Search for: "Providence Health System Group Insurance Plan"
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30 Nov 2010, 5:37 pm
The trade group for health plans said the companies would work with state regulators to improve their performance. [read post]
11 Apr 2007, 2:02 am
Most of our articles on this blog highlight problems with health care providers and health care system. [read post]
24 Feb 2018, 2:15 am
The crime, in substance, makes it a misdemeanor to intentionally defraud a health plan by providing materially false information, or failing to provide this information, for the purpose of securing payment for a health care service or a health care item. [read post]
13 Dec 2019, 1:49 pm
The Plan established pursuant to the 2006 collective bargaining agreement between the NFL and payers provides a health care reimbursement account to reimburse up to a maximum of $350,000 per player of out-of-pocket medical care expenses a former player, his wife or dependents incurs not covered by insurance. [read post]
23 Oct 2019, 5:14 pm
Health plans and insurers and their service providers should heed as a warning of the potential perils they could face for violating the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security and Breach Notification Rules the just-announced $2.15 million plus civil monetary penalty that Jackson Health System (JHS) paid the Department of Health & Human Services Office of Civil Rights (OCR). [read post]
10 Feb 2014, 3:00 am
” In 2012, St Luke’s Health System, which operates multiple hospitals and other healthcare facilities in Idaho, acquired the Saltzer Medical Group (SMG), in Nampa, Idaho. [read post]
1 Oct 2020, 3:51 pm
Health Insurance Illinois: On September 2, the Department of Insurance issued Bulletin 2020-17 to notify Illinois-licensed health insurance issuers that no state enforcement actions will be taken against issuers for availing themselves of CMS’ relaxed enforcement to provide financial relief to their small group and individual enrollees in the 2020 plan year, provided that it is done [read post]
22 Oct 2019, 1:04 pm
But even those who will be able to gain coverage may not be able to do that within 30 days of entry because, under federal law, group health plans and those offering group health insurance coverage can have waiting periods of as long as 90 days. [read post]
18 May 2012, 11:12 am
Health plans and their fiduciaries and sponsors need to keep in mind that Federal health care oversight and enforcement is not just about detecting provider misconduct. [read post]
22 Jan 2019, 9:00 am
The Mental Health Parity and Addiction Equity Act of 2008, is a federal law that generally prevents group health plans and health insurance issuers that provide mental health and substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those benefits than on medical/surgical coverage. [read post]
21 Nov 2023, 3:15 pm
Accordingly, health plans and their fiduciaries, administrators, and sponsors should confirm their continued compliance in light of the insights provided by the Settlement and related OCR guidance. [read post]
13 Nov 2022, 5:29 am
Department Of Labor, the Employee Retirement Income Security Act of 1974 (ERISA) is: “a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. [read post]
12 May 2021, 11:55 am
How much of the cost of a specific doctor’s visit would be covered under a health insurance contract? [read post]
22 Nov 2010, 9:42 am
(Private insurers have little incentive to keep current subscribers healthy over the long term, since at least half of subscribers on average churn into different plans within three years of signing up with a given plan.) [read post]
7 May 2020, 12:48 pm
Health insurance and disability insurance plans must provide 180 days to file an appeal, and other plans must provide 60 days to file an appeal. [read post]
7 Jan 2013, 7:01 am
A lot of insurance/financial planning decisionmaking is suboptimal. [read post]
15 Dec 2023, 8:55 am
The No Surprises Act (“NSA”) Federal Independent Dispute Resolution (“IDR”) portal now is reopened for processing all health benefit disputes covered by the NSA between health care providers, facilities, and providers of air ambulance services (“providers”), and group health plans, health insurance issuers, and Federal Employee Health Benefits Program carriers… [read post]
5 Aug 2009, 11:01 pm
For 20 years from 1980-2000, I was involved in negotiating group health care insurance policies for my law firm. [read post]
21 Feb 2013, 7:14 am
I would argue the system worked perfectly this time. [read post]
22 Jun 2016, 10:53 am
In recent years, group health insurers and Third Party Administrators (TPAs) have been looking for inventive ways to provide better and less expensive health services to their customers. [read post]
