Trends and Compliance

This is one of the most dramatically shifting years for our industry. Between policy changes, industry trends, and compliance regulations, it's important to be aware, make applicable changes, and prepare for a big transition. This year could be a once in a lifetime opportunity to increase growth if you are prepared.

 

Informational Sources: 

• Peek boomer years: 11,200 people T65 a day until 2027: https://www.cnbc.com/2024/04/07/turning-65-what-to-know-when-planning-for-medicare-social-security.html#:~:text=More%20than%2011%2C200%20baby%20boomers,doesn't%20have%20it%20easy. 
• AI revolution- Ask Integrity, carrier claims (https://www.forbes.com/sites/shashankagarwal/2024/03/28/the-ai-revolution-in-medical-claims-processing/?sh=7193829319e4) 
• https://www.medicaldevice-network.com/analyst-comment/healthcare-sector-cyberattacks/
• https://www.reuters.com/business/healthcare-pharmaceuticals/unitedhealth-warns-115-135share-hit-this-year-hack-2024-04-16/
• https://kffhealthnews.org/news/article/rural-hospitals-half-operate-in-red-many-cut-services/
• Nursing home groups file lawsuit to block CMS' staffing mandate - https://www.fiercehealthcare.com/providers/nursing-home-groups-file-lawsuit-block-cms-staffing-mandate
• “Dead” diseases coming back- measles (MMR vaccine), syphilis (highest in 20 years) and chlamydia, Mumps, https://www.webmd.com/a-to-z-guides/ss/slideshow-diseases-coming-back  
• We’ll see more restrictions in place from May-January when it closes unless the house bill passes: https://www.psychiatry.org/psychiatrists/practice/covid-19-coronavirus/covid-19-telehealth-policies-wind-down-timeline 
• https://www.healthcaredive.com/news/telehealth-flexibility-extension-advances-house-ways-means/715592/  
• https://www.pewtrusts.org/en/trend/archive/fall-2023/americas-mental-health-crisis
• https://www.healthleadersmedia.com/clinical-care/77-us-docs-are-employees
• U65 Changes https://www.healthinsurance.org/blog/short-term-health-insurance-limits/
• https://www.beckerspayer.com/payer/cms-to-recalculate-medicare-advantage-star-ratings-report.html
• 23% of adults who lost Medicaid are still uninsured – 47% regained Medicaid and 28% picked it up through employers: https://www.cnn.com/2024/04/12/politics/medicaid-coverage-health-insurance/index.html   
• Taking a toll on community health centers: https://www.fiercehealthcare.com/payers/one-year-after-unwinding-community-health-centers-struggle-medicaid-reenrollment 
• High Generic Drug Costs https://www.wsj.com/livecoverage/stock-market-today-earnings-04-16-2024/card/u-s-probes-high-generic-drug-prices-7L04Lg6yABfMAwOXtQfW?mod=lctimeline_finance
• https://www.statista.com/statistics/271501/us-email-usage-reach-by-age/#:~:text=Share%20of%20U.S.%20e%2Dmail%20users%202021%2C%20by%20age%20group&text=Email%20usage%20interested%20over%2093.4,reported%20using%20this%20communication%20method
• https://www.statista.com/statistics/187549/facebook-distribution-of-users-age-group-usa/
• Non-Compete Rule: July 2024 https://www.ftc.gov/system/files/ftc_gov/pdf/noncompete-rule.pdf
• https://www.dol.gov/newsroom/releases/whd/whd20240423-0#:~:text=Effective%20July%201%2C%202024%2C%20the,the%202019%20overtime%20rule%20update