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. This presents opportunities for creating patient “stickiness.” Consolidation in the era of value-based payment models presents opportunities for improvement of care. Clinical applications. Value based payment models.

Hospitals 60

Hospitals ACA Patient Satisfaction Payment Systems 60

Health Blawg

SEPTEMBER 17, 2018

” At present, the percentage of overall revenue attributable to value-based contracts in most organizations is not significant enough to motivate institution-wide behavior with direction from the C-suite. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

ACA 60

ACA Telemedicine Hospitals 60

Health Blawg

SEPTEMBER 17, 2018

” At present, the percentage of overall revenue attributable to value-based contracts in most organizations is not significant enough to motivate institution-wide behavior with direction from the C-suite. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

ACA 60

ACA Telemedicine Hospitals 60

Med-Net Compliance

NOVEMBER 8, 2022

However, each of the outlined methods resulted in errors when tested, resulting in the OIG being unable to verify the accuracy of presented reports. When questioned about the process, the nursing home managers outlined the facility’s multiple methods to register hours spent with clients.

Nursing Homes 59

Nursing Homes Nurses US Department of Health and Human Services Licensing 59

Health Blawg

SEPTEMBER 17, 2018

” At present, the percentage of overall revenue attributable to value-based contracts in most organizations is not significant enough to motivate institution-wide behavior with direction from the C-suite. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

ACA 60

ACA Telemedicine Hospitals Doctors 60

Health Blawg

SEPTEMBER 17, 2018

” At present, the percentage of overall revenue attributable to value-based contracts in most organizations is not significant enough to motivate institution-wide behavior with direction from the C-suite. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

ACA 60

ACA Telemedicine Hospitals Doctors 60

Health Blawg

SEPTEMBER 17, 2018

” At present, the percentage of overall revenue attributable to value-based contracts in most organizations is not significant enough to motivate institution-wide behavior with direction from the C-suite. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

ACA 60

ACA Telemedicine Hospitals 60

Health Blawg

SEPTEMBER 17, 2018

” At present, the percentage of overall revenue attributable to value-based contracts in most organizations is not significant enough to motivate institution-wide behavior with direction from the C-suite. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

ACA 60

ACA Telemedicine Hospitals 60

Health Blawg

SEPTEMBER 17, 2018

” At present, the percentage of overall revenue attributable to value-based contracts in most organizations is not significant enough to motivate institution-wide behavior with direction from the C-suite. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

ACA 60

ACA Telemedicine Hospitals 60

Health Blawg

SEPTEMBER 17, 2018

” At present, the percentage of overall revenue attributable to value-based contracts in most organizations is not significant enough to motivate institution-wide behavior with direction from the C-suite. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

ACA 60

ACA Telemedicine Hospitals 60

Health Blawg

SEPTEMBER 17, 2018

” At present, the percentage of overall revenue attributable to value-based contracts in most organizations is not significant enough to be motivating institution-wide behavior with direction from the C-suite. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

ACA 60

ACA Telemedicine Hospitals 60

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

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

Health Populi

MARCH 4, 2021

The chart presents the story of Gen Z young adults’ responses to health care in the pandemic as of October 2020, showing that two-thirds of Gen Z’ers changed how they sought medical care due to the state of the economy (compared with one-half of the overall U.S. population).

COVID-19 71

COVID-19 Health Insurance Patient Advocacy Public Health 71

Health Populi

SEPTEMBER 5, 2018

The second chart presents these data, published in this week’s Kaiser Family Foundation Health Tracking Poll, dated late Summer 2018. At this moment in U.S. health politics, many more women are concerned about losing health insurance coverage and paying more for that coverage.

Health Insurance 63

Health Insurance Medical Billing Medicaid Medicaid 63

Healthcare Law Blog

JANUARY 11, 2024

But my mind, being chock-full of value-based care presentations, quickly imagines the building as the shining pyramid of patient segmentation and risk stratification, envisioning the proper way to sort patients for effective intervention and total cost of care reduction. Francis on Day 3 of the 42 nd Annual J.P.

Nurses 52

Nurses Hospitals ACA Patient Satisfaction 52

C&M Health Law

NOVEMBER 25, 2020

OIG defined speaker programs as drug or device “company-sponsored events at which a [outside] physician or other health care professional (collectively, “HCP”) makes a speech or presentation to other [outside] HCPs about a drug or device product or a disease state on behalf of the company” using a presentation developed and approved by the company.

Fraud 40

Fraud COVID-19 Health Care Reform ACA 40

Health Blawg

APRIL 8, 2018

How do we integrate lessons from the past and present? In addition to thinking about DPC, we should also be thinking about reimagining the structure of group health insurance benefit programs (see: Health Rosetta). We also need to be thinking about the payment methodologies we use for different health care providers.

Health Insurance 60

Health Insurance Health Care Lawyers ACA Payment Systems 60

Health Blawg

APRIL 8, 2018

How do we integrate lessons from the past and present? In addition to thinking about DPC, we should also be thinking about reimagining the structure of group health insurance benefit programs (see: Health Rosetta). We also need to be thinking about the payment methodologies we use for different health care providers.

Health Insurance 60

Health Insurance Health Care Lawyers ACA Payment Systems 60

Health Populi

APRIL 24, 2018

I covered the launch of the 2018 Edelman Trust Barometer across all industries here in Health Populi in January 2018 , when this year’s annual report was presented at the World Economic Forum in Davos as it is each year. In the U.S.,

Health Insurance 74

Health Insurance Fraud Hospitals Doctors 74

Health Blawg

APRIL 8, 2018

How do we integrate lessons from the past and present? In addition to thinking about DPC, we should also be thinking about reimagining the structure of group health insurance benefit programs (see: Health Rosetta). We also need to be thinking about the payment methodologies we use for different health care providers.

Health Insurance 60

Health Insurance Health Care Lawyers ACA Payment Systems 60

Health Blawg

APRIL 8, 2018

How do we integrate lessons from the past and present? In addition to thinking about DPC, we should also be thinking about reimagining the structure of group health insurance benefit programs (see: Health Rosetta). We also need to be thinking about the payment methodologies we use for different health care providers.

Health Insurance 60

Health Insurance Health Care Lawyers ACA Payment Systems 60

Health Blawg

APRIL 8, 2018

How do we integrate lessons from the past and present? In addition to thinking about DPC, we should also be thinking about reimagining the structure of group health insurance benefit programs (see: Health Rosetta). We also need to be thinking about the payment methodologies we use for different health care providers.

Health Insurance 60

Health Insurance Health Care Lawyers ACA Payment Systems 60

Health Blawg

APRIL 8, 2018

How do we integrate lessons from the past and present? In addition to thinking about DPC, we should also be thinking about reimagining the structure of group health insurance benefit programs (see: Health Rosetta). We also need to be thinking about the payment methodologies we use for different health care providers.

Health Insurance 60

Health Insurance Health Care Lawyers ACA Payment Systems 60

Health Blawg

APRIL 8, 2018

How do we integrate lessons from the past and present? In addition to thinking about DPC, we should also be thinking about reimagining the structure of group health insurance benefit programs (see: Health Rosetta). We also need to be thinking about the payment methodologies we use for different health care providers.

Health Insurance 60

Health Insurance Health Care Lawyers ACA Payment Systems 60

Kaiser Health News

OCTOBER 7, 2024

Sin embargo, eliminarlos no es una opción porque son fundamentales para el tratamiento de enfermedades cardíacas y pulmonares, la apnea del sueño y otras afecciones. Muchos de sus pacientes dependen de la provisión de oxígeno domiciliario y para que el Medicare lo cubra es necesario brindar información precisa.

FDA 60

FDA ACA Hospitals Medicare 60

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. As in other areas of healthcare, the question as to which publicly available mobile apps are safe, useful, and supported by healthcare professionals is always present.

ACA 60

ACA Public Health Governance 60

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. They brought at least five significant lawsuits designed to impede the Affordable Care Act, restricting the positive impact of the ACA’s Medicaid reforms and the use of the individual mandate.

Public Health 264

Public Health Health Care Reform ACA COVID-19 264

Health Populi

MARCH 15, 2021

Looking forward, the Kaiser Family Foundation Tracking Poll suggests what President Biden could do to bolster the Affordable Care Act, for which he was, after all, “present at the creation” when he uttered a famous R-rated phrase to President Obama that a quiet microphone couldn’t quite cover up. electorate is in favor.

COVID-19 117

COVID-19 Health Insurance ACA Medicaid 117

Hall Render

MAY 2, 2023

If there were employees physically present at a work location, no exceptions were being made for in-person verification of identity and employment eligibility documentation for Form I-9. This provision only applied to employers and workplaces that were operating remotely. With the expiration of the PHE, these requirements will also end.

Public Health 40

Public Health COVID-19 COVID-19 Vaccine ACA 40

Jane Sarashon

FEBRUARY 19, 2025

To keep sharp on the topics, I attended Rx Market Insights: Performance Trends and Outlook for 2025, a data-rich session presented on February 18 by IQVIA and sponsored by Ascend Laboratories. – on which I’m going to focus this post to make a larger point about DTC- and retail, consumer-directed health.

ACA 59

ACA Doctors Medicaid Medicaid 59

Hall Render

AUGUST 31, 2022

Department of Health and Human Services (“HHS”) proposed rule (“Proposed Rule”) strengthening discrimination protections under Section 1557 of the Affordable Health Care Act (“ACA”). According to OCR, for millions of Americans, pharmacies are the “most accessible health care provider.”

ACA 74

ACA FDA 74

Healthcare Law Blog

MAY 17, 2022

The proposed rule found a statutory basis for this independent from ACA Section 1557, citing ACA Section 1311(c)(1)(A) regarding QHP issuer certification requirements and ACA Section 1321(a) regarding authority to establish and operate exchanges and the offering of QHPs through such exchanges.

ACA 52

ACA Health Insurance Medicaid Medicaid 52

Kaiser Health News

OCTOBER 29, 2024

The rule, finalized in May, clarifies that those who qualify for DACA will be considered “lawfully present” for the purpose of enrolling in plans under the ACA, which are open to American citizens and lawfully present immigrants. He ordered the defendants to present more information by Oct.

ACA 91

ACA Governance 91

Bill of Health

APRIL 3, 2023

The collective funding of the insurance system defrays these higher costs, and thus ensures a version of a social contract, where medically vulnerable and presently well individuals alike have access to the health care they need. While all enrollees pay into a pool; inevitably, some end up receiving more health care services than others.

US Department of Health and Human Services 72

US Department of Health and Human Services ACA Public Health COVID-19 Vaccine 72

Kaiser Health News

DECEMBER 10, 2024

.” The move effectively bars those who have qualified for the Deferred Action for Childhood Arrivals program in those 19 states from enrolling in or getting subsidies for ACA plans. It does not appear to affect enrollment or coverage in other states, lawyers following the case said Tuesday.

ACA 112

ACA Medicaid Medicaid Medicare 112

Hall Render

AUGUST 19, 2022

Monkeypox present but remains a small concern in Ohio. ACA health plan costs to drop sharply in Virginia. White House drug czar presents inaugural West Virginia health care award. ONE Health Ohio in Youngstown awarded $65,500 in COVID-19 funding. Commissioners approve bonds for Mercy Health. CVS Health makes $18.9M WASHINGTON.

COVID-19 40

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