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9 Sep 2015, 2:21 pm
On one hand, health care providers generally rely heavily on their or their patient’s ability to obtain health benefits promised under employer or union-sponsored health plans covering their patients to help reimbursement provider charges. [read post]
23 Mar 2011, 5:31 am
The post Advance Health Care Directives Provide Protections appeared first on Augulis Law Firm. [read post]
27 Apr 2011, 5:19 am
The ability of an “in-network” health care provider to sue an ERISA health benefit plan for breach of contract in state court depends on the nature of its claimMontefiore Med. [read post]
11 Sep 2023, 1:58 pm
Implemented and enforced by OCR, HIPAA generally requires that insured and self-insured health plans, health care providers, healthcare clearinghouses and their service providers that qualify as business associates (hereafter “covered entities”) safeguard the privacy and security of individually identifiable protected health information (“PHI”) in paper, electronic or another form against use, access or… [read post]
9 Oct 2012, 8:21 am
We occasionally hear that an employer wants to promise greater health care coverage than is provided under the plan terms, either in a sympathetic scenario, or to facilitate a separation. [read post]
20 Apr 2011, 4:54 pm
The Regulation also provides a health plan that existed on March 23, 2010 will lose its eligibility for grandfathered status if the plan is amended to make significant changes that cut benefits or increase costs to covered persons. [read post]
13 Dec 2013, 3:48 pm
With 2013 rushing to the close, the Internal Revenue Service (IRS) has issued guidance providing nondiscrimination relief for certain defined benefit plans is providing temporary nondiscrimination relief for some defined benefit plans, its annual list of qualified plan changes, and guidance about in-plan Roth rollovers,. [read post]
11 May 2010, 6:54 am
Some plans may provide the opportunity at an earlier time. [read post]
1 Aug 2012, 10:02 am
Many plan sponsors and their management unwittingly take on liability that they assume rests with an insurer or service provider because the company or members of its management are named as the plan administrator or named fiduciary with regard to duties that the company has hired an insurer or service provider to provide or allowed that service provider to disclaim fiduciary or discretionary status with regard to those… [read post]
18 May 2009, 12:49 pm
Bloomberg.com reports that Congress is considering a tax on employer-provided health insurance in order to pay for the overhaul of the health-care system: In a document laying out health-care alternatives, Chairman Max Baucus, a Montana Democrat, and Senator Charles Grassley of Iowa, the panel's top Republican, said taxing health benefits would address so-called "Cadillac plans" that promote overuse of health-care services… [read post]
28 Sep 2015, 11:24 am
For additional information, see the Health IT Strategic Planning page. [read post]
22 Mar 2024, 6:00 am
The post Group Health Plan ACA Reporting – The 2024 Edition appeared first on Spencer Fane. [read post]
13 Oct 2021, 1:08 pm
Guideline addressing health plan surcharges for unvaccinated employees Click HERE to access the article by Timothy J. [read post]
13 Oct 2021, 1:08 pm
Guideline addressing health plan surcharges for unvaccinated employees Click HERE to access the article by Timothy J. [read post]
26 Aug 2010, 11:24 am
A Christians-only health care plan provides a "contract for insurance" and doesn't qualify for exemption from state regulations as a religious publication, the Kentucky Supreme Court ruled Thursday in a decision that potentially opens the plan to stricter regulations by the state. [read post]
24 May 2023, 5:16 pm
While MedEvolve’s customers generally were medical practices or other health care providers, self-insured health plans, health insurers and health plan service providers subject to HIPAA as covered entities and business associates often also rely upon third-party systems or services that involve sharing of health plan PHI with or rely upon third party provided servers, technology or other… [read post]
16 Apr 2018, 3:00 am
In the final rule, CMS stresses its goal of providing states greater flexibility and control over their insurance markets, particularly in the areas of: selection of essential health benefits benchmark plans; the operation and establishment of Exchanges, including Small Business Health Options Program Exchanges; rate review requirements; the process for receiving adjustments to the individual market medical loss ratio standard; and certification of… [read post]
27 May 2016, 8:23 am
The post Statewide Behavioral Health – Strategic Plan appeared first on Garlo Ward, P.C.. [read post]
8 Oct 2013, 1:50 pm
In the rush to finalize their health plan designs, contracts and documents for the upcoming 2014 plan year, employer and other health plan sponsors and fiduciaries should use care to review their insurance, broker, administrator and other health plan vendor agreements and vendor-provided plan documents, communications and processes to verify that vendor agreements and the plan designs, documentation,… [read post]
7 Oct 2011, 6:00 am
plan administrators and other services providers, and governments on health care, retirement, employment, insurance, and tax program design, administration, defense and policy. [read post]
