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26 Sep 2024, 1:56 pm
A holiday parenting plan can be vital for providing clarity and structure during a time that is often emotionally charged and logistically complex. [read post]
29 Jun 2010, 3:09 pm
Employers, including state and local governments and unions, who provide health coverage for early retirees are eligible to apply. [read post]
14 Jun 2013, 12:53 pm
While the Resolution Agreement targets a health care provider, the lessons are equally applicable to health plans and health care clearinghouses, who increasingly face their own pressure to communicate with the media and others about enforcement actions, workforce claims and other matters. [read post]
14 Jan 2019, 1:39 pm
Offering Health Coverage to at Least 95 Percent of Full-Time Employees: Both the proposed regulations and Notice provide that an Individual Coverage HRA plan constitutes an employer-sponsored health plan for employer mandate purposes. [read post]
6 May 2009, 6:24 am
According to the express language of the Plan, “Billed charges ["the amount a Provider charges for services rendered"] may be different from the amount that [Blue Cross] determines to be the Maximum Allowable Charge for services. [read post]
25 Mar 2010, 7:04 am
Within the next two years, a plan to provide a vehicle for small businesses to offer tax-free benefits will be created. [read post]
21 Mar 2024, 3:10 am
Remember, too, that your organization should only collect data that you plan on using and acting on. [read post]
17 Feb 2013, 11:43 pm
Affected plan participants would receive contraceptive coverage through separate individual health insurance policies, without cost sharing or additional premiums; the mechanisms for this coverage varies based on the type of plan. [read post]
10 Oct 2023, 3:30 am
It is the responsibility of your health plan to pay out-of-network providers and facilities directly. [read post]
22 Sep 2011, 6:48 am
If the health insurance issuer offering the coverage provides a complete, timely SBC to the plan’s participants and beneficiaries, the plan’s requirement to provide the SBC will be satisfied. [read post]
27 Mar 2012, 10:46 am
McCready was a participant in her employer's group health plan, provided by Blue Shield of Virginia, who sued Blue Shield based on an alleged conspiracy with psychiatrists to prevent reimbursement for treatment by psychologists. [read post]
24 Aug 2010, 11:00 am
The NY Bridge Plan is an Exclusive Provider Option (EPO), which means that participants must use doctors and health care providers who are in the network, except in cases of emergency or when care is not available through a participating provider. [read post]
14 Mar 2014, 1:00 am
Whether you research these issues on your own, speak to your health care providers about your concerns, or do anything else, it’s important that you take the time to better understand the essential concepts so you can feel more comfortable making knowing decisions. [read post]
7 Feb 2024, 1:30 pm
These legal documents can provide instructions for your health and financial wishes. [read post]
28 Apr 2019, 11:35 am
An estate plan for 99% of people usually consists of a drafting a will, durable power of attorney and a medical power of attorney with an optional health directive. [read post]
14 Apr 2010, 10:32 pm
The Departments of Treasury (IRS), Labor (DOL) and Health & Human Services (HHS) are inviting public comments in advance of future rulemaking on impending new federal requirements that will obligate health insurance issuers offering individual or group medical coverage to submit annual reports to HHS on the percentages of premiums that the coverage spends on reimbursement for clinical services and activities that improve health care quality, and to provide… [read post]
13 Jun 2018, 5:53 pm
OIRA states that the semi-annual Unified Agenda and Regulatory Plan “provide uniform reporting of data on regulatory and deregulatory actions under development throughout the Federal government, covering over 60 departments, agencies, and commissions. [read post]
31 May 2012, 9:13 am
The employer responsibility provisions of PPACA impose tax penalties if employer-sponsored health care coverage does not provide a certain level of benefits, with a higher level of tax penalties for employers that do not sponsor any group health plans. [read post]
7 Nov 2020, 3:38 pm
Only the health care providers, health plans and health clearinghouses (referred to as covered entities under HIPAA) are subject to HIPAA’s extensive privacy regulations. [read post]
CMS Provides Sneak Preview of Future DMEPOS Competitive Bidding Plans Before Retracting Announcement
13 Feb 2017, 5:00 am
” Specifically, on January 31, 2017, CMS revealed plans for “Round 2019” of the DMEPOS competitive bidding program, which would consolidate the following current rounds: Round 1 2017, Round 2 Recompete, and the National Mail-Order Recompete. [read post]
