The HIPAA Journal

MARCH 19, 2025

The compromised email account was reviewed and found to contain patients full names, addresses, dates of birth, medical and treatment information, dates of service, provider and facility names, procedure codes, billing and claims information, patient account identifiers, and payor information.

HIPAA

Health Prime

JANUARY 15, 2025

At Health Prime , our billing experts compiled a list of the top four RCM challenges healthcare businesses face in 2025 and some strategies for addressing some strategies to address them effectively. 1. Labor shortage in healthcare billing Labor shortages are not exclusive to 2025; however, they seem likely to continue this year.

Billing

Forbes Healthcare

JULY 2, 2025

Jeffries spoke out against the Republican budget bill and the potential cuts to safety net programs including Medicaid, Social Security and veterans’ services. Back-End Revenue Cycle The push for autonomous medical coding has gained traction as a way to speed up claim submissions and reduce AR days. More at the U.S.

Insurance

We Care Online

MAY 19, 2025

CDC reveals that nearly 2 in 5 high school students felt persistently sad or hopeless in 2023, and 1 in 5 strongly considered suicide. For instance, pharmacists can flag medication misuse patterns and nurses can notice somatic symptoms linked to anxiety. This isn’t just typical growing pains.

Teamwork

The HIPAA Journal

APRIL 1, 2025

On October 9, 2023, Azura Vascular Care identified suspicious network activity, with the forensic investigation confirming that hackers had access to its network between September 27, 2023, and October 9, 2023, during which time they potentially stole the protected health information of patients.

HIPAA

Forbes Healthcare

JUNE 14, 2025

Here’s why it matters: - Operational Truth : You only truly understand the friction points—customer service delays, billing errors, prescription denials—if you live them yourself. And I believe most honest leaders would welcome the clarity and accountability it would bring.

Insurance

Medical Economics

JUNE 9, 2025

Analyzing Medicare claims from 2019 to 2023, researchers found that primary care physicians (PCPs) who adopted a full-risk, multipayer VBC model in 2022 — with operational support from agilon health — saw an average of eight more new Traditional Medicare patients in 2023 than similar peers who remained in fee-for-service models.

Medication

Forbes Healthcare

JULY 1, 2025

What’s needed is a new business model for care delivery, one that views health outcomes as the primary objective and defines success in terms of value created, not services billed.

Insurance

Health Populi

JUNE 25, 2025

Consider: Through the service/good lens (first of the 3 charts), note the blue Rx bar in the time period 2023-25 – the prescription drug (Rx) blue bar reaches 9.5% More patients-as-consumers, bill payers, and health citizens will be re-defining health spending not in terms of just their household economics — say, $1.40

Billing

CollaborateMD

FEBRUARY 20, 2025

billion in 2023, is forecasted to grow to 5.06 make sure items like medications and PPE are always in stock). By streamlining workflows, like the medical billing process, CollaborateMD helps providers utilize reporting tools that simplify revenue cycle management, reimbursing them faster. billion by 2030.

Patient Care

The HIPAA Journal

JULY 11, 2025

Henry Ford Health encouraged patients to use the website and patient portal to submit information, review their health records, book appointments, schedule visits, pay bills, and communicate with providers. A settlement was seen to be in the best interests of all parties.

HIPAA

Walker Info - Patient Experience

FEBRUARY 3, 2025

In the 2023 U.S. This applies to the Department of Veterans Affairs or healthcare systems offering their own medical plans.] As a result, the program not only reduced costly hospitalizations but also improved access to primary care and resolved more medical issues before they escalated. Give each persona a face and a name.

Insurance

The Healthcare Blog

JUNE 4, 2025

By KIM BELLARD So the House has passed their big, beautiful bill, by the narrowest of margins. Hes generally right that, for most of its existence, Medicaid was not truly a program for the poor so much as for certain kinds of poor people, especially low income pregnant women and children, and the medically impoverished.

Billing

Medical Economics

JUNE 19, 2025

© zimmytws - stock.adobe.com Medicare needs to change the way it pays physicians or patients are going to lose access to care, according to the American Medical Association (AMA). As physicians, we are trained to spot trends, but you don’t have to have a medical degree to see this one,” he said in a statement.

Insurance

Medical Economics

JULY 29, 2025

A social media storm erupted on X, formerly Twitter, after AAP on July 28 published its new policy statement, “Medical vs Nonmedical Immunization Exemptions for Child Care and School Attendance.” All states and the District of Columbia have processes to allow vaccine exemptions if youth have medical reasons, the policy statement said.

Billing

Medical Economics

JULY 10, 2025

SHOW MORE The number of primary care physicians employed by health insurance payers grew from 2016 to 2023, researchers say. The results The researchers found 381,463 primary care physicians and other clinicians billing Medicare in 2023, with 6.4% working for a payer-operated practices. of the advanced practice providers.

Insurance

Medical Economics

JUNE 17, 2025

public needs to know that the routine vaccination of approximately 117 million children from 1994-2023 likely prevented around 508 million lifetime cases of illness, 32 million hospitalizations, and 1,129,000 deaths, at a net savings of $540 billion in direct costs and $2.7 has ‘critically weakened’ U.S. vaccine program's success.

Medication

Medical Economics

JUNE 5, 2025

The bill has bipartisan support, with majority backing in both the Senate and House, highlighting a commitment to innovative cancer detection solutions. The bill has bipartisan support, with majority backing in both the Senate and House, highlighting a commitment to innovative cancer detection solutions.

Billing

CollaborateMD

JANUARY 17, 2025

For example, nearly two-thirds of chief information security officers report that their budgets have risen from 6% in 2023 to 8% in 2024. Moody reports spending by providers on security management will also continue to rise, with cyber spending as a percentage of total technology budgets climbing to an estimated 7% in 2023 from 5% in 2019.

Billing

Medical Economics

JULY 25, 2025

million surprise billing disputes reported from early 2023 to mid-2024. SHOW MORE Consumer and patient protections are in two bills that have support of doctors in Congress. The bills were announced this week by their respective sponsors, which include some of the doctors serving in the House of Representatives and Senate.

Billing

Health Populi

NOVEMBER 21, 2024

consumers who had difficulty in making ends meet in home budgets, paying medical expenses were a challenge for 41% of people. Paying for utility bills, food, housing (mortgage or rent), and car repairs were financially challenging for over 50% of people who had trouble paying for any expenses.

Insurance

Health Populi

APRIL 16, 2025

stopped covering health insurance after the worst of the pandemic health effects in 2023 as the companies payroll expenses continued to increase, a statistic raised in The consistency of health insurance coverage in small business: industry challenges and insights , a report from the JPMorganChase Institute (JPM).

Insurance

Forbes Healthcare

JULY 2, 2025

Follow Author Jul 02, 2025, 08:22am EDT Share Save Comment Insurers designate certain prescription drugs with prior authorization to ensure safe and medically. Here, a healthcare provider must obtain approval from a health insurer before prescribing a medication. More appropriate use but also to contain costs.

Insurance

Healthcare Dive - Practice Management

JUNE 30, 2025

on May 5, 2023. Dr. Amar Desai, the previous CEO who began in the role in 2023 , is now president of Optum integrated care and vice chairman of Optum Health. Daily Dive M-F Payer Weekly Every Wednesday IT Weekly Every Thursday By signing up to receive our newsletter, you agree to our Terms of Use and Privacy Policy.

Follow-Up

Forbes Healthcare

JUNE 9, 2025

House of Representatives passed a budget reconciliation bill that includes significant cuts to Medicaid. It also lowers the burden of medical debt among workers, giving them better financial stability. Medicaid provides coverage to employees who may not qualify for employer-sponsored insurance.

Insurance

Healthcare Dive - Practice Management

JULY 9, 2025

Deep Dive Opinion Library Events Press Releases Topics Sign up Search Sign up Search Hospitals Payer Health IT Government Finances Medical Groups Telehealth COVID-19 An article from Deep Dive The Trump administration wants to onshore drug manufacturing. You can unsubscribe at anytime. Technologists are answering the call.

Follow-Up

Forbes Healthcare

JUNE 11, 2025

Preeclampsia-related medical costs in the U.S. It’s nearly impossible to pinpoint who will develop preeclampsia,” said Dr. Dallas Reed, a medical geneticist at Tufts Medicine and a member of Mirvie’s clinical advisory board. alone total an estimated $2.18 billion in the first year after birth—$1.03 billion for maternal care and $1.15

Insurance

Forbes Healthcare

JULY 30, 2025

That tax hike will hit some of the biggest blockbuster drugs, including Keytruda (for cancer) and Wegovy (for obesity), as well as less well-known brand name medications. As long as they attend school more than half-time, they should meet the new work requirement added in the recently passed “One Big Beautiful Bill”.

Insurance

Health Populi

APRIL 30, 2025

This bar chart called out to me when I looked at the yellow bar for the 37% of consumers who have stockpiled medical supplies and over-the-counter medications in the past 30 days (data from Feb 24-27 2025). pharma tariffs would raise U.S. drug costs by $51 billion a year. pharma tariffs would raise U.S. That’s because the U.S.

Billing

Health Populi

MAY 27, 2025

Welcome to this year’s 20th anniversary edition of the Milliman Medical Index (MMI) , which I’ve looked forward to reviewing for most of its two-decade history. This could hit medical offices managing patient bill paying (e.g., A Canyon BYO playground set for your yard, school, or social-athletic club? Stay tuned!

Billing

Forbes Healthcare

JULY 1, 2025

Senate passed a budget bill that could also hit the health insurer and other companies that administer Medicaid benefits to low income Americans and provide of Obamacare hard. Tuesday’s news from Centene comes on the same day the U.S. The legislation, which still has to be approved by the U.S.

Insurance

Health Prime

JUNE 6, 2024

As we enter Alzheimer’s and Brain Awareness Month 2024 , it’s imperative to underscore the importance of effective medical billing practices in providing quality care for individuals affected by Alzheimer’s disease and other forms of dementia. Best billing practices for Alzheimer’s and Dementia Care 1.

Best Practices

Health Populi

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. There have been many versions of so-called “patient’s bills of rights” over the years.

Billing

The HIPAA Journal

MAY 13, 2025

The Michigan House of Representatives has passed a bill ( HB 4242 ) that seeks to protect the sensitive health data of state residents from foreign entities of concern by requiring electronic medical records to be stored in the United States or Canada. The bill was introduced by Rep.

Billing

The HIPAA Journal

APRIL 22, 2024

Email accounts have been compromised at the University of Wisconsin Hospitals and Clinics Authority and the Medical Home Network in Illinois. 20, 2023, and Dec. Suspicious activity was identified in MHN’s email environment on or around October 11, 2023.

Medication

Health Prime

AUGUST 22, 2024

Medical coding consists of transforming healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes. According to Grand View Research , the medical coding market is expected to grow at a compound annual growth rate (CAGR) of 9.85% from 2023 to 2030.

Medical Coding

Health Populi

SEPTEMBER 27, 2023

health care’s negative-sum game, stakeholders who survive and win that game will have to deliver value-for-money, we learn from Trilliant Health’s 2023 Trends Shaping the Health Economy Report. adults saying inflation has made it harder to pay medical bills.

Billing