The recent cyberattack on Change Healthcare has profoundly affected physicians across the United States, as revealed by insights from an informal American Medical Association (AMA) survey. Here are the notable findings: Service Disruptions: A substantial majority, accounting for over 77% of respondents, reported experiencing service disruptions since February…
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Healthcare Cybersecurity is critical for safeguarding patient data, maintaining operational continuity, and ensuring patient safety. Best Practices to enhance cybersecurity in healthcare: Risk Assessment: Conduct regular risk assessments to identify vulnerabilities, threats, and gaps in security measures. Prioritize and allocate resources effectively based on the assessment results. System Updates and Patches: Keep all systems and software up to date. Regularly…
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The U.S. Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) recognizes the impact that the cyberattack on UnitedHealth Group’s subsidiary Change Healthcare/Optum in late February (the Incident) has had on health care operations across the country. CMS is in frequent communication with UnitedHealth Group and Change/Optum and will…
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On April 1, 2024, the Centers for Medicare & Medicaid Services (CMS) finalized the Calendar Year (CY) 2025 Rate Announcement for the Medicare Advantage (MA) and Medicare Part D Prescription Drug (Part D) Programs that updates payment policies for these programs and ensures payment accuracy. The Rate Announcement complements policies in the CY 2025 MA…
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On February 6, 2024, CMS released an FAQ memo clarifying how a new Medicare rule (Final Rule) and the Affordable Care Act impact the use of AI and algorithms by MA organizations in making Medicare Advantage coverage determinations. The final rule (CMS Final Rule, CMS-4201-F) became applicable to coverage beginning January 1, 2024. The 2024 Medicare Advantage…
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