MedTrainer

SEPTEMBER 20, 2023

This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaid health plan, you must comply with HIPAA rules and regulations.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

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. Retail health-meets-Medicare.

US Department of Health and Human Services 70

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

Healthcare IT News - Telehealth

JUNE 24, 2021

The Commonwealth Fund released an issue brief this week reviewing state actions to expand individual and group health insurance coverage of telemedicine between March 2020 and March 2021. It found that 22 states changed laws or policies during that time period to require more robust insurance coverage of telemedicine.

Telemedicine 153

Telemedicine Public Health COVID-19 Medicare 153

HIT Consultant

AUGUST 2, 2022

– Brave Health , a virtual-first behavioral health provider focused on serving Medicaid and Medicare populations, today announced an innovative referral partnership with MedArrive. Increasing Access To Basic Behavioural Health Services.

Medicaid 97

Medicaid Medicaid Telemedicine Public Health 97

Bill of Health

APRIL 13, 2022

The COVID-19 Public Health Emergency (PHE) expires at the end of this week, with Department of Health and Human Services (HHS) Secretary Xavier Becerra expected to renew the PHE once more to extend through mid-July. By Cathy Zhang. What States Are Doing Now.

Medicaid 144

Medicaid Medicaid COVID-19 Public Health 144

HIPAA Journal

APRIL 25, 2023

Data breaches have recently been announced by Santa Clara Family Health Plan, United Steelworkers Local 286, Robeson Health Care Corporation, Two Rivers Public Health Department, and NewBridge Services. The post 277,000 Santa Clara Family Health Plan Members Affected by GoAnywhere Hack appeared first on HIPAA Journal.

Health Insurance 81

Health Insurance Public Health Ransomware Fraud 81

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan.

Medicaid 100

Medicaid Medicaid Compliance Health Insurance 100

Healthcare IT News - Telehealth

SEPTEMBER 16, 2020

Shelley, a professor in the Department of Policy and Public Health Management at the New York University School of Global Public Health. " "We let 1,000 flowers bloom," said Shelley, with regard to different insurance plans. " If the U.S.

COVID-19 203

COVID-19 Public Health Malpractice Telemedicine 203

Health Populi

APRIL 16, 2024

Presidential elections to that point, and that the last retiring Baby Boomer enrolls in Medicare that year. Let’s take a walk with “Quincy” through each of the four worlds to see how their health care experience might play out across the key driving forces. Fewer employers feel compelled to provide health insurance in this environment.

Public Health 73

Public Health Governance Medicare Medicare 73

Health Populi

MARCH 11, 2021

[Note: I may be biased as a University of Michigan graduate of both the School of Public Health and Rackham School of Graduate Studies in Economics]. health care, patient assistance programs, Medicare Advantage plans, and the bundling of proven high-value preventive services into the Affordable Care Act. .”

Health Insurance 98

Health Insurance ACA Medicare Medicare 98

Bill of Health

DECEMBER 6, 2023

.: not accepting new patients, retired, moved away, or no longer accepting the particular type of insurance). To assess the prevalence of ghost networks, Senate Finance Committee staffers conducted a secret shopper study of 120 mental health provider listings across 12 Medicare Advantage plans.

Governance 144

Governance Medicaid Medicaid Medicare 144

Healthcare IT News - Telehealth

OCTOBER 2, 2020

Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program. Lawrence Moss, president and CEO of Nemours Children’s Health System, in a statement. healthcare system." Lamar Alexander, R-Tenn.,

US Department of Health and Human Services 147

US Department of Health and Human Services COVID-19 Medicaid Medicaid 147

Bill of Health

FEBRUARY 28, 2024

It will also be essential to develop strategies to minimize barriers, such as health insurance and access to the health care system. Some states have implemented initiatives to integrate Food is Medicine into Medicaid , which can be valuable to expand access to broader groups of the population.

Health Insurance 230

Health Insurance Medicaid Medicaid Health Care Reform 230

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 Managed care now covers more than half of Medicare enrollees and over 80% of Medicaid enrollees.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Healthcare IT News - Telehealth

JULY 16, 2021

In a statement on Thursday, Health Minister Greg Hunt said the new Medicare items will enable doctors to provide 20 minutes or more of telephone consultations. In November last year, the federal government announced that telehealth will be a permanent addition to Medicare. WHY IT MATTERS. THE LARGER TREND.

COVID-19 82

COVID-19 Governance Doctors Medicare 82

Bill of Health

FEBRUARY 27, 2023

By Nicole Huberfeld Once again, health law has become a vehicle for constitutional change , with courts hollowing federal and state public health authority while also generating new challenges. In administrative law disputes, a critical aspect of public health law, clear statement rules enforce separation of powers.

Public Health 246

Public Health COVID-19 Medicaid Medicaid 246

Health Populi

JUNE 27, 2022

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic. But Castlight expects a flat-line in PMPM spending for 2022, leveling out at $4,232 per member/per month for commercially-insured employees.

COVID-19 121

COVID-19 Health Insurance Medicaid Medicaid 121

HIT Consultant

NOVEMBER 24, 2022

The regulations may provide an opportunity for health insurers to attract new members – and retain existing ones – with hearing loss. Health plans could, for example, consider covering OTC hearing devices as part of the hearing benefits package provided to their Medicare Advantage plan members. Expanding membership.

FDA 98

FDA Public Health Medicare Medicare 98

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient. According to CMS.gov , CMS is expanding access to telehealth services with Medicare. This trend in remote access to care has expanded widely and is expected to continue.

Telemedicine 175

Telemedicine COVID-19 Medicare Medicare 175

HIT Consultant

NOVEMBER 9, 2023

A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid. The increase was driven by multiple factors, including the pause of all periodic eligibility reviews during the public health emergency.

Medicaid 64

Medicaid Medicaid Health Insurance Health Outcomes 64

Jane Sarashon

MAY 17, 2022

While telehealth, mobile health apps, and wearable technology are all growing for mainstream consumers, there are gaps in adoption based on where a person lives, their health insurance plan type, race/ethnicity, sexual orientation and gender. adults 18 and over in August 2021.

Telemedicine 64

Telemedicine Health Insurance Public Health Medicaid 64

Bill of Health

SEPTEMBER 9, 2022

If the pandemic has taught us anything about public policy, it is that the model of countercyclical federal aid — which expands at the onset of an economic crisis but abates as that crisis is resolved — is fundamentally inadequate when applied to the realm of public health. public health expenditures fell by 30 percent.

Public Health 362

Public Health COVID-19 Public Health Professionals Governance 362

Kaiser Permanente

JANUARY 1, 2022

Medicaid and the Children’s Health Insurance Program (CHIP) have served as critical supports to children, pregnant women, parents, seniors, and individuals with disabilities – covering 80 million individuals during the COVID-19 pandemic. This move will support greater access to care for people dually eligible for Medicare and Medicaid.

Medicaid 92

Medicaid Medicaid Medicare Medicare 92

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.

Compliance 52

Compliance Health Insurance Health Outcomes Medicaid 52

Bill of Health

MARCH 15, 2022

Similarly, our health care system is a significant barrier to employment because most private health insurance companies do not cover critical supports for disabled people, such as personal assistant services.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

Health Populi

JUNE 24, 2021

The third chart details some of these points: On the macroeconomic side of the forecast, we see increasing private consumption, higher inflation, less public sector support (e.g., For Medicare Part B programs alone, the drug could consume one-half of the total $57 billion of medicines spending… as much as the U.S. spends on NASA.

COVID-19 108

COVID-19 COVID-19 Vaccine FDA Public Health 108

HIPAA Journal

DECEMBER 30, 2022

Health Plans and Health Insurance Issuers. The HIPAA definition of Covered Entities implies that all health plans are Covered Entities; however, that is not the case. These excepted benefits include: Coverage only for accident, or disability income insurance, or any combination thereof. COVID-19 travel insurance).

HIPAA 90

HIPAA US Department of Health and Human Services Health Insurance COVID-19 90

Health Populi

AUGUST 24, 2021

In that introductory editorial, Ending Structural Racism in the US Health Care System to Eliminate Health Care Inequities, Ortega and Roby write that, “3 studies in this issue of JAMA show that access to and utilization of services is not merely predicated on health insurance or the availability of health care.

COVID-19 133

COVID-19 Health Care Inequity COVID-19 Vaccine Medicare 133

Health Populi

MARCH 12, 2020

How would you improve what’s in the bill to optimize the use of telehealth in this challenging public health moment? For example, only health care providers that have an existing relationship with a Medicare patient would be eligible per the requirements in the legislation. The President signed the $8.3

COVID-19 116

COVID-19 Telemedicine Medicare Medicare 116

Healthcare Law Blog

JANUARY 26, 2023

The provisions also prohibit entities that receive federal funds from denying admission or discriminating against any applicant for training or study based on their reluctance or willingness to counsel, recommend, perform, or assist in certain health services or research activities because of their religious beliefs or moral convictions.

ACA 105

ACA Medicaid Medicaid Compliance 105

Health Populi

MAY 14, 2019

Respondents were both uninsured and insured through individual coverage, Medicare, Medicaid, and dual enrollees. The social determinants through “place,” our personal geography, have a greater impact on our overall health, well-being, and productivity than our genetic endowment at birth.

Health Insurance 101

Health Insurance Public Health Hospitals Medicaid 101

Health Populi

JANUARY 30, 2020

But most Americans, rich or not, believe that it’s unfair for wealthier people to get better health care, according to a January 2020 poll from NPR, the Robert Wood Johnson Foundation and Harvard Chan School of Public Health, Life Experiences and Income Equality in the United States. adults 18 or older. Higher-income, 16%.

Health Insurance 76

Health Insurance Public Health Medicare Medicare 76

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

MedTrainer

OCTOBER 4, 2023

These federal compliance governing agencies regulate the industry at the national level: Centers for Medicare & Medicaid Services (CMS). CMS plays a crucial role in overseeing federal healthcare programs, including Medicare and Medicaid. HIPAA sets the standard for protecting sensitive patient data.

Compliance 52

Compliance Fraud HIPAA Governance 52

Health Populi

MAY 15, 2018

The social determinants of health — income and good jobs, using tobacco, and having health insurance — bolster good health. Light blue to blue is a good thing; the grey area is negative for level of uninsured population and greater self-rationing health care services due to costs.

Health Insurance 74

Health Insurance Health Outcomes ACA Public Health 74

Health Populi

FEBRUARY 14, 2018

of health spending per person. Three factors will drive healthcare costs to 2026: prices for medical goods and services, changes in income growth, and shifting enrollment from private health insurance to Medicare — driven by the aging of Boomers. That equates to 18.4%

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79

Health Populi

OCTOBER 24, 2022

These are shown in the first diagram from the report, breaking out factors that have exacerbated challenges on both the demand and supply side of the American health economy. Many of these were already in motion before the COVID-19 pandemic emerged; the public health crisis exacerbated several of them. In the U.S.,

COVID-19 52

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 52