Health Populi

JUNE 5, 2022

Fast-forward through the 1990s and the advent of PBMs — pharmacy benefit management companies — the intermediaries managing drug benefits for health insurance plans. Today, the three largest PBMs, processing about 4 in 5 retail prescription claims, are embedded in large health insurance companies.

Overpayments 149

Overpayments Overpayment Medicare Medicare 149

Healthcare IT News - Telehealth

FEBRUARY 9, 2021

"The public health emergency did not create the telemedicine industry. The wide-ranging report – which focuses only on commercial health insurance laws, and not Medicaid rules – notes that, although telehealth coverage has widely expanded, not all of these laws are equally effective at ensuring access to virtual care.

COVID-19 215

COVID-19 Telemedicine Federal Policy Public Health 215

YouCompli

MAY 11, 2022

For more insights from the Compliance Institute, download our white paper on how compliance professionals can help healthcare institutions mitigate risk.). In March of 2022, a New Jersey rheumatologist was convicted by a federal jury for defrauding Medicare and other health insurance programs.

Compliance Officers 52

Compliance Officers Fraud Compliance Medicare 52

HIT Consultant

FEBRUARY 2, 2022

Additionally, a white paper published in 2021 shows that FFS “with no link to quality or value, still accounted for nearly 40% of all insurer payments, and the majority of payments in Medicaid and commercial insurance.”.

Medicaid 98

Medicaid Medicaid COVID-19 Medicare 98

Health Populi

JUNE 10, 2020

BlackRock partners in the ESI with the Financial Health Network, CommonWealth, the Center for Advanced Hindsight Common Cents Lab, along with UPS, Mastercard, Etsy (whose sellers were the subject of an ESI white paper on the pandemic and gig workers’ financial health), Brightside, Acorns, and Arizona State University.

COVID-19 73

COVID-19 Medical Billing Health Insurance 73

Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M doctor talks importance of diversity in health care Illinois hospital CEO dismissed amid board investigation Illinois paid sick leave legislation heading to Gov.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

C&M Health Law

NOVEMBER 7, 2022

CMMI has broad statutory authority not only to test, design, and implement health care payment and delivery models for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) but in certain instances, can implement such models without Congressional action.

Medicare 52

Medicare Medicare Medicaid Medicaid 52