Jane Sarashon

FEBRUARY 12, 2024

Those with medical debt in the U.S. Health Populi’s Hot Points: Having health insurance in the U.S. is no guarantee of being safe from medical debt exposure. ” Here we see that among people who have health insurance in the U.S.,

Medical Billing 98

Medical Billing Health Insurance Doctors Health Care Access 98

Health Populi

FEBRUARY 24, 2020

There’s a gap between the supply of digital health tools that hospitals and health systems offer patients, and what patients-as-consumers need for overall health and wellbeing. Only 1 in 5 health systems plans to offer a tool to help patients-consumers “get estimates for costs of care.”

Medical Billing 90

Medical Billing Patient Satisfaction Hospitals Doctors 90

Health Populi

FEBRUARY 26, 2020

hospitals and why I’ve titled this post, “outpatient is the new inpatient,” a future paradigm for U.S. This realization is informed by data in a new report from Deloitte, Where have the many hospital inpatient gone? Our ability to create that network outside the hospital is huge.”

Hospitals 127

Hospitals Health Insurance Medical Billing 127

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.

Medical Billing 47

Medical Billing Health Insurance Doctors Hospitals 47

Health Populi

MARCH 22, 2018

The concept of “ financial toxicity” for cancer patients was raised by concerned clinicians at Sloane-Kettering Medical Center, who discussed the topic on 60 Minutes in 2014 and have published papers on the issue. Beyond strong medicines, a new financial toxicity has emerged for patients due to hospital inpatient admissions.

Hospitals 67

Hospitals Health Insurance Medical Billing 67

Jane Sarashon

SEPTEMBER 13, 2022

“The odds are against hospitals collecting patient balances greater than $7,500,” the report analyzing Hospital collection rates for self-pay patient accounts from Crowe concludes. Crowe benchmarked data from 1,600 hospitals and over 100,00 physicians in the U.S.

Hospitals 56

Hospitals Health Insurance Nurses COVID-19 56

Health Populi

JULY 24, 2023

Health Populi’s Hot Points: That’s a lot of “free” for $39.99 in any one’s definition of value-based health care — most especially, a consumer’s. ” A: “Nope — insurance isn’t needed or accepted.”

Health Insurance 118

Health Insurance Medical Billing Licensing HIPAA 118

Jane Sarashon

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. The Affordable Care Act (ACA) of 2010 had embedded within the law a Patient’s Bill of Rights.

ACA 113

ACA Prescription Drug Pricing Health Insurance Hospitals 113

HIT Consultant

JUNE 12, 2022

According to the Journal of the American Medical Association , one in five insured adults had a surprise medical bill from an out-of-network provider. Overall, two-thirds of adults are worried about their ability to afford unexpected medical bills. Surprise Billing Causes. Two-thirds of U.S.

Medical Billing 98

Medical Billing Medicare Medicare Health Insurance 98

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

HIT Consultant

JUNE 16, 2022

The importance of the No Surprises Act (NSA) cannot be overstated, as surprise medical bills have long been burdensome for patients in the U.S. consumers have received an unexpectedly large medical bills. The purpose of the No Surprises Act is to prevent surprise out-of-network bills, often for emergency services.

Medical Billing 52

Medical Billing Compliance Health Insurance Hospitals 52

AIHC

JANUARY 5, 2022

Starting January 1, 2022, the No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers.

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

Health Populi

AUGUST 2, 2021

This has raised the importance of price transparency, which is based on the hypothesis that if patients had access to personally-relevant price/cost information from doctors and hospitals for medical services, and pharmacies and PBMs for prescription drugs, the patient would behave as a consumer and shop around.

Doctors 129

Doctors COVID-19 Health Insurance ACA 129

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

Health Populi

DECEMBER 1, 2023

consumers say they can’t afford to pay their medical bills on-time, based on the 2023 Consumer Survey from Access One, a financial services company focused on healthcare payments. Furthermore, one-third of consumers are not confident they could pay a medical bill of $500 or more. Two-thirds of U.S.

Medical Billing 68

Medical Billing Governance Hospitals Health Insurance 68

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

Health Populi

DECEMBER 6, 2021

In fact, medical bill angst in America isn’t just a December holidays thing: they’re a year-round source of anxiety, Aflac found. And those families impacted by COVID-19 were twice as likely to have someone borrow money from a friend or family member or postpone taking a family member to see a medical professional.

COVID-19 68

COVID-19 Health Insurance Medical Billing Hospitals 68

Medisys Compliance

DECEMBER 12, 2022

Tracking, overseeing, and managing the entire revenue cycle of a hospital is known as revenue cycle management. A hospital’s income cycle is universal. Mismanagement of your revenue cycle will have devastating effects for a hospital if it is ignored for an extended period of time. Here’s a mind tickler for you!

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Hospitals Medical Billing Services 98

HIPAA Journal

JUNE 8, 2023

The group claims to have exfiltrated 194 gigabytes of data, including personal information and medical records and has threatened to publish the data if the ransom is not paid. Those files contained names, addresses, Social Security numbers, medical billing information, and financial account information.

Ransomware 78

Ransomware Hospitals Medical Billing HIPAA 78

Jane Sarashon

APRIL 1, 2024

This is the modus operandi for bill payment among U.S. ” 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?

Medical Billing 67

Medical Billing Doctors Hospitals Health Insurance 67

Kaiser Health News

JANUARY 25, 2024

Under the law, though, it is the insurer’s responsibility to make preventive care available at zero-cost to patients. Providers may exploit this loophole, said Sabrina Corlette, a research professor and co-director of the Center on Health Insurance Reforms at Georgetown University. Tell us about it !

Medical Billing 137

Medical Billing Doctors Health Insurance Hospitals 137

Health Populi

FEBRUARY 20, 2020

health care system. As such, American health consumers are wrestling with sticker shock from surgical procedures, surprise medical bills weeks after leaving the hospital, and the cost of prescription drugs — whether six-figure oncology therapies or essential medicines like insulin and EpiPens.

Telemedicine 172

Telemedicine Medical Billing Health Insurance Hospitals 172

HIT Consultant

MARCH 22, 2023

Paul Ketchel, CEO of MDsave Over two years have passed since the hospital price transparency rule was enacted. A recent study found only 16 percent of hospitals nationwide comply with price transparency guidelines. To date, only two hospitals in the United States, out of thousands, have been fined for non-compliance.

Patient Satisfaction 97

Patient Satisfaction Compliance Hospitals Health Insurance 97

HIPAA Journal

JANUARY 25, 2023

Under the terms of the settlement, Logan Health has agreed to create a fund of $4.3 Logan Health, formerly Kalispell Regional Medical Center, is a 622-bed health system based in Kalispell, MT, which operates six hospitals and more than 68 provider clinics in the state. A lawsuit – Tafelski, et al.

Medical Billing 82

Medical Billing Fraud HIPAA Health Insurance 82

Health Populi

AUGUST 23, 2021

One of the challenges has been price transparency, which is the central premise of this weekend’s New York Times research-rich article by reporters Sarah Kliff and Josh Katz: Hospitals and Insurers Didn’t Want You to See These Prices. Patients have been much more forthcoming than hospitals, the journalists have found.

COVID-19 85

COVID-19 Medical Billing Health Insurance Hospitals 85

MedTrainer

MARCH 8, 2024

There are three key fundamentals of team member compliance training: It Helps Reduce Risk It Ensures Patient Safety It Fosters a Culture of Compliance Employee Compliance Training Topics Compliance training covers a wide range of topics, including patient privacy, medical billing and coding, workplace safety, and infection control, among others.

Compliance 52

Compliance Fraud Governance HIPAA 52

HIT Consultant

OCTOBER 25, 2022

While hospitals and healthcare centers have always been known for creating sterile and safe environments for patients, many consumers are still concerned about potential illnesses coming from touching payment devices. Digital Payments Are Safer for All Parties.

Health Insurance 98

Health Insurance Medical Billing Hospitals Doctors 98

AIHC

MAY 10, 2022

Be it restaurants, hospitals, retail, hospitality, and manufacturing – take any sector and you will find that this is perhaps the #1 problem operations managers are facing. The staffing shortage is aggravating problems for the hospitals, which were impacted already by the pandemic. Choose well, plan well, and execute in style.

COVID-19 98

COVID-19 Hospitals Healthcare information Technology Medical Billing 98

HIPAA Journal

APRIL 10, 2023

The latest update on the ransomware attack was issued on April 6, 2023, and confirmed that the breach affected patients who had received care at certain facilities operated by Catholic Health Initiatives, Dignity Health, Centura Health, and MercyOne and shared a list of 164 hospitals and care sites that are known to have been affected.

Ransomware 87

Ransomware Hospitals Nurses HIPAA 87

Health Populi

APRIL 27, 2020

economy, impacting jobs, wages, and health insurance rolls. With most Americans living paycheck to paycheck, lacking sufficient savings or liquidity to cover emergency expenses (beyond the emergency room in a hospital), fewer people can now pay a $500 medical bill, KFF found. Some 1 in 2 people in the U.S.

COVID-19 93

COVID-19 Health Insurance Medical Billing Hospitals 93

Medisys Compliance

NOVEMBER 18, 2022

Before a certain treatment, service, gadget, or drug is given to the patient in order to qualify for coverage, doctors and other healthcare professionals must acquire in advance approval from a health insurance plan (known as a “prior authorization” or “PA”) process.

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Doctors Patient Satisfaction 98

AIHC

MAY 2, 2022

Coming at the back-end of a long period of adversity due to COVID-19 and an already challenging economic environment for hospitals and healthcare systems, we see a new wave of consolidation, invention, and innovation. In this paper, we discuss some of the trends experienced in health care. If using a U.S.

COVID-19 98

COVID-19 HIPAA Hospitals Healthcare information Technology 98

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

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. The post In the U.S.,

Medical Billing 111

Medical Billing Doctors Governance Hospitals 111

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

SEPTEMBER 5, 2018

98% of Americans rank paying their medical bills is an important pain point in their patient journey, according to Embracing consumerism: Driving customer engagement in the healthcare financial journey , from Experian Health. Beyond the physical and emotional pain that people experience when they become a patient, in the U.S.

Health Insurance 63

Health Insurance Medical Billing Medicaid Medicaid 63

Hall Render

APRIL 19, 2024

to Study Treatments for Vascular Abnormalities Federal Appeals Court Hears Arguments on Nation’s First Ban on Gender-affirming Care for Minors Jason Demke Hired as COO at Mercy Hospital Fort Smit Pulaski Tech Awarded $5.7M

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40