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9 May 2019, 8:06 am
In addition to impacting existing plan features and their administration, health plans, their fiduciaries, administrators and insurers should prepare for a predictable surge in scrutiny by plan members about health plan prescription drug formularies that in many cases will fuel new appeals and challenges to the plan denials, formularies and other impacted features. [read post]
11 Jul 2015, 2:14 pm
The heavy reliance by group health plans and health insurers upon internet based applications and portals to carry out online enrollment, claims administration and payment, reporting and a host of other key health plan functions makes it particularly important for health plans, their employer or other sponsors, fiduciaries, vendors, and other involved in health plan administration or using or accessing health… [read post]
20 Dec 2022, 7:33 am
Download as PDF The post The Transport Decarbonisation Alliance at COP27 appeared first on Legal Planet. [read post]
16 Jan 2024, 12:18 pm
About The Health Plan Claim Denials Update[1] Employee Retirement Income Security Act (“ERISA”)-covered group health and disability plan participants and beneficiaries increasingly successfully overcome health plan benefit denials and receive ERISA § 502(c) awards based on federal court’s rulings plan fiduciaries or administrators failed to fulfill the Employee Benefit Security Administration… [read post]
26 Dec 2011, 1:59 am
FSPCA is funded by a one-year, $1 million grant to the Illinois Institute of Technology's Institute for Food Safety and Health (IIT IFSH).Under FSMA, food facilities are required to develop food safety plans that identify hazards and take steps to mitigate risks and prevent contamination. [read post]
11 Aug 2015, 2:29 pm
The Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the Departments) today (August 11, 2015) jointly released updated information about how the Departments plan to develop rules to implement the data reporting rules needed to implement the transparency provisions of section 1311(e)(3) of the Affordable Care Act with respect to non-Exchange coverage, including health insurance issuers offering group and individual health… [read post]
28 Dec 2011, 2:41 pm
Food and Drug Administration (FDA) in cooperation with the Illinois Institute of Technology’s Institute for Food Safety and Health (IIT IFSH) created the Food Safety Preventive Controls Alliance (FSPCA) to develop materials to will help the industry comply with the new preventive control rules. [read post]
1 Dec 2018, 9:55 pm
Sharon Tasman Prysant of Health & Technology Law Firm and Aaron K. [read post]
27 Apr 2016, 9:01 am
Act To Verify Compliance, Leverage Opportunities FAQ 31 and the other guidance presents a two-edged sword for health insurers and group health plans and their sponsors. [read post]
27 Apr 2016, 9:01 am
Act To Verify Compliance, Leverage Opportunities FAQ 31 and the other guidance presents a two-edged sword for health insurers and group health plans and their sponsors. [read post]
2 Mar 2016, 5:00 pm
The lawsuit stemmed from a lawsuit challenging Vermont’s attempt to enforce the law against Liberty Mutual Insurance Company’s self-insured health plan (Plan). [read post]
31 May 2016, 4:05 pm
Gobeille involved a challenge to a Vermont “all payer” law similar to laws enacted by at least 20 other states, that requires health plan payers, their administrators or both to disclose individually identifiable health claims and other claims data about Plan members to a state created all payer data base. [read post]
6 May 2019, 5:44 pm
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 post-data breach… [read post]
16 Oct 2018, 3:55 pm
The breach that resulted in the settlement agreement affected ePHI Anthem maintained for its affiliated health plans including many employer or union sponsored self-insured and insured group health plans and other HIPAA-covered entity health plans. [read post]
9 Sep 2015, 2:21 pm
She also previously served as President and Founding Board Member of the Alliance for Health Care Excellence and its Health Care Heroes and Patient Empowerment Programs, as RPTE Employee Benefits & Other Compensation Group Chair and Welfare Benefit Committee Vice Chair, Exempt Organizations Coordinator of the Gulf States Area TEGE Council, Board President and Audit Committee Chair of the Richardson Development Center for Children ECI Agency, National Kidney… [read post]
10 May 2017, 10:20 am
While small employers plans sometimes qualify for some relief from a few of these requirements, depending on their size, the majority of these federal rules apply to most if not all group health plans. [read post]
21 Aug 2015, 6:07 pm
Employers, Insurers & Plan Fiduciaries Face Big Risks From Out-Of-Pocket Limit & Other Federal Health Plan Rule Violations As amended by ACA, health plan violations of ACA and various other federal health plan mandates carry big risks for health plans, their sponsoring employers, and representatives of sponsoring employers, insurers and third party administrators responsible as fiduciaries for administering a… [read post]
17 Jan 2014, 8:12 pm
Strafford will be offering a webinar/teleconference entitled "Protecting IP Rights in Joint Development Agreements and Strategic Alliances -- Structuring JDAs to Apportion Contributed, Joint and Derivative IP; Planning for Involuntary Early Endings; and Avoiding Unintended Consequences" on February 20, 2014 from 1:00 to 2:30 pm (EST). [read post]
13 Aug 2010, 3:29 pm
Filed under: Disability Plans, Employers, ERISA, family leave, Health Plans, Human Resources, Insurance, Leave, medical leave, Patient Empowerment, Patient Protection and Affordable Care Act Tagged: Disability Planning, Employers, Estate Planning, Health Care, Health Care Reform, Health Plans, Patient Centric, Patient Empowerment, Patients [read post]
16 Feb 2017, 3:01 pm
MHS, a nonprofit corporation which operates six hospitals, an urgent care center, a nursing home, and a variety of ancillary health care facilities throughout the South Florida area with affiliated physician offices through an Organized Health Care Arrangement (OHCA) also agreed to implement a robust corrective action plan as part of the Resolution Agreement. [read post]
