June 20, 2024

Change Healthcare Begins Breach Notification Process

Change Healthcare began reaching out to clients who had data compromised in the ransomware attack and breach that brought much of the healthcare system to a standstill earlier this year.  Compromised data includes personal and health information. The breach hit a substantial portion of Americans.

An additional article points to the great vulnerability of hospitals to cyberattacks.

Additional articles: https://kffhealthnews.org/news/article/hospitals-cyberattacks-ascension-patient-care/ and https://www.modernhealthcare.com/cybersecurity/change-healthcare-data-breach-cyberattack-notification

(Some articles may require a subscription.)

#changehealthcare #cyberattacks

https://www.fiercehealthcare.com/payers/optums-change-healthcare-responding-cybersecurity-issue

WHO Says Fake Weight-Loss Drugs Circulating

The World Health Organization (WHO) indicates that there are fake GLP-1 weight-loss drugs circulating in the world.

(Article may require a subscription.)

#weightlossdrugs #drugpricing

https://www.modernhealthcare.com/legal/fake-ozempic-europe-us-brazil-who

FDA May Usher Interchangeability Of Biosimilars Quickly

The Food and Drug Administration (FDA) is seeking guidance on its proposal to eliminate switching studies to gain interchangeable status. If completed, it would help promote adoption of lower-cost biosimilars.

(Article may require a subscription.)

#biosimilars #drugpricing #fda

https://insidehealthpolicy.com/daily-news/fda-switching-studies-not-needed-biosimilar-interchangeable-status

Major State Medicaid And CHIP Healthcare News

Various articles cover developments in states on Medicaid and children’s health (CHIP) coverage, including Arizona, Florida and California. In CA, there is a debate over where health plan tax dollars will go. And, there are contrasting coverage paths for children in Arizona and Florida.

Additional article: https://kffhealthnews.org/news/article/chip-waivers-children-health-insurance-coverage-subsidies-arizona-florida-2/

#chip #medicaid #coverage

https://kffhealthnews.org/news/article/california-lmedi-cal-managed-care-organization-tax-budget-ballot-initiative/

Another Great George Halvorson Blog On Medicare Advantage

Fromer Kaiser Permanente CEO George Halvorson has another great blog on The Healthcare Blog website defending the accomplishments of Medicare Advantage (MA) and why the traditional program is not right for most Americans.

#medicareadvantage #medicare

https://thehealthcareblog.com/blog/2024/06/20/medicare-advantage-has-saved-medicare/

Increase In Uninsured Rate Is Not Destiny

Good Health Affairs Forefront blog argues that the recent Congressional Budget Office (CBO) prediction of a major increase in the uninsured rate can be reversed with the extension of enhanced premium subsidies in the Exchange, more Exchange marketing dollars, and additional state Medicaid expansions.

(Article may require a subscription.)

#medicaid #aca #obamacare #exchanges

https://www.healthaffairs.org/content/forefront/cbo-projections-not-destiny-policies-aca-investments-can-change-trajectory

Best Practices For Healthcare AI

Two Health Affairs Forefront blogs discuss some best approaches for the use of AI in healthcare.  In one, discussions about the five-level path to AI automation. In the second, a proposal to use best practices to have rational use of AI in prior authorization and claims adjudication.

Additional article: https://www.healthaffairs.org/content/forefront/five-level-path-ai-automation-health-care

(Articles may require a subscription.)

#ai #healthcare #healthplans #priorauthorization #claimsdenials

https://www.healthaffairs.org/content/forefront/best-practices-ai-health-insurance-claims-adjudication-and-decision-making

— Marc S. Ryan

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