Bill of Health

NOVEMBER 9, 2023

Despite the important enactment in 2010 of the Patient Protection and Affordable Care Act (ACA), which increases access to care by expanding Medicaid eligibility and protecting insurance coverage of people with pre-existing health conditions and disabilities, more than 25 million people remain uninsured. Uninsured people in the U.S.

COVID-19 157

COVID-19 Public Health ACA Health Insurance 157

Healthcare IT Today

DECEMBER 21, 2023

Season is now positioned to provide more patients with conditions including diabetes, chronic kidney disease, obesity, and high-risk pregnancy with evidence-based clinical programs that have been proven to drive improved health outcomes and lower total cost of care. This acquisition allows us to immediately amplify that impact.”

Health Outcomes 97

Health Outcomes Health Insurance 97

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 23, 2023

Note that in the Commonwealth Fund’s calculations, access and affordability is a key factor contributing to health system performance. And, a major input into access and affordability is having health insurance coverage. This domain encompasses health outcomes and access. This bar chart illustrates that U.S.

COVID-19 129

COVID-19 Health Outcomes Medicaid Medicaid 129

Center for Health Insurance Reform

FEBRUARY 11, 2022

It is hard to overstate the importance of primary care in ensuring robust health outcomes at the population level. Continue reading → The post New CHIR Report Assesses the Effectiveness of Policies in Improving Access to Primary Care for Underserved Populations appeared first on Center on Health Insurance Reforms.

Health Care Reform 67

Health Care Reform Health Insurance Health Outcomes 67

HIT Consultant

MARCH 1, 2024

What You Should Know: – Highmark Health announced a collaboration with Epic and Google Cloud to revolutionize payer-provider collaboration and personalize the patient experience. Breaking Down Communication Barriers Highmark Health leverages Epic’s Payer Platform, which fosters collaboration between payers and providers.

Health Outcomes 52

Health Outcomes Health Insurance 52

Healthcare It News

FEBRUARY 28, 2023

The payer mix of health insurance is typical, with 35% of patients representing government insurance such as Medicare or Medicaid, 60% commercial insurance, and 6% self-pay patients. Virtual-first primary care has been shown to improve health outcomes by increasing access, he reported.

Electronic Medical Records 244

Electronic Medical Records Telemedicine Health Insurance Health Outcomes 244

Healthcare IT News - Telehealth

JUNE 22, 2023

Kyna Fong, cofounder and CEO of Elation Health, in a statement. THE LARGER TREND Zocdoc says patients can find and book appointments across more than 250 specialties and verify and share health insurance information with the doctor as they are booking online or on the Zocdoc app.

Health Insurance 133

Health Insurance Health Outcomes Doctors 133

HIT Consultant

DECEMBER 19, 2022

As just one example, new research found that 50% of health insurance consumers didn’t know they have access to the nursing staff at no additional cost. If half of health insurance consumers don’t know about a benefit like this, what else might they not know about? . Health literacy is health plans’ responsibility.

Health Insurance 98

Health Insurance Health Outcomes Nurses Hospitals 98

Healthcare It News

MAY 17, 2022

Combined with health behaviors – and here I mean an individual's level of physical activity, as well as use of substances such as tobacco, alcohol and other drugs – social determinants can account for up to 80% of health outcomes. That's quite significant. It's also fairly obvious.

Health Outcomes 257

Health Outcomes Health Insurance 257

HIT Consultant

DECEMBER 11, 2023

What You Should Know: – Health insurer Cigna has called off its attempt to acquire rival Humana after failing to reach an agreement on price, according to sources familiar with the matter, CNBC first reports. This latest development highlights the ongoing challenges of consolidation in the sector.

Medicare 52

Medicare Medicare Health Insurance Health Outcomes 52

HIT Consultant

NOVEMBER 14, 2022

. – The navigation technology can be envisioned as a “digital front door” to a holistic customer experience and will initially be integrated into a new My Highmark health insurance member portal and mobile application. How It Works. million members.

Health Insurance 52

Health Insurance Health Outcomes 52

Bill of Health

AUGUST 2, 2023

By Jordan Brooks and Tamar Ezer Expanding access to midwives and doulas in the United States is a vital and often overlooked way to increase access to culturally-congruent birthing options during pregnancy and improve health outcomes for birthing individuals and their children. The Maternal and Infant Health Crisis The U.S.

Health Insurance 246

Health Insurance Patient Satisfaction Governance World Health 246

Compliancy Group

MARCH 19, 2024

Department of Health and Human Services (HHS) enforces laws relevant to patient care, healthcare delivery and billing, and workplace safety in the U.S. HIPAA The Health Insurance Portability and Privacy Act (HIPAA) applies to anyone who interacts with patients or handles PHI.

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

HIT Consultant

FEBRUARY 20, 2024

What You Should Know: – Strive Health , the national leader in value-based kidney care, and Medical Mutual , one of the largest Ohio-based health insurance companies, announced a new value-based kidney care partnership. Addressing a Hidden Health Crisis: Over 1.3

Health Insurance 52

Health Insurance Health Outcomes Medicare Medicare 52

HIT Consultant

DECEMBER 19, 2023

Our industry has undergone several iterations of consumer data protection rules — starting in 1996 with the Health Insurance Portability and Accountability Act (HIPAA ). In 2009, the Health Information Technology for Economic and Clinical Health Act , HITECH for short, became law, setting standards for electronic health records.

Health Outcomes 98

Health Outcomes Governance Healthcare information Technology Health Insurance 98

HIT Consultant

MAY 4, 2023

Maryland, and Virginia, and software company Unite Us aims to improve health outcomes across the region. Leveraging Ideon’s APIs, Angle Health now powers a fast, easy, and automated enrollment experience across the growing ecosystem of benefits administration platforms.

Electronic Medical Records 96

Electronic Medical Records Health Insurance Hospitals Health Outcomes 96

Healthcare IT News - Telehealth

MARCH 31, 2022

The proposed Telehealth Benefit Expansion for Workers Act would enable job creators to offer standalone telehealth service programs – not unlike dental and vision plans – in addition to existing health insurance plans. The legislation was introduced by Reps. " Twitter: @MikeMiliardHITN.

Department of Veterans Affairs 148

Department of Veterans Affairs COVID-19 Telemedicine Health Insurance 148

HIT Consultant

MARCH 5, 2024

Via a more personalized approach to care, clinicians can also foster a sense of empowerment and engagement among patients, contributing to better adherence to treatment plans and improved health outcomes overall. About Jessica Rengstorf, Director, U.S Healthcare Strategy at Endava Jessica Rengstorf Director, U.S

Telemedicine 105

Telemedicine Public Health Nurses Health Insurance 105

HIT Consultant

JUNE 21, 2022

Direct Primary Care (DPC) practices’ popularity is skyrocketing : physicians love how they can focus on patient care instead of being mired in paperwork and having health insurance companies calling the shots, and patients love the high-caliber patient-physician relationship.

Health Insurance 52

Health Insurance Health Outcomes 52

Innovaare Compliance

MARCH 24, 2024

Balancing AI-Driven Payment Integrity with Provider Relations A large health insurance company implemented an AI-powered payment integrity system to identify and prevent potential fraud, waste, and abuse in healthcare claims. They also streamlined their dispute resolution process to ensure quick and fair resolutions.

Fraud 52

Fraud Health Insurance Compliance Medicaid 52

Healthcare IT News - Telehealth

DECEMBER 12, 2023

As providers move toward increasing virtual care options across the care continuum, AI-powered patient triage and medical diagnosis can potentially create proper channels of care that not only bridge the gap in health disparities and promote access but also create a better patient experience and better health outcomes.

Telemedicine 187

Telemedicine Doctors Licensing Health Insurance 187

Jane Sarashon

NOVEMBER 8, 2022

It is important to note that some of these structural barriers are parallel to some peoples’ lack of access to health insurance. ” The authors further point out that the resulting disproportionate access to health care can also explain disparities in other health outcomes such as chronic and infectious disease (e.g.,

COVID-19 64

COVID-19 Health Insurance Governance Health Outcomes 64

Health Populi

JUNE 28, 2021

In addition to the rankings for overall healthiest communities, the study also identified the top areas for health outcomes (San Juan Co., Washington, topping that list), top communities for access to health care (led by Olmstead County, Minnesota), and the top 5 areas for mental health, topped by Honolulu, Hawaii.

COVID-19 128

COVID-19 Health Insurance Health Outcomes Public Health 128

HIT Consultant

NOVEMBER 9, 2023

With many being unable to pay emergency care bills, there will be an even greater debt put on health systems that are already financially constrained as they battle inflation, post-pandemic patient surges, and increased staffing shortages. As the surge of redetermination efforts winds down, there is an opportunity to forge a new path forward.

Medicaid 64

Medicaid Medicaid Health Insurance Health Outcomes 64

Healthcare IT News - Telehealth

JULY 31, 2023

It’s improving health outcomes and saving lives. It also can reduce the risk of undertreatment, which worsens health outcomes over time. Consider the extent to which employers and health plans are pouring resources into virtual primary care.

Telemedicine 106

Telemedicine Health Outcomes Health Insurance 106

Bill of Health

APRIL 13, 2022

This policy improves coverage and helps reduce churn , which is associated with poor health outcomes. Two weeks after CMS issued its March 2022 guidance, the Kaiser Family Foundation released its annual survey of state Medicaid and Children’s Health Insurance Program (CHIP). What States Are Doing Now.

Medicaid 144

Medicaid Medicaid COVID-19 Public Health 144

MRO Compliance

APRIL 17, 2023

About CareFirst BlueCross BlueShield In its 85th year of service, CareFirst, an independent licensee of the BlueCross and BlueShield Association, is a not-for-profit healthcare company which, through its affiliates and subsidiaries, offers a comprehensive portfolio of health insurance products and administrative services to 3.6

Hospitals 130

Hospitals Health Insurance Health Outcomes Governance 130

Healthcare IT Today

APRIL 10, 2023

Uncle Roy’s story is not unique; the individual behaviors that people with chronic conditions perform on a daily basis are the most important determinant of future health outcomes. But, it’s estimated that 40% of health outcomes are actually attributed to our individual behavior. In the U.S.,

Health Outcomes 93

Health Outcomes Hospitals ACA Doctors 93

Health Populi

JUNE 8, 2021

With that in mind, PwC found that providers plan to increase digital health investments (which is a cost-increasing factor in and of itself) across a landscape of tools focused on improving relationships with consumers and supporting health outcomes.

COVID-19 116

COVID-19 COVID-19 Vaccine Health Insurance Doctors 116

Health Populi

MAY 15, 2018

Health citizens living in states in New England, and then those west of Michigan and north of Missouri and Kansas, demonstrate better-than-average health outcomes. The social determinants of health — income and good jobs, using tobacco, and having health insurance — bolster good health.

Health Insurance 74

Health Insurance Health Outcomes ACA Public Health 74

Health Populi

FEBRUARY 27, 2020

That personal information can get mashed up and analyzed along with data from our electronic health records and health insurance claims to create a fuller picture of us… helpful in personalizing medical treatments and health regimens that are unique to us. Now, consider Humana’s involvement.

Health Insurance 73

Health Insurance Telemedicine Health Outcomes Doctors 73

HIT Consultant

DECEMBER 12, 2022

The survey reveals surprising inter-generational trends among Americans ready to extend their trust for care beyond traditional settings – even to genomic testing – if it means lower costs and better health outcomes. Americans made it clear: it’s time for healthcare to get ready for big changes.

Health Insurance 98

Health Insurance FDA Nurses Health Outcomes 98

Health Populi

APRIL 27, 2021

For people who are Black and Hispanic, lack of high school degrees, and greater density of people living in homes can contribute to poor outcomes from the coronavirus due to spread or access to resources like broadband or health care insurance (which some working people lost due to job loss, furlough, or cut hours in the pandemic).

COVID-19 162

COVID-19 COVID-19 Vaccine Public Health Health Insurance 162

HIT Consultant

FEBRUARY 21, 2024

Studies indicate that actively involving patients in decision-making leads to improved adherence to medication, lower hospitalization rates, and overall better health outcomes. Furthermore, shared decision-making enhances patient satisfaction, fostering open communication and even mitigating unconscious biases in healthcare delivery.

Patient Satisfaction 98

Patient Satisfaction Health Insurance Health Outcomes Hospitals 98

Healthcare IT Today

AUGUST 22, 2023

Sixty-two percent of Americans received at least one health insurance robocall scam during open enrollment in 2023. Impersonation scams, for example, involve bad actors claiming they are with the Health Insurance Marketplace or from a specific healthcare insurance company.

Due Diligence 70

Due Diligence Health Insurance COVID-19 Health Outcomes 70

MedTrainer

DECEMBER 4, 2023

Regulations in the district encompass diverse healthcare areas, including patient privacy and data security, Medicaid and Medicare compliance, health insurance marketplaces, and scope of practice for healthcare professionals. Healthcare in D.C. is subject to both local and federal oversight, making its regulatory environment distinct.

Compliance 52

Compliance Health Insurance Health Outcomes Medicaid 52