Can You Prevent Telehealth Fraud?

Telemedicine has continued to thrive in a post-pandemic world, but with the expansion of services comes the expansion of fraud.

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The Office of Inspector General (“OIG”) has warned healthcare entities to use ‘heightened scrutiny’ when entering telemedicine arrangements that have suspect characteristics of a fraud scheme.

The OIG has stated that a common characteristic of fraudulent schemes is the use of kickbacks to recruit and award healthcare practitioners.

The OIG …

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Pre Obamacare, Did Health Insurance Companies Refuse to Insure a Lot of People

On his Substack, Arnold Kling, resident book reviewer at Econlib, wrote:

If people pay for their own health insurance, the market is subject to selection games. The individuals with the most incentive to buy health insurance are those that will cost the insurance company the most in claims. (Although it turns out that there is a selection effect that goes in the other direction. People who are high in conscientiousness are more likely both to obtain health insurance and to take better care of themselves.) Insurance companies, by the same token, have an incentive to try to avoid writing policies

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US workplace disability insurance premiums reach $1.7BN in Q1 2023: report

US workplace disability insurance premiums reach $1.7BN in Q1 2023: report

Total US sales of workplace disability insurance premiums reached $1.7 billion in the first quarter of 2023 — a year-over-year increase of five per cent — driven…

  • By: staff
  • July 10, 2023 July 10, 2023
  • 15:00

Leveraging the long-term perspective at Rexel North America

The current economic maelstrom, with its high inflation and interest rates, has left many institutional investors operating in uncharted territory — though not Rashid Maqsood,…

2023 BPS coverage: TD Bank’s culture of care driving benefits plan enhancements

TD Bank Group credits its culture of care

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Wider access to health insurance via Medicaid expansion improved cardiac care, finds study

Medicaid

Credit: Unsplash/CC0 Public Domain

An expansion of the Affordable Care Act that extends Medicaid eligibility to more people improved patient outcomes, prevention measures and screening access, according to a review of research published today in Circulation: Cardiovascular Quality and Outcomes.

A provision of the Affordable Care Act of 2010 extended Medicaid eligibility to all adults with incomes of up to 138% of the federal poverty level in states that elect to participate, with the federal government covering 90% of the costs. Medicaid provides health insurance coverage for people with low income, and the expansion ensures that as of June

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Top 5 Reasons Not to Have an Estate Plan

We often hear many reasons why people do not have an estate plan or why they are putting off creating their estate plan.

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Here are the top five reasons why people don’t have an estate plan (and why these reasons shouldn’t prevent you from doing your estate plan today):

  1. I don’t have enough money, property, etc. Estate planning is not just about assets. Estate planning is a way to protect
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Insured Oklahomans must have access to quality mental health services

People seeking mental health care can face challenges when trying to find assistance through their insurance companies.

While there is a great deal of discussion concerning a nationwide mental health crisis, there has been very little attention given to what is perhaps the greatest barrier to care: commercial insurance plans that do not provide sufficient access to behavioral health services.

A recent study by the Healthy Minds Policy Initiative looked at gaps in Oklahoma’s commercial insurance networks. It documented the struggles that too many of us face when trying to find mental health and substance use care. The overarching theme of the report was very clear. Even though we pay for coverage, using our health plans to

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How to avoid unexpected medical bills

Surprise medical bills can be expensive: Of the 1 in 5 Americans who received an unexpected bill within the last year, 22% were charged over $1,000, according to a 2022 survey published by business intelligence company Morning Consult.

While unexpected bills may not be completely avoidable — and your health insurance might not cover every last expense — there are questions you can ask medical providers to help you avoid paying more than you have to, and to clarify how much you’ll actually owe before undergo a procedure or test.

Here are four questions to start with, from Todd Thames,

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Are You Prepared for Russian Ransomware?

Recently, a health network in Pennsylvania was hacked by a Russian ransomware gang called BlackCat.

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BlackCat attacked a physician practice in Pennsylvania, but did not disrupt healthcare operations.

A ransomware payment was demanded, but refused by the healthcare system.

Sensitive information was accessed and the health system revealed the attack itself.

Is your practice prepared for a potential attack?

Does your staff know how to respond to a demand for

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