Forbes Healthcare

JULY 28, 2025

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Insurance

Forbes Healthcare

JULY 30, 2025

Follow Author Jul 30, 2025, 09:00am EDT Jul 30, 2025, 11:44am EDT Share Save Comment Palantir has quickly become one of the most prominent names in the AI race. All Rights Reserved. Contributor. Forbes contributors publish independent expert analyses and insights. Sai writes about healthcare, innovation and technology.

Insurance

Medical Economics

JUNE 23, 2025

and Dr. Oz say Author(s): Richard Payerchin Fact checked by: Todd Shryock Key Takeaways Health insurers are committed to standardizing electronic PA submissions and reducing services requiring PA by 2026. SHOW MORE HHS, CMS leaders announce massive health insurance industry to reform prior authorization across health care. Kennedy Jr.

Insurance

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

Forbes Healthcare

JULY 14, 2025

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Insurance

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

Forbes Healthcare

JUNE 19, 2025

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Insurance

Forbes Healthcare

JULY 8, 2025

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Insurance

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

Forbes Healthcare

JUNE 14, 2025

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Insurance

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

Forbes Healthcare

JULY 18, 2025

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Billing

Forbes Healthcare

JUNE 19, 2025

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Insurance

Forbes Healthcare

JULY 1, 2025

Home Warranty Cost Best Home Appliance Insurance Best Solar Companies Best Solar Panels Cost Of Solar Panels Solar Tax Credit By State Are Solar Panels Worth It? Best Home Warranty Companies Cheapest Home Warranty Companies Are Home Warranties Worth It?

Insurance

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

Forbes Healthcare

JULY 2, 2025

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Insurance

The HIPAA Journal

JULY 20, 2025

There was a sizeable increase in the number of individuals affected by healthcare data breaches, which increased by 302% from May 2025. The post June 2025 Healthcare Data Breach Report appeared first on The HIPAA Journal. The median data breach size over the past 12 months is 4.7 million healthcare records a month. dba Frank D.

Business Associate

Health Populi

JULY 22, 2025

Mercer surveyed 711 organizations for this study, fielded in April 2025, to assess employers’ views on and strategies for health benefits in 2026. Workers Who Get Health Insurance From Work Can Expect Greater Cost-Sharing and New Networks in 2026 appeared first on HealthPopuli.com. The post U.S.

Insurance

Medical Economics

JULY 22, 2025

Their 2025 update is troublingly consistent. Even in areas with technically sufficient infrastructure, lack of insurance or transportation can still prevent people from receiving timely care. Part 1) July 21st 2025 Patient prices go up as hospitals take over physician practices, reduce competition July 14th 2025 Ep.

Hospital

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

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

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

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

Forbes Healthcare

JUNE 14, 2025

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Insurance

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

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

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

Healthcare Dive - Practice Management

JULY 18, 2025

It’s a significant loss for the insurer, which sued the government late last year after its star ratings plummeted for 2025. Analysts estimate Humana could lose billions of dollars as a result of the decision.

Insurance

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

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

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

The HIPAA Journal

AUGUST 5, 2025

Northwest Radiologists & Mount Baker Imaging Northwest Radiologists and Mount Baker Imaging have provided an update on a data breach first announced in March 2025. The forensic investigation confirmed that there had been unauthorized network access between January 20, 2025, and January 25, 2025.

Medication

Medical Economics

JULY 25, 2025

Every provider will be audited — multiple times, across different insurers, sometimes for single claims, sometimes for comprehensive reviews. Audit triggers Olga Khabinskay © WCH Insurance companies aren’t randomly selecting providers to audit. © natali_mis - stock.adobe.com Audits are inevitable. That’s going to trigger questions.

Documentation

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

Arkenea

JULY 23, 2025

These sophisticated platforms must navigate an increasingly complex landscape of insurance policies, regulatory requirements, and technological demands while maintaining the highest standards of data security and patient privacy. Advanced systems include claim scrubbing capabilities that identify and correct common errors before submission.

Billing

Medical Economics

JULY 22, 2025

including participants with both commercial and Medicaid insurance. The study found consistent benefits across insurance types and ethnicities, though the effect was reduced among African American participants. The trial enrolled 901 adults with asthma from 41 states across the U.S., 73: Why physicians are suing RFK Jr.,

Medication

The HIPAA Journal

APRIL 16, 2025

The hackers encrypted files and stole data such as names, addresses, telephone numbers, email addresses, dates of birth, demographic information, Social Security numbers, drivers license numbers, medical record numbers, health information, payment information, and health insurance information.

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