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27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
  Employers that sponsor group health plans that violated certain health care reform mandates for claims and appeals imposed by the Patient Protection and Affordable Care Act (ACA) will face a duty to pay an excise tax of $100 per violation per day under the expanded Form 8928 filing requirements made applicable to employers providing health plan coverage after 2013 under the Internal Revenue Code (Code), as well undermine the enforceability of claims and… [read post]
19 Feb 2013, 10:50 am by Cynthia Marcotte Stamer
Stamer also regularly authors materials and conducts workshops and professional, management and other training on employee benefits, human resources, health care and other compliance and management topics for the ABA, Aspen Publishers, the Bureau of National Affairs (BNA), SHRM, World At Work, Insurance Thought Leadership, Government Institutes, Inc., Solutions Law Press, Inc., the Society of Professional Benefits Administrators, HealthLeaders,… [read post]
19 Feb 2014, 5:30 am by Kori Shafer-Stack
All rights reserved under International Copyright Law. [read post]
30 Apr 2019, 10:23 am by Cynthia Marcotte Stamer
Health plans must deliver electronic protected health information (“ePHI”) to electronic applications or software (“apps”) used by plan members, and are responsible under the Health Insurance Portability & Accountability Act (“HIPAA”) Privacy and Security Rules for the security of electronic protected health information (“ePHI”) on apps they sponsor or provide, according to new guidance from the Department of… [read post]
2 Jul 2013, 12:28 pm by Cynthia Marcotte Stamer
Stamer serves on the Editorial Advisory Board of Employee Benefits News, the editor and publisher of Solutions Law Press HR & Benefits Update and other Solutions Law Press Publications, and active in a multitude of other employee benefits, human resources and other professional and civic organizations. [read post]
21 Aug 2013, 6:52 pm by Cynthia Marcotte Stamer
  See Patient Protection and ACA: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation Regulation. [read post]
2 Feb 2018, 8:57 am by Cynthia Marcotte Stamer
  Like the $2.3 million HIPAA resolution agreement OCR announced with now bankrupt radiation oncology and cancer care provider 21st Century Oncology, Inc. (21CO) earlier this year,  see, e.g. [read post]
20 Apr 2015, 9:41 am by Jeremy Saland
Law enforcement investigated NYC Pharmacy Inc. based on information that prescription drugs were being sold at the location without prescriptions. [read post]
10 May 2017, 3:14 pm by Cynthia Marcotte Stamer
” The announcement goes on to quote Director Severino further as stating, “This case reminds us that organizations can readily cooperate with law enforcement without violating HIPAA, but that they must nevertheless continue to protect patient privacy when making statements to the public and elsewhere. [read post]
10 Feb 2023, 1:24 pm by Zak Gowen
Malone   [1] Department of Justice and FTC Antitrust Enforcement Policy Statements in the Health Care Area (Sept. 15, 1993). [2] Statements of Antitrust Enforcement Policy in Health Care (Aug. 1, 1996), § 8.C. [3] Id., § 8.C.1. [4] FTC Advisory Opinion re: Greater Rochester Independent Practice Association, Inc. [read post]
18 Nov 2018, 8:30 pm by Cynthia Marcotte Stamer
 In its Atrium complaint, the Justice Department asserts that Atrium’s steering restrictions harm payers and consumers in violation of federal antitrust laws by obstructing the ability of insurers to design health benefit plans that give patients financial incentives to choose more cost-effective hospitals and physicians. [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
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]
25 May 2012, 3:13 pm by Cynthia Marcotte Stamer
Board Certified in Labor and Employment Law, a Fellow in the American College of Employee Benefit Council, immediate past Chair of the American Bar Association (ABA) RPTE Employee Benefits & Other Compensation Group and current Co-Chair of its Welfare Benefit Committee, Vice-Chair of the ABA TIPS Employee Benefits Committee, a council member of the ABA Joint Committee on Employee Benefits, and past Chair of the ABA Health… [read post]
12 Apr 2018, 7:42 pm by Cynthia Marcotte Stamer
Restaurants Face WHD Wage & Hour Responsibilities Restaurant industry employers have been the subject of special wage and hour law investigatory and enforcement by the WHD for the past decade. [read post]
12 Mar 2013, 11:27 pm by Cynthia Marcotte Stamer
ACA & Other Federal Health Plan Rules Generally Apply To Expat Coverage The Expat FAQ makes clear that the Agencies generally view expatriate health plans and other health benefit coverage provided by businesses subject to U.S. law for employees working outside their home country generally are subject to the mandates of ACA, as well as other federal health plan mandates. [read post]