Search for: "Providence Health System Group Insurance Plan"
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3 May 2012, 2:52 pm
The Labor Department provided the the first report, Annual Report on Self-Insured Group Health Plans, March 2011 (March 2011 Report)to Congress in March 2011. [read post]
21 Dec 2023, 2:18 am
The following entities are required to submit a GCPCA: Fully insured and self-insured group health plans, including Employee Retirement Income Security Act (ERISA) plans, nonfederal governmental plans; and church plans subject to the code; Health insurance issuers offering group health insurance coverage; and Health insurance issuers offering individual… [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]
21 Oct 2014, 5:16 am
A health plan is an individual or group plan that provides or pays the cost of medical care (as defined in 45 CFR 160.103). [read post]
16 Nov 2023, 6:00 am
Limited Choice of Providers: Group disability insurance plans typically limit participants to a specific list of insurance providers chosen by your employer. [read post]
9 May 2013, 3:31 am
Accordingly, group health plans and the fiduciaries and administrators involved in their administration will want to take proper steps to identify claims that may involve individuals covered by MA Plans in a manner that allows the group health plan to track and distinguish the coverage provided by the MA Plan from other insurance coverage as needed to comply with the MSP Act. [read post]
3 Mar 2022, 9:32 pm
As a part of this work, she has continuously and extensively worked with domestic and international health plans, their sponsors, fiduciaries, administrators, and insurers; managed care and insurance organizations; hospitals, health care systems, clinics, skilled nursing, long term care, rehabilitation and other health care providers and facilities; medical staff, accreditation, peer review and quality committees and… [read post]
23 Aug 2022, 2:56 pm
For example, a group of Florida physicians challenged the acquisition of the largest independent physician group by Health First, a vertically integrated healthcare system with hospitals, employed physicians, and a health plan. [read post]
31 Oct 2022, 1:11 pm
Insurance companies provide individual health plans to those who need them. [read post]
Group Health Plan Section 111 Medicare Secondary Payer (MSP) Records To Accept Future Effective Date
27 Sep 2021, 1:01 pm
An impending change in the Medicare Secondary Payer (”MSP”) recordkeeping system could slightly lighten group health plan reporting burdens. [read post]
2 May 2022, 12:25 pm
Bryant Legal Group: Chicago’s Premier Attorney for Healthcare ProvidersIf you are considering negotiating your health plan contract, don’t do it alone. [read post]
16 Jan 2024, 12:18 pm
” For 35-plus years, “Cindy” has guided and represented self-insured and insured health and managed care, disability, and other employee benefit plans; employers; plan sponsors; fiduciaries’ administrative services, technology, and other vendors; insurers; brokers and consultants; health care providers;; governments; and others on the design, administration, and defense of claims and appeals and other… [read post]
29 May 2013, 10:42 pm
New final wellness program regulations jointly published May 29, 2013 by the Departments of Labor, Health & Human Services and Labor tell employers and insurers how to design health risk assessment and other wellness and disease management tools in their group health plans and policies to incentivize and reward employees and other plan members to better manage their health and help manage health plan costs… [read post]
4 May 2012, 8:11 am
For Help or More Information If you need help preparing to comply with the SBC requirements or other help with reviewing and updating, administering or defending your group health or other employee benefit, human resources, insurance, health care matters or related documents or practices, please contact the author of this update, Cynthia Marcotte Stamer. [read post]
3 Aug 2015, 12:07 pm
Group health plans can face lawsuits from covered persons, their health care providers as assignees or the DOL, to enforce rights to benefits, plus attorneys’ fees and other costs of enforcement. [read post]
17 Nov 2021, 2:44 pm
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior;… [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,… [read post]
18 Nov 2018, 8:30 pm
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… [read post]
11 Jun 2014, 11:45 am
Health care providers, health plans and insurers, health care clearinghouses (collectively “Covered Entities”), their business associates, and others concerned about medical privacy regulations or protections should check out two new reports to Congress about breach notifications reported and other compliance data under the Health Insurance Portability & Accountability Act (HIPAA) by the U.S. [read post]
18 Sep 2019, 1:21 pm
Some public employers have sought to reduce their health insurance costs by offering their employees incentivized alternatives to health insurance coverage through their group health plans. [read post]
