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11 Sep 2023, 1:58 pm
See Record $16M Anthem HIPAA Settlement Signals Need To Tighten HIPAA Compliance & Risk Management In January, 2021, OCR announced New York health insurer, Excellus Health Plan, Inc., would pay $5.1 million to settle potential HIPAA violations related to a breach affecting over 9.3 million people. [read post]
1 May 2023, 12:27 pm
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
9 Jul 2012, 11:22 pm
Workshops Helps Health Plans, Fiduciaries, Insurers & Administrators Prepare Health plans, their fiduciaries, employer and other sponsors, insurers and administrator can catch up on steps to take to prepare their health plans to comply with the new SBC and other requirements by participating in the 2012 Health Plan-U Coping With Health Care Reform Workshops that Solutions Law Press, Inc. will host beginning… [read post]
20 Mar 2020, 5:41 am
In contrast, CMSenforces MHPAEA and other applicable provisions of Title XXVII of the Public Health Service Act (PHS Act) with respect to non-federal governmental group health plans, such as plans for employees of state and local governments. [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 their… [read post]
2 Jan 2011, 4:44 am
Orange County Business Journal had an article about Sun Healthcare Group Inc. plans to buy more facilities and become the largest nursing home company after wrapping up a corporate split last month. [read post]
8 Aug 2010, 10:51 am
This timely discussion has immediate impact on practitioners and their clients dealing with group health plans, since the new rules generally apply to plan years beginning on or after September 23, 2010. [read post]
2 Mar 2020, 11:04 am
Proposed Coverage Transparency Rule The Proposed Coverage Transparency Rule would require most employer-based group health plans and health insurance issuers offering group and individual coverage to disclose price and cost-sharing information to participants, beneficiaries, and enrollees up front. [read post]
20 Jul 2012, 8:15 pm
Although the Affordable Care Act does not directly obligate self-insured group health plans, large group market health plans, and grandfathered health plans to design their plan to provide the coverage included in the required EHB package after 3014, the EHB package design also will affect the costs of these plans by prohibiting these plans from imposing annual and lifetime dollar limits on… [read post]
14 Oct 2011, 7:00 am
In A Comparison of Self-Funded and Insured Health and Welfare Plans, health benefits expert witnessMark Johnson, J.D., Ph.D., ERISA Benefits Consulting, Inc., writes: Employee welfare benefit plans can be either fully insured, or self-funded. [read post]
31 Jul 2023, 1:05 pm
Martin’s Point Health Care Inc. [read post]
9 Mar 2016, 5:06 pm
To catch up on this latest guidance, Solutions Law Press, Inc. [read post]
9 Mar 2016, 5:06 pm
To catch up on this latest guidance, Solutions Law Press, Inc. [read post]
21 Apr 2024, 5:00 pm
The Consolidated Appropriations Act of 2021 (CAA) and the November 2020 Transparency in Coverage Final Rule (TiC) create new disclosure requirements for group health plans regarding the cost of medical goods and services and require plan fiduciaries to evaluate the “reasonableness” of fees charged by group health plan consultants and brokers based on required disclosures of direct and indirect compensation. [read post]
15 Aug 2013, 12:45 am
Affinity Health Plan, Inc. [read post]
10 May 2017, 10:20 am
While many excellent reasons may exist for a business to offer group health coverage for qualifying employees, all employers regardless of size considering offering group health coverage obtained through the SHOP or other sources should keep in mind that employers that establish and maintain group health coverage, the group health plans they establish and the company or persons with discretionary authority or… [read post]
2 Mar 2016, 5:00 pm
When Vermont sought to require the Plan’s third-party administrator, Blue Cross Blue Shield of Massachusetts, Inc. [read post]
8 Jan 2024, 2:10 pm
Coupled with OCR’s Right of Access Rule settlement agreement with United Health Insurance Group last August, the latest settlement agreement sends a strong message to health plans and other Covered Entities about the risks of failing to deliver protected health information as required by the Right of Access Rule. [read post]
17 Mar 2024, 5:42 pm
What Health Plans, Their Fiduciaries, Vendors & Sponsors Should Be Doing Now Health plans, their fiduciaries, health plan sponsors and insurers, and their administrative and other service providers should move quickly to understand and act to mitigate the exposures likely to arise under the Health Insurance Portability and Accountability Act Privacy, Security and Data Breach Rules (HIPAA) Privacy, Security, and Breach Notification… [read post]
9 Mar 2016, 4:48 pm
Solutions Law Press, Inc. [read post]
