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A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Health Populi

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).

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ICD-10 Code for Altered Mental Status, Unspecified 2024 – R41.82

Valant

This code is acceptable to insurers when used to describe a marked change in mental health status not attributable to other factors. While insurers prefer more descriptive ICD-10 codes, mental health practitioners should not list something specific if the patient’s medical record cannot support the diagnosis.

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PHI Exposed in Cyberattacks on Gaia Software & Pinnacle Orthopaedics & Sports Medicine Specialists

The HIPAA Journal

Gaia Software has disclosed details of a February 2024 cyberattack, Pinnacle Orthopaedics & Sports Medicine Specialists are investigating an April 2024 cyberattack, and OB GYN Specialists of Lima have discovered the improper disposal of patient data.

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BioPlus Specialty Pharmacy Services Proposes Settlement to Resolve Data Breach Lawsuit

The HIPAA Journal

Hackers gained access to the BioPlus network for more than 2 weeks between October and November 2021, and potentially stole names, dates of birth, contact information, health insurance information, prescription information, and Social Security numbers. The maximum claim permitted depends on whether Social Security numbers were compromised.

HIPAA 98
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SouthCoast Health; Call 4 Health Notify Patients About Cyberattacks

The HIPAA Journal

The review of the affected files was not completed until June 13, 2024. Call 4 Health Issues Notifications About March 2024 Cyberattack Call 4 Health, Inc., Unauthorized network access was detected on May 6, 2024, and immediate action was taken to prevent further unauthorized access.

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Why the FTC Investigated PBMs and What it Means for You

ACMA Blog

FTC Conducts Investigation into PBMs Because PBM practices lack transparency and accountability to the public, in 2022, the Federal Trade Commission (FTC) requested data and documents of business practices to the six largest PBMs: Caremark Rx, LLC, Express Scripts, Inc., July 9, 2024. May 23, 2024. OptumRx, Inc., Endpoints News.

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Mental Health Parity and Addiction Equity Act: Comprehensive Final Rule Expected in 2024

Healthcare Law Insights blog

5] MHPAEA requires covered individual and group health plans and issuers of health insurance (collectively “Health Plans”) to collect and evaluate data and address the material differences between access to MH/SUD benefits when compared to medical/surgical benefits. Sheridan, et al., 4] Dep’t Health Hum. 4 2023), [link]. [5] 5] 29 C.F.R.