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25 Sep 2018, 12:57 pm by Jerri Lynn Ward, J.D.
The negative aspects of those plans however, mean a decrease in the number of benefits provided to patients, including but not limited to coverage for maternity care, mental health services or pre-existing conditions. [read post]
6 May 2013, 8:19 am by Cynthia Marcotte Stamer
Employer and other group health plan sponsors, insurers, fiduciaries and administrators should brace to cope with difficulties in upcoming 2014 health plan enrollment challenges in light of sweeping health plan changes, process and system disruptions complicated by incomplete and delayed guidance, and other changes arising from the rollout of the Patient Protection & Affordable Care Act (ACA), particularly… [read post]
17 Jan 2013, 4:05 pm by Rachel Grunberger
  HHS released the letter to health care providers last night, and we will discuss it in a separate post. [read post]
27 Aug 2007, 2:14 pm
There’s an entertaining little story today in the Boston Globe on the question of whether, in the next few weeks, the California legislature and the Governor will roll out a state plan to reform health insurance by adding fees and other obligations to the employer provided health care system with the intent of providing universal health insurance, similar in some ways to what Massachusetts has done. [read post]
6 May 2019, 5:44 pm by Cynthia Marcotte Stamer
Health plans, their sponsoring employers and unions, insurers, fiduciaries, administrators, insurers and other service providers should learn from the $3 million lesson a Franklin, Tennessee-based diagnostic medical imaging services provider is learning about the heavy penalties a health plan, health care provider, health care clearinghouse  or business associate  (“Covered Entity”) risks if a… [read post]
6 Apr 2010, 6:33 am by Keith R. McMurdy
It become a function of whether or not that plan provides the health benefits required to be “qualified. [read post]
20 Apr 2023, 10:00 pm
In addition, the DOL has engaged in continuing enforcement efforts on such cybersecurity risks with respect to both retirement plans and health and welfare plans. [read post]
20 Apr 2023, 10:00 pm
In addition, the DOL has engaged in continuing enforcement efforts on such cybersecurity risks with respect to both retirement plans and health and welfare plans. [read post]
20 Apr 2023, 10:00 pm
In addition, the DOL has engaged in continuing enforcement efforts on such cybersecurity risks with respect to both retirement plans and health and welfare plans. [read post]
20 Apr 2023, 10:00 pm
In addition, the DOL has engaged in continuing enforcement efforts on such cybersecurity risks with respect to both retirement plans and health and welfare plans. [read post]
20 Apr 2023, 10:00 pm
In addition, the DOL has engaged in continuing enforcement efforts on such cybersecurity risks with respect to both retirement plans and health and welfare plans. [read post]
20 Apr 2023, 10:00 pm
In addition, the DOL has engaged in continuing enforcement efforts on such cybersecurity risks with respect to both retirement plans and health and welfare plans. [read post]
22 Jun 2016, 11:35 am by Elizabeth Litten
HIPAA applies differently to covered entity health care providers and covered entity group health plans. [read post]
28 Oct 2019, 1:08 pm by Debra A. McCurdy
  HHS notes that in response to its December 19, 2018 proposed rule, 19 timely commenters, including major health plan and provider associations and vendors, all supported rescinding the HPID and OEID. [read post]
6 Aug 2012, 4:17 pm by Cynthia Marcotte Stamer
Federal regulations have mandated since 2010 that group health plans and insurers provide in-network coverage in accordance with federal regulations implementing the Affordable Care Act’s prevention-related health services mandates for more than 800 prevention-related services listed in regulations originally published in 2009. [read post]
18 May 2020, 7:26 am by Daniel Fundakowski
On May 11, 2020, the Centers for Medicare & Medicaid Services (CMS) released a new suite of blanket waivers for hospitals and other health care providers in response to the COVID-19 public health emergency.[1] The blanket waivers have a retroactive effective date of March 1, which extends through the end of the public health emergency declaration and, in CMS’s view, “provide the flexibilities needed to take care of patients during the… [read post]
18 Feb 2021, 10:10 am by HRWatchdog
The post Cal/OSHA Provides Model Template for COVID-19 Prevention Plan appeared first on HRWatchdog by HRWatchdog. [read post]
10 Feb 2012, 11:00 am by Lucas A. Ferrara, Esq.
  The new rules, published jointly by the Departments of Health and Human Services, Labor and Treasury, require health insurers and group health plans to provide concise and comprehensible information about health plan benefits and coverage to the millions of Americans with private health coverage. [read post]
3 Feb 2019, 10:00 pm
While it's impossible to predict what government enforcement officials are currently working on, the trends from 2018 provide strong guidance for planning compliance efforts in 2019. [read post]
26 Apr 2012, 4:38 pm by Cynthia Marcotte Stamer
 The Affordable Care Act provides that a group health plan fails to provide the required minimum value if the plan covers less than 60 percent of the total allowed costs of benefits provided under the plan. [read post]