Author: Emily Immer

Top Cybersecurity Threat: 2018 Data Breach Investigations Report

Healthcare, warns Verizon’s 2018 Data Breach Cybersecurity Investigations Report (DBIR), is the only industry where insider threats are greater than threats from the outside. Human error remains a major contributor to healthcare risks. DBIR analysis also flags a shift in how social attacks, such as financial pretexting and phishing, are used.

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Medicare Advantage Plans Grow With Star Ratings

The Medicare Advantage program continues to grow in popularity with both consumers and health plans.

At least one-third of seniors are estimated to be in an MA plan rather than fee-for-service Medicare. As baby boomers retire in large numbers, health plans are competing to capture the Medicare Advantage market.

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BCRA, AHCA, Healthcare reform

What Insurers Need For ACA Market Plan Decisions

ACA Increases profitability for insurers, despite significant initial financial losses in the individual market after the key provisions of the Affordable Care Act (ACA) took effect. Health insurer profitability in the individual market rose due to substantial premium increases, government premium tax credits that pay for those premium increases, and the large, government-funded, Medicaid expansion.

Here are 10 instances which can help you better identify when its time to look for a partner.

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BCRA, AHCA, Healthcare reform

ACA Increases Profitability For Insurers: White House Report

ACA Increases profitability for insurers, despite significant initial financial losses in the individual market after the key provisions of the Affordable Care Act (ACA) took effect. Health insurer profitability in the individual market rose due to substantial premium increases, government premium tax credits that pay for those premium increases, and the large, government-funded, Medicaid expansion.

Here are 10 instances which can help you better identify when its time to look for a partner.

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Banner Health Investigated for Cyberattack

Verizon has re-examined the data within their Data Breach Investigations Report (DBIR) series to focus in on the healthcare sector’s unique profile and security challenges, and particularly the use/abuse of protected health information (PHI). Verizon’s 2018 Protected Health Information Data Breach Report (PHIDBR) is underpinned by 1,368 incidents from this caseload covering 27 countries.

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Valued-based care

Value-Based Care Contracting Report: Facing Challenges

The promises of value-based payment models came to life within the last 12+ months with results of real world tests. They quickly move to the implementation of useful models and processes. With ramped-up implementations overcoming value-based care barriers step out as real things.

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Most Expensive Conditions By Payer; Economic Impact On Society

Healthcare Cost and Utilization Project (HCUP) collected the hospital visits and costs associated with different medical conditions classified by the Clinical Classifications Software principal diagnosis category and compiled a report with the ability of comparing medical conditions. The average hospital stay in the US costs just over $10,700, based on an analysis of recent data from the Healthcare Cost and Utilization Project (HCUP). AMA’s latest National Economic Impact of Physicians report provides data…

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