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7 Feb 2019, 3:03 pm by Cynthia Marcotte Stamer
Health plans and their employer and other sponsors, fiduciaries, administrators and other service providers, as well as health care providers, health care clearinghouses and their business associates (“Covered Entities”) should reconfirm the adequacy of their Health Insurance Portability and Accountability Act (“HIPAA”) compliance and risk management in light the U.S Department of Health and Human Services Office of Civil Rights (“OCR”) February 7, 2019… [read post]
7 Feb 2019, 1:21 pm by Walker & Walker Law Offices
This also applies to any debt collector agency they hire. [read post]
” Note that the proposed rule would only apply to rebates affecting federal healthcare programs and therefore would not directly impact commercial insurance rebates. [read post]
1 Feb 2019, 1:19 pm by Robert Hill and Joseph W. Metro
  The new safe harbor would protect manufacturer reductions in price for drugs payable by plan sponsors that (i) are set in advance with the plan sponsor or its PBM, (ii) are not rebates, unless the full value of the rebate is provided to the pharmacy via a “chargeback,” and (iii) are “completely applied to the price … charged to the beneficiary at the point of sale. [read post]
30 Jan 2019, 3:05 pm by Keeley A. McCarty
DHA’s pharmacy operations currently cover only outpatient prescribed drugs, hence the agency’s interest in commercial best practices for inpatient settings. [read post]
16 Jan 2019, 8:05 am by Lebowitz & Mzhen
After applying the cream to her eyes, the woman suffered eye pain, blurred vision, and redness in and around her eye. [read post]
8 Jan 2019, 12:38 pm by Cynthia Marcotte Stamer
Outcome data will allow payers to apply machine learning and artificial intelligence to have better insight into the value of the care they purchase. [read post]
15 Dec 2018, 7:41 am by Cynthia Marcotte Stamer
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors;  managed care organizations, insurers, self-insured health plans and other payers and their management; public and private, domestic and international hospitals, health care systems, clinics, skilled nursing,… [read post]
13 Dec 2018, 12:15 pm by Cynthia Marcotte Stamer
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors;  managed care organizations, insurers, self-insured health plans and other payers and their management; public and private, domestic and international hospitals, health care systems, clinics, skilled nursing,… [read post]
11 Dec 2018, 4:15 pm by Joe Glantz
Doctors need to understand which codes apply for the corresponding medical service or treatment. [read post]
7 Dec 2018, 11:00 am
 The third chapter is focused on online pharmacies in which the domain registrars CJSC Registrar 101, EP1K Inc and ZhuHai NaiSiNike Information Technology Co are listed. [read post]
20 Nov 2018, 1:15 pm by Aurora Barnes
Issues: In determining whether a felon is entitled to lodge an as-applied challenge to the constitutionality of a felon disarmament law such as 18 U.S.C. [read post]
18 Nov 2018, 8:30 pm by Cynthia Marcotte Stamer
Self-insured employer and union sponsored health plans, health insurers and other health care payers, health care providers, managed care and practice management service providers and others structuring or working with preferred provider or other managed health care contracts should weigh the potential implications on their health plan provider agreements and managed care practices of the antitrust lawsuit  jointly brought by the U.S. [read post]
15 Nov 2018, 9:30 pm by Simone Hussussian
Congress in 1958 that requires car manufacturers to apply stickers displaying, among other items, a vehicle’s list price. [read post]
14 Nov 2018, 9:45 am by Thomas Schober
However, many people are not aware that the “full and equal enjoyment” requirement also applies to websites maintained by places of public accommodation. [read post]
14 Nov 2018, 9:45 am by Thomas Schober
However, many people are not aware that the “full and equal enjoyment” requirement also applies to websites maintained by places of public accommodation. [read post]