It looks like Pennsylvania will be heading back to the drawing board in the Physical Health Managed Care Organization (PH-MCO) procurement process. That’s because in April 2018, Commonwealth Courtruled in favor of the bidders protesting the contract award process; Aetna, United HealthCare and Vista Health Plan. The three insurers had filed suit challenging that (more…)
In February, I wrote about Aetna’s breach of Super Protected Data which occurred when the insurer sent letters to roughly 12,000 members that exposed their HIV status. The letters were processed and mailed by KCC, a company Aetna had contracted with to notify the same consumers about the settlement of two class action lawsuits (more…)
Pennsylvania continues to take steps to address the opioid epidemic by focusing on removing barriers to treatment. In late 2016, the state began implementing its Centers of Excellence program, with the goal of coordinating care for individuals with opioid use disorders and co-occurring behavioral and/or physical health conditions. Originally twenty centers were funded, with twenty-five additional centers implemented several months later. (more…)
Finding the balance between social networking and data privacy has taken center stage lately with news of the Federal Trade Commission’s investigation of Facebook and its relationship with Cambridge Analytica. (more…)
Knowing how to stay safe online shouldn’t be restricted to your home or office. You should practice good cyber hygiene while traveling, too. This will keep your mobile devices safe, and it will help ensure you don’t bring any unwanted malware or viruses back into your home or work environment. Here are a few simple tips you can follow to stay safe when traveling. (more…)
Most HIPAA breaches making headlines these days are the result of ransomware or cyberattacks. But, Aetna has been embroiled in controversy recently due to a HIPAA breach involving snail mail. The breach touches on several issues, including the type of data breached, the way that data was breached, and the multiple organizations and various ways in which the data may have been mishandled along the way. (more…)
This Sunday, January 28th, is Data Privacy Day. Data Privacy Day is an internationally recognized day dedicated to creating awareness about the importance of privacy and protecting personal information.
Check out the National Cyber Security Alliance, a non-profit organization working with government, businesses and academic institutions to help everyone stay safe online. The NCSA is the official US leader of the STOP.THINK.CONNECT.™ global safety campaign. The goal of the campaign is to provide simple, actionable advice you can follow and use to educate others about data privacy at home, work and in the community.
On January 1 2018, the requirement that providers serving individuals receiving Medical Assistance (MA) be directly enrolled in the MA program goes into effect for HealthChoices contractors and Managed Care Organizations (MCOs).
This requirement is already in effect for individuals being served in MA fee-for-service plans, and it was assumed (more…)
In July, the Pennsylvania Department of Human Service (DHS) implemented revisions to Appendix R, Encounter Data Submissions Requirements and Accompanying Sanctions for Noncompliance. The focus of Appendix R is two-fold: DHS is interested in both the timeliness (more…)