Health Populi

MAY 5, 2019

This is what rationing health care looks like in America: one in two people in families dealing with a chronic health condition have difficulty affording paying medial bills before meeting a deductible, unexpected medical bills, co-payments for prescription drugs, co-payments for physician visits, and/or their monthly health insurance premium.

Insurance

Health Populi

FEBRUARY 20, 2020

As such, American health consumers are wrestling with sticker shock from surgical procedures, surprise medical bills weeks after leaving the hospital, and the cost of prescription drugs — whether six-figure oncology therapies or essential medicines like insulin and EpiPens. Patients are now front-line payors in the U.S. health care system.

Insurance

Health Populi

FEBRUARY 24, 2020

The big gap in supply to patients vs. demand by health consumers is highlighted by what the arrow in the chart below points to: managing payments and paying bills. Patient-facing digital tools help patients with fairly basic tasks like making appointments, seeking doctors, and paying bills.

Billing

Sensible Medicine

MAY 25, 2023

“The Centers for Medicare and Medicaid Services should make establishing payment codes for products involving women’s heart disease a priority to prompt private insurers to cover new service lines.” Insurers will be forced to raise rates to cover this new charge. What would I foresee as happening if CMS took action?

Tests

Health Populi

JUNE 5, 2018

The study, Adjuvant Chemotherapy Guided by a 21-Gene Expression Assay in Breast Cancer, was published in The New England Journal of Medicine on June 3, 2018, coinciding with the researchers’ ASCO presentation of the results. ” A genetic test that costs $3,000 helps to identify women who could benefit from avoiding chemo.

De-Escalation

Health Populi

FEBRUARY 26, 2020

There’s no mistaking that more Supercenters are located in areas with greater levels of people without insurance based on data from 2019 (Walmart store location count) and 2018 (uninsured rates). This week, too, The Wall Street Journal analyzed the impact of insurer-owned retail clinics’ potential threat to hospitals.

Hospital

The HIPAA Journal

JUNE 26, 2025

Businesses that are covered entities under the Health Insurance Portability and Accountability Act (HIPAA), Gramm-Leach-Bliley Act, or PCI DSS, will be covered if they are in full compliance with those standards. The post Texas Governor Signs Bill Providing Cybersecurity Safe Harbor for SMBs appeared first on The HIPAA Journal.

Billing

Health Populi

JULY 25, 2019

increase over 2018, according to the 2019 Milliman Medical Index (MMI). The key points of the report are that: Health care costs are growing at a slower pace, although up-ticked from last year’s trend: in 2018-19 costs grew 3.8%, and last year 2017-18 the growth rate was 2.9%. will cost $28,386, a 3.6%

Insurance

Health Populi

DECEMBER 6, 2018

Now, in late 2018, we look toward 2019 and the 2020 Presidential elections and must also contemplate the lower darker green line. The government currently covers nearly 50% of all healthcare payments (Federal combined with State for Medicaid share), with commercial insurance covering the other half. voters’ minds these days.

Insurance

Health Populi

SEPTEMBER 26, 2019

Here’s the latest arithmetic on American workers’ financial trade-off of wages for health care insurance coverage: in the ten years since 2009, family premiums have risen 54% and workers’ contribution to health care spending grew 71%. Larger companies are more likely to offer health insurance to workers than smaller companies.

Insurance

DrChrono

JULY 27, 2021

Medical billing is one of the most complicated, time-consuming parts of running a practice. A 2018 study published in JAMA found that billing and insurance-related activities can take anywhere from 13 minutes for a primary care visit to 100 minutes for an inpatient surgical procedure.

Billing

The HIPAA Journal

MARCH 20, 2025

2023, OCR reported a 239% increase in hacking-related data breaches between January 1, 2018, and September 30, 2023, and a 278% increase in ransomware attacks over the same period. Dominion National Insurance Company, and Dominion Dental Services USA, Inc. In 2019, hacking accounted for 49% of all reported breaches. In 2023, 79.7%

Business Associate

Health Populi

FEBRUARY 6, 2018

Founders include Dr. Bill Frist, former Republican U.S. Thus, American patients draw a very stark line between accessing health care versus accessing health insurance. ” Those devastating health care costs underpin the form of universal healthcare Americans have at the start of 2018. That is, U.S.

Insurance

Health Populi

OCTOBER 3, 2018

Family premiums for health insurance received at the workplace grew 5% in 2018: to $19,616, according to the 2018 KFF Employer Health Benefits Survey released today by the Kaiser Family Foundation (KFF). Over the past decade the share of workers in plans with annual deductibles has grown from 59% in 2008 to 85% in 2018.

Insurance

Health Populi

MARCH 21, 2019

Over one-half of 213 retail chains listed in Internet Retailers top 1000 offered “buy online, pick up in store” fulfillment in 2018. Walmart, in particular, had a huge uptick in this during the 2018 holiday shopping season. Now consider a vision/optical insurance plan entering the retailing side of the business.

Insurance

Health Populi

SEPTEMBER 5, 2018

98% of Americans rank paying their medical bills is an important pain point in their patient journey, according to Embracing consumerism: Driving customer engagement in the healthcare financial journey , from Experian Health. Healthcare is a Come Together moment and opportunity in America for the 2018 mid-term elections.

Patient Experience

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. According to the online Merriam-Webster dictionary , the first use of the phrase “health insurance” occurred in 1901. Consulting Noah Webster….and and ChatGPT.

Collaboration

Health Populi

OCTOBER 5, 2018

trillion to national healthcare spending in 2018. Healthcare payors who foot the bill will be very interested to know about this development. This week, Kaiser Family Foundation published its 2018 study into employer-sponsored benefits, finding that the average cost is about $20,000 this year. trillion in 2018.

Hospital

Health Populi

SEPTEMBER 13, 2022

And bad debt — write-offs that come out of uncollected patient bill balances after “significant collection efforts” by hospitals and doctors — is challenging their already-thin or negative financial margins. Only 17% of that amount was collected falling between $7,501 and $10,000, Crowe calculated.

Hospital

Health Populi

APRIL 24, 2019

adults 18 and over in September 2018 in English and Spanish. As the National Center for Health Statistics has reported , people with HDHPs are far more likely than those with traditional health plans to forgo or delay medical care or to be in a household that is having difficulty paying medical bills.”

Insurance

Health Populi

FEBRUARY 11, 2019

That wand has begun to initiate its magic in the physician community, based on a wonderful essay in JAMA published 20 December 2018 titled, Social Determinants of Health in the Digital Age: Determining the Source Code for Nurture. Yet it’s older people who are more at-risk for SD0H challenges. As health care delivery in the U.S.

Appointments

Health Populi

FEBRUARY 4, 2019

The consumer-as-medical-bill-payor is now looking at foods with health benefits, first and foremost for heart health. Food stores gained in trust between 2017 and 2018, illustrating the opportunity that a consumer’s favorite grocery store can leverage in a trusted relationship with a person keen on health.

Unit Organization and Environment

Health Populi

JULY 11, 2018

This map has more similarities with the diet-and-health map, perhaps because social determinants of health like education, quality jobs with health insurance, health care access, and nutritious food access work together to make a healthy community. Details would include: Training for new farmers and ranchers.

Billing

Health Populi

JANUARY 18, 2019

Increasingly, as patients bear more first-dollar costs through high-deductible health plans, co-payments and co-insurance sharing, the patient-as-payor has become more sensitive to these prices. These are the prices that George Washington Hospital charges for health care, but they are not the prices that insurers pay for health care.

Insurance

Health Populi

AUGUST 29, 2018

Health Populi’s Hot Points: Pre-existing conditions are a big deal to Americans these days: among registered voters, ensuring that health plans cover pre-existing conditions is the most important health care issue on Americans’ minds, the June 2018 Kaiser Family Foundation Health Tracking Poll found.

Insurance

The HIPAA Journal

APRIL 27, 2025

territory of Guam, was investigated after a complaint was received about a December 2018 ransomware attack. The data was exposed online between August 2015 and July 2018. The first breach involved unauthorized access to the ePHI of 197,986 individuals betweenSeptember 25, 2018, and November 30, 2018. Warby Parker, Inc.,

HIPAA

Health Populi

NOVEMBER 12, 2019

What’s underneath that macro “healthcare” index number of 67 is a precipitous decline in the past year for Americans’ trust in hospitals, compared with biotech, pharma, consumer healthcare, and even health insurance — all of which grew in trust between 2018 and 2019, but not so with the hospital segment of U.S.

Collaboration

Milwaukee Career College

NOVEMBER 12, 2019

The healthcare industry needs trained professionals who can complete a variety of important tasks such as updating medical records, recording vital signs and symptoms, or dealing with health insurance policies. Bureau of Labor Statistics , the average pay for a medical assistant in 2018 was $33,610 per year. According to the U.S.

Medical Assistant

Minority Nurse

MARCH 22, 2023

I wanted to uncover the world of medicine and was given the great opportunity to travel as a Locum Tenens Nurse Practitioner from 2016 to 2018. Even if a patient has health insurance, they may still have financial concerns, making it difficult to afford medications and treatments. The leader I am today is the ultimate assignment.

Follow-Up

Health Populi

JUNE 21, 2019

Not that in 2018, 75% of employers offered these programs. For employer insights, HRI’s research included interviews with health industry executives representing 95 million insured employees and dependents, along with PwC’s 2019 Health and Well-being Touchstone Survey of 550 employers.

Physical Exams

Health Populi

APRIL 23, 2018

billion OOP for prescription drugs: OOP costs include copayments, coinsurance, payments during the deductible phases of health insurance, or retail payments for drugs due to the lack of prescription drug insurance coverage. In 2017, patients spent $57.8 The second chart illustrates OOP spending for the 5.5 billion in OOP costs.

Insurance

Scrubs

MARCH 6, 2023

And lawmakers in Washington state have proposed a bill that would provide workers’ compensation insurance coverage for nurses with PTSD, similar to a 2018 law that provides workers’ PTSD compensation to firefighters and police officers. Low pay, long hours, and staff shortages have only compounded the crisis.

Billing

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. They ensure that patients are appropriately utilizing the healthcare services available by their insurance.

Medical Assistant

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. They ensure that patients are appropriately utilizing the healthcare services available by their insurance.

Medical Assistant

The HIPAA Journal

JULY 15, 2025

The False Claims Amendment Act in 1986 lowered the bar for proof of fraud and increased the fines the OIG could impose, while the Health Insurance Portability and Accountability Act (HIPAA) in 1996 established the Health Care Fraud and Abuse Control (HCFAC) Program. How can Providers Mitigate the Risk of a Penalty?

HIPAA

Scrubs

AUGUST 4, 2023

Providers are typically paid for each test and procedure they perform, which can lead to a conflict of interest, especially when patients have to foot the bill. To learn more about the rate of medically unnecessary care, the group sorted through insurance claims from 1.3 What is the billing code for this test or procedure?

Tests

Health Populi

OCTOBER 30, 2018

.” Perhaps this is why healthcare has become a top voting issue for the 2018 mid-term elections that will be held on November 6 one week from today. adults in August 2018. As we approach November 6, American voters in 2018 appear to be very health-cost-pragmatic. It’s titled Being Seriously Ill in America Today. .

Insurance