YouCompli
AUGUST 9, 2023
An opportunity to reframe, regroup, and refocus Now that the COVID-19 Public Health Emergency (PHE) is well behind us, we have an opportunity to reframe patient expectations – and regroup and refocus on compliance-related patient care needs. These materials also should be easily accessible in print and online.
Bill of Health
DECEMBER 6, 2023
While many insurers attempt to comply with this requirement, systemic problems like a lack of staff to communicate with providers and providers being overwhelmed with other administrative burdens prevent full compliance. Insurers should also work to decrease the shortage of mental health care providers in their networks.
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Innovaare Compliance
JANUARY 19, 2021
The CMS has increased the weight of patient experience measures, which are determined by CAHPS as well as member complaints, health care access, members choosing to leave the plan, appeals, and call center measures, all of which reflect overall member experience. The following section provides a synopsis of the changes for 2021.
Health Care Law Brief
APRIL 12, 2023
The Final Rule adopts a host of reforms aimed at improving health care access, quality, and equity for Medicare beneficiaries that receive coverage through Part C (“Medicare Advantage” or “MA”) and prescription drug benefits through Part D. Parts 417, 422, 423, 455, and 460. Final Rule at p.
HIPAA Journal
FEBRUARY 23, 2022
HIPAA consisted of five Titles addressing the primary objectives of the Act: Title I: Health care access, portability, and renewability. Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. Further Rules have reinforced the importance of HIPAA compliance.
Bill of Health
SEPTEMBER 9, 2022
And we know that our prisons, jails, and detention centers employ doctors with suspended and limited licenses as the exclusive source for health care for incarcerated people. Carceral health care occurs within a regulatory vacuum. Compare, for example, federal treatment of nursing homes with prisons.
Health Care Law Brief
AUGUST 10, 2023
On July 27, 2023, California’s Office of Health Care Access and Information (the “ Office ”) released its long-awaited proposed regulations on the notice requirements for material health care transactions in California.
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