Compliancy Group

FEBRUARY 12, 2024

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. They paid bribes, kickbacks, set up phony jobs in doctors’ offices. Department of Health and Human Services, Office of Inspector General (HHS-OIG), said.

Fraud 52

Fraud Medicare Medicare US Department of Health and Human Services 52

American Medical Compliance

JANUARY 9, 2024

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. Educating patients on how to reduce their overall risk helps protect their health information.

Fraud 52

Fraud Medicare Medicare Compliance 52

Health Populi

AUGUST 24, 2020

Part 2 will cover the impact of COVID-19 on physician well-being, and Part 3, on the impact of the coronavirus on the health care system. Eight percent of doctors have closed their practices as a result of COVID-19, tallying about 16,000 closed practices. One-half of physicians in the U.S.

COVID-19 154

COVID-19 Telemedicine Doctors Medicare 154

Healthcare IT News - Telehealth

OCTOBER 2, 2020

Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program. Existing strategies states can use to integrate telehealth and other virtual health care services into value-based health care models.

US Department of Health and Human Services 156

US Department of Health and Human Services COVID-19 Medicaid Medicaid 156

Healthcare It News

FEBRUARY 28, 2023

" Furthermore, virtual-first primary care is convenient for patients, as they can schedule consultations at a time that is convenient for them, without the need to take time off work or travel to a doctor's office, he added. " Saiyed said. "This shows that it is being used by all types of patients," Saiyed noted.

Electronic Medical Records 251

Electronic Medical Records Telemedicine Health Insurance Health Outcomes 251

Healthcare IT News - Telehealth

JANUARY 25, 2023

With more than 50 specialties offering more than 20,00 appointments each week, patients without health insurance can book doctors' visits for a set price with no referrals required.

Prescription Drug Pricing 135

Prescription Drug Pricing Doctors FDA Health Insurance 135

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

HIPAA Journal

JANUARY 23, 2024

governors to invite them to apply for Section 1115 waivers to expand access to care under the Medicaid program to women who are prohibited from receiving abortion care in the states where they live and may be denied care under the Medicaid program. The HHS has written to U.S.

HIPAA 84

HIPAA Medicaid Medicaid Health Insurance 84

Jane Sarashon

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. According to the online Merriam-Webster dictionary , the first use of the phrase “health insurance” occurred in 1901. Consulting Noah Webster….and

US Department of Health and Human Services 75

US Department of Health and Human Services Health Insurance Medicare Medicare 75

Kaiser Health News

NOVEMBER 11, 2021

Yet federal officials say complaints are rising from seniors tricked into buying policies — without their consent or lured by questionable information — that may not cover their drugs or include their doctors. To use the new option, beneficiaries should contact their state’s health insurance assistance program at www.shiphelp.org/.

Medicare 141

Medicare Medicare Doctors Fraud 141

HIPAA Journal

JUNE 28, 2023

A lawsuit – Young, et al. Good Samaritan Hospital ­­ – was filed in the California Superior Court for Los Angeles County against the hospital on behalf of individuals impacted by the data breach.

Hospitals 76

Hospitals Fraud Licensing HIPAA 76

Healthcare IT News - Telehealth

SEPTEMBER 16, 2020

Shelley, a professor in the Department of Policy and Public Health Management at the New York University School of Global Public Health. "But primary care doctors are the front line of healthcare in this country, and their patients still needed care." " If the U.S.

COVID-19 204

COVID-19 Public Health Telemedicine Malpractice 204

MedTrainer

NOVEMBER 14, 2023

Exclusion from Government Programs: Entities found non-compliant may be barred from participating in government healthcare programs like Medicare and Medicaid. The Stark Law is primarily enforced by the Centers for Medicare and Medicaid Services. The Office of Inspector General is in charge of the Anti-Kickback Statute.

Compliance 52

Compliance HIPAA Governance Medicare 52

Health Populi

FEBRUARY 16, 2021

physicians grew concerned that patients who were avoiding visits to doctor’s offices were missing care for chronic conditions, discussed in in Delayed and Forgone Health Care for N onelderly Adults during the COVID-19 Pandemic from the Urban Institute. By the autumn of 2020, U.S.

COVID-19 156

COVID-19 Medicaid Medicaid Public Health 156

Health Populi

NOVEMBER 1, 2018

Among people who have health insurance, managing the costs of their medical care doesn’t rank as a top frustration. Instead, attending to health and wellbeing, staying true to an exercise regime, maintaining good nutrition, and managing stress top U.S. health-insured adults in July 2018.

Health Insurance 73

Health Insurance Doctors Medicaid Medicaid 73

Health Populi

NOVEMBER 19, 2019

In research from HealthPocket , 2 in 5 Americans said they needed to reduce other household expenses to be able to afford their monthly insurance premiums. Four in ten consumers said their monthly health insurance premiums were increasing. Health insurance costs increased a whopping 20.1%

Health Insurance 71

Health Insurance Hospitals Doctors Nurses 71

HIT Consultant

AUGUST 24, 2023

Contrary to perception, access to broadband and mobile phones are not the greatest barrier to digital health among Medicaid recipients. They access the internet at the same rates as other insured populations , and in many ways are more engaged with their smartphones because they are disproportionately dependent on them.

Medicaid 97

Medicaid Medicaid Doctors Health Insurance 97

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

These may be technologies used from the home or that a doctor uses to improve or support healthcare services. The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient. What are some of the unique aspects of supporting patients remotely?

Telemedicine 182

Telemedicine COVID-19 Medicare Medicare 182

AIHC

AUGUST 30, 2023

As a reminder, telemarketing in healthcare must follow strict privacy regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), Public Law 104-191 in the United States. Know how the Health Insurance Portability and Accountability Act (HIPAA) effects your practice.

Compliance 52

Compliance Fraud Medicare Medicare 52

Health Populi

FEBRUARY 23, 2018

workers were enrolled in a high-deductible health plan in the first 9 months of 2017, according to the latest research published by the National Center for Health Statistics, part of the Centers for Disease Control in the U.S. Department of Health and Human Services. Over four in 10 U.S. million Americans in 2017.

Health Insurance 82

Health Insurance Medicaid Medicaid Doctors 82

Verisys

FEBRUARY 23, 2022

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act safeguard patient privacy by restricting the sharing of healthcare information and requiring healthcare organizations to keep patient records safe. .

Compliance Officers 52

Compliance Officers Compliance US Department of Health and Human Services Governance 52

Health Law RX

DECEMBER 21, 2023

Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is signaling that it is cracking down on healthcare organizations that fail to identify and address cybersecurity vulnerabilities as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA Rules).

HIPAA 52

HIPAA Ransomware Compliance Medicaid 52

Hall Render

APRIL 19, 2024

Cedars Leads Latest Round Of Funding In Yolo County, 16,000 Medi-Cal patients lose doctors in Dignity Health dispute with Partnership HealthPlan Kaiser med school names CEO Kaiser Permanente launches food-is-medicine hub Kaiser, Vizient target healthcare greenhouse gas emissions L.A. Can lawmakers do anything about it?

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Healthcare IT Today

AUGUST 28, 2022

More than 60% of the 1,700 doctors, nurses, and therapists surveyed by telehealth infrastructure firm SteadyMD are interested in full-time telehealth work. Analytics and value-based payments platform vendor Clarify Health expanded its collaboration with Datavant , a healthcare data repository.

Nurses 97

Nurses Hospitals Health Insurance Medicaid 97

HIT Consultant

FEBRUARY 7, 2022

Research says that those Americans who live in rural communities have less access to care and subsequently worse health outcomes than those who live in non-rural communities. African American adults are more likely to report they cannot afford to see a doctor, leading to worse health outcomes. telehealth) or partnerships (e.g.

Doctors 98

Doctors Health Outcomes COVID-19 Health Insurance 98

Health Populi

FEBRUARY 17, 2021

These include self-rationing prescription drug fills or refills due to cost, putting off a doctor’s visit, relying more on credit cards than cash, and postponing paying bills, among many other choices between paying for meds or daily living expenses. The reality even before the coronavirus crisis emerged in early 2020 was that U.S.

COVID-19 147

COVID-19 Health Insurance Health Outcomes Medicaid 147

Health Populi

FEBRUARY 14, 2018

of health spending per person. Three factors will drive healthcare costs to 2026: prices for medical goods and services, changes in income growth, and shifting enrollment from private health insurance to Medicare — driven by the aging of Boomers. That equates to 18.4% of the Gross Domestic Product (GDP) and $12,230.40

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79

Health Populi

AUGUST 5, 2019

Power,” your mind probably imagines reviews of automotive performance, retail shopping experiences, or perhaps even health insurance plan customer service. Expanding its report-card role in the health ecosystem. In 2019, 28 states have payment parity policies for Medicaid. When you think “J.D. One-half of U.S.

Telemedicine 82

Telemedicine Doctors Medicaid Medicaid 82

Medisys Compliance

APRIL 17, 2023

There are several types of insurance plans available including private insurance, Medicare, and Medicaid. Private insurance plans are typically offered through employers or purchased individually and vary in coverage and cost.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing ADA Medicaid 52

Health Populi

MAY 14, 2019

The mainstreaming of SDoH speaks to the awareness that health is made where we live, work, play, pray, learn and shop… beyond the health”care” system of hospitals, doctors’ offices, and prescription drug dispensaries. McKinsey conducted the survey among over 12,500 U.S.

Health Insurance 103

Health Insurance Public Health Hospitals Medicaid 103

HIT Consultant

SEPTEMBER 10, 2021

Doctors often refer to the “golden hour,” which is the concept that a patient needs to receive definitive care within an hour of injury to increase their chances of survival. visited an HRSA health center. of residents lacking health insurance. Social Determinants of Health. Trauma Center Deserts.

Hospitals 98

Hospitals COVID-19 Health Insurance Medicaid 98

Hall Render

FEBRUARY 23, 2024

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history. What they say sets them apart.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Health Populi

JUNE 6, 2021

Commercial Member Health Plan Study. exploring consumer satisfaction with some 150 health insurance plans operating in 22 regions around the U.S. Power assessed the opinions of 32,066 commercial health plan members between January and March 2021. Power has conducted the U.S. This year, J.D.

Patient Satisfaction 87

Patient Satisfaction COVID-19 Telemedicine Medicaid 87

Healthcare IT Today

APRIL 10, 2023

In my own family, my Uncle Roy struggled to manage his type 2 diabetes—he constantly missed doctor appointments, failed to take his medications, and never checked his blood sugars. Most things we “should do” don’t give us immediate gratification (eating right, exercising, taking medications, going to the doctor).

Health Outcomes 103

Health Outcomes Hospitals ACA Doctors 103

Health Populi

JULY 30, 2020

In America, health insurance coverage is tied to employment, so some portion of health citizens who filed for unemployment will fall into the uninsurance rolls, unable to afford buying into COBRA plans when offered or without an ability to buy a plan in a state that did not expand Medicaid under the Affordable Care Act.

COVID-19 77

COVID-19 Health Insurance Medicaid Medicaid 77

Health Populi

MARCH 1, 2018

To more effectively help patients manage diabetes , CentraForce Health used geospatial mapping of SBDoH data to develop deeper insights into peoples’ health needs and behaviors — such as eating fast food in the past 30 days, sufficient time to eat healthy food, and tendency to follow a doctor’s recommendations.

Health Insurance 82

Health Insurance Medicaid Medicaid Public Health 82

Healthcare IT Today

JANUARY 6, 2023

Two of the biggest blockers for patients trying to better manage their health are the costs and logistical hurdles associated with physician visits. Finding time to get to the doctor is a challenge. David Feldman, Chief Medical Officer at The Doctors Company. Additionally, remote patient monitoring continues to expand.

US Department of Health and Human Services 122

US Department of Health and Human Services Doctors Telemedicine Public Health 122