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Search results for: health insurance

Preparing for Increased HIPAA Audits Among Smaller Rheumatology Providers

Steven M. Harris, Esq.  |  May 13, 2016

Recent enforcement activities of the Department of Health and Human Services’ Office for Civil Rights (OCR) have shown an increase in fines and penalties assessed against smaller providers for failing to comply with the privacy, security and breach notification requirements of the Health Insurance Portability and Accountability Act (HIPAA). Historically, OCR has focused on larger…

Filed under:Billing/CodingLegal UpdatesPractice Support Tagged with:AuditsHHSHIPAA complianceLegalnoncompliancephysician practicePractice Managementrheumatologist

Why Physicians Say Sick Days Aren’t Worth the Trouble

Karen Appold  |  May 13, 2016

A recent JAMA Pediatrics article found that 83% of clinicians admitted to coming to work while sick and 95% admitted to knowing that it could be dangerous for their patients.1 “The decision to work sick is shaped by systems-level and sociocultural factors,” the study authors wrote. In speaking with rheumatologists on the matter, I found…

Filed under:Practice SupportWorkforce Tagged with:PhysiciansPractice Management

Ryan Wants to End Obamacare Cost Protections for Sick Consumers

David Morgan  |  April 28, 2016

WASHINGTON (Reuters)—U.S. House of Representatives Speaker Paul Ryan (R-Wis.) called on Wednesday for an end to Obamacare‘s financial protections for people with serious medical conditions, saying these consumers should be placed in state high-risk pools. In election-year remarks that could shed light on an expected Republican healthcare alternative, Ryan said existing federal policy that prevents…

Filed under:Practice SupportProfessional Topics Tagged with:Affordable Care Act (ACA)Health InsuranceObamacare

Rheumatologist Finds Opportunity for Continual Learning in Rheumatology, Karate

Eric Butterman  |  April 13, 2016

Robert Thoburn, MD, finds discipline and the opportunity for continual learning in both rheumatology and karate, an activity he has pursued for decades. Karate Lessons “I was fortunate to have had the opportunity to learn karate and achieve a black belt,” Dr. Thoburn says. “I used my training journal and [did] extensive research to write a…

Filed under:Profiles Tagged with:rheumatologistrheumatologystudent

Older Americans Taking More Medications

Andrew M. Seaman  |  March 24, 2016

(Reuters Health)—The proportion of older Americans taking at least five medications or supplements went up in a recent study. The increase in people using multiple medications paralleled an increase in the number of older Americans at risk for major drug interactions, researchers found. “That’s a concern from a public health standpoint, because it’s getting worse,”…

Filed under:Drug UpdatesPractice Support Tagged with:agingdrug interactionMedicationMedication Managementpolypharmacyrisk

U.S. Hospital Group Warns of Blue Cross Dominance if Anthem Buys Cigna

Susan Kelly  |  March 3, 2016

(Reuters)—The American Hospital Association warned U.S. antitrust regulators that Anthem Inc.’s proposed acquisition of Cigna Corp. will hurt other health insurers’ ability to compete with Blue Cross Blue Shield plans, leading to higher premiums for consumers. Anthem, the country’s second-largest health insurer, runs Blue Cross Blue Shield plans in 14 states. The hospital group, in…

Filed under:Legal UpdatesLegislation & AdvocacyProfessional Topics Tagged with:Anthem Inc.Cigna Corp.costsHealth Insuranceinsurance coverageinsurance plansmerger

U.S. Proposes Hike in Medicare Advantage Payments; Insurer Shares Rise

Caroline Humer  |  February 22, 2016

NEW YORK (Reuters)—The U.S. government on Friday proposed raising payments by 1.35% on average next year to the health insurers who offer Medicare Advantage health benefits to elderly and disabled Americans. Payments to insurers will vary under the 2017 Medicare Advantage proposal, based on the region the plans are sold and on the size of…

Filed under:Legislation & AdvocacyProfessional Topics Tagged with:Centers for Medicare & Medicaid Services (CMS)costsHealth InsuranceMedicaidMedicareMedicare Advantage

Online Portals Can Function as Important Physician–Patient Communication Tools

Kurt Ullman  |  February 16, 2016

Patient portals are online programs and applications that help patients and physicians interact. Although there are many different implementations, most will have some sort of messaging component to help with communication between the doctor and the patient, as well as access to at least some elements of the chart, such as test results. “Patients should…

Filed under:EMRsPractice SupportTechnology Tagged with:communicationelectronic medical recordonlinepatientphysicianTechnology

U.S. Top Court Rejects New Challenge to Obamacare

Lawrence Hurley  |  January 20, 2016

WASHINGTON (Reuters)—The U.S. Supreme Court, which delivered major rulings in 2012 and 2015 preserving President Barack Obama’s signature healthcare law, on Tuesday declined to take up a new, long-shot challenge to Obamacare brought by an Iowa artist. The court turned away an appeal by Matt Sissel, who had asserted that the 2010 Affordable Care Act…

Filed under:Legal UpdatesLegislation & AdvocacyProfessional Topics Tagged with:Affordable Care Act (ACA)Health InsuranceLegalObamacare

U.S. House Speaker Ryan Says Obamacare Replacement Plan Coming Next Year

Susan Cornwell  |  December 4, 2015

WASHINGTON (Reuters)—U.S. House Speaker Paul Ryan said on Thursday that Republicans next year will unveil a plan to replace President Barack Obama’s national healthcare program, widely known as Obamacare, in its entirety as part of a “pro-growth” Republican alternative to Democratic policies. “Next year, we are going to unveil a plan to replace every word…

Filed under:Legislation & AdvocacyProfessional Topics Tagged with:Affordable Care Act (ACA)CongressHealth InsuranceObamacare

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