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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Insurance Follow-Up Care Plan Communication 62

Health Prime

OCTOBER 10, 2024

According to The State of Mental Health in America 2023 , 21% of adults are currently experiencing a mental illness, which equates to over 50 million Americans. Mental health providers must ensure they use the correct diagnosis and procedure codes when submitting claims to insurance companies.

Billing 97

Billing Medical Coding Documentation Insurance 97

Arkenea

JULY 12, 2024

Medical insurance verification software is developed to automate the process of verifying patients’ insurance coverages. This software is connected to the insurance company’s database to retrieve real-time data on a patient’s insurance status. CDC reveals that 10.9 CDC also reveals that 3.9 In 2022, 92.1

Insurance 52

Insurance EHR / EMR Medication Patient Satisfaction 52

Coronis Health

MARCH 13, 2024

The agency has been in constant communication with Change Healthcare and its parent company, UnitedHealth Group, since the company revealed the details of the attack and its attendant disruptions in downline processes, including interruptions in the payment of medical claims by multiple insurance plans and programs.

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Hospital Follow-Up Insurance Certification 105

The HIPAA Journal

MARCH 18, 2025

A settlement has been agreed to resolve multiple Infosys McCamish Systems class action lawsuits that were filed in response to a 2023 ransomware attack and data breach that involved unauthorized access to the personal data of more than 6 million individuals.Infosys is Indias second-largest IT services provider, and Infosys McCamish Systems is a U.S.

HIPAA 82

HIPAA Follow-Up Insurance Medication 82

Health Populi

JULY 24, 2023

In the program’s FAQs, one question clearly addresses this, transparently and in layperson’s terms: Q: “Do I need health insurance to use GNC Health?” ” A: “Nope — insurance isn’t needed or accepted.” Here’s the list of those top-of-mind healthcare worries for U.S.

Insurance 118

Insurance Acute Care Billing HIPAA 118

The HIPAA Journal

MARCH 20, 2025

There was no letup in cyberattacks on healthcare organizations in 2023, which set two new records – The most reported data breaches and the most breached records. In 2023, 725 data breaches were reported to OCR and across those breaches, more than 133 million records were exposed or impermissibly disclosed. In 2023, 79.7%

Business Associate 111

Business Associate HIPAA Unit Organization and Environment Hospital 111

Health Populi

JUNE 11, 2024

between 2023 and 2024, according to the 2024 Milliman Medical Index. This year, I opted for a 2025 Subaru Forester and a year’s tuition for a New Mexico resident living off-campus for 2023-24 attending University of New Mexico. Health care costs for an “average” person covered by an employer-sponsored PPO in the U.S.

Medication 77

Medication Follow-Up Billing Insurance 77

Minority Nurse

FEBRUARY 22, 2024

During the COVID-19 pandemic, the National Council of State Boards of Nursing (NCSBN) (2022) estimated over 100,000 registered nurses left the profession and predicted that another 800,000 nurses would follow them by 2027. link] Joint Commission (2023, August 24). link] Mcfanhn, C (2023, August 24). Some workers at U.S.

Patient Care 111

Patient Care Hospital Critical Thinking Patient Safety 111

Health Populi

APRIL 8, 2024

While so-called recreational GLP-1 consumers may experience these benefits, this population would be less likely to be covered by medical insurance under current obesity criteria which are in use to ration access to the medicines in Germany and the United Kingdom.

Insurance 77

Insurance Follow-Up Medication Billing 77

Health Populi

JULY 18, 2024

Motor vehicle insurance costs grew a whopping 19.5% Following the BLS report on the CPI for June 2024, PwC published their new annual report from PwC titled Behind the Numbers 2025 tells us that commercial health care spending is expected to grow some 8.0% and 3.2%, respectively. in the report, FYI). for Group plans and 7.5%

Hospital 71

Hospital Insurance Follow-Up Medication 71

Health Populi

APRIL 19, 2023

People have expanded their definitions of health in 2023, with mental health supplanting physical health for the top-ranked factor in feeling healthy. In 2023, it’s much harder to take care of my health, consumers say. In the U.S., that delta is 11 points worse, the second chart graphs, with the U.S.

Follow-Up 62

Follow-Up Insurance Communication Patient Experience 62

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. Access One fielded the study in early October 2023 among 1,016 U.S. Two-thirds of U.S. Note that U.S. Note that U.S.

Billing 71

Billing Follow-Up Communication Insurance 71

Health Populi

MAY 20, 2024

In the past year, the growth of prescription drug utilization and spending has much to do with the use of GLP-1 agonists to treat diabetes and obesity, along with immunology therapy, and lipid meds, along with specialty medicines now accounting for over half of spending — up from 49% in 2018.

Follow-Up 71

Follow-Up Sterilization Tests Diagnostics 71

The Healthcare Blog

APRIL 2, 2024

billion (or 60% of its total revenues) represent clinical and business services provided to United’s Health Insurance business. United channeled almost $52 billion of that cash into buying health-related businesses, nearly all of which end up housed inside Optum. billion in 2023 (55% of total). in the third quarter of 2023.

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Tests Hospital Insurance Medication 130

Health Populi

JUNE 24, 2024

He pointed to a visit to an emergency room, where “the debt is taken on unexpectedly and in a time of crisis,” as well as consumers dealing with “complexities with insurance” (consider: out of network providers, lack of up-front cost estimates, and trauma which prevents one from “shopping” for care).

Medication 62

Medication Billing Insurance Follow-Up 62

Health Populi

APRIL 1, 2024

Paper checks are still a go-to form of payment to patients and plan members, and there remains lots of confusion among patients when it comes to up-front pricing and eventually the EOB statements resulting from the claims payment process. This Health Populi post focuses on the consumer-patient-as-payer aspects of the report.

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Billing Communication Follow-Up Medication 87

Health Populi

JULY 10, 2023

Today and tomorrow are Amazon Prime Days, 2023 style, when you can fetch bargains on lots of electronics (esp. For other services, such as appointments and labs, One Medical accepts health plans from most insurance carriers as well as Medicare,” the pre-reveal explained, a snippet of that site shown here.

Medication 54

Medication Follow-Up Appointments Insurance 54

The Healthcare Blog

APRIL 18, 2024

In November, 2023, Brynjolfsson teamed up with fellow West Coaster, Robert M. They begin their 2023 JAMA commentary this way, “History has shown that general purpose technologies often fail to deliver their promised benefits for many years (‘the productivity paradox of information technology’). citizens in the U.S.,

Vital Signs 64

Vital Signs Customer Service Follow-Up Medication 64

The HIPAA Journal

MARCH 29, 2024

billion in loans to healthcare providers under its temporary funding program to help ease the financial strain caused by delays to the processing of insurance claims and providers will have 45 days to pay back the loans. United Health Group has also confirmed that it has paid out more than $3.3 40% of the $3.3

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HIPAA Unit Organization and Environment Follow-Up Business Associate 97

Healthcare Law Insights blog

JANUARY 15, 2025

From 2018-2023, OCR observed a 102% increase in breaches affecting 500 or more individuals, with 167 million affected in 2023 alone. Comments should be identified by RIN Number 0945AA22 and can be submitted by any of the following ways: Federal eRulemaking Portal. Mail written comments to the following address: U.S.

HIPAA 52

HIPAA Business Associate Follow-Up Documentation 52

Relias

APRIL 27, 2023

To keep up with all of it, your staff needs constant training. Better retention As many as 58% of medical practices said that staffing is their biggest challenge for 2023, according to an MGMA Stat poll. It’s hard even for experts to keep up. The healthcare revenue cycle process is more complex than ever.

Critical Thinking 52

Critical Thinking Follow-Up Billing Best Practices 52

Minority Nurse

MARCH 22, 2023

Latanya Weston is an important nursing leader , and we’re pleased to profile her as part of the Champions of Nursing Diversity Series 2023. I was constantly stricken with various illnesses when I was growing up. Furthermore, I grew up in a community with significant health challenges, yet people didn’t prioritize their health.

Care Plan 98

Care Plan Follow-Up Communication Hospital 98

Minority Nurse

JUNE 14, 2024

I had spent most of my career being the squeaky wheel, speaking up even when it was unpopular. Following the COVID-19 pandemic, the broader public became abruptly aware of nurses ’ important role in the healthcare system and their daily challenges. But with risk came great reward.

Unit Organization and Environment 104

Unit Organization and Environment Hospital Continuing Education Follow-Up 104

CareerStep

NOVEMBER 14, 2023

The American Medical Association (AMA) reported that as of spring of 2023, the U.S. They’re used for billing and insurance reasons. Think of it as a simplified language for a patient’s medical history, because every doctor and insurance company in the U.S But, what do medical coders and billers do?

Billing 52

Billing Medical Coding Medication Certification 52

Minority Nurse

NOVEMBER 22, 2023

Shelise Valentine, RNC, MSN, C-EFM, CPPS, CPHRM, is the Director of Clinical Education, Healthcare Risk Advisors, part of TDC Group and chairs nursing, co-chairs obstetric and simulation initiatives, and directs risk management and obstetric education for insured hospital clients to improve patient safety and reduce malpractice risk.

Unit Organization and Environment 59

Unit Organization and Environment Patient Safety Hospital Best Practices 59

CollaborateMD

JANUARY 5, 2024

According to EverHealth , one of the most important considerations is the software “must comply with healthcare regulations and standards, such as HIPAA (Health Insurance Portability and Accountability Act) in the United States, to ensure patient data is protected and privacy is maintained.” This means less waiting for payments.

Billing 52

Billing Medication Follow-Up Insurance 52

ACMA Blog

JUNE 25, 2024

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. This is done following the health plan’s formulary or the criteria for a specific medication, device, or procedure being requested.

Documentation 40

Documentation Medical Assistant Certification Insurance 40

Healthcare Law Insights blog

NOVEMBER 21, 2023

The following is a non-exclusive list of evidence federal courts have considered in ERISA opinions issued within the last three years. Reliance Standard Life Insurance Co. , 3d–, 2023 WL 3303865 (W.D. May 8, 2023). 3d–, 2023 WL 5806455 (E.D. 7, 2023). McIntyre v. 4th 993 (8th Cir. Midthun-Hensen v.

Documentation 52

Documentation Follow-Up Medication Insurance 52

ACMA Blog

OCTOBER 8, 2024

Many healthcare providers may prescribe treatments that are not considered routine or may be expensive, an insurance company may need prior authorization (PA) to determine whether they will cover what the healthcare providers recommends 4. The healthcare provider must get approval from the insurance company.

Medication 40

Medication Insurance Documentation Follow-Up 40

Health Populi

APRIL 16, 2024

This post follows up Part 1 of a two-part series I’ve prepared in advance of the AHIP 2024 conference where I’ll be brainstorming these scenarios with a panel of folks who know their stuff in technology, health care and hospital systems, retail health, and pharmacy, among other key issues. For 2030, consider….

Follow-Up 77

Follow-Up Tests Insurance Hospital 77

Arkenea

JANUARY 25, 2025

Key Takeaways A need to control substance usage and reduce medication errors is driving the e-prescribing market growth during the 2023-2030 timeframe. The cost depends on the team, features, functionalities, and the time required to wrap up the development process. percent during the 2023-2030 timeframe.

Transfers 52

Transfers HIPAA Medical History Follow-Up 52

ACMA Blog

OCTOBER 16, 2023

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. This is done following the health plan’s formulary or the criteria for a specific medication, device, or procedure being requested.

Medical Assistant 40

Medical Assistant Documentation Certification Communication 40

Doximity

FEBRUARY 20, 2024

million people who self-identified as Black, making up 14.4% Dr. George - The article written in 2023, where I was recognized as "Top Physicians and Clinicians to Follow in Digital Health," really helped my career and set me up for success. Why is it important to you that we celebrate Black History Month in medicine?

Follow-Up 52

Follow-Up Insurance Medication 52

Pulmonology Advisor - Practice Management

OCTOBER 13, 2023

Will they be happy to wake up every weekday morning and go to work? The 2023 Medscape survey found that plastic surgery is now the happiest specialty, with 71% of physicians reporting they are “very happy” or “happy” outside of work. The following answers were quoted in the survey results 6 : “I do absolutely no charting at home.” “I

Follow-Up 52

Follow-Up Scheduling Medication Hospital 52

Relias

JUNE 1, 2023

More technology is not always the best solution In a recent healthcare provider survey , half of healthcare executives said the revenue cycle is a top priority for software investment in 2023. From the least complex workflows to the highest complexity workflows, finding a minute here or there can add up quickly,” said Hermosillo.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Relias

JUNE 1, 2023

More technology is not always the best solution In a recent healthcare provider survey , half of healthcare executives said the revenue cycle is a top priority for software investment in 2023. From the least complex workflows to the highest complexity workflows, finding a minute here or there can add up quickly,” said Hermosillo.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52