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26 Apr 2016, 9:11 am
Employers do not need to provide an SBC for retiree-only plans and only one SBC is required if an arrangement is integrated with a group health plan. [read post]
22 Dec 2023, 8:13 am
” The announced plan to reopen the comment period on the Proposed Rule follows the Departments’ recent reopening of the dispute resolution portal and announcement of a $115 user fee for providers and health plans participating in the process beginning in February. [read post]
17 Jun 2017, 4:02 am
Nevada Governor Brian Sandoval has vetoed legislation that would have established a single-payer Assembly Bill 374 would have expanded a Medicare-type health care insurance plan. coverage to provide health care coverage to all Nevada residents.Nevada GovernorBrian SandovalState sponsored plans are under consideration as the Republicans are attempting to repeal and replace the Federal Affordable Care Act (ACA). [read post]
6 Jan 2014, 10:11 am
Medicare, in pursuing recovery directly from the applicable plan, removes the beneficiary, as well as the provider or supplier, as the responsible party to initial a re-determination and all subsequent levels of the administrative process that could culminate in judicial review.Docket ID:CMS-2013-0270Topic(s):Administrative Practices and Procedures, Health Facilities, Health Professions, Kidney Diseases, Medical Devices, Medicare, Reporting and Recordkeeping… [read post]
24 Mar 2014, 2:55 pm
CMS is allowing enrollees in the federal Pre-Existing Condition Insurance Plan (PCIP) who have not yet enrolled in new health insurance coverage through an Exchange plan to purchase an additional month of PCIP coverage, through April 30, 2014. [read post]
16 Apr 2021, 8:22 am
On April 1, 2021 the American Rescue Plan Act (“ARPA”) went into effect, providing much needed relief as the country continues to reel from the impact of COVID-19. [read post]
27 Jul 2022, 3:34 pm
An Advance Directive for Health Care is used to appoint a Health Care Representative and grant that person access to medical records as well as authority to make medical decisions for someone should they become unable to communicate with their medical providers. [read post]
12 Feb 2015, 1:07 pm
The latest report highlights five areas of particular concern to the GAO: Payments and provider incentives in original Medicare (specifically referencing physician feedback reports, physician self-referral policy, high-expenditure Part B drugs, end stage renal disease (ESRD) bundled payments, and low-volume payment adjustments for dialysis facilities); Medicare Advantage (MA) and other Medicare health plans (including concerns about MA plan payment… [read post]
6 Jun 2022, 7:09 am
In an advance directive, you may also designate a person who will make health care decisions for you if you become incapacitated. [read post]
7 Mar 2018, 3:00 am
Worried about health providers abroad? [read post]
27 Oct 2021, 5:22 am
On October 4, 2021, the Department of Health and Human Services Office of Inspector General (OIG) issued a favorable advisory opinion on a proposal by a chiropractic clinic operator to extend an existing discount program to federal health plan beneficiaries. [read post]
20 Jul 2010, 7:17 am
The Departments of Health and Human Services (HHS), Labor, and Treasury issued interim final regulations on July 19, 2010 requiring new plans and issuers to cover certain preventive services without any cost-sharing for the enrollee when delivered by in-network providers. [read post]
23 Dec 2011, 8:00 am
Call your provider to make sure they are participating in the plan being offered • Be wary of unsolicited inquiries or offers. [read post]
24 Aug 2020, 2:52 pm
The Guidance also emphasizes neither health care providers nor health plans can receive any payment from or on behalf of a blood or plasma donation center in exchange for making these communications without first getting each individual’s written authorization. [read post]
13 May 2009, 9:54 am
By providing transparent accounts of coverage decisions, the public plan may well spearhead the types of comparative effectiveness analysis and evidence-based medicine that all health scholars agree need to be at the heart of rational health policy. [read post]
30 Jun 2021, 2:00 am
Here are a few things to consider when prioritizing your team’s health and planning your office return. [read post]
19 Jul 2011, 6:00 am
The Department of Health and Human Services (HHS) released a progress report on June 27, 2011 detailing efforts to implement its Open Government Plan published last year. [read post]
22 Nov 2022, 6:19 am
Now, a recent study confirms it is the failure of employers to take the time and the money to provide construction workers with proper site safety planning that causes the most fatal falls in this country: “insufficient or ineffective planning” is identified as the “primary cause for falls. [read post]
13 Jan 2016, 5:33 pm
The rest of the OCF-18 Treatment Plan is for your health care provider to complete. [read post]
24 Dec 2020, 7:10 am
Plan to include the service provider when you practice your own response plan, and gauge their openness to that. [read post]
