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The Essential Components of an Effective Healthcare Compliance Program

Healthcare Blog

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.

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Healthcare Consolidation: Opportunities for Digital Health Technology

The Digital Health Corner

I would add that the enactment (and some would say the design) of the ACA itself spurred payer consolidation. The patient’s clinical experience will be a significant priority in planning the logistics and final outcome of a consolidation plan. Marketers of the new entity will refocus on patient satisfaction.

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Day 3 Notes from the 42nd Annual J.P. Morgan Healthcare Conference

Healthcare Law Blog

Moving Down the Pyramid Beneath the at-home segment, there’s the high risk member segment that often is best treated in a longer visit in a primary care or multispecialty clinic with higher frequency of visits (best practices are at least once per month for relatively stable high risk polychronic patients).

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The Role of Qualified Medical Interpreters in Achieving Section 1557 Healthcare Compliance

HIT Consultant

Section 1557, known as the “Health Care Rights Law,” is the main nondiscrimination provision of the Affordable Care Act (ACA). Part of this landmark regulation asserts that language barriers must not hinder patients’ access to quality care. Carla Fogaren R.N.,

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KHN’s ‘What the Health?’: Finally Fixing the ‘Family Glitch’

Kaiser Health News

Among the takeaways from this week’s episode: The “family glitch” arose because under ACA rules, people offered insurance through their workplace generally don’t qualify for subsidies if they instead purchase a policy on the marketplace — unless their work insurance is deemed unaffordable.

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Health Care and the Democratic Debates – Round 2 – Battle Royale for M4All vs Medicare for All Who Want It – What It Means for Industry

Health Populi

And note that Medicare Advantage plans differ from traditional Medicare in providing social supports and services that many people on the plan value — and that make a difference in outcomes, health engagement, and patient satisfaction.