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15 Dec 2023, 8:55 am by Cynthia Marcotte Stamer
The No Surprises Act (“NSA”) Federal Independent Dispute Resolution (“IDR”) portal now is reopened for processing all health benefit disputes covered by the NSA between health care providers, facilities, and providers of air ambulance services (“providers”), and group health plans, health insurance issuers, and Federal Employee Health Benefits Program carriers (“payers”) (collectively, “disputing parties”). [read post]
12 Dec 2023, 3:05 am by Jenna Everhart, Health-E Commerce
For employees who have tax dependents who are living away from home, such as college-aged kids, suggest ordering an FSA or HSA debit card for them to use for such expenses. [read post]
8 Dec 2023, 10:02 am by Cynthia Marcotte Stamer
Health plans and other entities covered by the Health Insurance Portability and Accountability Act (“HIPAA”) should tighten their phishing deterrence and other safeguards in response to the announcement of the Department of Health and Human Services Office of Civil Rights (“OCR”) of its settlement of its first official phishing-related HIPAA charges with a Louisiana medical group subject to HIPAA as a health care provider. [read post]
7 Dec 2023, 8:54 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and VIce-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
6 Dec 2023, 3:13 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and VIce-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
3 Dec 2023, 4:21 am by Thaddeus Mason Pope, JD, PhD
JOSEPH / CANDLER HEALTH SYSTEM, Savannah, Georgia (March 10, 2023) ● Medical Aid in Dying in Pennsylvania, PENN STATE COLLEGE OF MEDICINE, Hershey, Pennsylvania (March 6, 2023) (Physician Assistant Medical Ethics) ● Clinical Impact of Key Variations in U.S. [read post]
1 Dec 2023, 11:50 am by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and VIce-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
27 Nov 2023, 3:16 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and VIce-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
22 Nov 2023, 3:28 am by jonathanturley
In early 2020, with little available evidence, two op-eds in The Lancet in February and Nature Medicine went all-in on the denial front. [read post]
21 Nov 2023, 3:15 pm by Cynthia Marcotte Stamer
A newly-announced settlement agreement and corrective action plan (the “Settlement”) between a prominent New York academic medical center and the U.S. [read post]
16 Nov 2023, 1:32 pm by Tom Kosakowski
 MWI has designated three experienced Ombuds for the AEA panel: Charmhee Kim, former Ombuds at McKinsey & Company; Nnena Odim, former Ombuds for CVS and American Planning Association; and Larry Hunt, former Ombuds for Amherst College. [read post]
14 Nov 2023, 12:56 pm by Bill Marler
Ayurvedic or traditional Chinese herbal medicines, Azarcon, Greta), cosmetics (e.g. kohl, kajal, surma), religious powders (e.g. sindoor), and other cultural products. [read post]
10 Nov 2023, 1:35 pm by Cynthia Marcotte Stamer
quickly to implement and communicate 2024 health spending account (“HFSA”), high deductible health plan amounts relevant to determining eligibility to contribute to a medical savings account (“MSA”), adoption credit and exclusion limits, and other inflation-adjusted limitations relevant to the annual enrollment, withholding and other year-end tax and benefit planning of workers and their families to assist workers to take into account these adjustments during 2024 benefit… [read post]
9 Nov 2023, 1:48 pm by Cynthia Marcotte Stamer
2024 Income Tax Tables and Standard Exemption amounts just released by the Internal Revenue Service (“IRS”) may help employees and their families in updating their W-4 withholding and planning certain employee benefit or other elections for 2024. [read post]
9 Nov 2023, 1:07 pm by Cynthia Marcotte Stamer
quickly to implement and communicate 2024 health spending account (“HFSA”), high deductible health plan amounts relevant to determining eligibility to contribute to a medical savings account (“MSA”), adoption credit and exclusion limits, and other inflation-adjusted limitations relevant to the annual enrollment, withholding and other year-end tax and benefit planning of workers and their families to assist workers to take into account these adjustments during 2024 benefit… [read post]
5 Nov 2023, 3:10 pm by Cynthia Marcotte Stamer
Health plans, health care providers, healthcare clearinghouses and their business associates (“Covered Entities” should check out this new Office of Civil Rights (“OCR”) video intended to educate health care industry players about real world cyber-attack trends from OCR breach reports, OCR investigations and how implementation of appropriate Health Insurance Portability & Accountability Act (“HIPAA”) Security Rile compliance can mitigate their exposure to… [read post]
1 Nov 2023, 9:02 pm by Neil H. Buchanan
Democratic primary voters who did not support Joe Biden during his bid for the presidential nomination in 2020 were never in any meaningful sense against him. [read post]