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This Week in Health Care: RAA Ransomware, New HHS Proposal, ACA's Risk Adjustment Program

Here's The Latest in Health Care:


•  New RAA ransomware allows access to Windows registry and connects to web servers. The latest virus strain is coded in JScript and is launched from .js attachments via email. What does this mean? Most of these infections utilize email attachments, so employees need to be cautious on how they handle emails from unknown senders. It's also important that health care organizations install a security product that offers behavioral detection rather than standard definitions, due to the constantly evolving nature of the virus. Source

• The Department of Health and Human Services proposes to alter the Medicare appeals process in an effort to trim the backlog of over 700,000 cases, which would take 11 years to clear entirely. Under this new proposal, the decision-making process would be accelerated and fewer cases would be sent to the third level of appeals. The minimum amount required to lodge an appeal would also change from the current $150 by using Medicare's allowed amount rather than the amount billed by the provider. The proposal would also request increased funding to help clear the backlog of cases by 2021. Source

•  The risk-adjustment program serves as a way to prevent insurers from cherry-picking the healthiest members by distributing the insurance risk of all Affordable Care Act (ACA) exchange enrollees. Companies who cover riskier patients with complex health conditions receive money from companies that have generally healthier members. CMS has vowed to make changes in response to some criticism from insurers that the risk-adjustment formula favors bigger payers with more claims experience and leaves out important drug data, making smaller companies with less claims data seem as if their membership base looks healthier than it actually is. Source

 

On The Front Lines:


For the third week in a row, Android has topped Apple in net devices for the week, taking away an additional 0.10 percent of the mobile user base. Could the "sweet" new name reveal for Google's next generation Android operating system, the Android Nougat, be enticing enough for mobile users to make the switch? 

FINAL RESULTS:


iOS: 90.15%
Android: 9.85%

Each Friday, Signor Goat reports the latest from the week in health care alongside the front lines of the iOS-Android wars among pMD's physician charge capture users. Check back next Friday for your dose of our little medical corner of health care news.