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Companies, particularly those that collect and store health data, should take precautions to reduce the risk of cyberattack, including ensuring that internal policies and procedures meet the standards set forth in the Health Insurance Portability and Accountability Act (HIPAA) and other federal and state consumer protection and privacy laws. [read post]
Companies, particularly those that collect and store health data, should take precautions to reduce the risk of cyberattack, including ensuring that internal policies and procedures meet the standards set forth in the Health Insurance Portability and Accountability Act (HIPAA) and other federal and state consumer protection and privacy laws. [read post]
21 Aug 2018, 9:03 am by Kish Law
”  The jury rejected most of the prosecutors’ case, but each Defendant was found guilty of some charges related to bills submitted to Anthem Insurance. [read post]
14 Aug 2018, 5:33 am by Benjamin Wittes
And just as the Swiss cantons afford their residents a high degree of autonomy in such areas as education, health and personal-status issues (including marriage), so should and can Israel’s. [read post]
11 Jun 2018, 8:41 am by Venkat Balasubramani
This folder contained a 1,718 page file with names, dates of birth, social security numbers, lab test codes, and health insurance company information, of LabMD customers. [read post]
Authorities Uncover $20 Million Health Care Scheme in California Federal authorities arrested five individuals connected to San Fernando Valley clinics and a significant health care fraud scheme. On May 22, a federal grand jury indictment was unsealed. The indictment alleges that the five individuals engaged in a health care fraud conspiracy over multiple years and targeted at least eight health insurance companies and the International Longshore and Warehouse Union, the Pacific Maritime Association Benefit Plan, and the Federal Employees Health Benefits Program. The Conspirators According to the Department of Justice (DOJ) press release, the co-conspirators included: Roshanak “Roxanne” or “Roxy” Khadem, 50: Khadem owned and operated two clinics, R&R Med Spa and Nu-Me Aesthetic and Anti-Aging Center. Dr. Roberto Mariano, 59: Mariano helped operate the clinics. Marina Sarkisyan, 49: Sarkisyan was a clinic office manager. Lucine Ilangezyan, 38: Ilangezyan was an insurance biller for the clinics. Gary Jizmejian, 44: Jizmejian was previously a senior investigator at the Anthem Special Investigations Unit, the insurer’s anti-fraud unit. The Allegations The indictment alleges that the co-conspirators induced patients to visit the clinics for free cosmetic procedures, such as Botox injections, facials, and laser hair removal. These procedures were not covered by insurance. The co-conspirators would gain the patients’ insurance information and bill their insurers for medical services that were unnecessary or never provided. The defendants then used some of the illegally obtained proceeds to calculate a “credit” the patients could use for discounted or free cosmetic procedures. The defendants submitted at least $20 million in insurance claims and were paid approximately $8 million. The indictment also states that Jizmejian, for cash payments, would provide Khadem and others with confidential Anthem information. This information helped the defendants submit fr
30 May 2018, 5:43 am by Gregory J. Brod
Gary Jizmejian, 44: Jizmejian was previously a senior investigator at the Anthem Special Investigations Unit, the insurer’s anti-fraud unit. [read post]
11 May 2018, 1:10 pm by William K. Berenson
And a lot more of us, once the other health insurance companies start doing this with their HMOs and PPOs. [read post]
25 Apr 2018, 4:31 am by Jon Hyman
And, regardless of whether an act of revenge is or is not actionable, it nevertheless impacts your employees the same—increased absences, high turnover, low morale, lost productivity, greater health insurance costs, and the expensive legal bills if it turns into a lawsuit. [read post]
7 Nov 2017, 8:25 am
As regular readers know, I've basically called a moratorium on new individual health insurance sales. [read post]
20 Oct 2017, 4:30 am by Merritt Baer, Chinmayi Sharma
And in another ruling last month, Koh upheld a class of health insurance company Anthem’s data breach victims right to sue for a recently revealed second breach—shortly after Anthem was ordered to pay $115 million to victims and credit-monitors after the first incident. [read post]
19 Sep 2017, 8:23 am
You may recall it:Well...First, in email from Anthem:"Small Group plans will not be offered on SHOP in 2018Anthem will no longer offer Small Group plans on the federally-facilitated SHOP (Small Business Health Options Program) Marketplace in Ohio for 2018. [read post]
22 Aug 2017, 12:59 pm
Au contraire:For one thing, that's our money going to the insurers. [read post]
15 Jul 2017, 3:01 pm by Kantor & Kantor LLP
For example, major health insurer, Anthem, states that its physician reviewers will apply guidelines, “Anthem corporate medical policy, and other decision-support material. [read post]
5 Jul 2017, 11:37 am by William K. Berenson
Only a doctor can know that, That’s precisely the problem with the latest trend in health insurance that will deny payment of emergency room bills if the insurance company arbitrarily decides that your visit was not necessary. [read post]
Court of Appeals for the District of Columbia Circuit recently put the kibosh on the proposed mega merger between health insurance giants Anthem, Inc. and Cigna Corporation, two of the nation’s four largest insurers. [read post]
26 Jun 2017, 10:00 pm by Doug Austin
One of the most notable data breaches in recent years was the one suffered by health insurer Anthem involving the personal information of nearly 80 million individuals. [read post]
15 Jun 2017, 6:59 am
"Which is nice, and they go on to reassure us that they've already filed to offer ObamaPlans next year, and that they're "committed to offering individual health insurance options where it is feasible for us to do so. [read post]
12 Jun 2017, 8:51 am by Thomas Dowdell (US)
  Anthem announced that in 2018 it will not participate in the State of Ohio’s ACA marketplace, which will result in 10,500 people in 18 counties with no ACA insurance coverage choices according to the State’s Department of Insurance. [read post]