Forbes Healthcare

JULY 21, 2025

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Medication 199

Medication Insurance Follow-Up Patient Satisfaction 199

Forbes Healthcare

JULY 14, 2025

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Insurance 258

Insurance Collaboration Follow-Up Transfers 258

Medical Economics

JUNE 23, 2025

Key initiatives include standardizing electronic submissions, reducing claims subject to prior authorization, and ensuring continuity of care during insurance transitions. This action is designed to help patients avoid delays and maintain continuity of care during insurance transitions. Beginning Jan. Expanding Real-Time Responses.

Insurance 94

Insurance Patient Care Medication Care Plan 94

The HIPAA Journal

JULY 1, 2025

Esse Health has confirmed that 263,601 individuals have been affected by its April 2025 cyberattack. Louis area in Missouri, has recently notified the Maine Attorney General about an April 2025 cyberattack and data breach involving unauthorized access to the personal and protected health information (PHI) of 263,601 individuals.

Insurance 75

Insurance HIPAA Medical History Diagnostics 75

Forbes Healthcare

JULY 8, 2025

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Insurance 195

Insurance Follow-Up Patient Experience Transfers 195

Forbes Healthcare

JUNE 19, 2025

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Insurance 272

Insurance Follow-Up Transfers Communication 272

Medical Economics

JULY 15, 2025

adults with private health insurance between 2017 and 2019. Another finding: about 40% of all denials were due to billing errors by health care providers or processing mistakes by insurers—a reminder that many denials are not based on medical necessity or policy rules, but administrative mishaps.

Insurance 89

Insurance Billing Medication Follow-Up 89

Forbes Healthcare

JUNE 14, 2025

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Insurance 231

Insurance Customer Service Follow-Up Transfers 231

Forbes Healthcare

JULY 1, 2025

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Insurance 158

Insurance Follow-Up Transfers Billing 158

The HIPAA Journal

MAY 21, 2025

Biggest Healthcare Data Breaches in April 2025 In April, 27 data breaches of 10,000 or more records were reported to OCR, including 11 data breaches of 100,000 or more records. The post April 2025 Healthcare Data Breach Report appeared first on The HIPAA Journal.

Business Associate 79

Business Associate HIPAA Hospital Insurance 79

Forbes Healthcare

JULY 1, 2025

News government-subsidized health insurer Centene is pulling its 2025 profit outlook comes as the Republican Congress is poised to shrink the Medicaid market.

Insurance 175

Insurance 175

Forbes Healthcare

JULY 18, 2025

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Billing 158

Billing Insurance Follow-Up Hospital 158

Forbes Healthcare

JUNE 19, 2025

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Insurance 147

Insurance Unit Organization and Environment Follow-Up Transfers 147

Forbes Healthcare

JULY 1, 2025

Newsletters Games Share a News Tip Featured Featured Breaking News White House Watch Daily Cover Stories The Capital of Quantum | Paid Program The New Industrial Identity: The Power Of Digitalization And Automation In America | Paid Program Presented by Invesco QQQ: The Three Ps Of Success Purpose, Persistence And Passion | Paid Program AI’s Nuanced (..)

Insurance 324

Insurance Follow-Up Sterilization Transfers 324

Forbes Healthcare

JULY 2, 2025

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Insurance 167

Insurance Follow-Up Medical Coding Billing 167

EvidenceCare

JULY 21, 2025

Mehmet Oz brought together senior insurance executives for a national roundtable addressing long-known problems with the PA process and will attempt to streamline and improve the prior authorization processes for Medicare Advantage, Medicaid Managed Care, ACA Marketplace, and commercial payers—representing nearly 80% of the insured population.

Insurance 130

Insurance Documentation Hospital Admissions 130

Medical Economics

JUNE 25, 2025

Direct primary care (DPC) offers stable revenue through subscription fees, eliminating routine insurance claims and enhancing patient access. Once the insurer processes the claim, any remaining patient responsibility is automatically charged to the credit card on file, drastically reducing manual collections and bad‑debt write‑offs.

Patient Experience 95

Patient Experience Billing Insurance Appointments 95

Medical Economics

JUNE 30, 2025

Three months later, when longtime patients start calling about their insurance no longer covering visits, the physician finds out they have been dropped from multiple networks, not for quality issues but for missing a paperwork deadline. Insurance companies simply drop noncompliant providers and notify them after the fact. In practice?

Insurance 94

Insurance Appointments Medication Patient Care 94

Forbes Healthcare

JULY 11, 2025

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Insurance 294

Insurance Transfers Follow-Up Clinical Operations 294

Health Populi

JUNE 18, 2025

But favorability erodes when people hear about possible health impacts, we learn in the June 2025 Health Tracking Poll from the Kaiser Family Foundation. In June 2025, (politically) strange bedfellows are finding each other in that proverbial bed on this issue: take Josh Hawley, (R-Mo.) That splits favorably across all U.S.

Insurance 93

Insurance Billing Hospital 93

Forbes Healthcare

JUNE 14, 2025

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Insurance 185

Insurance Follow-Up Transfers Communication 185

Medical Economics

JULY 14, 2025

In parts of the nation, health insurers and payers may be some of the main controllers of primary care. It appeared to be the first estimate of the extent of health insurer ownership of physician practices nationally and down to the county level. Overall, 15.1% of the U.S. The new study was published in Health Affairs Scholar.

Insurance 59

Insurance Medication Patient Care 59

The HIPAA Journal

MARCH 28, 2025

Two breach notices have been added to the Beacon Health System website, the first on March 24, 2025, involving a business associate called CPS Solutions, a provider of services to support pharmacy operations. Notification letters were mailed to the affected individuals on February 10, 2025.

Business Associate 70

Business Associate HIPAA Insurance Certification 70

Medical Economics

JUNE 24, 2025

Related Videos Related Content Advertisement June 24th 2025 Supportive care services drive better adherence and preventive care June 21st 2025 The peril of relying on one person at your practice June 23rd 2025 Insurance companies vow to fix prior authorization process…again June 16th 2025 Ep.

Medication 90

Medication Long Term Care Tests Triage 90

The HIPAA Journal

APRIL 16, 2025

Legal counsel for Medical Express confirmed that the data mining process was completed on January 30, 2025, and a mailing vendor was engaged on March 3, 2025. The final list for notifications was obtained on March 19, 2025, and the notification letters were mailed on April 14, 2025.

Medication 86

Medication HIPAA Insurance Medical History 86

Health Populi

JANUARY 6, 2025

CES 2025: as you read the acronym and year, your brain registered an image like consumer technology and the start of a new year, or some variation of those thoughts. Quite separate from the Digital Health track of CES 2025, there’s a food-tech content track sponsored by The Spoon.

Communication 77

Communication Hospital Medication Patient Experience 77

Health Populi

DECEMBER 30, 2024

The 2025 convening of CES (once known as the Consumer Electronics Show) in Las Vegas officially kicks off on 7 January 2025. More granularly, Ill be looking into Sleep-tech: The square footage of CES convention floor space devoted to sleep has been significant and visible, with 2025 growing new products and sleep-tech flavors.

Scheduling 62

Scheduling Medication Billing Insurance 62

The HIPAA Journal

MARCH 11, 2025

The file review confirmed that the types of data compromised in the cyberattack included names, addresses, dates of birth, Social Security numbers, drivers license numbers, medical information, and health insurance information. During that time, files were exfiltrated from its network, some of which contained patient data.

Medication 82

Medication Appointments HIPAA Insurance 82

The HIPAA Journal

JULY 8, 2025

On March 22, 2025, Compumedics identified unauthorized access to its network which disrupted the operations of its information technology systems. They confirmed that an unauthorized third party had access to its systems between February 15, 2025, and March 23, 2025, during which time files were copied from its systems.

HIPAA 78

HIPAA Diagnostics Billing Insurance 78

The HIPAA Journal

JULY 1, 2025

Department of Justice has announced the results of its 2025 National Health Care Fraud Takedown, the largest in its history, eclipsing the previous record of $6 billion with actions to disrupt health care fraud schemes involving more than $14.6 billion in intended losses. They included individuals responsible for $10.6

HIPAA 79

HIPAA Tests Diagnostics Insurance 79

The HIPAA Journal

MAY 26, 2025

The file review was completed on or around March 26, 2025, and confirmed that the compromised information included names and Social Security numbers. The ransomware attack was detected on March 13, 2025, and the forensic investigation determined on March 17, 2025, that the ransomware group had exfiltrated files from its network.

HIPAA 63

HIPAA Insurance Medication 63

Practice Index

NOVEMBER 21, 2024

You’ll have seen in the press lately a lot of attention being paid to the National Insurance and National Living Wage increases being introduced from April 2025. However, not private enough to be able to obtain the same relief on the National Insurance increase that other private, small businesses can. So, which is it?

Insurance 98

Insurance Appointments 98

The HIPAA Journal

JULY 8, 2025

The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has agreed to settle alleged violations of the Health Insurance Portability and Accountability Act (HIPAA) with Deer Oaks – The Behavioral Health Solution for $225,000. In 2025, OCR has collected $7,610,566 in settlements and civil monetary penalties.

HIPAA 86

HIPAA Discharges Long Term Care Business Associate 86

Medical Economics

JULY 15, 2025

Physicians often find themselves spending hours navigating insurer requirements, tracking down documentation, and enduring delays that can negatively impact patient outcomes. Related Videos Related Content Advertisement July 15th 2025 Most Americans trust AI-generated health information, study says June 30th 2025 Ep.

Diagnostics 78

Diagnostics Documentation Medication Patient Care 78

Medical Economics

JULY 10, 2025

Physicians often find themselves spending hours navigating insurer requirements, tracking down documentation, and enduring delays that can negatively impact patient outcomes. Related Videos Related Content Advertisement July 1st 2025 57% of patients say yes to AI in the exam room if it means more time with their doctor June 30th 2025 Ep.

Triage 116

Triage Diagnostics Documentation Medication 116

Medical Economics

JULY 8, 2025

Industry data showed that insurers on HealthCare.gov denied about 19% of in-network claims in 2023 ; that’s $73 million out of $319 million in claims filed. For example, if you see a spike in denials from a particular insurer due to eligibility, you know exactly where to focus your front-end efforts.

Huddles/Rounds 66

Huddles/Rounds Follow-Up Medication Patient Experience 66

Practice Index

MARCH 6, 2025

Lords bid to exempt practices from NI increases Practices could still be exempted from the increase in employers National Insurance rates following a vote in the House of Lords. The Lords voted to amend the National Insurance Act to protect health and care providers. More than 13,000 people have signed a petition against the change.

Huddles/Rounds 52

Huddles/Rounds Follow-Up Appointments Insurance 52