Search for: "Administrative Committee, Providence Health System Group Insurance Plan"
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20 Jul 2012, 8:15 pm
Consequently, the care and services covered by self-insured health plans typically are less generous in many respects than those provided by state and federal employee health plans or individual or group health insurance policies regulated by state insurance law. [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 … [read post]
10 May 2017, 10:20 am
The SHOP Marketplace is intended to offer an opportunity for for small employers who want to provide health and dental insurance to their employees. [read post]
21 Aug 2013, 6:52 pm
Employer and union group health plan sponsors and insurers of group and individual health plans (Health Plans) agonizing over 2014 plan design decisions are running out of time. [read post]
2 Jul 2013, 12:28 pm
A Fellow in the American College of Employee Benefit Council, immediate past Chair of the American Bar Association (ABA) RPTE Employee Benefits & Other Compensation Group and current Co-Chair of its Welfare Benefit Committee, Vice-Chair of the ABA TIPS Employee Benefits Committee, a council member of the ABA Joint Committee on Employee Benefits, and past Chair of the ABA Health Law Section Managed Care & Insurance Interest… [read post]
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]
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]
2 Mar 2020, 7:29 am
Employer and other health benefit plan sponsors, insurers, fiduciaries, administrators, heath care providers and other stakeholders desiring to comment on the Proposed Rule must submit their comments electronically no later than 5 p.m. [read post]
12 May 2017, 2:39 pm
Her clients include public and private health care providers, health insurers, health plans, technology and other vendors, and others. [read post]
27 Jul 2012, 11:15 am
Independence Blue Cross National Association of Insurance Commissioners National Association of Medicaid Fraud Control Units National Health Care Anti-Fraud Association National Insurance Crime Bureau New York Office of Medicaid Inspector General Travelers Tufts Health Plan UnitedHealth Group U.S. [read post]
30 Sep 2021, 4:50 pm
In addition to updating plan documents, contracts, and processes, health plans, their sponsors, fiduciaries, administrative service providers and others likely need to review budget forecasts, stop loss and other insurance, participant and provider communications, systems, and a host of other operating features of their programs. [read post]
25 Dec 2009, 9:58 pm
A series of Office of Civil Rights (OCR) enforcement action against health plans highlights the need for group health plans and insurers to exercise care to comply with HIPAA’s Privacy & Security Rules. [read post]
9 Jan 2012, 3:11 pm
Health Spending by Major Sources of Funds The Report indicates that the portion of health care expenditures financed by private health insurance continued to decline as private health plan enrollment declined. [read post]
4 Nov 2014, 4:54 pm
Solutions Law Press, Inc. invites employer and other employment-based group health plan sponsors, fiduciaries insurers, administrators, brokers, consultants and others to learn more about Notice 2014-69 and its implications on the design and consequences of employers offering “skinny” or other limited coverage health plans to their employees under the pay-or-play “shared responsibility provisions of the Code. [read post]
5 Nov 2014, 4:50 am
plan administrators and other services providers, and governments on health care, retirement, employment, insurance, and tax program design, administration, defense and policy. [read post]
21 Nov 2019, 6:18 am
I entered the field of Health Care through Social Work and moved into Administration because of a desire to not only help patients, but to also protect Medical Professionals. [read post]
12 Sep 2018, 6:41 am
Stamer advises, represents and defends employer, union, multi-employer, association and other employee benefit plan sponsors, insurers and managed care organizations, fiduciaries, plan administrators, technology and other service providers, government and community leaders and others about health and other employee benefit and insurance program and policy design and innovation, funding, documentation, administration,… [read post]
18 Dec 2019, 10:03 am
District Court for the Southern District of New York today (December 17, 2019) against the nation’s largest long term care pharmacy provider, Omnicare, and its parent, CVS Healthcare Corporation may signal the advisability for insurers, fiduciaries, administrators and sponsors of insured and self-insured health and other benefit plans providing pharmacy benefits to tighten claims and audit past claims payments for… [read post]
11 Apr 2019, 4:21 am
Stamer also has extensive health care reimbursement and insurance experience advising and defending health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and group and other health benefit programs and coverages including but not limited to advising public and private payers about coverage and program design and… [read post]
7 Mar 2011, 8:06 pm
The Chair of the American Bar Association (ABA) RPTE Employee Benefits & Other Compensation Committee, a Council Representative on the ABA Joint Committee on Employee Benefits, Government Affairs Committee Legislative Chair for the Dallas Human Resources Management Association, and past Chair of the ABA Health Law Section Managed Care & Insurance Interest Group, Ms. [read post]
