Kaiser Health News

APRIL 16, 2024

As a result, the lawsuit alleges, consumers lost access to their doctors or medications and faced financial costs, such as owing money toward medical care or having to repay tax credits that were paid toward the unauthorized coverage. Some consumers were switched multiple times or had duplicative policies.

ACA 138

ACA Health Insurance Governance Medical Billing 138

Health Populi

FEBRUARY 24, 2020

Patient-facing digital tools help patients with fairly basic tasks like making appointments, seeking doctors, and paying bills. Motivations for expanding digital tools for patients are to enhance access to care, empowering patients to monitor and manage their health, and deliver greater patient satisfaction.

Medical Billing 90

Medical Billing Patient Satisfaction Hospitals Doctors 90

Medisys Compliance

OCTOBER 19, 2022

Understanding the concept of Mental Health Medical Billing. Medical billing include submitting claims for the patient’s healthcare services. Medical billing for behavioral health may be more challenging than for other healthcare specialties due to the specialty’s complexity.

Medical Billing 105

Medical Billing Medical Billing Outsourcing Medical Billing Services Health Insurance 105

Health Populi

SEPTEMBER 4, 2018

Most Americans have been surprised by a medical bill, a NORC AmeriSpeak survey found. Nearly all Americans (86% net responsible) first blame health insurance companies, followed by hospitals (82%). Who’s responsible? I included this image from Tom’s Shell petrol station in that first post. Plus ça change.

Medical Billing 47

Medical Billing Health Insurance Doctors Hospitals 47

Health Populi

MARCH 19, 2024

Having health insurance in America is no guarantee of actually receiving health care. It’s a case of having health insurance as “necessary but not sufficient,” as the cost of deductibles, out-of-pocket coinsurance sharing, and delaying care paint the picture of The Hidden Lives of Workplace-Insured Americans.

Health Insurance 73

Health Insurance Doctors Medical Billing Public Health 73

Compliancy Group

FEBRUARY 12, 2024

Sellinger commented, “These defendants admitted taking part in an elaborate and years-long scheme to use their specialty pharmacy to rip off Medicare, Medicaid and private insurers. They paid bribes, kickbacks, set up phony jobs in doctors’ offices. There has to be a breach somewhere in the health-care system.”

Fraud 52

Fraud Medicare Medicare US Department of Health and Human Services 52

Jane Sarashon

APRIL 1, 2024

.” In the best of all possible medical payments worlds, U.S. consumers would prefer to pay those bills online through their doctor’s or hospital’s websites (for 38% of patients). Mailing a paper check? That garners only 5% of patients’ preferences.

Medical Billing 67

Medical Billing Doctors Hospitals Health Insurance 67

Kaiser Health News

JANUARY 25, 2024

Chantal Panozzo and her husband followed their primary care doctors’ orders last year after they both turned 45, now the recommended age to start screening for colorectal cancer. Under the law, though, it is the insurer’s responsibility to make preventive care available at zero-cost to patients. Tell us about it !

Medical Billing 137

Medical Billing Doctors Health Insurance Hospitals 137

Jane Sarashon

MAY 18, 2023

consumer credit rating companies — Equifax, Experian and TransUnion — planned to remove medical bill collections that were under $500 from consumers’ credit reports. health consumer, now a significant stakeholder-payer for healthcare in America. On April 11, 2023, three of the largest U.S.

Medical Billing 52

Medical Billing Health Insurance Doctors Hospitals 52

Medisys Compliance

NOVEMBER 9, 2022

A patient expects a highly skilled and knowledgeable healthcare provider to look after their health when they choose to see a doctor. After all, no one would commit their health and wellness to a medical professional who is underqualified. Medical credentialing enters the picture here. Reducing revenue loss.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Doctors Medical Billing Malpractice 105

Health Populi

OCTOBER 15, 2019

These study respondents had also visited a doctor or hospital and paid a medical bill in the past year. One-third of these patients had a health care bill go to collections in the past year, according to Cedar’s 2019 U.S. 50% want clearer, easier-to-understand medical bills.

Medical Billing 94

Medical Billing Doctors Medicare Medicare 94

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. and ChatGPT.

US Department of Health and Human Services 70

US Department of Health and Human Services Health Insurance Medicare Medicare 70

Medisys Compliance

NOVEMBER 18, 2022

In no small measure, the difficulty of providing patients with the proper care at the appropriate time has skyrocketed up the graph, and the conflict between cost-conscious insurance companies, patients, and their doctors won’t go away any time soon. How Does the Need for Medical Care Affect Pre-Authorization?

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Doctors Patient Satisfaction 98

HIT Consultant

OCTOBER 25, 2022

It’s not a secret that interacting with doctors and other healthcare providers can be a scary or difficult process for many people. That’s why it’s paramount for medical and healthcare professionals to create and maintain a positive experience for the patient. Simplifying the Patient Experience.

Health Insurance 98

Health Insurance Medical Billing Hospitals Doctors 98

Health Populi

APRIL 1, 2019

For mainstream Americans, “the math doesn’t add up” for paying medical bills out of median household budgets, based on the calculations in the 2019 VisitPay Report. adults 18 and over assessing peoples’ financial behaviors in the context of health care. Given a $60K median U.S.

Medical Billing 111

Medical Billing Doctors Governance Hospitals 111

Jane Sarashon

SEPTEMBER 13, 2022

to reveal trends on health care providers’ ability to collect patient service revenue. And bad debt — write-offs that come out of uncollected patient bill balances after “significant collection efforts” by hospitals and doctors — is challenging their already-thin or negative financial margins.

Hospitals 56

Hospitals Health Insurance Nurses COVID-19 56

Medisys Compliance

APRIL 17, 2023

Private insurance plans are typically offered through employers or purchased individually and vary in coverage and cost. Medicare is a federal health insurance program that primarily covers people who are 65 or older, while Medicaid is a joint federal-state program that provides health coverage to low-income individuals and families.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing ADA Medicaid 52

Kaiser Health News

MAY 4, 2022

But after seeing a doctor, they learned they had to travel 3½ hours to Miami, where the physician performed the IVF procedures over three separate visits. In November 2020, the couple decided to try again, with another fertility medical group listed in their Blue Cross provider network. Tell us about it !

Doctors 68

Doctors Medical Billing Patient Advocacy Health Insurance 68

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

Health Populi

FEBRUARY 19, 2020

Overall, company leadership is more bullish on digital health tools compared with workers who index relatively lower than management — by just a bit. This is particularly true for health care in America, where workers have traded off wages for health care coverage for over a decade.

Health Care Reform 162

Health Care Reform Telemedicine Medical Billing Health Outcomes 162

Health Populi

JANUARY 18, 2019

Bolstering consumers’ demand for knowing costs, Metova published results from a consumer survey this week , finding that over 80% of people would be more likely to visit a doctor or seek treatment if they could see their personal out-of-pocket costs on their smartphone. That workers highly value their health benefits is no surprise.

Prescription Drug Pricing 64

Prescription Drug Pricing Health Insurance Doctors Medicare 64

Health Populi

NOVEMBER 7, 2019

adults with a health care need visiting a doctor was the second lowest among OECD countries. Health Populi’s Hot Points: The epochs of belief vs. incredulity are the last two Dickensian observations which are counter to each other. One sign of this under-investment and disparity of primary care access is that the U.S.

Doctors 90

Doctors Medical Billing Health Insurance Public Health 90

Health Populi

JUNE 5, 2018

In plain language, Dr. Kathy Albain of Loyola, one of the thirty researchers who worked on the study, said , “The study should have a huge impact on doctors and patients. This tough decision — to “use chemo or not to use chemo” — is among the toughest choices a doctor makes.

Doctors 87

Doctors Medical Billing Hospitals Health Insurance 87

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

Health Populi

NOVEMBER 12, 2019

And, according to the WSJ reporting, “Neither patients nor doctors have been notified. ” While Google is a well-known brand and customer experience for most people, Ascension Health may not be as familiar an organization. health care. Was this due to the growing experience and reporting of surprise medical bills?

Hospitals 64

Hospitals Doctors Medical Billing Health Insurance 64

Health Populi

FEBRUARY 4, 2019

The report’s insights are based on surveys FMI has conducted over the past two years, as the Foundation has observed that consumers broadening their definition of health to include emotional health, energy levels, and sleep quality. One-third of stores in FMI’s survey have in-store retail health clinics.

Nurses 123

Nurses Doctors Public Health Medical Billing 123

Health Populi

MARCH 21, 2019

Frictionless retail is also an important paradigm for health care, an industry rife with friction. A huge friction point we identified in our data-for-healthcare-good panel wrapping up the day is surprise medical billing due to patients’ unwitting use of out-of-network physicians and providers.

HIPAA 98

HIPAA Health Insurance Doctors Medical Billing 98

Health Populi

SEPTEMBER 12, 2018

Accenture developed a healthcare system literacy index to quantify the relationship between peoples’ understanding of how health insurance works and what a lack of understanding can cost the system. and “which doctor can I see?” What does my doctor bill mean?” deal with the in/out-of-network uncertainties.

Health Insurance 21

Health Insurance Doctors Medical Billing 21

Health Populi

NOVEMBER 5, 2019

health care economics, patients are now payors as health consumers with more financial skin in paying medical bills. As consumers, people have great expectations from the organizations on the supply side of health care — providers (hospitals and doctors), health insurance plans, pharma and medical device companies.

Health Care Reform 62

Health Care Reform Medical Billing Hospitals Health Insurance 62

Medisys Compliance

SEPTEMBER 9, 2022

Medical billing errors are simple to make but have a significant impact on the overall revenue of the healthcare organization. Optometry medical billers deal with a variety of problems, including returned claims, denied claims, rejected invoices, improper coding, and insufficient data. Insurance Legibility. Wrapping Up .

Medical Billing 98

Medical Billing Medical Billing Outsourcing Doctors Fraud 98

AIHC

NOVEMBER 3, 2021

How would you feel if you knew your doctor shared his/her password to your personal medical records with an unauthorized user? What if someone in medical billing shared his/her password to your account (containing your medical and financial identity) with someone not authorized to access your information?

HIPAA 52

HIPAA Compliance Electronic Medical Records Governance 52

Hall Render

APRIL 22, 2022

Nuvance Health promotes Bethel resident to human resources role for seven hospitals in CT, NY. Harvard Pilgrim exiting CT’s commercial health insurance market. Chicago hospital to mentor next generation of doctors, change face of medicine. Group of women suing Deaconess and former doctor over medical records.

COVID-19 40

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

HIT Consultant

MAY 19, 2023

There are no interest charges or fees associated with HPA transactions because the cards are sponsored by employers, health insurers, and hospital systems. Importantly, there is no credit check required for members to get their card, which boosts health equity by ensuring employees can use the HPA regardless of credit history.

Medical Billing 98

Medical Billing Health Insurance Hospitals Doctors 98

Innovaare Compliance

AUGUST 8, 2023

This Act seeks to eliminate surprise billing that occurs when insured consumers inadvertently receive care from out-of-network hospitals or doctors that they did not request. A study by Peterson-KFF demonstrates that surprise billing, as a result of out-of-network providers, occurs in approximately one in five visits.

Medical Billing 40

Medical Billing Compliance Hospitals Doctors 40

Health Populi

JULY 28, 2019

Data illustrating that “paradox” is shown in the second chart: while 78% percent of patients told Maestro Health their health care experience is positive, 69% feel they lack control over their patient journey. Quality health care in America is too expensive, 79% of consumers said. health policy circles.

Health Insurance 89

Health Insurance Doctors Medical Billing Hospitals 89

Healthcare IT Today

SEPTEMBER 19, 2023

Certain pieces of clinical data, such as medication history, are not available to all healthcare providers in the same way, often locked away behind commercial models that are not logical where health is at risk and which can lead to serious patient harm. For first responders, access to medication history is often denied altogether.

Hospitals 126

Hospitals Nurses HIPAA Governance 126

Hall Render

AUGUST 19, 2022

Report: More than 18K behavioral health workers needed in San Diego County. Stockton Doctor and Medical Practice Agree to Pay Nearly $2 Million to Resolve Allegations of Health Care Fraud. UC San Diego Health names new CIO. United Health Centers says patient data was stolen. From CIO to CEO?

COVID-19 40

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