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5 May 2015, 4:00 am by Jon Gelman
CMS created the new data set using drug claim information submitted by Medicare Advantage Prescription Drug plans and stand-alone Prescription Drug Plans. [read post]
22 Apr 2010, 5:44 pm by Joseph Lamy
While our federal government is working out a new health plan for our Country, the fact remains that roughly 46 million people in America do not have any health insurance, including 140,000 people in our small State of Rhode Island. [read post]
8 Apr 2020, 2:00 am by James Davis, Editor, HR Daily Advisor
How Health Coaches Can Help Primary care providers at most facilities are simply not configured to spend four appointment slots on one patient. [read post]
7 Jul 2011, 6:08 am by McNabb Associates, P.C.
All of the fraudulent billing occurred while Bernhard was excluded from billing all federal health care programs, including Medicare Advantage plans. [read post]
7 Jul 2011, 6:08 am by McNabb Associates, P.C.
All of the fraudulent billing occurred while Bernhard was excluded from billing all federal health care programs, including Medicare Advantage plans. [read post]
1 May 2023, 10:01 am by Ryan P. Blaney and Jonathan Mollod
Applicability to HIPAA-regulated entities: HIPAA regulates health data collected by specific covered entities (e.g., healthcare providers, health plans) and business associates and requires such entities to obtain an individual’s authorization before using or disclosing protected health information (PHI). [read post]
1 Dec 2020, 4:28 pm by Sabrina I. Pacifici
If the recommendations are approved, they will become official CDC recommendations on immunization in the United States and provide guidance to state officials, who are scrambling to meet a Friday deadline for vaccine distribution planning... [read post]
Regulators provided key insights into enforcement trends and potential changes to HIPAA regulations at the 11th Annual “Safeguarding Health Information: Building Assurance Through HIPAA Security” conference in October co-hosted by the National Institute of Standards and Technology (NIST) and the Department of Health and Human Services (HHS), Office for Civil Rights (OCR). [read post]
16 Aug 2012, 4:24 am
For the NIHCM, the new study means that the ACA’s new state insurance exchanges, which are intended to provide broader access to affordable coverage, either must guarantee that high-cost patients are evenly distributed among competing plans or must “risk adjust” the size of payments to insurers. [read post]
9 Mar 2016, 9:01 am by Cynthia Marcotte Stamer
Along with this individual mandate, the ACA: Dictates that all group and individual health insurance policies other than a narrow list of “excluded” plans include the rich and generally expensive package of ACA-mandated “essential health benefits,” pay a host of ACA-imposed taxes and assessments, and comply with a host of tight ACA market reforms; Penalizes employers with 50 or more full-time employees (large employers) that fail to offer all… [read post]
31 Mar 2015, 6:58 am by Jonathan Brun
In addition, various organizations may provide update training from time to time. [read post]
19 Sep 2018, 11:24 am by Frank Crivelli
The anticipated savings from the new healthcare plans will be attained by directing Medicare-eligible retirees from preferred-provider plans to Medicare Advantage plans and by making it more costly for employees and retirees to use out-of-network specialists and brand-name prescriptions. [read post]
2 Oct 2013, 6:49 pm
Louisiana’s top health-insurance provider said that not a single person enrolled in a new health-care plan offered through the Affordable Care Act on its first day. [read post]
2 Mar 2021, 7:57 am by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
26 May 2010, 4:00 pm by Heather Young
 The donation of $600,000 to the community clinics and $600,000 to the Prime Healthcare Services Foundation for the development of community clinics is but a small portion of PHS' planned charitable giving in 2010. [read post]
3 Oct 2019, 11:32 am by Ciera Logan
It incorporates data exchanged through traditional health technologies used by health care providers and health plans, as well as data exchanged through newer technologies, like wearable devices and virtual assistants. [read post]
27 Apr 2017, 1:30 am by Thaddeus Mason Pope, JD, PhD
If you teach health law, come to the 40th Annual Health Law Professors Conference, June 8-10, 2017, at Georgia State University College of Law in Atlanta. [read post]
30 Aug 2013, 5:30 am by Michael B. Stack
Also, two health care providers were being disciplined by the Health Professions Council of South Africa. [read post]