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13 Dec 2010, 10:53 am
A certified Home Health Care Agency may provide the following services: Some skilled nursing care Personal and occupational therapy Speech-language pathology services Certain medical supplies Durable medical equipment As part of Senior Life Care Planning’s advocacy we recommended reliable and good agencies. [read post]
22 Jun 2017, 12:57 pm
Tightening Health Plan Mental Health & Substance Abuse Rules & Enforcement Make Group Health Plan Compliance Critical New and proposed guidance jointly published June 16, 2017 by the Departments of Labor (DOL), Health & Human Services (HHS) and Treasury is the latest in a series of regulatory and enforcement developments over the past year alerting group health plans and their employer and other group… [read post]
19 Oct 2011, 7:00 am
In a self-funded healthcare plan an employer provides health and other welfare benefits to employees with its own funds. [read post]
17 Dec 2018, 6:16 am
The Office for Civil Rights (“OCR”), a division of the Department of Health and Human Services (“HHS”), is responsible for investigating complaints and reports that covered entities (i.e., health plans, health care clearinghouses, or health care providers that conduct certain electronic transactions) or business associates have violated either the HIPAA Privacy or Security Rule. [read post]
4 Jun 2020, 1:20 pm
Additionally, the Safe Harbor does not apply to employee welfare benefit plans (e.g., group health plans, disability benefit plans, etc.), although the DOL has noted that they are studying the future application of the Safe Harbor to these arrangements. [read post]
23 Mar 2018, 8:28 am
The new single-payer health plan, allows all Americans to enroll in the same high-quality plan. [read post]
20 Jul 2010, 2:10 pm
In other words, plans cannot charge patients copayments, coinsurance, or deductibles for such services (if a network provider supplies the services). [read post]
12 Aug 2014, 4:59 pm
Group health plan sponsors and third party administrators of certain group health plans who already filed their Form 8963, “Report of Health Insurance Provider Information,” who expect that their group health plan will be exempt in the 2014 fee year from the temporary risk adjustment fee assessment imposed by the Patient Protection & Affordable Care Act (ACA) based on impending guidance… [read post]
22 Feb 2010, 4:19 pm
Coming as U.S. employers continue to struggle to provide health benefits in the face of skyrocketing health benefit costs, tighter health plan medical privacy, nondiscrimination, mental health and other benefit mandates, and a host of other tighter new federal regulations impacting employment-based health plans and their sponsoring businesses, fiduciaries and administrators increasingly are forcing U.S. business leaders to make… [read post]
3 Feb 2015, 7:30 am
During marriage, it is pretty common for one spouse to have health insurance coverage provided through his/her employer and to cover the other spouse and the couple's children under that plan. [read post]
26 Feb 2019, 10:00 pm
von Briesen continues to monitor the United States Department of Health and Human Services, Office of Inspector General (the "OIG") Work Plan to provide insight into emerging legal trends in health care. [read post]
6 Jun 2013, 9:09 am
Auburn University, Battelle Memorial Institute, Beacon Health System, Gonzaga University and the Pennsylvania State System of Higher Education are accused of discrimination because many of the health plans offered to workers exclude maternity coverage from the insurance provided to dependent children. [read post]
25 Apr 2007, 1:59 pm
-based seller of discount health plans, was charged with violating Vermont's Consumer Fraud Act. [read post]
21 Oct 2022, 1:39 pm
This request includes, but is not limited to, the list of options provided to any Plan Design Committees in anticipation of their August 11 meetings. [read post]
16 Jan 2024, 5:00 am
When the law fails, patients, providers, and activists will push legal limits to access health care. [read post]
12 Aug 2011, 2:29 pm
On August 12, 2011, the Departments of Treasury and Health and Human Services released Proposed Regulations to provide guidance to individuals who enroll in qualified health plans through State-based Exchanges, as envisioned under the Affordable Care Act, and to provide guidance to Exchanges that make qualified health plans available to individuals and employers. [read post]
9 Jan 2012, 3:11 pm
The government, health care providers, insurers and community organizations can help by providing education and resources to make understanding and dealing with the realities of illness, disability or aging easier for a patient and their family, the affected employers and others. [read post]
6 Feb 2014, 10:00 pm
The OIG's annual work plan provides an indication of OIG enforcement priorities during the year. [read post]
6 Feb 2014, 10:00 pm
The OIG's annual work plan provides an indication of OIG enforcement priorities during the year. [read post]
5 May 2017, 7:18 am
This allowed them to gain the student’s personal and health plan information. [read post]
