Center for Health Insurance Reform

MARCH 7, 2022

Health insurers reported healthy earnings during the fourth quarter of 2021, thanks in large part to publicly funded programs Medicare and Medicaid. CHIR's Megan Houston reviewed earnings reports for nine major insurers and reports on the key market trends in the health insurance industry.

Governance 72

Governance Health Insurance Medicaid Medicaid 72

HIPAA Journal

MARCH 15, 2023

FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18. FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida.

Health Insurance 73

Health Insurance HIPAA Due Diligence Fraud 73

Becker's Health IT

MAY 3, 2023

Russian ransomware gang Clop is suspected in a cyberattack targeting Santa Clara Family Health Plan, resulting in the breach of 276,993 members' personal health information, Government Technology reported May 2.

Ransomware 60

Ransomware Health Insurance Governance 60

Electronic Health Reporter

SEPTEMBER 24, 2018

This content is copyrighted strictly for Electronic Health Reporter. Despite the best efforts of the government, there are still millions of US citizens who don’t have healthcare coverage. While bureaucrats continue to rewrite laws and introduce legislation that might make health care more affordable, more […].

Health Insurance 79

Health Insurance Governance 79

Kaiser Permanente

JANUARY 27, 2022

Medicaid provides health coverage to eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements and is jointly funded by states and the federal government. Kaiser Permanente’s Participation in Oregon Health Plan.

Health Insurance 52

Health Insurance Medicaid Medicaid Governance 52

Kaiser Health News

APRIL 16, 2024

District Court for the Southern District of Florida, two such call centers paid tens of thousands of dollars a day to buy names of people who responded to misleading advertisements touting free government “subsidies” and other rewards. Some consumers were switched multiple times or had duplicative policies.

ACA 135

ACA Health Insurance Governance Medical Billing 135

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 113

Health Insurance Governance Hospitals 113

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 113

Health Insurance Governance Hospitals 113

Health Populi

SEPTEMBER 17, 2020

Census Bureau found that the level of health insurance enrollment fell by 1 million people in 2019 , with about 30 million Americans not covered by health insurance. The coronavirus pandemic has only exacerbated the erosion of the health insured population. lacked health insurance.

COVID-19 62

COVID-19 Health Insurance Public Health Health Care Access 62

Healthcare It News

JUNE 29, 2022

Dubai Health Authority ( DHA ) and its health insurance regulatory body have launched a “first-of-its-kind” digital-led programme that is expected to form the foundation for value-based healthcare adoption in the emirate, it has been announced.

Health Insurance 220

Health Insurance Governance Public Health 220

Health Populi

MAY 5, 2019

This is what rationing health care looks like in America: one in two people in families dealing with a chronic health condition have difficulty affording paying medial bills before meeting a deductible, unexpected medical bills, co-payments for prescription drugs, co-payments for physician visits, and/or their monthly health insurance premium.

Health Insurance 95

Health Insurance Medical Billing Governance 95

Bill of Health

OCTOBER 2, 2023

They also give high scores to airlines like American Airlines known to destroy wheelchairs , drug companies like Eli Lilly who gauge their prices, and health insurance companies like Kaiser who have destroyed disabled lives through delay and denial. My hope is that we can collectively shift course before it is too late.

Health Insurance 293

Health Insurance COVID-19 Governance Public Health 293

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

Health Blawg

DECEMBER 18, 2017

Here’s hoping that someday government can find its way back to promoting population health. Health Care Law and Consulting. Here's hoping that someday government can find its way back to promoting population health. David Harlow The Harlow Group LLC Health Care Law and Consulting. David Harlow.

Health Insurance 60

Health Insurance Governance Hospitals 60

Center for Health Insurance Reform

OCTOBER 20, 2022

In a new report for the Commonwealth Fund, CHIR experts look at how states are working with the federal government to implement this landmark law. Continue reading → The post New CHIR Report Examines Federal-State Partnership in No Surprises Act Implementation appeared first on Center on Health Insurance Reforms.

Medical Billing 63

Medical Billing Health Insurance Governance 63

Verisys

FEBRUARY 12, 2024

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is GRC in Healthcare?

Compliance 52

Compliance Governance Health Insurance HIPAA 52

Bill of Health

DECEMBER 12, 2022

The American Medical Association (AMA) recently adopted new policies aimed at protecting access to reproductive health care and reducing government interference in medical practice. The AMA is governed by a House of Delegates (HOD), in addition to executive management and a board of trustees. By Katie Gu.

Governance 184

Governance Public Health HIPAA Doctors 184

HIT Consultant

MAY 27, 2022

What You Should Know: New price transparency government mandates are on the horizon, but how much does cost really impact consumers? Strong Support for Price Transparency Government Mandates. – Among those with a high-deductible health plan, 51% avoided care due to unknown costs.

Governance 98

Governance Health Insurance Doctors 98

Bill of Health

DECEMBER 6, 2023

By Hannah Rahim Many mental health provider directories for private and public insurance plans contain inaccurate or outdated provider information , which creates a misleading illusion of accessible care. These ghost networks result in many patients being unable to access essential mental health care.

Governance 144

Governance Medicaid Medicaid Medicare 144

HIT Consultant

SEPTEMBER 20, 2022

Currently, less than 2% of the health insurance population requiring specialty drugs is responsible for 51% of drug spending. With Lyfegen’s patent-pending platform, health insurances & hospitals can implement and scale value-based healthcare, improving access to treatments, patient health outcomes and affordability. “We

Health Insurance 98

Health Insurance Health Outcomes Governance Hospitals 98

Health Populi

JUNE 18, 2021

with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. Health Populi’s Hot Points: U.S. One-half of U.S.

ACA 133

ACA Health Insurance Medicaid Medicaid 133

Verisys

FEBRUARY 14, 2024

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is healthcare data governance? What is GRC in Healthcare?

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

Bill of Health

FEBRUARY 22, 2023

Longstanding Contributions to Public Health In the United States, employers have traditionally shouldered significant responsibility for matters of health. In 2021, over 50% of Americans were covered by employer-provided health insurance. Vaccinations can reduce absenteeism, enhance productivity, and improve morale.

Public Health 176

Public Health ADA Bioethics COVID-19 176

Center for Health Insurance Reform

JULY 21, 2022

Department of Health and Human Services recently approved a new Section 1332 waiver authorizing Colorado’s public option-style law. Continue reading → The post HHS Approves Nation’s First Section 1332 Waiver for a Public Option–Style Health Care Plan in Colorado appeared first on Center on Health Insurance Reforms.

Health Insurance 71

Health Insurance Governance 71

Healthcare It News

FEBRUARY 26, 2024

So, without robust data governance practices and data quality insurance that must be put in place, AI models will produce biased and unreliable results, undermining their utility and trustworthiness. So that means that implementing AI is going to require us to build a new governance structure and additional capability.

Governance 313

Governance Hospitals Health Insurance HIPAA 313

HIPAA Journal

APRIL 8, 2024

The leaked data includes patient names, dates of birth, phone numbers, email addresses, medical records, Social Security numbers, copies of passports and driver’s licenses, health insurance information, and company data. The investigation uncovered evidence of unauthorized access to files that contained patient information.

Ransomware 62

Ransomware Health Insurance Licensing HIPAA 62

Healthcare IT News - Telehealth

NOVEMBER 3, 2023

This commission, according to a press release, seeks to foster the local bio-health industry and provide systemic support for the integration of the latest technologies, including AI and nanotechnology. Previously, these processes have been hindered by the compartmentalisation of various government agencies.

Governance 135

Governance Hospitals COVID-19 Doctors 135

Healthcare It News

JULY 31, 2023

An example was the late 2022 breach of Medibank , Australia’s largest private health insurer, which included the Prime Minister's data. Nation-states that support cybergangs or have cyber espionage programs will also go after other government's data, like the U.S.

Ransomware 230

Ransomware Health Insurance HIPAA Governance 230

Bill of Health

AUGUST 2, 2023

These high rates are largely due to scheduling-related convenience and financial incentives from health insurance reimbursement. Time for Change According to Dr. Florida should increase surveillance of maternal morbidity and mortality and explicitly tie healthcare insurance reimbursement to outcomes.

Health Insurance 246

Health Insurance Patient Satisfaction Governance World Health 246

HIPAA Journal

JANUARY 1, 2023

Most state that HIPAA is an acronym of the Health Insurance Portability and Accountability Act of 1996 and that it led to the development of standards for the privacy of Protected Health Information. However, at the time, the healthcare insurance industry was governed by a hotchpotch of federal and state legislation.

HIPAA 74

HIPAA Health Insurance Fraud Governance 74

HIPAA Journal

AUGUST 22, 2023

The affected patient data included names, addresses, dates of birth, Social Security numbers, financial account information, medical records numbers, health insurance plan member IDs, and claims data (including any diagnoses listed on claims). The affected individuals started to be notified by mail on August 11, 2023.

Health Insurance 52

Health Insurance Compliance Governance HIPAA 52

Healthcare It News

OCTOBER 20, 2021

” The DiGA initiative, created under the 2019 Digital Healthcare Act (DVG), means doctors can prescribe apps to the 73 million German citizens covered by public health, with costs reimbursed through health insurance. There are currently 22 apps approved for reimbursement, of which almost 50% are focused on mental health.

Public Health 343

Public Health Health Insurance Doctors Governance 343

Healthcare IT News - Telehealth

MARCH 15, 2023

WHY IT MATTERS To recall, the South Korean government temporarily permitted the conduct of telemedicine in February 2020 as a means to restrict mobility and stem the spread of COVID-19 infections. Being safe from contracting infectious diseases and the reduced waiting time were cited as reasons to continue using telemedicine.

Telemedicine 150

Telemedicine Medical Personnel COVID-19 Governance 150

C&M Health Law

DECEMBER 5, 2022

Earlier this week, the United States Department of Health and Human Services (“HHS”) released a Notice of Proposed Rulemaking (“NPRM”) that proposes to make sweeping changes to regulations at 42 C.F.R. part 2 (“Part 2”) governing the confidentiality of substance use disorder (“SUD”) records.

Governance 52

Governance HIPAA Compliance Health Services Administration 52