Groups, Medical Billing and Medicare - Connected Health Pulse

Bonus Features – September 24, 2023 – 72 percent of patients say affordability is the biggest challenge for paying medical bills

Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Nearly three in four (72%) patients say affordability is the biggest challenge to paying larger healthcare bills , according to a survey from Cedar.

Medical Billing

Medical Billing EHR Medicare BioTech

From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

Health Populi

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. The response: A health plan is a comprehensive package of healthcare services and coverage that helps individuals or groups manage and finance their healthcare needs.

Primary Care

Primary Care Medicare Medical Billing Public Health

Value-Based Health Care Needs All Stakeholders at the Table – Especially the Patient

Health Populi

MARCH 11, 2021

health care, patient assistance programs, Medicare Advantage plans, and the bundling of proven high-value preventive services into the Affordable Care Act. In the case of Medicare Part D, the drug benefit, Chandra said, “If you’re sick enough to fall into the donut hole, you may have higher mortality.”

Health Policy

Health Policy Medicare Pharmaceuticals Life Science

Seniors Satisfied With Medicare Supplemental Plan

BHM Healthcare Solutions

MARCH 5, 2019

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Seniors continue to be overwhelmingly satisfied with their Medicare supplemental insurance coverage.

Medicare

Medicare Medical Billing

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

Health Populi

FEBRUARY 27, 2024

health economy includes employers, unions, public sector plans and other groups as well as the Patient as Payor — thus prompting NABIP’s Bill of Rights. There have been many versions of so-called “patient’s bills of rights” over the years.

HIPAA

HIPAA Public Health Leadership Mental health

Will Consumers Cross the Cost-and-Trust Chasm Between Prescription Drugs and Hospitals?

Health Populi

OCTOBER 28, 2019

84% of Americans told the Foundation that they were concerned about how much health care costs will affect them in the future, with 42% of patients saying they couldn’t afford to pay over $500 for an unexpected medical bill. Hospital costs contribute to rising medical costs to 49% of health consumers.

Pharmaceuticals

Pharmaceuticals Medical Billing Medicare Mental health

Health Care Bills’ Financial Toxicity – Remembering the Jones’ of Whatcom County, WA

Health Populi

AUGUST 11, 2019

“In an extreme example of angst over expensive medical bills , an elderly Washington couple who lived near the U.S.-Canadian Canadian border died in a murder-suicide this week after leaving notes that detailed concerns about paying for medical care,” USA Today reported on August 10, 2019. million all-in.

Medical Billing

Medical Billing Leadership Medicare

Chicago Social Worker Indicted for Telehealth Medical Billing Fraud

Telebehavioral Health Institute

JUNE 21, 2023

million for medical billing fraud from Medicare. The indictment alleges that the couple conspired with a social worker to submit false claims to Medicare, falsely stating that residents had received individual psychotherapy sessions lasting one hour. Medicare fraud, in particular, increases healthcare costs for everyone.

Medical Billing

Medical Billing Telehealth Medicare HIPAA

The 2023 Health Economy – The Evolving Primary Care and Retail Health Convergence Through Trilliant Health’s Lens

Health Populi

SEPTEMBER 27, 2023

healthcare spending, with curves moving up and to the right, and the Medicare Hospital Insurance Trust Fund moving into the opposite direction toward insolvency by 2033. adults saying inflation has made it harder to pay medical bills.

Primary Care

Primary Care Medical Billing Medicare Patient Experience

Chicago Social Worker Indicted for Telehealth Medical Billing Fraud

Telebehavioral Health Institute

JUNE 21, 2023

million for medical billing fraud from Medicare. The indictment alleges that the couple conspired with a social worker to submit false claims to Medicare, falsely stating that residents had received individual psychotherapy sessions lasting one hour. Medicare fraud, in particular, increases healthcare costs for everyone.

Medical Billing

Medical Billing Telehealth Medicare HIPAA

Why People Are Still Avoiding the Doctor (It’s Not the Virus)

Henry Kotula

JUNE 21, 2020

While the survey didn’t ask people why they were putting off care, there is ample evidence that medical bills can be a powerful deterrent. “We A pharmacist helped, but Mr. Chapman no longer has insurance, and is not sure what he will do until he is eligible for Medicare later this year.

Medical Billing

Medical Billing Medicare Primary Care Telemedicine

Weekender 5/18/18

HIStalk Weekender

MAY 18, 2018

As a cash-strapped buyer who just wants to know what I will be billed when my PCP orders a dermatology test for a sun spot that I’ve had for 10 years, what am to do? My first inclination is to at least publish the Medicare price. We practiced as a whole group and they could not believe how their voice sounded through the phone.

Nursing

Nursing Medicare EMR Medical Billing

When Household Economics Blur with Health, Technology and Trust – Health Populi’s 2023 TrendCast

Health Populi

DECEMBER 22, 2022

Brian Klepper of Worksite Health Advisors , longtime consigliere to self-insured employers, unions, and value-oriented providers of medical services, explained the growth in value-based care he expects to see in the coming months: “Today’s descendants of the disruptor Managed Care companies of the 1980’s are value-focused and high performing….that

Health Technology

Health Technology Mental health Digital Health Primary Care

Experian Health Acquires Wave HDC, Immediately Enabling Real-Time, Single Inquiry Insurance Discovery/Verification at the Point of Patient Registration

Healthcare IT Today

DECEMBER 22, 2023

Wave HDC offers several insurance “curators” including Coordination of Benefits, Eligibility, and Medicare Beneficiary Identifiers, and serves hospitals, laboratories, billing companies, and physician groups. For more information about Experian Health, visit experian.com/healthcare.

Medical Billing

Medical Billing Medicare healthcare technology Healthcare IT

150 top places to work in healthcare

Henry Kotula

JULY 15, 2018

Hospitals, Health Systems and Medical Groups. Chamber of Commerce, Latin American Chamber of Commerce of Charlotte, and the Charlotte Mecklenburg Black Chamber of Commerce, and in 2016 Business Resource Groups and Diversity Council honored the health system along with 24 other organizations for diversity and inclusion.

Leadership

Leadership Nursing Pharmaceuticals Primary Care

Hospitals’ off-site fees draw lawmakers’ scrutiny

Henry Kotula

APRIL 14, 2023

[link] More than two years after Congress acted to shield patients from surprise medical bills , lawmakers are turning to another source of unexpected medical costs: the fees that hospitals tack on for services provided in clinics they own.

Health Policy

Health Policy Nursing Medical Billing Medicare

Five Healthcare Industry Changes to Watch in 2020

Henry Kotula

FEBRUARY 26, 2020

A backlash against the non-transparent sharing of healthcare data and arguable profiteering is creating anger among patients and other groups. The Trump Administration supports increased use of Medicare Advantage and expanding consumer choices. Meanwhile, debates around what is meant by privacy continue to evolve, Fisher continues.

Primary Care

Primary Care Telehealth Patient Experience HIPAA

In the New Inflationary Era, Gas and Health Care Costs Top Household Budget Concerns

Health Populi

APRIL 4, 2022

About 3 in 5 people worry about unexpected medical bills, followed by one-half concerned about their home’s utility bills and grocery store spending. The cost of filling up a car’s gas tank ranked first among U.S. householder’s worries of household budget items among 71% of U.S. voters across political party.

Medical Billing

Medical Billing Mental health Medicare Patient Experience

The 2020 Health Populi TrendCast – HealthConsuming, TechLash, and Public Health Goes Private

Health Populi

DECEMBER 20, 2019

The most important factor that underpins peoples’ engaging with their health and health care organizations is trust…and distrust in America is up, the Pew Research Group told us earlier this year in their report on Trust and Distrust in America. The House passed its prescription drug bill earlier this month, named the Elijah E.

Public Health

Public Health Health Policy Medicare Medical Billing

A Uniting Issue in the United States is Lowering Prescription Drug Costs

Health Populi

JANUARY 30, 2020

Third and fourth on voters’ minds are protecting patients from surprise medical bills and better addressing drug addiction. Overall, Americans point to prescription drug costs and the preservation of the Affordable Care Act’s protections for people with pre-existing conditions, the first chart tells us.

Health Policy

Health Policy Medical Billing Pharmaceuticals Medicare

Thinking About Health Care One Year From the 2020 Presidential Election

Health Populi

NOVEMBER 4, 2019

Americans are roughly split — and/or equally confused — about the differences between three major health reform approaches: Medicare -for-All, improving the existing Affordable Care Act, or replacing the ACA with state-run health plans. More people in this group (55%) also believe that the U.S. The split across U.S.

Medicare

Medicare Medical Billing Nursing Public Health

Two-Thirds of Americans Say Healthcare Doesn’t Work Well, in RealClear Politics Poll

Health Populi

MAY 19, 2019

This poll from RealClear Politics , conducted in late April/early May 2019, makes my point that the patient is the consumer and, facing deductibles and more financial exposure to footing the medical bill, the payor. This group has more Millennials, less income and the lowest proportion of over-65s.

Life Science

Life Science BioTech Medicare Medical Billing

Connected Health Pulse

Bonus Features – September 24, 2023 – 72 percent of patients say affordability is the biggest challenge for paying medical bills

From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

Trending Sources

Value-Based Health Care Needs All Stakeholders at the Table – Especially the Patient

Seniors Satisfied With Medicare Supplemental Plan

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

Will Consumers Cross the Cost-and-Trust Chasm Between Prescription Drugs and Hospitals?

Health Care Bills’ Financial Toxicity – Remembering the Jones’ of Whatcom County, WA

Chicago Social Worker Indicted for Telehealth Medical Billing Fraud

The 2023 Health Economy – The Evolving Primary Care and Retail Health Convergence Through Trilliant Health’s Lens

Chicago Social Worker Indicted for Telehealth Medical Billing Fraud

Why People Are Still Avoiding the Doctor (It’s Not the Virus)

Weekender 5/18/18

When Household Economics Blur with Health, Technology and Trust – Health Populi’s 2023 TrendCast

Experian Health Acquires Wave HDC, Immediately Enabling Real-Time, Single Inquiry Insurance Discovery/Verification at the Point of Patient Registration

150 top places to work in healthcare

Hospitals’ off-site fees draw lawmakers’ scrutiny

Five Healthcare Industry Changes to Watch in 2020

In the New Inflationary Era, Gas and Health Care Costs Top Household Budget Concerns

The 2020 Health Populi TrendCast – HealthConsuming, TechLash, and Public Health Goes Private

A Uniting Issue in the United States is Lowering Prescription Drug Costs

Thinking About Health Care One Year From the 2020 Presidential Election

Two-Thirds of Americans Say Healthcare Doesn’t Work Well, in RealClear Politics Poll

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