Search for: "Providence Health System Group Insurance Plan"
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2 Mar 2016, 5:00 pm
Employer and union sponsored group health plans covered by the Employee Retirement Income Security Act of 1974 (ERISA) and their insurers are not required to comply with a Vermont state law that requires health insurers and certain other parties to report payments relating to health care claims and other information relating to health care services to a state agency for compilation in an all-inclusive health care… [read post]
22 Jul 2016, 11:43 am
Plaintiff, a Roman Catholic, is a Missouri state legislator and receives health insurance through the state's health care plan. [read post]
11 Mar 2024, 10:00 pm
Ensure plan participants are granted appropriate rights under HIPAA to access information in their medical and other health records maintained by their healthcare providers and health plans. [read post]
1 Aug 2012, 10:02 am
Sebelius ruling, most employers and insurers of employment based group health plans now are bracing to cope with radical changes in their health plan related responsibilities scheduled to take effect in 2014. [read post]
12 Mar 2013, 11:27 pm
Because this definition presently is limited to “insured group health plans,” it self-insured health coverage provided for expatriate employees presently do not qualify as expatriate health plans covered by the relief contained in the Expat FAQ. [read post]
31 Aug 2023, 2:02 am
Connect with industry groups for benchmarks, and hold your advisors and consultants accountable.Whether you’re a benefits manager, broker, provider, or insurer, it’s hard to swallow being part of an industry that’s perceived to be failing 70% of Americans. [read post]
13 Oct 2023, 2:33 am
Among many other things the measures address the review and approval of health system mergers, reforms of health system contracting and certificate of need review. ( NCSL ) CA Gov Vetoes Insulin Affordability Bill California Gov. [read post]
17 Mar 2015, 2:49 pm
Insurance industry or other vendors providing services to these plans also may face specific responsibilities under applicable insurance, health care, federal or state identity theft, privacy or data security, or other federal or state laws. [read post]
6 May 2013, 8:19 am
Employer and other group health plan sponsors, insurers, fiduciaries and administrators should brace to cope with difficulties in upcoming 2014 health plan enrollment challenges in light of sweeping health plan changes, process and system disruptions complicated by incomplete and delayed guidance, and other changes arising from the rollout of the Patient Protection & Affordable… [read post]
9 Apr 2024, 12:36 pm
A Kaiser Family Foundation report on claims denials and appeals by health plans sold on the federal health insurance marketplace found that an average of 18% of in-network claims were denied during the reporting period, with some plans reaching as high as 80%. [read post]
7 Feb 2019, 3:03 pm
Health plans and their employer and other sponsors, fiduciaries, administrators and other service providers, as well as health care providers, health care clearinghouses and their business associates (“Covered Entities”) should reconfirm the adequacy of their Health Insurance Portability and Accountability Act (“HIPAA”) compliance and risk management in light the U.S Department of Health and… [read post]
6 Jun 2013, 9:09 am
Auburn University, Battelle Memorial Institute, Beacon Health System, Gonzaga University and the Pennsylvania State System of Higher Education are accused of discrimination because many of the health plans offered to workers exclude maternity coverage from the insurance provided to dependent children. [read post]
7 Oct 2010, 2:23 pm
These decisions, viewed in the aggregate, have clear and direct impacts on health care providers, taxpayers, and the insured population who ultimately pay for the care provided to those who go without insurance. [read post]
11 Sep 2023, 1:58 pm
Implemented and enforced by OCR, HIPAA generally requires that insured and self-insured health plans, health care providers, healthcare clearinghouses and their service providers that qualify as business associates (hereafter “covered entities”) safeguard the privacy and security of individually identifiable protected health information (“PHI”) in paper, electronic or another form against use,… [read post]
26 Apr 2012, 4:38 pm
The Affordable Care Act provides that a group health plan fails to provide the required minimum value if the plan covers less than 60 percent of the total allowed costs of benefits provided under the plan. [read post]
26 Apr 2017, 6:14 pm
A new Department of Health and Human Services Office of Civil Rights (OCR) CardioNet Resolution Agreement and Corrective Action Plan (Resolution Agreement) settling OCR charges of violations of the Privacy and Security Rules of the Health Insurance Portability & Accountability Act against remote cardiac monitoring provider CardioNet provides important lessons for health plans, health… [read post]
21 Aug 2015, 6:07 pm
Group health plans can face lawsuits from covered persons, their health care providers as assignees or the DOL, to enforce rights to benefits, plus attorneys’ fees and other costs of enforcement. [read post]
20 Jul 2012, 8:15 pm
Consequently, the care and services covered by self-insured health plans typically are less generous in many respects than those provided by state and federal employee health plans or individual or group health insurance policies regulated by state insurance law. [read post]
7 Mar 2012, 5:25 am
Group Health Insurance Issuer’s Obligations to a Group Health Plan. [read post]
26 Oct 2012, 11:29 am
The insurance exchange is one of the ways the law plans to achieve this goal. 2) How do health insurance exchanges help ensure that health insurance is available to everyone? [read post]
