Search for: "Community Health Systems, Inc. Your Group Coverage Plan"
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9 May 2019, 8:06 am
If you have questions or would like more information about the new Rule or other developments impacting your health plan design or administration, please contact the author directly. [read post]
6 May 2019, 5:44 pm
Past Chair of the ABA Managed Care & Insurance Interest Group and, a Fellow in the American College of Employee Benefit Counsel, the American Bar Foundation and the Texas Bar Foundation, heavily involved in health benefit, health care, health, financial and other information technology, data and related process and systems development, policy and operations throughout her career, and scribe of the ABA JCEB annual Office of Civil Rights agency meeting,… [read post]
30 Apr 2019, 10:23 am
With health plans and their sponsors and insurers increasingly offering or promoting the use of apps to plan members members to access, maintain and use their health information, health plans, health care providers, health care clearinghouses and their business associates (“covered entities”) covered by HIPAA must understand and be prepared meet their HIPAA responsibilities to provide and protect ePHI to and on these… [read post]
11 Apr 2019, 4:21 am
Stamer also has extensive health care reimbursement and insurance experience advising and defending health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and group and other health benefit programs and coverages including but not limited to advising public and private payers about coverage and program design and documentation,… [read post]
1 Apr 2019, 12:07 pm
Other Defensive Actions To Minimize FLSA Exposures Whether or not any of these proposed rule changes takes effect, U.S. businesses will want to strengthen their existing practices for classifying and compensating workers under existing Federal and state wage and hour laws, tighten contracting and other compliance oversight in relation to outsourced services, weigh options to clean up exposure areas, review insurance coverages and consider other options to minimize their potential liability… [read post]
28 Mar 2019, 2:54 pm
Comment on the Proposed Rule & Other FLSA Rule Changes Employers commenting on the Proposed Rule also should keep in mind that its publication comes on the heals of the Labor Department’s proposal of a new Proposed Salary Threshold Rule that if adopted will increase to $679 per week the minimum salary an employee must earn to qualify for coverage by the “white collar” overtime exemption. [read post]
19 Mar 2019, 3:25 pm
Other Defensive Actions To Minimize FLSA Exposures Whether or not the Proposal takes effect, all U.S. businesses will want to strengthen their existing practices for classifying and compensating workers under existing Federal and state wage and hour laws, tighten contracting and other compliance oversight in relation to outsourced services, weigh options to clean up exposure areas, review insurance coverages and consider other options to minimize their potential liability under applicable… [read post]
7 Mar 2019, 4:40 pm
Coupled with the Department’s continuing aggressive attacks against contract labor and other worker misclassification as well as other minimum wage, overtime and other FLSA rules, all employers should shore up the defensibility of their existing practices for classifying and compensating workers under existing Federal and state wage and hour laws, tighten contracting and other compliance oversight in relation to outsourced services, weigh options to clean up exposure areas, review insurance… [read post]
7 Feb 2019, 3:03 pm
In addition to recovering the single largest individual HIPAA settlement in history of $16 million with Anthem, Inc. [read post]
9 Jan 2019, 2:48 pm
You have your choice of hot-button issues after that. [read post]
8 Jan 2019, 12:38 pm
Payers and employer group health plans which purchase health care have little information on health outcomes. [read post]
27 Dec 2018, 8:56 am
Youngerman-Reynolds Hardwood Co., Inc., 325 U.S. 419, 424–25 (1945); 29 C.F.R. [read post]
15 Dec 2018, 7:41 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; managed care organizations, insurers, self-insured health plans and other payers and their management; public and private, domestic and international… [read post]
13 Dec 2018, 12:15 pm
Stamer also has extensive health care reimbursement and insurance experience advising and defending plan sponsors, administrators, insurance and managed care organizations, health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and employer and association group and other health benefit programs and coverages including but not limited to… [read post]
18 Nov 2018, 8:30 pm
Historically, insurers promised to steer patients to health care providers contracting to become “preferred providers” to health plan members in return for health care provider’s agreement to provide care a preferred rates or in accordance with other health plan rules. [read post]
16 Oct 2018, 3:55 pm
The breach that resulted in the settlement agreement affected ePHI Anthem maintained for its affiliated health plans including many employer or union sponsored self-insured and insured group health plans and other HIPAA-covered entity health plans. [read post]
10 Sep 2018, 7:49 pm
” Read the legislation and share your feedback! [read post]
13 Jul 2018, 10:37 pm
Coupled with the Trump Administration’s recent rollout of its long promised association health plan, short-term coverage and other regulatory reforms and promises of more changes to come, the ongoing attention paid by the Administration and Congress to health insurance and health care reform raises a strong possibility that employer, association, and other health plan sponsors, fiduciaries and their vendors that they and… [read post]
11 May 2018, 3:22 am
The 2018 maximum deductible Health Savings Account (HSA) contribution for individuals with family coverage under a high deductible health plan (HDHP) is $6,900, rather than the lower $$6850 limitation that the Internal Revenue Service (IRS) and Department of Treasury originally identified as the 2018 maximum deduction amount last March. [read post]
12 Apr 2018, 7:01 pm
However, the risk of enforcement is particularly acute for businesses in the following industries, designed for heightened enforcement and other attention as “Low Wage High Violation Industries” based on their particularly high record of noncompliance: Agriculture, Amusement, Apparel Manufacturing, Auto Repair, Child Care Services, Construction, Food Services, Guard Services, Hair, Nail & Skin Care Services, Health Care, Hotels and Motels, Janitorial… [read post]
