Healthcare Dive - Practice Management

MAY 1, 2024

Runaway inpatient spending in particular caused CVS’ insurance costs to snowball after returning “to patterns we have not seen since the start of the pandemic,” its CFO said.

Insurance 130

Insurance 130

Healthcare Dive - Practice Management

JUNE 14, 2024

The redo comes after regulators lost two court cases over the methodology used to determine 2024’s quality ratings, and should result in hundreds of millions of dollars in additional bonuses to plans that see their ratings improve.

Insurance 109

Insurance 109

The HIPAA Journal

NOVEMBER 7, 2024

The use of ransomware in cyberattacks decreased slightly in the first half of the year; however, the severity of ransomware attacks increased according to the 2024 Cyber Claims Report: Mid-Year Update from cyber insurance and security service provider Coalition.

Follow-Up 81

Follow-Up Insurance Transfers HIPAA 81

Valant

JULY 29, 2024

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.

Diagnostics 97

Diagnostics HIPAA Insurance Medication 97

Health Populi

AUGUST 21, 2024

Millions of Americans believe they have been treated negatively by a physician due to their weight, insurance status, physical appearance and/or state of mental health, according to a YouGov poll published August 6, 2024. adults 18 and over online in late June 2024. To gauge U.S. Empathy ranks relatively high.

Insurance 71

Insurance Medication Appointments Patient Experience 71

Medical Economics

JUNE 25, 2024

Watch three educational sessions on coding and billing, retirement planning, and group disability insurance.

Billing 104

Billing Insurance 104

Healthcare Dive - Practice Management

JULY 9, 2024

More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a Healthcare Dive analysis.

Insurance 117

Insurance 117

Healthcare Dive - Practice Management

OCTOBER 30, 2024

Despite the stronger membership, Humana doesn’t expect earnings growth next year due to significant investments the insurer plans to make to boost MA stars.

Insurance 104

Insurance 104

Forbes Healthcare

AUGUST 29, 2024

Highmark Health, parent of Blue Cross and Blue Shield plans in four states, reported a $417 million profit for the first half of 2024 on insurance and provider growth.

Insurance 109

Insurance 109

Health Populi

JANUARY 2, 2024

While the North Hall of the LVCC will have a dedicated digital health area featuring at least 540 exhibits as listed in the CES 2024 app directory, I’ll find health beyond this area of the convention center all over town. Note that one of CES 2024 keynote speakers is Elevance Health’s President and CEO Gail Boudreaux.

Acute Care 87

Acute Care Collaboration Medication Hospital 87

The HIPAA Journal

JULY 8, 2024

Palomar Health Medical Group has warned patients that they may have been affected by an April 2024 cyberattack, and DaVita has learned that tracking tools on its website and mobile app may have sent user data to third-party vendors. DaVita Notifies Patients About Tracking Technology Privacy Incident DaVita Inc.,

Medication 119

Medication HIPAA Tests Medical History 119

Minority Nurse

DECEMBER 29, 2023

To get started, find a budgeting tool, use a spreadsheet, or even grab a pad of paper and enter in all of your income from full-time work, side jobs, cash you receive after taxes, health care or insurances, and 401k or retirement savings have been deducted. The post Start 2024 With a Budget Plan first appeared on Minority Nurse.

Insurance 81

Insurance Follow-Up Appointments 81

The HIPAA Journal

JULY 3, 2024

Suspicious network activity was identified on March 27, 2024, and third-party cybersecurity specialists were engaged to investigate the activity. The group says it has given the hospital until July 8, 2024, to pay the ransom demand and will leak the stolen data if payment is not made.

HIPAA 113

HIPAA Hospital Insurance Medication 113

Health Populi

JUNE 11, 2024

between 2023 and 2024, according to the 2024 Milliman Medical Index. The big number this year is $32,066, which is the cost of that employer-sponsored PPO for a family of 4 in 2024. 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

Health Populi

FEBRUARY 27, 2024

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).

Billing 141

Billing Insurance HIPAA Hospital 141

The HIPAA Journal

JULY 4, 2024

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.

HIPAA 95

HIPAA Documentation Billing Insurance 95

Healthcare Dive - Practice Management

FEBRUARY 11, 2025

The massive insurer now expects to lose 550,000 Medicare Advantage members — roughly one-tenth of its individual MA footprint — this year as a result of plan cuts.

Insurance 70

Insurance Medication 70

Forbes Healthcare

FEBRUARY 4, 2025

Oscar Health reported a $25 million profit for the full year 2024 as the provider of individual Obamacare health insurance achieved record enrollment and revenue growth.

Insurance 77

Insurance 77

Health Populi

DECEMBER 12, 2023

consumers feel in worse financial shape now than in 2022, with inflation a top concern, discovered in the 2024 New Year’s Financial Resolutions Study from Fidelity Investments. adults 18 and over in October 2023 to gauge peoples’ perspectives on personal finances, and well-being currently and into 2024. One-third of U.S.

Billing 83

Billing Insurance Medication 83

The HIPAA Journal

APRIL 23, 2024

According to the notification letters mailed to the affected individuals in April 2024, a cyberattack was detected on June 6, 2023, when its network was disrupted. It took more than 10 months (April 10, 2024) to determine the types of information involved and the number of individuals affected.

HIPAA 100

HIPAA Insurance Medication 100

The HIPAA Journal

JULY 5, 2024

The breach was detected on March 25, 2024, and immediate action was taken to prevent further unauthorized access. An investigation was launched which determined that between November 2, 2023, and March 29, 2024, the vendor accessed and downloaded information from a Kairos database.

HIPAA 97

HIPAA Insurance Medication 97

The HIPAA Journal

JULY 5, 2024

Providence Mission Heritage Endocrinology In May 2024, Providence Mission Heritage Endocrinology in Mission Viejo, CA, discovered an insider breach that involved unauthorized access to clinical records. The first instance occurred on December 15, 2020, and it continued until May 15, 2024.

HIPAA 101

HIPAA Patient Records Insurance Hospital 101

The HIPAA Journal

APRIL 29, 2024

Berry, Dunn, McNeil & Parker, LLC (BerryDunn) provides health data analytics services to healthcare providers, health insurers, and government regulatory and healthcare policy agencies and its clients provide BerryDunn with personal and health data to allow the firm to perform its contracted services.

HIPAA 94

HIPAA Insurance Medication 94

The HIPAA Journal

OCTOBER 29, 2024

According to its substitute breach notice, external cybersecurity professionals were engaged to investigate the incident and confirmed that a network intrusion occurred between January 4, 2024, and January 8, 2024, involving the exfiltration of a limited amount of patient data. The affected individuals have now been notified by mail.

Insurance 79

Insurance HIPAA Business Associate Medication 79

The HIPAA Journal

JULY 8, 2024

The Breach of Personal Information Notification Act was amended by Senate Bill 824 and was signed into law by state Governor Josh Shapiro on June 28, 2024. The amended law takes effect on September 26, 2024.

HIPAA 112

HIPAA Insurance Billing Medication 112

Doximity

MARCH 28, 2024

My father fought multiple insurance companies to cover her much-needed care but was denied as they labeled her illness as a preexisting condition. That first illness necessitated a 6-month hospitalization, resulting in a new valve and the birth of my youngest sister. We floated close to poverty, eligible for free school lunches.

Huddles/Rounds 97

Huddles/Rounds Hospital Teamwork Medical History 97

Health Populi

DECEMBER 18, 2023

The pharmaceutical industry and health insurance companies garnered 3 in 10 people rating them as excellent/good, with nursing homes at the bottom a 2.5/10 ” For pharma/drug companies and health insurers, 3 in 10 consumers also ranked these medical segments as “poor” providers in the U.S. health system.

Insurance 143

Insurance Hospital Collaboration Patient Experience 143

ACMA Blog

JULY 9, 2024

Given the current state of PBM dominance, pharmacists, health insurers, and drug manufacturers often have little choice but to interact with the large, dominant PBMs when distributing certain drugs. July 9, 2024. May 23, 2024. PBM Services Shares, % of total equivalent prescription claims managed. Endpoints News.

Insurance 98

Insurance Patient Centered Care Medication Certification 98

Health Populi

DECEMBER 1, 2023

Even commercially insured patients feel health care cost pressures crowding out other household spending — for food, credit card bills, housing and auto payments. Keep this in mind for your 2024 business planning across all aspects of health care that grow increasingly consumer-facing.

Billing 71

Billing Follow-Up Communication Insurance 71

The HIPAA Journal

OCTOBER 31, 2024

Mystic Valley Elder Services, a Malden, Massachusetts-based non-profit agency providing home and community-based care to elders and adults living with disabilities, has started issuing individual notifications about a cyberattack and data breach that was identified on April 5, 2024.

Hospital 93

Hospital HIPAA Business Associate Insurance 93

Health Populi

JUNE 30, 2023

in 2024, according to the annual report from the PwC Health Research Institute, Medical cost trend: Behind the numbers 2024. for 2024 medical trend. The post The Cost of Treating Patients is On the Rise: PwC Goes What’s Behind the 2024 Medical Spending Numbers appeared first on HealthPopuli.com.

Medication 87

Medication Hospital Appointments Insurance 87

The HIPAA Journal

JULY 9, 2024

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.

Triage 98

Triage HIPAA Documentation Billing 98

The HIPAA Journal

APRIL 26, 2024

This is the largest healthcare data breach to be reported so far in 2024 and the largest confirmed healthcare data breach to date involving website tracking technologies. Notifications are expected to be issued in May 2024. Kaiser Permanente Health Plan Inc. is notifying 13.4

HIPAA 112

HIPAA Hospital Insurance 112

Forbes Healthcare

AUGUST 27, 2024

CVS Health’s Aetna health insurance company is expanding coverage of fertility services to include artificial insemination.

Insurance 124

Insurance 124

The HIPAA Journal

APRIL 30, 2024

On April 10, 2024, Livanova confirmed that the personal and protected health information of U.S. In a February 2024 earnings call, the company confirmed that the company had incurred costs of around $2.6 patients had been exfiltrated from its systems in the attack. It is currently unclear how many individuals have been affected.

HIPAA 86

HIPAA Insurance Hospital Medication 86

The HIPAA Journal

APRIL 25, 2024

The exposed and stolen data included contact information, Social Security numbers, driver’s license numbers, financial information, health insurance information, medical records, medical histories, diagnoses/conditions, and health insurance information.

Medication 107

Medication HIPAA Medical History Best Practices 107

The HIPAA Journal

APRIL 26, 2024

The email accounts were accessed by an unauthorized third party between February 19, 2024, and February 20, 2024. Lamont Hanley & Associates notified CMC on March 6, 2024, that there had been unauthorized access to an employee’s email account.

HIPAA 103

HIPAA Business Associate Tests Medication 103