Health Populi

DECEMBER 9, 2021

being covered by health insurance is one of the social determinants of health. Without a health plan, an uninsured person in America is far more likely to file for bankruptcy due to medical costs, and lack access to needed health care (and especially primary care). In the U.S.,

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HIT Consultant

SEPTEMBER 19, 2023

A staggering 71% of consumers find the process of reconciling billing issues between their health insurer and healthcare provider to be stressful, and 4 in 10 will withhold payment if they cannot comprehend the administrative procedures.

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Health Populi

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.,

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Healthcare Dive

APRIL 12, 2023

Respondents had difficulty finding clinicians and health insurance and struggled to keep up with family medical bills in the previous year.

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Center for Health Insurance Reform

JANUARY 7, 2022

As we enter 2022, consumers are now protected from many of the worst surprise medical bills. Continue reading → The post The New Year Brings New Protection Against Surprise Medical Bills: What Consumers Need to Know appeared first on Center on Health Insurance Reforms.

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Health Populi

AUGUST 21, 2023

” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.

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HIPAA Journal

APRIL 8, 2022

Advanced Medical Practice Management Sends Notification Letters About July 2021 Cyberattack and Data Theft Incident. The New Jersey medical billing administrator, Advanced Medical Practice Management (AMPM), has recently announced it was the victim of a cyberattack that involved the data of several of its healthcare provider clients.

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Health Populi

JUNE 26, 2023

People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB).

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Jane Sarashon

FEBRUARY 1, 2022

consumers are facing historically high levels of inflation for household spending on food, petrol, and home goods, health consumers will be dealing with greater out-of-pocket spending based on health insurance forecasts such as this latest one from Segal. For more on health care costs facing U.S.

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Health Populi

FEBRUARY 24, 2020

Prioritizing the digital health experience, with financial health baked into the front-end and not just the back-end bill payment and ex post facto EOB from the health plan will help reverse this era of eroding trust between patient and hospital.

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Center for Health Insurance Reform

FEBRUARY 10, 2023

In the first month of 2023, CHIR reviewed studies on how policies expanding health coverage would impact household spending, surprise medical bills generated by ground ambulance rides, and health care costs associated with substance use disorders.

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Center for Health Insurance Reform

FEBRUARY 28, 2022

Unpaid medical bills are among the largest contributors to personal debt in the United States. Evidence indicates that medical debt disproportionately affects people of color and individuals with lower incomes.

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HIT Consultant

OCTOBER 5, 2023

T EXPECTATION: Patients have a thorough understanding of their own medical coverage. REALITY: Common health insurance terms such as “in-network,” “deductible,” and “copay” are used so frequently in medical practices that they are recognized and understood immediately by staff.

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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.

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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.

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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.

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Center for Health Insurance Reform

OCTOBER 20, 2022

The No Surprises Act (NSA) aims to protect consumers facing surprise medical bills after receiving care from out-of-network providers under circumstances beyond their control. 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.

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Healthcare IT Today

JANUARY 9, 2024

“Even with good health insurance, both my Co-Founder and I have received unexpected medical bills for thousands of dollars over the years,” said Kevin Chiu , Co-Founder and CEO. ” To learn more about Certainly Health and its initiatives, please visit certainlyhealth.com.

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Medisys Compliance

AUGUST 31, 2022

With the increase in the cases it is difficult for the medical practitioners to focus on the billing structure and then carry out the paperwork. It is a tedious task and it calls for a lot of hours to be put into so it is better to hire a medical billing company. Health billing for the behavioral industry.

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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.

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Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. State Laws: In addition to federal laws, medical billing companies and healthcare providers must also comply with state laws and regulations.

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Medisys Compliance

JANUARY 21, 2024

Introduction The mental health omnibus bill, recently passed by Congress, marks a significant milestone in improving access to mental healthcare in the United States. Policy Changes: Parity between mental and physical health insurance is emphasized, and Medicare Advantage plans will be required to offer adequate mental health coverage.

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Healthcare It News

OCTOBER 19, 2021

"This plan to provide clear, concise and correct medical billing information will lead to the creation of a national model to make all healthcare billing instantaneous and understandable, removing friction points for consumers and providers," said Gupta.

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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.”

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Center for Health Insurance Reform

JULY 15, 2022

The No Surprises Act (NSA) went into effect this year, providing new protections against surprise medical bills for patients who receive unanticipated out-of-network care. In the newest iteration of the map, CHIR added updates on state payment determination mechanisms and protections against surprise ground ambulance bills.

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Compliancy Group

FEBRUARY 12, 2024

There has to be a breach somewhere in the health-care system.” Meeting Medical Billing Compliance Standards Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

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American Medical Compliance

DECEMBER 26, 2023

In general, these standards apply to commodities and services given to individuals participating in group health plans or group or individual health insurance coverage, including Federal Employee Health Benefit programs.

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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.

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Medisys Compliance

JULY 11, 2022

The Consolidated Appropriations Act of 2021 established several new requirements to protect consumers from surprise medical bills. These requirements generally apply to items and services provided to consumers enrolled in group health plans, group or individual health insurance coverage, and Federal Employees Health Benefits plans.

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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. And, over one-half of patients have also sought information about medical bills. On April 11, 2023, three of the largest U.S.

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Center for Health Insurance Reform

DECEMBER 18, 2023

The No Surprises Act (NSA) provides comprehensive protections from many of the most prevalent forms of surprise medical billing, and a new process for determining out-of-network provider reimbursement aims to control health care costs by limiting insurer payments for surprise bills.

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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.

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Health Populi

OCTOBER 22, 2023

Health Populi’s Hot Points: According to the 2024 Healthcare Financial Experience Study from Cedar, 58% of U.S. consumers said paying a health care bill was stressful. ’| the CFO of Ohio State University’s Wexner Medical Center, Vincent Tammaro, was quoted in the Cedar report.

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Jane Sarashon

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.

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Medisys Compliance

FEBRUARY 27, 2024

In this article, we will explore the complex landscape of radiology billing compliance, exploring key regulations, audit processes, and strategies for ensuring adherence to guidelines. Understanding Regulatory Framework Radiology billing is governed by a multitude of regulations at the federal, state, and local levels.

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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.

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Jane Sarashon

JUNE 20, 2022

When high-deductible health plans became part of health insurance design in America, they were lauded as giving patients “more skin in the game” of health care payments. “Instead, they’ve faced thousands of dollars in bills as health insurers shifted costs onto patients through higher deductibles.”

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