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2 Feb 2018, 8:57 am by Cynthia Marcotte Stamer
The $3.5 million payment that Fresenius Medical Care North America (FMCNA) is paying to the U.S. [read post]
10 Jan 2018, 1:30 pm by Cynthia Marcotte Stamer
Based on EBSA’s previously adopted Patient Protection and Affordable Care Act (“ACA”) group health plan claims and appeals rules, the new Final Disability Claims Rule will apply to all disability determinations made under any ERISA-covered plan after March 31, 2018, regardless of how the plan characterizes the benefit or whether the plan is a health or other welfare, pension, 401(k) plan or other savings plan. [read post]
5 Jan 2018, 5:35 am by Cynthia Marcotte Stamer
Continuing Fallout of 2015 Data Breach Provides Many Lessons For Other Businesses & Their Health Plans The $2.3 million (Resolution Amount) data breach settlement and other post breach fallout now bankrupt radiation oncology and cancer care provider 21st Century Oncology, Inc. (21CO)  is experiencing after data thieves hacked into the names, social security numbers and other private health and financial data of more than 2,213,597 individuals illustrates why your… [read post]
14 Dec 2017, 4:16 pm by Cynthia Marcotte Stamer
About The Author Recognized by her peers as a Martindale-Hubble “AV-Preeminent” (Top 1%) and “Top Rated Lawyer” with special recognition LexisNexis® Martindale-Hubbell® as “LEGAL LEADER Texas Top Rated Lawyer” in Health Care Law and Labor and Employment Law; as among the “Best Lawyers In Dallas” for her work in the fields of “Labor & Employment,” “Tax: Erisa & Employee Benefits,” “Health… [read post]
1 Dec 2017, 11:35 am by Nate Nead
China’s Sanpower Group Co., Ltd. acquired Dendreon Pharmaceuticals Inc for $0.8 billion, and Sumitomo Dainippon Pharma Co., Ltd. acquired Tolero Pharmaceuticals Inc. for $0.8 billion to assist Sumitomo to refresh its pipeline.[28] In Q4 2017, a few M&A transactions have occurred in the pharma deal market. [read post]
25 Nov 2017, 4:00 am by Public Employment Law Press
Auditors also identified $95,918 in refunds and reimbursements from other entities for medical and dental expenses paid to LIAAC’s related entity and group medical benefits provider, the Long Island Network of Community Services, which should have been remitted to DOH.Department of Health: Eye Care Provider and Family Inappropriately Enroll as Recipients and Overcharge for Vision Services (Follow-Up) (2017-F-11)An initial audit report issued in March 2016… [read post]
25 Nov 2017, 4:00 am by Public Employment Law Press
Auditors also identified $95,918 in refunds and reimbursements from other entities for medical and dental expenses paid to LIAAC’s related entity and group medical benefits provider, the Long Island Network of Community Services, which should have been remitted to DOH.Department of Health: Eye Care Provider and Family Inappropriately Enroll as Recipients and Overcharge for Vision Services (Follow-Up) (2017-F-11)An initial audit report issued in March 2016… [read post]
28 Oct 2017, 8:09 am by Josh Fensterbush
Persons in the higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell the health care provider about eating the contaminated food. [read post]
12 Oct 2017, 4:22 pm by Cynthia Marcotte Stamer
Expanding access to AHPs can help small businesses overcome this competitive disadvantage by allowing them to group together to self-insure or purchase large group health insurance. [read post]
6 Oct 2017, 1:04 pm by Cynthia Marcotte Stamer
About The Author Recognized by her peers as a Martindale-Hubble “AV-Preeminent” (Top 1%) and “Top Rated Lawyer” with special recognition LexisNexis® Martindale-Hubbell® as “LEGAL LEADER™ Texas Top Rated Lawyer” in Health Care Law and Labor and Employment Law; as among the “Best Lawyers In Dallas” for her work in the fields of “Labor & Employment,” “Tax: Erisa & Employee Benefits,”… [read post]
13 Sep 2017, 4:00 pm by Cynthia Marcotte Stamer
A careful analysis of the Fifth Circuit’s decision makes clear that its decision about each of the four challenged policies covered by T-Mobile’s appeal turned upon the Court’s careful analysis of the surrounding context under which the applicable policy was implemented and administered reflected in the factual record. [read post]