

Hospitals 60

Hospitals ACA Patient Satisfaction Payment Systems 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.

COVID-19 73

COVID-19 Doctors Nurses Governance 73

Health Populi

FEBRUARY 7, 2020

Making sure all communities have access to enough doctors and hospitals, among other highly valued health care and health system goals. Two of the biggest ones are the size of government and taxes. Making sure people with preexisting conditions can get affordable insurance. Covering long-term care for the elderly and disabled.

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.

ACA 80

ACA Medicare Medicare Medicaid 80

MedTrainer

JANUARY 26, 2024

healthcare providers – health systems, hospitals and post-acute care facilities – must comply with 629 discrete regulatory requirements across nine domains. What compliance regulation most directly affects the operations of a healthcare provider?

HIPAA 52

HIPAA Compliance ACA Health Insurance 52

Hall Render

AUGUST 19, 2022

Ambulatory surgery centers compete with hospitals for outpatient dollars. CDC to regain control of hospital pandemic data despite criticism. FTC tells states to avoid shielding hospital mergers from antitrust enforcement. Huntsville Hospital received $2 million in pandemic aid despite reporting $40 million in expenses.

COVID-19 40

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

Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? What happens if it disappears?

US Department of Health and Human Services 40

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

Health Populi

AUGUST 16, 2019

Examples of these in the current news cycle are Zolgensma, which is priced about $2 million to treat spinal muscular atrophy, and CAR-T therapy which can run as high as $1 million all-in for the treatment and hospital service costs for the patient. Federal government Blueprint for reducing prescription drug costs.

Governance 74

Governance Health Care Reform FDA ACA 74

Hall Render

OCTOBER 27, 2023

Ransomware attacks against hospitals put patients’ lives at risk, researchers say States, FTC continue to target noncompetes: 3 updates The best hospital in each state, per Newsweek What to know about Stark law’s $9.2M

US Department of Health and Human Services 40

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

Hall Render

NOVEMBER 27, 2023

11 Plan To Slash $1.5B 11 Plan To Slash $1.5B 11 Plan To Slash $1.5B

US Department of Health and Human Services 40

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

Healthcare Law Blog

APRIL 27, 2022

Bolstering its position on advancing health equity and reducing maternal mortality, CMS issued a proposed rule for inpatient and long-term hospitals. so that hospital’s can appropriately respond and treat patients more holistically. 1] Advancing Equity and Racial Justice Through the Federal Government | The White House. [2]

Governance 52

Governance ACA Hospitals Health Outcomes 52

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

Hall Render

JANUARY 27, 2023

NATIONAL Amazon launches $5-a-month unlimited prescription plan CMS begins publicizing disputed nursing home deficiencies CMS Readies Nursing Home Staffing Mandate Proposal, Reviews Study Recommendations Healthcare workers are unhappy with their pay Kroger Health launches clinical trial site network Local anesthetic drug supply: 132 in shortage, 13 (..)

US Department of Health and Human Services 40

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

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

FEBRUARY 4, 2022

11% of US hospitals critically understaffed, 21% anticipate shortages: Numbers by state. Are hospitals getting more aggressive against private practices? CMS cuts payments to 764 hospitals over patient complications. Hospitals urge Biden, Becerra to extend emergency declarations as hospitalizations reach pandemic highs.

COVID-19 40

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

Health Populi

MARCH 15, 2021

But that won’t mean Americans will be ready to return to pre-pandemic health care visits to hospital and doctor’s offices. That is Restoring Consumer Confidence from BDO sponsored by the American Hospital Association, which explores patients’ experience coming out of the COVID-19 pandemic. electorate is in favor.

COVID-19 112

COVID-19 Health Insurance ACA Medicaid 112

Kaiser Health News

DECEMBER 6, 2023

The Biden administration plans to push states to boost oversight of the number of doctors, hospitals, and other health providers insurers cover in Obamacare plans, under rules proposed in November. The rules also set additional guardrails on the growing number of states that have chosen to run their own ACA marketplaces.

Doctors 91

Doctors ACA Hospitals Health Insurance 91

CMS.gov

NOVEMBER 2, 2018

Just another name for a government-run, single payer system. Just another name for a government-run, single payer system. As head of the agency that serves over 58 million Medicare beneficiaries, I deal first-hand with the challenges of government run healthcare. It is certainly not because the ACA has worked. billion.

Governance 55

Governance Medicare Medicare ACA 55

Health Populi

MARCH 27, 2019

Because the United States is not urging that any portion of the district court’s judgment be reversed, the government intends to file a brief on the appellees’ schedule.” It’s not so obvious to some public policymakers or voters who have chosen to erode the Affordable Care Act (ACA). ” Texas v.

Health Insurance 93

Health Insurance ACA Governance Medicare 93

Hall Render

MAY 12, 2023

NATIONAL 4 Healthcare Design And Construction Trends To Watch AHA urges court to preserve ACA preventive services requirement pending appeal AI may pose ‘existential threat,’ physicians warn in BMJ Biden’s nursing home staff mandates expected soon CareFirst, Noom program aims to ‘retrain’ the brain of members with obesity, (..)

COVID-19 40

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

HIT Consultant

OCTOBER 10, 2023

Section 1557, known as the “Health Care Rights Law,” is the main nondiscrimination provision of the Affordable Care Act (ACA). Carla is known nationally as a pioneer in the field of medical interpreting as well as a national consultant on language access, health disparities, disabilities, and regulatory requirements for hospitals.

Compliance 111

Compliance ADA Informed Consent ACA 111

Health Populi

JUNE 28, 2018

Most voters across party have told previous KFF polls they believe in more government regulation or intervention on drug costs. ” For over a year, the KFF polls have tracked that one-half of voters are in favor of the ACA. ” For over a year, the KFF polls have tracked that one-half of voters are in favor of the ACA.

Prescription Drug Pricing 74

Prescription Drug Pricing ACA Health Insurance Governance 74

Health Populi

JUNE 27, 2019

” He asked the ten debaters to raise their hands to answer the question: “Who would abolish and do a government-run plan?” ” DeBlasio chimed in saying that private insurance isn’t working well for anyone, which drives his believe in a single payer government run system.

Medicare 85

Medicare Medicare Health Insurance Public Health 85

Kaiser Health News

JANUARY 6, 2022

Kristi Noem, a Republican, strongly opposes Medicaid expansion, even though the federal government picks up most of the cost. Most states accepted the Medicaid expansion quickly after the ACA was implemented in 2014. South Dakota Gov. “Medicaid expansion will be an economic driver for South Dakota,” he said.

Medicaid 121

Medicaid Medicaid ACA Governance 121

Health Populi

NOVEMBER 4, 2019

Americans are roughly split — and/or equally confused — about the differences between three major health reform approaches: Medicare -for-All, improving the existing Affordable Care Act, or replacing the ACA with state-run health plans. The split across U.S. voters was 32%, 28% and 29% respectively.

ACA 52

ACA Health Care Reform Medicare Medicare 52

Health Populi

MAY 10, 2018

But actually, “it’s the prices, stupid” across the entire healthcare system that plague, ultimately, the patient-as-payor including but not limited to insurance premium costs, hospital and physician bills, and to be sure, prescription drugs. health citizen is covered by health insurance.

Health Insurance 72

Health Insurance Prescription Drug Pricing Medical Billing Governance 72

Kaiser Health News

MARCH 24, 2022

But HuffPost’s Jonathan Cohn points out that key provisions could still face disruption in the coming year, including significant premium subsidies that Democrats added to the ACA in 2021. If that migration continues over the long term, the loss of healthy individuals from the ACA plans could undermine the risk pools for those insurers.

ACA 59

ACA Health Insurance Governance Doctors 59

Health Populi

MARCH 5, 2020

Trust is the top driver that underpins health engagement, and trust has in fact eroded between publics and government agencies around the world — no more so than in the U.S. except for a handful of other countries polled each year in the Edelman Trust Barometer.

Public Health 108

Public Health COVID-19 Public Health Professionals Health Insurance 108

Kaiser Health News

JANUARY 12, 2023

Indeed, one of the first orders of business in the new Congress was the re-establishment of a committee on the covid pandemic with a new focus on investigating the origins of the virus and the government’s response to it. I Will Always Protect His Legacy. What are we expecting out of that? That’s not true.

US Department of Health and Human Services 52

US Department of Health and Human Services FDA Medicare Medicare 52

Health Populi

JUNE 28, 2019

Sanders, noting his call for big new government benefits like universal health care through Medicare for All and free college tuition. Senator Harris, too, mentioned government benefits like free college and Medicare for All as her health plan preference. Lester Holt began with Sen. “We don’t have a health care system in the U.S.

Medicare 70

Medicare Medicare Health Insurance Governance 70