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28 Apr 2014, 6:53 am by Todd Rodriguez
  These restrictions only apply to profits generated from any of the Stark “designated health services” and only those that are covered by Medicare and Medicaid (including managed care), but if your group provides any of these designated services, the Stark income division rules apply to you and  penalties for failing to comply are steep. [read post]
5 Mar 2012, 3:17 pm by fraudfighters
Jacques Roy, his office manager, and five home health agency owners’ alleged participation in a nearly $375 million healthcare fraud scheme. [read post]
19 Apr 2021, 4:30 am by Tom Kosakowski
The consultants will Provide confidential and individual coaching services to staff, Organize and conduct group discussions, and advise the Regional Ombudsman. [read post]
13 Dec 2011, 2:49 pm by Cynthia Marcotte Stamer
Stamer is recognized, internationally, nationally and locally for her more than 24 years of work, advocacy, education and publications on leading health and managed care, employee benefit, human resources and related workforce, insurance and financial services, and health care matters. [read post]
18 Nov 2018, 8:30 pm by Cynthia Marcotte Stamer
Self-insured employer and union sponsored health plans, health insurers and other health care payers, health care providers, managed care and practice management service providers and others structuring or working with preferred provider or other managed health care contracts should weigh the potential implications on their health plan provider agreements and managed care practices of the antitrust… [read post]
11 Aug 2009, 10:12 am
Ken Thorpe's Partnership to Fight Chronic Disease released a report today providing a side-by-side comparison of leading health reform bills' approaches to chronic disease prevention and management. [read post]
14 Aug 2017, 12:03 pm by Thomas Dowdell (US)
On August 3, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of the State of Florida’s Managed Medical Assistance Section 1115 Waiver Demonstration. [read post]
14 Mar 2013, 3:00 am by Adrian Miedema
Lee et al and The Crown in Right of Ontario (Ministry of Community Safety and Correctional Services), 2013 CanLII 4672 (Ontario Public Service Grievance Board) For more information, visit our Occupational Health and Safety Law blog at OccupationalHealthandSafetyLaw.com [read post]
8 Feb 2022, 8:00 am by Len Feltoon
The group health insurance deductible is renewed, and it must be paid first. [read post]
11 Jun 2020, 9:18 am by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
9 Sep 2014, 6:30 am by Rebecca Shafer, J.D.
    Managed Care through a Preferred Provider Organization   A Preferred Provider Organization or PPO is a type of managed care program that is similar to other network-based managed care program such as a Health Maintenance Organization (HMO), Private Fee-For-Service (PFFS) or Point Of Service (POS) program. [read post]
22 Sep 2011, 10:21 am by Cynthia Marcotte Stamer
The Department of Health & Human Services is touting the Affordable Care Act as helping 1 million young adults get health coverage. [read post]
3 Apr 2024, 1:28 pm by Kevin LaCroix
Health Services Management Company Hit with COVID-19 Related Securities Suit Readers know that since [read post]
16 Oct 2012, 2:08 pm by thehealthlawfirm
  He is the President and Managing Partner of The Health Law Firm, which has a national practice. [read post]
13 Apr 2022, 2:58 pm by Holly Buckley
York Private Equity has announced it has acquired Healthcare Linen Services Group (HLSG). [read post]
6 Jul 2021, 7:00 am by Holly Buckley
AMC Health, based in New York and founded in 2002, is a provider of telehealth and remote patient monitoring services. [read post]
2 Mar 2016, 5:00 pm by Cynthia Marcotte Stamer
Employer and union sponsored group health plans covered by the Employee Retirement Income Security Act of 1974 (ERISA) and their insurers are not required to comply with a Vermont state law that requires health insurers and certain other parties to report payments relating to health care claims and other information relating to health care services to a state agency for compilation in an all-inclusive health care database, according to… [read post]
A new final rule aimed at promoting transparency in health care will impose potentially burdensome new disclosure requirements on many group health plans. [read post]
29 Apr 2013, 4:56 pm by Cynthia Marcotte Stamer
Stamer is recognized, internationally, nationally and locally for her more than 25 years of work, advocacy, education and publications on cutting edge health and managed care, employee benefit, human resources and related workforce, insurance and financial services, and health care matters. [read post]
2 Mar 2020, 11:04 am by Cynthia Marcotte Stamer
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]