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22 Oct 2019, 8:01 am by Debra A. McCurdy
Improve the availability of quality and cost data to enable seniors to make better health care decisions and hold providers and plans accountable. [read post]
24 Feb 2016, 7:44 pm by Kyle Krull
If you are a Millennial (or the parent of one or more), then a recent Benzinga article provides a good foundation for an estate planning discussion and follow through. [read post]
24 Aug 2010, 2:04 pm
Scroggins' medical expenses were covered by an employee contributory self-funded health plan that provided benefit coverage to her under her employer provided health care plan. [read post]
4 Aug 2011, 9:00 am
Here are some things to think about: Lost wages are not usually covered by health insurance plans; however, PIP does provide this coverage. [read post]
24 Feb 2018, 2:15 am by Jeremy Saland
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]
27 Apr 2016, 2:07 pm by Jules M. Haas
Documents that may be included in estate and advanced planning include a Last Will, Living Will, Health Care Proxy, Durable Power of Attorney and Living Trust. [read post]
17 Apr 2012, 6:30 pm by Cynthia Marcotte Stamer
The $100,000 settlement with an Arizona-based physician group announced today by the Department of Health & Human Services (HHS) Office of Civil Rights (OCR) under the Health Insurance Portability & Accountability Act of 1996 (HIPAA) demonstrates the need for all health care providers, health plans, health care clearinghouses (covered entities) and their business associates to maintain appropriate HIPAA compliance and risk… [read post]
23 Jul 2014, 3:30 am by Amy Monahan
What is perhaps less obvious to the casual observer is that health insurance can provide very different levels of protection against financial insecurity depending on the plan’s premiums, cost-sharing structure, and coverage terms. [read post]
5 Mar 2012, 3:17 pm by fraudfighters
  Medistat’s primary role was to provide home health certifications and to perform patient home visits. [read post]
3 Oct 2016, 7:53 am by Debra A. McCurdy
In addition, the House has approved a number of health policy bills, including the following: HR 954, the “CO-OP Consumer Protection Act of 2016,” which would provide an exemption from the requirement to maintain minimum essential coverage if an individual’s Consumer Operated and Oriented Plan (CO-OP) coverage is terminated. [read post]
26 Jan 2014, 12:16 pm by Sabrina I. Pacifici
“As of 2012, 7 percent of employers did not cover spouses when other coverage was available to them and 4 percent of employers with 1,000 or more employees reported not providing such spousal coverage. [read post]
29 May 2023, 10:16 am by Giles Peaker
In the case of a MHCM, the debt advice provider is also required to decide whether “an approved mental health professional has provided evidence that the debtor is receiving mental health crisis treatment”. [read post]
16 Sep 2015, 9:30 pm by Dori Molozanov
” Under a premium assistance model, states use Medicaid dollars to purchase qualified health plans–federally regulated private insurance plans sold in Health Insurance Marketplaces created under the ACA. [read post]
20 Jun 2012, 7:50 am
Wellness visits: Enrollees can see their doctor once a year to assess their health status and risks for disease, and develop a personalized prevention plan, with no copayment or deductible. [read post]
25 Sep 2011, 12:42 pm by Cynthia Marcotte Stamer
    Her experience includes extensive experience  advising insured and self-insured ERISA group medical and other plans,  Medicare and Medicaid Advantage plans, mini-med, high-deductible and other consumer driven medical, long-term care, occupational injury, ex-pat, association, fraternal benefit and other managed care and medical benefit plans and insurers, their service providers,  insurers,  sponsors, fiduciaries,… [read post]
10 Feb 2023, 3:13 pm by lennyesq
“It allows us to shift from blanket mandates to an approach in which we provide people with the information and tools they need to protect themselves,” McDonald said Thursday during a state Public Health and Health Planning Council meeting. [read post]
7 Jun 2020, 7:00 am by Mark P. Lagon, Rachel Sadoff
Regarding the U.S. profile on the continent, the Trump administration announced its “Prosper Africa” plan in December 2018. [read post]