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4 Feb 2023, 3:20 am
Under the Resolution Agreement and Corrective Action Plan negotiated to resolve these potential violations, Banner Health paid $1,250,000 to OCR. [read post]
27 Jul 2015, 11:56 am
While under ERISA, group health plans and their responsible plan administrator or other applicable named fiduciary, not the sponsoring employer, generally bear the responsibility and liability for administering the group health plan in accordance with ACA’s claims and appeals and the other group health plan requirements covered by Form 8928, the Code’s extension of the Form 8928… [read post]
6 Jul 2022, 12:06 pm
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
24 Sep 2013, 6:02 pm
IRS Publishes Final Health Reform Individual Shared Responsibility Rules Cascom Inc. [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]
13 Aug 2012, 4:43 pm
The stipulation and consent order entered into between Health Net and the State of Connecticut Insurance Department follows a $250,000 penalty paid by Health Net of Connecticut, Health Net of the Northeast Inc. and parent companies UnitedHealth Group Inc. and Oxford Health Plans, over a 2009 loss of a computer disk that contained medical and financial records for 1.5 million consumers. [read post]
16 Feb 2017, 3:01 pm
MHS, a nonprofit corporation which operates six hospitals, an urgent care center, a nursing home, and a variety of ancillary health care facilities throughout the South Florida area with affiliated physician offices through an Organized Health Care Arrangement (OHCA) also agreed to implement a robust corrective action plan as part of the Resolution Agreement. [read post]
31 May 2016, 4:05 pm
Gobeille involved a challenge to a Vermont “all payer” law similar to laws enacted by at least 20 other states, that requires health plan payers, their administrators or both to disclose individually identifiable health claims and other claims data about Plan members to a state created all payer data base. [read post]
27 Jan 2013, 8:45 am
™ Solutions Law Press, Inc. [read post]
29 Aug 2022, 11:58 am
Affinity Health Plan, Inc. [read post]
10 Mar 2015, 5:30 am
©2014 Amaxx Risk Solutions, Inc. [read post]
24 Jan 2011, 12:05 pm
Unlike the taxation of highly compensated participants that generally results from a discriminatory self-insured group health plan, however, the Affordable Care Act provides for potentially draconian sanctions against an insured group health plan or its sponsor when an insured group health plan violates these non-discrimination requirements. [read post]
28 Mar 2015, 7:15 am
Recent data breaches by Anthem, Premera and other health plan vendors present significant legal and practical responsibilities and consequences for health plans, their employer and other sponsors, fiduciaries, administrators, service providers and participants. [read post]
17 Mar 2022, 11:17 am
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
18 May 2012, 11:12 am
Health Plans taking in Medicare funds beware. [read post]
28 Jan 2014, 5:30 am
©2014 Amaxx Risk Solutions, Inc. [read post]
23 Feb 2013, 5:00 pm
Of course, most health plan sponsors, fiduciaries, administrators and service providers already recognize the need to use care when dealing with health plan data. [read post]
1 Jul 2017, 6:55 am
Ariana is a dependent eligible for benefits under the Eyesys Vision Inc. group health plan administered by Humana. [read post]
17 Sep 2011, 4:41 am
Disability Blog & Cases: Group Health Plan Inc’s Actuary sues Reliastar Life Insurance Company and ING Disability Claims Management Services for recovery of disability benefits under The Ramsey Health Care Services Short Term Disability Plan A Minnesota disability attorney recently filed a lawsuit on behalf of a client against the Reliastar Life Insurance Company and ING Disability Claims Management Services (Reliastar & ING) for… [read post]
10 May 2017, 3:14 pm
Healthcare providers, health plans, healthcare clearinghouses and their business associates (Covered Entities) can’t disclose the name or other protected health care information about a patient in press releases or other announcements without prior authorization from the patient. [read post]