Healthcare Dive

OCTOBER 26, 2022

Many are struggling to afford their private health insurance and are unprepared for a medical emergency, a poll conducted for telehealth provider Babylon showed.

Medical Billing 363

Medical Billing Health Insurance 363

McGuire Wood

MAY 11, 2022

Carlyle will acquire NSM Insurance Group from White Mountains Insurance Group, according to a news release. is an independent insurance brokerage that underwrites policies for behavioral healthcare and several other sectors. The transaction values NSM at $1.775 billion. NSM , based in Conshohocken, Pa., Carlyle , with its U.S.

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Fierce Healthcare

OCTOBER 30, 2023

Patient office visit costs were lowest in counties in Florida and the central U.S.,

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Bill of Health

NOVEMBER 2, 2023

A range of UN Human Rights Treaty Bodies have further contributed to interpret the human rights implications of private actors’ involvement in health care. What are, however, the specific legal and ethical implications of involving private actors in health care vis-à-vis public health emergencies? 4, Introduction).

Public Health 339

Public Health COVID-19 World Health Governance 339

Healthcare Dive

FEBRUARY 22, 2022

Private insurers' payments for those trips increased 56% between 2017 and 2020, Fair Health found. More ambulance trips are billing for "advanced life support," denoting a higher level of care (and reimbursement).

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Bill of Health

MARCH 27, 2024

These high costs highlight the need for comprehensive insurance coverage because many of those experiencing symptoms of conditions like PTSD also frequently lack the resources to pay for such treatments. The easiest way to qualify for this program is for patients to have insurance that covers Spravato. for depression).

FDA 201

FDA Medicare Medicare Health Insurance 201

Healthcare Dive

MARCH 31, 2022

While 58% of the public said they're worried about being able to afford surprise bills, the majority of people with private insurance stated they knew nothing about the consumer protection law that went into effect in January.

Medical Billing 296

Medical Billing 296

Bill of Health

DECEMBER 6, 2023

By Hannah Rahim Many mental health provider directories for private and public insurance plans contain inaccurate or outdated provider information , which creates a misleading illusion of accessible care. not accepting new patients, retired, moved away, or no longer accepting the particular type of insurance).

Governance 144

Governance Medicaid Medicaid Medicare 144

Healthcare Dive

MARCH 30, 2022

A growing number of health insurers, private equity companies and hospitals are snapping up home health and hospice practices, with hopes for a substantial ROI.

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Health Insurance Hospitals 238

Fierce Healthcare

JANUARY 23, 2024

Over half of the country’s rural hospitals aren’t offering labor and delivery services, and many of those that are could soon be forced to end maternity care due to financial losses, according to t | Many rural facilities that do still deliver are facing financial struggles that could force a shutdown, the Center for Healthcare Quality and Payment (..)

Hospitals 129

Hospitals 129

Fierce Healthcare

MARCH 5, 2024

A new-look Medicare Advantage (MA) quality bonus program would better incentivize insurers and help individuals choose a more appropriate plan, a report from Urban Institute finds. | A new report looks at how the Medicare Advantage quality bonus program could be improved, including taking the star ratings reporting private.

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Medicare Medicare 97

HIT Consultant

FEBRUARY 20, 2024

Nathaniel Arana, CEO at NGA Healthcare As a society, we should all be concerned about the increasing rate at which private equity firms are acquiring physician groups. Two-year-old Zion Gastelum tragically passed away shortly after undergoing root canals and crowns on six baby teeth at a clinic associated with a private equity firm.

Health Insurance 52

Health Insurance Medicaid Medicaid Governance 52

Kaiser Health News

APRIL 16, 2024

A wide-ranging lawsuit filed Friday outlines a moneymaking scheme by which large insurance sales agency call centers enrolled people into Affordable Care Act plans or switched their coverage, all without their permission. KFF Health News has in recent weeks reported on similar concerns raised by consumers and insurance agents.

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ACA Health Insurance Governance Medical Billing 137

Modern Healthcare

JANUARY 11, 2022

The federal agency guidelines addressed women's health, HIV screenings and suicide screenings.

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Center for Health Insurance Reform

AUGUST 16, 2022

Private insurance does not always cover the full range of MAT options, and when it does provide coverage cost sharing can be prohibitive. CHIR's Rachel Swindle takes a look at state and federal reforms that can help lessen private insurance related barriers to treatment.

Health Insurance 70

Health Insurance 70

Health Populi

JUNE 18, 2021

with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. One in two people in the U.S. One-half of U.S. Gallup-West Health surveyed 3,870 U.S.

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ACA Health Insurance Medicaid Medicaid 133

Center for Health Insurance Reform

SEPTEMBER 25, 2023

CHIR’s Rachel Swindle and Karen Davenport outline some of these state efforts as they relate to private insurance. Wade, states have taken action to protect and promote access to abortion.

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Kaiser Health News

JANUARY 25, 2024

The practice is part of the private equity-backed GI Alliance, which has more than 800 gastroenterologists working in 15 states, including Florida, Missouri, and Texas. Total Bill: For each colonoscopy, the gastroenterology group charged $2,034 before any insurance discounts or reductions. for Brian’s screening and $389.24

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Medical Billing Doctors Health Insurance Hospitals 137

Healthcare It News

DECEMBER 29, 2023

"Improving coverage for and access to biomarker testing across insurance types is key to reducing health disparities," the organization said in an FAQ on its Ohio campaign page. Alzheimer’s is one disease where early diagnosis can lead to more effective dementia treatment, the Alzheimer’s Association said.

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Medicaid Medicaid Health Outcomes 241

Medisys Compliance

APRIL 9, 2024

This is where private practice billing services come in. Understanding the Challenges of Private Practice Billing The world of medical billing is complex, and mental health services are no exception. Choosing the Right Private Practice Billing Service Partner With numerous billing services available, selecting the right fit is crucial.

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Medical Billing Medical Billing Outsourcing HIPAA Medical Billing Services 59

Bill of Health

APRIL 8, 2022

In light of the widespread cultural and business culture adoption of microdosing, private sector employers should reconsider the implications of a blanket prohibition on workplace use of controlled substances. By Vincent Sliwoski. They may do well to follow suit with respect to psychedelics.

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Licensing FDA Governance 293

Healthcare It News

APRIL 8, 2024

Island Hospital, a private quaternary hospital in Malaysia, is providing a case for this by building an integrated health ecosystem that fosters cooperation and collaboration among stakeholders. Adopting a collaborative model of care is one approach that can help temper the rising cost of healthcare globally.

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Hospitals Public Health Doctors 243

Center for Health Insurance Reform

JUNE 21, 2022

As private equity involvement in the health care industry increases, policymakers and other stakeholders are sounding the alarm and calling for better regulation to control costs and protect patients. CHIR's Maanasa Kona takes a look at the role of private equity in the health care sector and how it impacts consumers.

Health Insurance 102

Health Insurance 102

Medisys Compliance

MARCH 5, 2024

This complexity is reflected in the coding and billing requirements set forth by government payers such as Medicare, as well as private insurance companies. Prior Authorization: Many cardiology procedures require prior authorization from insurance companies, adding a layer of administrative burden and potential delays in reimbursement.

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Medical Billing Outsourcing Medical Billing Compliance Governance 105

Center for Health Insurance Reform

MAY 8, 2023

Washington, Colorado, and Nevada are partnering with private health insurance carriers to offer new "public option" plans. In a post for the Commonwealth Fund's To the Point blog, CHIR's Christine Monahan and Madeline O'Brien compare state approaches to selecting insurance carriers to offer the new state plans.

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Health Insurance 74

Compliance Now

APRIL 13, 2022

Such benefits will be provided either through a State-based program known as the Family and Medical Leave Insurance (FAMLI) Program or by private employers who elect to opt out of the FAMLI Program and instead pay such benefits either directly or through an insurance policy. Private employers may opt out of the FAMLI Program.

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Kaiser Health News

NOVEMBER 30, 2023

A recent Federal Trade Commission civil lawsuit accusing one of the nation’s largest anesthesiology groups of monopolistic practices that sharply drove up prices is a warning to private equity investors that could temper their big push to snap up physician groups. Welsh Carson declined a request for interviews with its executives.

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Hospitals Health Care Reform 124

Healthcare IT News - Telehealth

APRIL 27, 2023

Sunshine Private Hospital live with Kyra EMR, MedicalDirector Sunshine Private Hospital in Melbourne's west has gone live with Telstra Health's Kyra Clinical EMR system and MedicalDirector solutions. It enables a smooth transfer of care, e-referrals, medication management, as well as peer-to-peer communication.

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Governance Hospitals Doctors 143

Fierce Healthcare

JUNE 15, 2023

Most people with either public or private healthcare insurance like their coverage—but they like it a lot less when they’re sick, according to a new

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Center for Health Insurance Reform

APRIL 28, 2023

House of Representatives' Education & Workforce Committee is considering several bills affecting the affordability and accessibility of employer-sponsored insurance. CHIR's Sabrina Corlette was invited to testify on these proposals and the state of private insurance more generally.

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Center for Health Insurance Reform

JUNE 26, 2023

CHIR's Emma Walsh-Alker examines the systemic barriers to health care coverage that the LGBTQ+ community faces, and highlights a few key coverage and access issues that continue to impact LGBTQ+ individuals with private health insurance.

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Health Care Access Health Insurance ACA 89

Kaiser Health News

NOVEMBER 11, 2021

Finding the best private Medicare drug or medical insurance plan among dozens of choices is tough enough without throwing misleading sales tactics into the mix. The patrol is a federally funded program that helps seniors untangle insurance problems.

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Medicare Medicare Doctors Fraud 144

Electronic Health Reporter

JUNE 16, 2021

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that mandates the creation of national standards to protect delicate and private patient medical history and health information from being disclosed […]. This article is copyrighted strictly for Electronic Health Reporter.

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HIPAA Doctors Health Insurance Compliance 125

HIT Consultant

NOVEMBER 1, 2023

This collaboration marks an expansion of the existing relationship between Walmart Health and Ambetter Health , the largest and longest running carrier on the health insurance marketplace and one of the leading healthcare programs provided by Centene Corporation (“Centene”) (NYSE: CNC).

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Health Insurance Medicaid Medicaid Hospitals 116

Healthcare It News

NOVEMBER 29, 2021

The DiGA initiative is part of the 2019 Digital Healthcare Act (DVG) that sets the legal framework for doctors to prescribe DiGAs to the 73 million citizens insured with a statutory health insurer that reimburses their use, and has been recognised as a pioneering approach globally. THE LARGER CONTEXT.

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Doctors Nurses Health Insurance Governance 300

Center for Health Insurance Reform

APRIL 21, 2023

In March, we read about disparities in health insurance coverage for people of color, medical debt, and preventive service usage among private health plan enrollees. Winter is finally over, and health policy research is in full bloom.

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Health Insurance Hospitals 73

Kaiser Health News

MAY 27, 2022

Although San Antonio has plenty of gastroenterology offices, more than two dozen of them are controlled by the same private equity-backed group. Private equity, known for making a profit on quick-turnaround investments in struggling businesses across many industries, has taken an increasingly active interest in health care in the past decade.

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Doctors Nursing Homes Nurses Medicare 114