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27 Mar 2016, 10:21 am by Ed. Microjuris.com Puerto Rico
Guzmán (Drinker Biddle & Reath LLP) Discussion about a potential expansion in telecommunications connections and services between the United States and Cuba spiked in 2016. [read post]
27 Oct 2016, 8:48 am by Cynthia Marcotte Stamer
  The requirements of the Corrective Action Plan both seek to address the specific weaknesses that lead to the breaches of unsecured ePHI reported by OHSU in its breach notifications as well as the broader deficiencies in OHSU’s overall HIPAA compliance practice by requiring among other things that OHSU: Conduct an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of ePHI at all OHSU facilities and on all… [read post]
18 Nov 2018, 8:30 pm by Cynthia Marcotte Stamer
  With most health care providers now participating in provider networks, however, payers increasingly want to steer members to lower cost providers within the provider network to maximize savings and place pressure on higher cost participating providers to reduce rates. [read post]
23 Oct 2019, 5:14 pm by Cynthia Marcotte Stamer
JHS operates six major hospitals, a network of urgent care centers, multiple primary care and specialty care centers, long-term care nursing facilities, and corrections health services clinics, provides health services to approximately 650,000 patients annually, and employs about 12,000 individuals. [read post]
10 Sep 2018, 7:49 pm by Cynthia Marcotte Stamer
House Republicans are taking action to make permanent the individual and small business tax cuts enacted under the Tax Cuts and Jobs Act (TCJA) by introducing the following three bills to accomplish Republicans’ Tax Reform 2.0 package: H.R. 6760, the Protecting Family and Small Business Tax Cuts Act of 2018, sponsored by Rep. [read post]
6 May 2019, 5:44 pm by Cynthia Marcotte Stamer
Health plans, their sponsoring employers and unions, insurers, fiduciaries, administrators, insurers and other service providers should learn from the $3 million lesson a Franklin, Tennessee-based diagnostic medical imaging services provider is learning about the heavy penalties a health plan, health care provider, health care clearinghouse  or business associate  (“Covered Entity”) risks if a post-data breach investigation by the U.S. [read post]
13 Dec 2018, 12:15 pm by Cynthia Marcotte Stamer
February 12, 2019 is the deadline for health plans and their sponsoring employers, fiduciaries and business associates, as well as health care providers, health care clearinghouses, health care consumers, employer and other concerned persons to provide input on reducing the regulatory burdens of the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security and Breach Notification Rules in response to the December 12, 2018 invitation of the U.S. [read post]
7 Feb 2019, 3:03 pm by Cynthia Marcotte Stamer
  In addition to recovering the single largest individual HIPAA settlement in history of $16 million with Anthem, Inc. [read post]
21 Aug 2015, 11:24 am by Cynthia Marcotte Stamer
Employers sponsoring health plans and members of their management named as plan fiduciaries or otherwise having input or oversight over the health plan should verify their company’s group health plan meets the out-of-pocket maximum rules of the Patient Protection and Affordable Care Act (ACA) § 1302(c)(1) as well as a long list of other federal health benefit rules to minimize the risk that violations will compel the sponsoring employer to self-assess, self-report on IRS Form 8928, and… [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
Beyond mitigating a plan sponsor’s Form 8928 reporting and associated excise tax exposures,  an independent compliance audit also can mitigate other risks and exposures for the sponsoring employer, the plan and its fiduciaries, the cost of which the sponsoring employer often bears financial responsibility for funding pursuant to the contractual indemnification and funding obligations entered into in connection with the establishment and maintenance of the plan, the fiduciary… [read post]
3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
Group health plans and insurance policies generally must count toward the out-of-pocket maximum limit all deductibles, coinsurance, copayments, or similar charges and any other expenditure the group health plan requires a covered person to pay for a qualified medical expense that is an “essential health benefit” within the meaning of ACA other than premiums, balance billing amounts for non-network providers and other out-of-network cost-sharing, or spending for… [read post]
8 Jan 2019, 12:38 pm by Cynthia Marcotte Stamer
Health care providers should instead compete based on the entire scope of the quality and value of care they provide, not on how exclusively they can craft their networks. [read post]
12 Sep 2022, 5:39 am by Jack Goldsmith
Companies in turn are developing counter­stra­te­gies to defeat evasion techniques. [read post]
26 Apr 2017, 6:14 pm by Cynthia Marcotte Stamer
As has become increasingly common in recent years, the CardioNet settlement arose from concerns initially brought to OCR’s attention in connection with a HIPAA breach notification report. [read post]
24 Apr 2017, 5:08 pm by Cynthia Marcotte Stamer
CCDH Sanctions For Violation Of HIPAA Business Associate Agreement Rules The CCDH Resolution Agreement arises from violations of this requirement that OCR says it discovered as a result of a compliance review conducted in response to an OCR investigation of a CCDH business associate, FileFax, Inc. [read post]